West Coast EMT Block Exam 3 with
Questions and Verified Answers
LATEST UPDATED 2025-2026 GRADED
A+
A ,30-year-old ,male ,experienced ,a ,generalized ,(tonic-clonic) ,seizure, ,which
,stopped ,before ,you ,arrived ,at ,the ,scene. ,The ,patient ,is ,conscious, ,is
,answering ,your ,questions ,appropriately, ,and ,refuses ,EMS ,transport. ,Which ,of
,the ,following ,would ,be ,the ,MOST ,compelling ,reason ,to ,disagree ,with ,his
,refusal ,of ,transport?
Select ,one:
A. ,His ,Glasgow ,Coma ,Scale ,(GCS) ,score ,is ,15
B. ,His ,wife ,states ,that ,this ,was ,his ,"usual" ,seizure
C. ,He ,has ,experienced ,seizures ,since ,he ,was ,20
D. ,He ,is ,currently ,not ,prescribed ,any ,medications ,- ,CORRECT ,ANSWER-D. ,He
,is ,currently ,not ,prescribed ,any ,medications
A ,patient ,who ,is ,possibly ,experiencing ,a ,stroke ,is ,NOT ,eligible ,for ,thrombolytic
,(fibrinolytic) ,therapy ,if ,he ,or ,she:
Select ,one:
A. ,has ,had ,a ,prior ,heart ,attack.
B. ,has ,bleeding ,within ,the ,brain.
C. ,has ,a ,GCS ,score ,that ,is ,less ,than ,8.
D. ,is ,older ,than ,60 ,years ,of ,age. ,- ,CORRECT ,ANSWER-B. ,has ,bleeding ,within
,the ,brain.
A ,patient ,whose ,speech ,is ,slurred ,and ,difficult ,to ,understand ,is ,experiencing:
Select ,one:
A. ,paraplegia.
B. ,dysphagia.
C. ,dysarthria.
D. ,aphasia. ,- ,CORRECT ,ANSWER-C. ,dysarthria.
A ,patient ,with ,an ,altered ,mental ,status ,is:
Select ,one:
,A. ,typically ,alert ,but ,is ,confused ,as ,to ,preceding ,events.
B. ,not ,thinking ,clearly ,or ,is ,incapable ,of ,being ,aroused.
C. ,usually ,able ,to ,be ,aroused ,with ,a ,painful ,stimulus.
D. ,completely ,unresponsive ,to ,all ,forms ,of ,stimuli. ,- ,CORRECT ,ANSWER-B. ,not
,thinking ,clearly ,or ,is ,incapable ,of ,being ,aroused.
During ,the ,primary ,assessment ,of ,a ,semiconscious ,70-year-old ,female, ,you
,should:
Select ,one:
A. ,insert ,a ,nasopharyngeal ,airway ,and ,assist ,ventilations.
B. ,ask ,family ,members ,if ,the ,patient ,has ,a ,history ,of ,stroke.
C. ,immediately ,determine ,the ,patient's ,blood ,glucose ,level.
D. ,ensure ,a ,patent ,airway ,and ,support ,ventilation ,as ,needed. ,- ,CORRECT
,ANSWER-D. ,ensure ,a ,patent ,airway ,and ,support ,ventilation ,as ,needed.
Interruption ,of ,cerebral ,blood ,flow ,may ,result ,from ,all ,of ,the ,following,
,EXCEPT:
Select ,one:
A. ,an ,embolism.
B. ,cerebral ,vasodilation.
C. ,a ,thrombus.
D. ,an ,acute ,arterial ,rupture. ,- ,CORRECT ,ANSWER-B. ,cerebral ,vasodilation.
The ,left ,cerebral ,hemisphere ,controls:
Select ,one:
A. ,heart ,rate ,and ,pupil ,reaction.
B. ,the ,right ,side ,of ,the ,face.
C. ,breathing ,and ,blood ,pressure.
D. ,the ,right ,side ,of ,the ,body. ,- ,CORRECT ,ANSWER-D. ,the ,right ,side ,of ,the
,body.
The ,MOST ,significant ,risk ,factor ,for ,a ,hemorrhagic ,stroke ,is:
Select ,one:
A. ,diabetes ,mellitus.
B. ,hypertension.
C. ,heavy ,exertion.
D. ,severe ,stress. ,- ,CORRECT ,ANSWER-B. ,hypertension.
The ,three ,major ,parts ,of ,the ,brain ,are ,the:
Select ,one:
A. ,midbrain, ,cerebellum, ,and ,spinal ,cord.
B. ,brain ,stem, ,midbrain, ,and ,spinal ,cord.
C. ,cerebellum, ,medulla, ,and ,occiput.
D. ,cerebrum, ,cerebellum, ,and ,brain ,stem. ,- ,CORRECT ,ANSWER-D. ,cerebrum,
,cerebellum, ,and ,brain ,stem.
,When ,assessing ,for ,arm ,drift ,of ,a ,patient ,with ,a ,suspected ,stroke, ,you ,should:
Select ,one:
A. ,ask ,the ,patient ,to ,close ,his ,or ,her ,eyes ,during ,the ,assessment.
B. ,expect ,to ,see ,one ,arm ,slowly ,drift ,down ,to ,the ,patient's ,side.
C. ,observe ,movement ,of ,the ,arms ,for ,approximately ,2 ,minutes.
D. ,ask ,the ,patient ,to ,hold ,his ,or ,her ,arms ,up ,with ,the ,palms ,down. ,- ,CORRECT
,ANSWER-A. ,ask ,the ,patient ,to ,close ,his ,or ,her ,eyes ,during ,the ,assessment.
When ,caring ,for ,a ,patient ,with ,documented ,hypoglycemia, ,you ,should ,be ,MOST
,alert ,for:
Select ,one:
A. ,a ,seizure.
B. ,respiratory ,distress.
C. ,an ,acute ,stroke.
D. ,a ,febrile ,convulsion. ,- ,CORRECT ,ANSWER-A. ,a ,seizure.
When ,you ,are ,obtaining ,medical ,history ,from ,the ,family ,of ,a ,suspected ,stroke
,patient, ,it ,is ,MOST ,important ,to ,determine:
Select ,one:
A. ,if ,the ,patient ,has ,been ,hospitalized ,before.
B. ,if ,there ,is ,a ,family ,history ,of ,a ,stroke.
C. ,when ,the ,patient ,last ,appeared ,normal.
D. ,the ,patient's ,overall ,medication ,compliance. ,- ,CORRECT ,ANSWER-C. ,when
,the ,patient ,last ,appeared ,normal.
Which ,of ,the ,following ,conditions ,would ,be ,the ,LEAST ,likely ,to ,mimic ,the ,signs
,and ,symptoms ,of ,a ,stroke?
Select ,one:
A. ,Intracranial ,bleeding
B. ,A ,postictal ,state
C. ,Hypoglycemia
D. ,Hypovolemia ,- ,CORRECT ,ANSWER-D. ,Hypovolemia
Which ,of ,the ,following ,conditions ,would ,MOST ,likely ,affect ,the ,entire ,brain?
Select ,one:
A. ,Respiratory ,failure ,or ,cardiopulmonary ,arrest
B. ,Ruptured ,cerebral ,artery ,in ,the ,occipital ,lobe
C. ,Blocked ,cerebral ,artery ,in ,the ,frontal ,lobe
D. ,Reduced ,blood ,supply ,to ,the ,left ,hemisphere ,- ,CORRECT ,ANSWER-A.
,Respiratory ,failure ,or ,cardiopulmonary ,arrest
Which ,of ,the ,following ,MOST ,accurately ,describes ,a ,simple ,partial ,seizure?
Select ,one:
A. ,A ,generalized ,seizure ,without ,incontinence
B. ,A ,seizure ,that ,causes ,the ,patient ,to ,stare ,blankly
C. ,A ,seizure ,that ,begins ,in ,one ,extremity
, D. ,A ,seizure ,that ,is ,not ,preceded ,by ,an ,aura ,- ,CORRECT ,ANSWER-C. ,A ,seizure
,that ,begins ,in ,one ,extremity
Which ,of ,the ,following ,MOST ,accurately ,describes ,what ,the ,patient ,will
,experience ,during ,the ,postictal ,state ,that ,follows ,a ,seizure?
Select ,one:
A. ,A ,gradually ,decreasing ,level ,of ,consciousness
B. ,A ,rapidly ,improving ,level ,of ,consciousness
C. ,Hyperventilation ,and ,hypersalivation
D. ,Confusion ,and ,fatigue ,- ,CORRECT ,ANSWER-D. ,Confusion ,and ,fatigue
Which ,of ,the ,following ,symptoms ,would ,lead ,the ,EMT ,to ,believe ,that ,a ,patient's
,headache ,is ,caused ,by ,sinus ,congestion?
Select ,one:
A. ,The ,headache ,began ,suddenly
B. ,There ,is ,associated ,neck ,stiffness
C. ,There ,is ,numbness ,in ,the ,extremities
D. ,The ,pain ,is ,worse ,when ,bending ,over ,- ,CORRECT ,ANSWER-D. ,The ,pain ,is
,worse ,when ,bending ,over
You ,are ,caring ,for ,a ,68-year-old ,man ,with ,sudden ,onset ,of ,left-sided ,paralysis
,and ,slurred ,speech. ,His ,airway ,is ,patent, ,his ,respirations ,are ,14 ,breaths/min
,with ,adequate ,depth, ,and ,his ,oxygen ,saturation ,is ,98%. ,Treatment ,for ,this
,patient ,should ,include:
Select ,one:
A. ,recovery ,position ,and ,transport.
B. ,oral ,glucose ,gel ,and ,transport.
C. ,high-flow ,oxygen ,and ,transport.
D. ,ventilatory ,assistance ,and ,transport. ,- ,CORRECT ,ANSWER-A. ,recovery
,position ,and ,transport.
You ,respond ,to ,a ,residence ,for ,a ,child ,who ,is ,having ,a ,seizure. ,Upon ,arrival ,at
,the ,scene, ,you ,enter ,the ,residence ,and ,find ,the ,mother ,holding ,her ,child, ,a ,2-
year-old ,male. ,The ,child ,is ,conscious ,and ,crying. ,According ,to ,the ,mother, ,the
,child ,had ,been ,running ,a ,high ,fever ,and ,then ,experienced ,a ,seizure ,that ,lasted
,approximately ,3 ,minutes. ,You ,should:
Select ,one:
A. ,call ,medical ,control ,and ,request ,permission ,to ,give ,the ,child ,aspirin.
B. ,transport ,the ,child ,to ,the ,hospital ,and ,reassure ,the ,mother ,en ,route.
C. ,advise ,the ,mother ,to ,take ,her ,child ,to ,the ,doctor ,the ,following ,day.
D. ,cover ,the ,child ,with ,wet ,towels ,and ,give ,oxygen ,via ,nasal ,cannula. ,-
,CORRECT ,ANSWER-B. ,transport ,the ,child ,to ,the ,hospital ,and ,reassure ,the
,mother ,en ,route.
Questions and Verified Answers
LATEST UPDATED 2025-2026 GRADED
A+
A ,30-year-old ,male ,experienced ,a ,generalized ,(tonic-clonic) ,seizure, ,which
,stopped ,before ,you ,arrived ,at ,the ,scene. ,The ,patient ,is ,conscious, ,is
,answering ,your ,questions ,appropriately, ,and ,refuses ,EMS ,transport. ,Which ,of
,the ,following ,would ,be ,the ,MOST ,compelling ,reason ,to ,disagree ,with ,his
,refusal ,of ,transport?
Select ,one:
A. ,His ,Glasgow ,Coma ,Scale ,(GCS) ,score ,is ,15
B. ,His ,wife ,states ,that ,this ,was ,his ,"usual" ,seizure
C. ,He ,has ,experienced ,seizures ,since ,he ,was ,20
D. ,He ,is ,currently ,not ,prescribed ,any ,medications ,- ,CORRECT ,ANSWER-D. ,He
,is ,currently ,not ,prescribed ,any ,medications
A ,patient ,who ,is ,possibly ,experiencing ,a ,stroke ,is ,NOT ,eligible ,for ,thrombolytic
,(fibrinolytic) ,therapy ,if ,he ,or ,she:
Select ,one:
A. ,has ,had ,a ,prior ,heart ,attack.
B. ,has ,bleeding ,within ,the ,brain.
C. ,has ,a ,GCS ,score ,that ,is ,less ,than ,8.
D. ,is ,older ,than ,60 ,years ,of ,age. ,- ,CORRECT ,ANSWER-B. ,has ,bleeding ,within
,the ,brain.
A ,patient ,whose ,speech ,is ,slurred ,and ,difficult ,to ,understand ,is ,experiencing:
Select ,one:
A. ,paraplegia.
B. ,dysphagia.
C. ,dysarthria.
D. ,aphasia. ,- ,CORRECT ,ANSWER-C. ,dysarthria.
A ,patient ,with ,an ,altered ,mental ,status ,is:
Select ,one:
,A. ,typically ,alert ,but ,is ,confused ,as ,to ,preceding ,events.
B. ,not ,thinking ,clearly ,or ,is ,incapable ,of ,being ,aroused.
C. ,usually ,able ,to ,be ,aroused ,with ,a ,painful ,stimulus.
D. ,completely ,unresponsive ,to ,all ,forms ,of ,stimuli. ,- ,CORRECT ,ANSWER-B. ,not
,thinking ,clearly ,or ,is ,incapable ,of ,being ,aroused.
During ,the ,primary ,assessment ,of ,a ,semiconscious ,70-year-old ,female, ,you
,should:
Select ,one:
A. ,insert ,a ,nasopharyngeal ,airway ,and ,assist ,ventilations.
B. ,ask ,family ,members ,if ,the ,patient ,has ,a ,history ,of ,stroke.
C. ,immediately ,determine ,the ,patient's ,blood ,glucose ,level.
D. ,ensure ,a ,patent ,airway ,and ,support ,ventilation ,as ,needed. ,- ,CORRECT
,ANSWER-D. ,ensure ,a ,patent ,airway ,and ,support ,ventilation ,as ,needed.
Interruption ,of ,cerebral ,blood ,flow ,may ,result ,from ,all ,of ,the ,following,
,EXCEPT:
Select ,one:
A. ,an ,embolism.
B. ,cerebral ,vasodilation.
C. ,a ,thrombus.
D. ,an ,acute ,arterial ,rupture. ,- ,CORRECT ,ANSWER-B. ,cerebral ,vasodilation.
The ,left ,cerebral ,hemisphere ,controls:
Select ,one:
A. ,heart ,rate ,and ,pupil ,reaction.
B. ,the ,right ,side ,of ,the ,face.
C. ,breathing ,and ,blood ,pressure.
D. ,the ,right ,side ,of ,the ,body. ,- ,CORRECT ,ANSWER-D. ,the ,right ,side ,of ,the
,body.
The ,MOST ,significant ,risk ,factor ,for ,a ,hemorrhagic ,stroke ,is:
Select ,one:
A. ,diabetes ,mellitus.
B. ,hypertension.
C. ,heavy ,exertion.
D. ,severe ,stress. ,- ,CORRECT ,ANSWER-B. ,hypertension.
The ,three ,major ,parts ,of ,the ,brain ,are ,the:
Select ,one:
A. ,midbrain, ,cerebellum, ,and ,spinal ,cord.
B. ,brain ,stem, ,midbrain, ,and ,spinal ,cord.
C. ,cerebellum, ,medulla, ,and ,occiput.
D. ,cerebrum, ,cerebellum, ,and ,brain ,stem. ,- ,CORRECT ,ANSWER-D. ,cerebrum,
,cerebellum, ,and ,brain ,stem.
,When ,assessing ,for ,arm ,drift ,of ,a ,patient ,with ,a ,suspected ,stroke, ,you ,should:
Select ,one:
A. ,ask ,the ,patient ,to ,close ,his ,or ,her ,eyes ,during ,the ,assessment.
B. ,expect ,to ,see ,one ,arm ,slowly ,drift ,down ,to ,the ,patient's ,side.
C. ,observe ,movement ,of ,the ,arms ,for ,approximately ,2 ,minutes.
D. ,ask ,the ,patient ,to ,hold ,his ,or ,her ,arms ,up ,with ,the ,palms ,down. ,- ,CORRECT
,ANSWER-A. ,ask ,the ,patient ,to ,close ,his ,or ,her ,eyes ,during ,the ,assessment.
When ,caring ,for ,a ,patient ,with ,documented ,hypoglycemia, ,you ,should ,be ,MOST
,alert ,for:
Select ,one:
A. ,a ,seizure.
B. ,respiratory ,distress.
C. ,an ,acute ,stroke.
D. ,a ,febrile ,convulsion. ,- ,CORRECT ,ANSWER-A. ,a ,seizure.
When ,you ,are ,obtaining ,medical ,history ,from ,the ,family ,of ,a ,suspected ,stroke
,patient, ,it ,is ,MOST ,important ,to ,determine:
Select ,one:
A. ,if ,the ,patient ,has ,been ,hospitalized ,before.
B. ,if ,there ,is ,a ,family ,history ,of ,a ,stroke.
C. ,when ,the ,patient ,last ,appeared ,normal.
D. ,the ,patient's ,overall ,medication ,compliance. ,- ,CORRECT ,ANSWER-C. ,when
,the ,patient ,last ,appeared ,normal.
Which ,of ,the ,following ,conditions ,would ,be ,the ,LEAST ,likely ,to ,mimic ,the ,signs
,and ,symptoms ,of ,a ,stroke?
Select ,one:
A. ,Intracranial ,bleeding
B. ,A ,postictal ,state
C. ,Hypoglycemia
D. ,Hypovolemia ,- ,CORRECT ,ANSWER-D. ,Hypovolemia
Which ,of ,the ,following ,conditions ,would ,MOST ,likely ,affect ,the ,entire ,brain?
Select ,one:
A. ,Respiratory ,failure ,or ,cardiopulmonary ,arrest
B. ,Ruptured ,cerebral ,artery ,in ,the ,occipital ,lobe
C. ,Blocked ,cerebral ,artery ,in ,the ,frontal ,lobe
D. ,Reduced ,blood ,supply ,to ,the ,left ,hemisphere ,- ,CORRECT ,ANSWER-A.
,Respiratory ,failure ,or ,cardiopulmonary ,arrest
Which ,of ,the ,following ,MOST ,accurately ,describes ,a ,simple ,partial ,seizure?
Select ,one:
A. ,A ,generalized ,seizure ,without ,incontinence
B. ,A ,seizure ,that ,causes ,the ,patient ,to ,stare ,blankly
C. ,A ,seizure ,that ,begins ,in ,one ,extremity
, D. ,A ,seizure ,that ,is ,not ,preceded ,by ,an ,aura ,- ,CORRECT ,ANSWER-C. ,A ,seizure
,that ,begins ,in ,one ,extremity
Which ,of ,the ,following ,MOST ,accurately ,describes ,what ,the ,patient ,will
,experience ,during ,the ,postictal ,state ,that ,follows ,a ,seizure?
Select ,one:
A. ,A ,gradually ,decreasing ,level ,of ,consciousness
B. ,A ,rapidly ,improving ,level ,of ,consciousness
C. ,Hyperventilation ,and ,hypersalivation
D. ,Confusion ,and ,fatigue ,- ,CORRECT ,ANSWER-D. ,Confusion ,and ,fatigue
Which ,of ,the ,following ,symptoms ,would ,lead ,the ,EMT ,to ,believe ,that ,a ,patient's
,headache ,is ,caused ,by ,sinus ,congestion?
Select ,one:
A. ,The ,headache ,began ,suddenly
B. ,There ,is ,associated ,neck ,stiffness
C. ,There ,is ,numbness ,in ,the ,extremities
D. ,The ,pain ,is ,worse ,when ,bending ,over ,- ,CORRECT ,ANSWER-D. ,The ,pain ,is
,worse ,when ,bending ,over
You ,are ,caring ,for ,a ,68-year-old ,man ,with ,sudden ,onset ,of ,left-sided ,paralysis
,and ,slurred ,speech. ,His ,airway ,is ,patent, ,his ,respirations ,are ,14 ,breaths/min
,with ,adequate ,depth, ,and ,his ,oxygen ,saturation ,is ,98%. ,Treatment ,for ,this
,patient ,should ,include:
Select ,one:
A. ,recovery ,position ,and ,transport.
B. ,oral ,glucose ,gel ,and ,transport.
C. ,high-flow ,oxygen ,and ,transport.
D. ,ventilatory ,assistance ,and ,transport. ,- ,CORRECT ,ANSWER-A. ,recovery
,position ,and ,transport.
You ,respond ,to ,a ,residence ,for ,a ,child ,who ,is ,having ,a ,seizure. ,Upon ,arrival ,at
,the ,scene, ,you ,enter ,the ,residence ,and ,find ,the ,mother ,holding ,her ,child, ,a ,2-
year-old ,male. ,The ,child ,is ,conscious ,and ,crying. ,According ,to ,the ,mother, ,the
,child ,had ,been ,running ,a ,high ,fever ,and ,then ,experienced ,a ,seizure ,that ,lasted
,approximately ,3 ,minutes. ,You ,should:
Select ,one:
A. ,call ,medical ,control ,and ,request ,permission ,to ,give ,the ,child ,aspirin.
B. ,transport ,the ,child ,to ,the ,hospital ,and ,reassure ,the ,mother ,en ,route.
C. ,advise ,the ,mother ,to ,take ,her ,child ,to ,the ,doctor ,the ,following ,day.
D. ,cover ,the ,child ,with ,wet ,towels ,and ,give ,oxygen ,via ,nasal ,cannula. ,-
,CORRECT ,ANSWER-B. ,transport ,the ,child ,to ,the ,hospital ,and ,reassure ,the
,mother ,en ,route.
