West Coast EMT FINAL Review questions and
solutions
Common signs and symptoms of an allergic reaction include all of the following, EXCEPT:
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A. abdominal cramps.
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B. drying of the eyes.
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C. flushing of the skin.
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D. persistent dry cough. - answersB. drying of the eyes.
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All of the following body structures are lined with mucous membranes, EXCEPT for the:
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A. lips. nk
B. nose. nk
C. anus. nk
D. mouth. - answersA. lips.
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Appendicular skeleton consists of - answersUpper extremities nk nk nk nk nk nk
(clavicles,scapulae,arms,wrists,and hands) and lower extremities (pelvis,thighs,legs,ankles, and
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feet).
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Axial skeleton includes the - answersSkull (Cranium, Face), Hyoid bone, Audiotry ossicles,
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Vertebral column, Thorax (Sternum, Ribs)
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After establishing that an adult patient is unresponsive, you should: - answersassess for breathing
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and a pulse
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You receive a call for a 70-year-old female with respiratory distress. Her husband tells you that she
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has congestive heart failure; however, he does not think that she has been taking her medications
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as prescribed. The patient is laboring to breathe, appears tired, and has cyanosis around her lips.
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You should: - answersassist her ventilations with a bag-valve-mask
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A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and apneic during
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transport. You should: - answersstop the ambulance, begin CPR, and attach the AED as soon as
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possible.
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While triaging patients at the scene of a motor-vehicle crash, you encounter a 5-year-old child who
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is unresponsive and apneic. After positioning his airway, you should:
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A. categorize him as immediate.
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B. categorize him as deceased.
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C. deliver 5 rescue breaths.
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D. palpate for a carotid pulse. - answersD. palpate for a carotid pulse.
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Which of the following statements regarding ventricular fibrillation (V-fib) is correct?Select one:
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A. Most patients in V-fib have a weak carotid pulse.
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B. V-fib results in an absence of forward blood flow.
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, C. Defibrillation is only indicated for witnessed V-fib.
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D. V-fib is a state of rapid ventricular contraction. - answersB. V-fib results in an absence of
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forward blood flow.
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Which dysrhythmia is the most common cause of sudden death in a cardiovascular emergency?
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A. Bradycardia
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B. Tachycardia
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C. Ventricular tachycardia
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D. Ventricular fibrillation - answersD. Ventricular fibrillation
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Which of the following statements regarding ventricular fibrillation (V-fib) is MOST correct?
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A. Survival rates decrease by 7% to 10% for each minute that V-fib persists.
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B. AEDs should not be used to defibrillate patients in V-fib.
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C. It is an uncommon dysrhythmia in patients with sudden cardiac arrest.
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D. The only indication for immediate defibrillation is V-fib. - answersA. Survival rates decrease by
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7% to 10% for each minute that V-fib persists.
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The left ventricle has the thickest walls because it:
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A. pumps blood to the lungs to be reoxygenated.
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B. uses less oxygen than other chambers of the heart.
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C. pumps blood into the aorta and systemic circulation.
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D. receives blood directly from the systemic circulation. - answersC. pumps blood into the aorta
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and systemic circulation.
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Electrical pathway of the heart - answersSA node nk nk nk nk nk nk nk
Inter-nodal Pathways nk
Av Node nk
Bundle of His nk nk
Left & Right bundle branches
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Prompt transport of a patient with a suspected AMI is important because: - answersthe patient
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may be eligible to receive thrombolytic therapy.
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Ischemic heart disease is MOST accurately defined as: nk nk nk nk nk nk nk
a. decreased blood flow to the heart muscle due to coronary dilation.
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b. decreased blood flow to one or more portions of the myocardium.
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c. absent myocardial blood flow due to a blocked coronary artery.
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d. death of a portion of the heart muscle due to a decrease in oxygen. - answersb. decreased
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blood flow to one or more portions of the myocardium.
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Cardiac output may decrease if the heart beats too rapidly because:
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A. a rapid heart beat causes a decrease in the strength of cardiac contractions.
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B.the volume of blood that returns to the heart is not sufficient with fast heart rates.
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C.as the heart rate increases, more blood is pumped from the ventricles than the atria.
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D. there is not enough time in between contractions for the heart to refill completely. - answersD.
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there is not enough time in between contractions for the heart to refill completely.
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Cardiogenic shock following AMI is caused by: nk nk nk nk nk nk
solutions
Common signs and symptoms of an allergic reaction include all of the following, EXCEPT:
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A. abdominal cramps.
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B. drying of the eyes.
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C. flushing of the skin.
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D. persistent dry cough. - answersB. drying of the eyes.
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All of the following body structures are lined with mucous membranes, EXCEPT for the:
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A. lips. nk
B. nose. nk
C. anus. nk
D. mouth. - answersA. lips.
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Appendicular skeleton consists of - answersUpper extremities nk nk nk nk nk nk
(clavicles,scapulae,arms,wrists,and hands) and lower extremities (pelvis,thighs,legs,ankles, and
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feet).
nk
Axial skeleton includes the - answersSkull (Cranium, Face), Hyoid bone, Audiotry ossicles,
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Vertebral column, Thorax (Sternum, Ribs)
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After establishing that an adult patient is unresponsive, you should: - answersassess for breathing
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and a pulse
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You receive a call for a 70-year-old female with respiratory distress. Her husband tells you that she
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
has congestive heart failure; however, he does not think that she has been taking her medications
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as prescribed. The patient is laboring to breathe, appears tired, and has cyanosis around her lips.
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You should: - answersassist her ventilations with a bag-valve-mask
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A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and apneic during
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transport. You should: - answersstop the ambulance, begin CPR, and attach the AED as soon as
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possible.
nk
While triaging patients at the scene of a motor-vehicle crash, you encounter a 5-year-old child who
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is unresponsive and apneic. After positioning his airway, you should:
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A. categorize him as immediate.
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B. categorize him as deceased.
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C. deliver 5 rescue breaths.
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D. palpate for a carotid pulse. - answersD. palpate for a carotid pulse.
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Which of the following statements regarding ventricular fibrillation (V-fib) is correct?Select one:
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A. Most patients in V-fib have a weak carotid pulse.
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B. V-fib results in an absence of forward blood flow.
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, C. Defibrillation is only indicated for witnessed V-fib.
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D. V-fib is a state of rapid ventricular contraction. - answersB. V-fib results in an absence of
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forward blood flow.
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Which dysrhythmia is the most common cause of sudden death in a cardiovascular emergency?
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A. Bradycardia
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B. Tachycardia
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C. Ventricular tachycardia
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D. Ventricular fibrillation - answersD. Ventricular fibrillation
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Which of the following statements regarding ventricular fibrillation (V-fib) is MOST correct?
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A. Survival rates decrease by 7% to 10% for each minute that V-fib persists.
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B. AEDs should not be used to defibrillate patients in V-fib.
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C. It is an uncommon dysrhythmia in patients with sudden cardiac arrest.
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D. The only indication for immediate defibrillation is V-fib. - answersA. Survival rates decrease by
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7% to 10% for each minute that V-fib persists.
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The left ventricle has the thickest walls because it:
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A. pumps blood to the lungs to be reoxygenated.
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B. uses less oxygen than other chambers of the heart.
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C. pumps blood into the aorta and systemic circulation.
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D. receives blood directly from the systemic circulation. - answersC. pumps blood into the aorta
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and systemic circulation.
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Electrical pathway of the heart - answersSA node nk nk nk nk nk nk nk
Inter-nodal Pathways nk
Av Node nk
Bundle of His nk nk
Left & Right bundle branches
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Prompt transport of a patient with a suspected AMI is important because: - answersthe patient
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may be eligible to receive thrombolytic therapy.
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Ischemic heart disease is MOST accurately defined as: nk nk nk nk nk nk nk
a. decreased blood flow to the heart muscle due to coronary dilation.
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b. decreased blood flow to one or more portions of the myocardium.
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c. absent myocardial blood flow due to a blocked coronary artery.
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d. death of a portion of the heart muscle due to a decrease in oxygen. - answersb. decreased
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blood flow to one or more portions of the myocardium.
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Cardiac output may decrease if the heart beats too rapidly because:
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A. a rapid heart beat causes a decrease in the strength of cardiac contractions.
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B.the volume of blood that returns to the heart is not sufficient with fast heart rates.
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C.as the heart rate increases, more blood is pumped from the ventricles than the atria.
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D. there is not enough time in between contractions for the heart to refill completely. - answersD.
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there is not enough time in between contractions for the heart to refill completely.
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Cardiogenic shock following AMI is caused by: nk nk nk nk nk nk
