WEST COAST EMT EXAM REVIEW
QUIZ QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A 67-year-old male presents with sudden onset of crushing chest pain, diaphoresis, and
nausea. He has a history of angina and takes nitroglycerin. His blood pressure is 94/60 mmHg.
What is the most appropriate next step regarding medication administration?
A. Administer 0.4mg Nitroglycerin sublingually.
B. Administer 324mg of Aspirin via chewing.
C. Place the patient in a prone position to improve blood flow.
D. Administer a second dose of Nitroglycerin immediately.
Answer: B
Conceptual Explanation: Nitroglycerin is contraindicated if the systolic blood pressure is
below 100 mmHg. Aspirin is indicated for suspected ACS and is not contraindicated by this
blood pressure.
,2. When assessing a patient using the Glasgow Coma Scale (GCS), the patient opens their eyes
to verbal command, is disoriented but conversing, and withdraws from painful stimuli. What
is their GCS score?
A. 10
B. 11
C. 12
D. 13
Answer: B
Conceptual Explanation: Eyes to voice = 3, Disoriented conversation = 4, Withdraws from
pain = 4. Total = 11.
3. Which of the following signs is most indicative of a tension pneumothorax rather than a
simple pneumothorax?
A. Absent lung sounds on the affected side.
B. JVD and tracheal deviation.
C. Sharp chest pain on inspiration.
D. Increased heart rate.
Answer: B
Conceptual Explanation: Tracheal deviation and Jugular Venous Distention (JVD) are late
signs that differentiate a life-threatening tension pneumothorax from a simple one.
, 4. A 4-year-old male is found in respiratory distress with a ‘seal-bark’ cough and low-grade
fever. What is the most likely diagnosis?
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Foreign body airway obstruction
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) is characterized by a barking
cough and is typically viral. Epiglottitis usually presents with drooling and high fever.
5. What is the correct depth of chest compressions for an adult patient during CPR?
A. At least 1 inch
B. Between 1.5 and 2 inches
C. At least 2 inches but no more than 2.4 inches
D. At least 3 inches
Answer: C
Conceptual Explanation: Current AHA guidelines specify a depth of 2 to 2.4 inches (5-6
cm) for adults.
QUIZ QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A 67-year-old male presents with sudden onset of crushing chest pain, diaphoresis, and
nausea. He has a history of angina and takes nitroglycerin. His blood pressure is 94/60 mmHg.
What is the most appropriate next step regarding medication administration?
A. Administer 0.4mg Nitroglycerin sublingually.
B. Administer 324mg of Aspirin via chewing.
C. Place the patient in a prone position to improve blood flow.
D. Administer a second dose of Nitroglycerin immediately.
Answer: B
Conceptual Explanation: Nitroglycerin is contraindicated if the systolic blood pressure is
below 100 mmHg. Aspirin is indicated for suspected ACS and is not contraindicated by this
blood pressure.
,2. When assessing a patient using the Glasgow Coma Scale (GCS), the patient opens their eyes
to verbal command, is disoriented but conversing, and withdraws from painful stimuli. What
is their GCS score?
A. 10
B. 11
C. 12
D. 13
Answer: B
Conceptual Explanation: Eyes to voice = 3, Disoriented conversation = 4, Withdraws from
pain = 4. Total = 11.
3. Which of the following signs is most indicative of a tension pneumothorax rather than a
simple pneumothorax?
A. Absent lung sounds on the affected side.
B. JVD and tracheal deviation.
C. Sharp chest pain on inspiration.
D. Increased heart rate.
Answer: B
Conceptual Explanation: Tracheal deviation and Jugular Venous Distention (JVD) are late
signs that differentiate a life-threatening tension pneumothorax from a simple one.
, 4. A 4-year-old male is found in respiratory distress with a ‘seal-bark’ cough and low-grade
fever. What is the most likely diagnosis?
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Foreign body airway obstruction
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) is characterized by a barking
cough and is typically viral. Epiglottitis usually presents with drooling and high fever.
5. What is the correct depth of chest compressions for an adult patient during CPR?
A. At least 1 inch
B. Between 1.5 and 2 inches
C. At least 2 inches but no more than 2.4 inches
D. At least 3 inches
Answer: C
Conceptual Explanation: Current AHA guidelines specify a depth of 2 to 2.4 inches (5-6
cm) for adults.
