WEST COAST EMT BLOCK 3 EXAM 200QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES LATEST UPDATE 2024-2025 ALREADY
GRADED A+
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic
(fibrinolytic) therapy if he or she: - CORRECT-has bleeding within the brain
When assessing a patient with abdominal pain, you should: - CORRECT-palpate the
abdomen in a clockwise direction, beginning with the quadrant after the one the patient
indicates is painful.
Which of the following statements regarding sickle cell disease is correct? -
CORRECT-In sickle cell disease, the red blood cells are abnormally shaped and are
less able to carry oxygen.
The adult epinephrine auto-injector delivers mg of ephinephrine, and the
infant-child auto-injector delivers mg. - CORRECT-0.3, 0.15
A 66 y/o female with a history of hypertension and diabetes presents with substernal
chest pressure of 2 hours' duration. Her blood pressure is 140/90 mmHg, her pulse is
100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen
saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband
does. You should: - CORRECT-administer oxygen, give her 324 mg of aspirin, and
assess her further
The principle difference between a patient who has had a stroke and a patient with
hypoglycemia almost always has to do with the: - CORRECT-mental status
Which of the following is bacterium resistant to most antibiotics and causes skin
abcesses? - CORRECT-MRSA
A pleural effusion is MOST accurately defined as: - CORRECT-fluid accumulation
outside the lung
Which of the following sets of vital signs would the EMT MOST likely encounter in a
patient with acute cocaine overdose? - CORRECT-BP, 200/100 mmHg; pulse, 150
bpm
A 29 y/o pregnant woman has had severe vomiting for the last 2 days. Today, she is
vomiting large amounts of blood. Her skin is cool and pale and she is tachycardic. The
EMT should suspect: - CORRECT-Mallory-Weiss tear
,Urticaria is a medical term for - CORRECT-hives
Symptomatic hypoglycemia will MOST likely develop if a patient: - CORRECT-takes too
much of his or her prescribed insulin
Angina pectoris occurs when: - CORRECT-myocardial oxygen demand exceeds
supply.
Activated charcoal is given to patients who have ingested certain substances because
it: - CORRECT-binds to the substance and prevents absorption
Which of the following medications blocks the release of histamines? -
CORRECT-Diphenhydramine (Benadryl)
Which of the following statements regarding glucose is correct? - CORRECT-The brain
requires glucose as much as it requires oxygen.
Severe back pain may be associated with which of the following conditions? -
CORRECT-Abdominal aortic aneurysm
When you are obtaining medical history from the family of a suspected stroke patient, it
is MOST important to determine: - CORRECT-when the patient last appeared normal.
Which of the following must be assessed in every respiratory patient? - CORRECT-
Ten days after treating a 34 yo patient with tuberculosis, you are given a tuberculin skin
test, which yields a positive result. This MOST likely indicates that: - CORRECT-you
were exposed to another infected person prior to treating the 34 yo patient
Your patient opens his eyes, moans, and pulls away from you when you pinch his
trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of: -
CORRECT-8
An infectious disease is MOST accurately defined as: - CORRECT-a medical condition
caused by the growth and spread of small, harmful organisms within the body
A 30 yo male presents with acute shortness of breath, widespread hives, and facial
swelling. He denies any past medical history and takes no medications. During your
assessment, you hear wheezing over all the lung fields. His blood pressure is 90/50
mmHg and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen,
the MOST important treatment for this patient is: - CORRECT-epinephrine
Thromboembolism - CORRECT-blood clot floating through blood vessels until itreaches
a narrow area and blocks blood flow
, Which of the following helps filter blood and has no digestive function? -
CORRECT-Spleen
Excessive eating caused by cellular "hunger" is called: - CORRECT-polyphagia
Epinephrine stimulates the response, increasing blood pressure and
relieving bronchospasm. - CORRECT-sympathetic
Heroin is an example of a(n): - CORRECT-opioid
When caring for a patient with documented hypoglycemia, you should be MOST alert
for: - CORRECT-a seizure
Most patients with an infectious disease will have a . - CORRECT-a fever
A 59 yo male with a history of emphysema complains of an acute worsening of his
dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals
that he has a barrel-shaped chest, unilaterally diministed breath sounds, and
tachycardia. What is the MOST likely cause of this patient's condition? - CORRECT-
spontaneous pneumothorax
An important aspect in the treatment of a patient with severe abdominal pain is to: -
CORRECT-provide emotional support en route to the hospital
The goal of invaders such as bacteria and viruses is to . - CORRECT-use
the human body as a home.
A 49 y/o male presents with confusion, sweating, and visual hallucinations. The patient's
wife tells you that he is a heavy drinker and she thinks he had a seizure shortly before
arrival. The patient is most likely experiencing: - CORRECT-delirium tremens
A 54 y/o golfer collapsed on the 17th green at the golf course. His friend said he wasn't
feeling well after the eighth hole, but insisted on walking an finishing the game. His skin
is pale, cool, and diaphoretic, and he provides incoherent answers to your questions. An
initial blood glucose measurement indicates 65 mg/dL. The patient loses consciousness
and a second blood glucose level reads 48 mg/dL. You should: - CORRECT-A. call for,
or rendezvous with, an ALS unit.
B. ensure a patent airway
C. provide high-flow oxygen
D. All of the Above <--CORRECT
Ischemia - CORRECT-Lack of oxygen
When caring for a patient with an altered mental status and signs of circulatory
compromise, you should: - CORRECT-limit your time at the scene to 10 minutes or
less, if possible
AND CORRECT DETAILED ANSWERS WITH
RATIONALES LATEST UPDATE 2024-2025 ALREADY
GRADED A+
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic
(fibrinolytic) therapy if he or she: - CORRECT-has bleeding within the brain
When assessing a patient with abdominal pain, you should: - CORRECT-palpate the
abdomen in a clockwise direction, beginning with the quadrant after the one the patient
indicates is painful.
Which of the following statements regarding sickle cell disease is correct? -
CORRECT-In sickle cell disease, the red blood cells are abnormally shaped and are
less able to carry oxygen.
The adult epinephrine auto-injector delivers mg of ephinephrine, and the
infant-child auto-injector delivers mg. - CORRECT-0.3, 0.15
A 66 y/o female with a history of hypertension and diabetes presents with substernal
chest pressure of 2 hours' duration. Her blood pressure is 140/90 mmHg, her pulse is
100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen
saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband
does. You should: - CORRECT-administer oxygen, give her 324 mg of aspirin, and
assess her further
The principle difference between a patient who has had a stroke and a patient with
hypoglycemia almost always has to do with the: - CORRECT-mental status
Which of the following is bacterium resistant to most antibiotics and causes skin
abcesses? - CORRECT-MRSA
A pleural effusion is MOST accurately defined as: - CORRECT-fluid accumulation
outside the lung
Which of the following sets of vital signs would the EMT MOST likely encounter in a
patient with acute cocaine overdose? - CORRECT-BP, 200/100 mmHg; pulse, 150
bpm
A 29 y/o pregnant woman has had severe vomiting for the last 2 days. Today, she is
vomiting large amounts of blood. Her skin is cool and pale and she is tachycardic. The
EMT should suspect: - CORRECT-Mallory-Weiss tear
,Urticaria is a medical term for - CORRECT-hives
Symptomatic hypoglycemia will MOST likely develop if a patient: - CORRECT-takes too
much of his or her prescribed insulin
Angina pectoris occurs when: - CORRECT-myocardial oxygen demand exceeds
supply.
Activated charcoal is given to patients who have ingested certain substances because
it: - CORRECT-binds to the substance and prevents absorption
Which of the following medications blocks the release of histamines? -
CORRECT-Diphenhydramine (Benadryl)
Which of the following statements regarding glucose is correct? - CORRECT-The brain
requires glucose as much as it requires oxygen.
Severe back pain may be associated with which of the following conditions? -
CORRECT-Abdominal aortic aneurysm
When you are obtaining medical history from the family of a suspected stroke patient, it
is MOST important to determine: - CORRECT-when the patient last appeared normal.
Which of the following must be assessed in every respiratory patient? - CORRECT-
Ten days after treating a 34 yo patient with tuberculosis, you are given a tuberculin skin
test, which yields a positive result. This MOST likely indicates that: - CORRECT-you
were exposed to another infected person prior to treating the 34 yo patient
Your patient opens his eyes, moans, and pulls away from you when you pinch his
trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of: -
CORRECT-8
An infectious disease is MOST accurately defined as: - CORRECT-a medical condition
caused by the growth and spread of small, harmful organisms within the body
A 30 yo male presents with acute shortness of breath, widespread hives, and facial
swelling. He denies any past medical history and takes no medications. During your
assessment, you hear wheezing over all the lung fields. His blood pressure is 90/50
mmHg and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen,
the MOST important treatment for this patient is: - CORRECT-epinephrine
Thromboembolism - CORRECT-blood clot floating through blood vessels until itreaches
a narrow area and blocks blood flow
, Which of the following helps filter blood and has no digestive function? -
CORRECT-Spleen
Excessive eating caused by cellular "hunger" is called: - CORRECT-polyphagia
Epinephrine stimulates the response, increasing blood pressure and
relieving bronchospasm. - CORRECT-sympathetic
Heroin is an example of a(n): - CORRECT-opioid
When caring for a patient with documented hypoglycemia, you should be MOST alert
for: - CORRECT-a seizure
Most patients with an infectious disease will have a . - CORRECT-a fever
A 59 yo male with a history of emphysema complains of an acute worsening of his
dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals
that he has a barrel-shaped chest, unilaterally diministed breath sounds, and
tachycardia. What is the MOST likely cause of this patient's condition? - CORRECT-
spontaneous pneumothorax
An important aspect in the treatment of a patient with severe abdominal pain is to: -
CORRECT-provide emotional support en route to the hospital
The goal of invaders such as bacteria and viruses is to . - CORRECT-use
the human body as a home.
A 49 y/o male presents with confusion, sweating, and visual hallucinations. The patient's
wife tells you that he is a heavy drinker and she thinks he had a seizure shortly before
arrival. The patient is most likely experiencing: - CORRECT-delirium tremens
A 54 y/o golfer collapsed on the 17th green at the golf course. His friend said he wasn't
feeling well after the eighth hole, but insisted on walking an finishing the game. His skin
is pale, cool, and diaphoretic, and he provides incoherent answers to your questions. An
initial blood glucose measurement indicates 65 mg/dL. The patient loses consciousness
and a second blood glucose level reads 48 mg/dL. You should: - CORRECT-A. call for,
or rendezvous with, an ALS unit.
B. ensure a patent airway
C. provide high-flow oxygen
D. All of the Above <--CORRECT
Ischemia - CORRECT-Lack of oxygen
When caring for a patient with an altered mental status and signs of circulatory
compromise, you should: - CORRECT-limit your time at the scene to 10 minutes or
less, if possible
