West Coast EMT Block Exam #3
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A 30-year-old male D. He is currently not prescribed any medications
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
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A patient who is possibly B. has bleeding within the brain.
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.
A patient whose speech is C. dysarthria.
slurred and difficult to
understand is
experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. dysarthria.
D. aphasia.
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A patient with an altered B. not thinking clearly or is incapable of being
mental status is: aroused.
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.
During the primary D. ensure a patent airway and support ventilation as
assessment of a needed.
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.
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Interruption of cerebral B. cerebral vasodilation.
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.
The left cerebral D. the right side of the body.
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.
The MOST significant risk B. hypertension.
factor for a hemorrhagic
stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress.
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