WEST COAST EMT FINAL REVIEW
QUESTIONS WITH 100% VERIFIED
ANSWERS
Common rtsigns rtand rtsymptoms rtof rtan rtallergic rtreaction rtinclude rtall rtof rtthe rtfollowing,
rtEXCEPT:
A. rtabdominal rtcramps.
B. rtdrying rtof rtthe rteyes.
C. rtflushing rtof rtthe rtskin.
D. rtpersistent rtdry rtcough. rt- rtANS--B. rtdrying rtof rtthe rteyes.
All rtof rtthe rtfollowing rtbody rtstructures rtare rtlined rtwith rtmucous rtmembranes, rtEXCEPT
rtfor rtthe:
A. rtlips.
B. rtnose.
C. rtanus.
D. rtmouth. rt- rtANS--A. rtlips.
Appendicular rtskeleton rtconsists rtof rt- rtANS--Upper rtextremities
rt(clavicles,scapulae,arms,wrists,and rthands) rtand rtlower rtextremities
rt(pelvis,thighs,legs,ankles, rtand rtfeet).
Axial rtskeleton rtincludes rtthe rt- rtANS--Skull rt(Cranium, rtFace), rtHyoid rtbone, rtAudiotry
rtossicles, rtVertebral rtcolumn, rtThorax rt(Sternum, rtRibs)
After rtestablishing rtthat rtan rtadult rtpatient rtis rtunresponsive, rtyou rtshould: rt- rtANS--
assess rtfor rtbreathing rtand rta rtpulse
You rtreceive rta rtcall rtfor rta rt70-year-old rtfemale rtwith rtrespiratory rtdistress. rtHer
rthusband rttells rtyou rtthat rtshe rthas rtcongestive rtheart rtfailure; rthowever, rthe rtdoes rtnot
rtthink rtthat rtshe rthas rtbeen rttaking rther rtmedications rtas rtprescribed. rtThe rtpatient rtis
rtlaboring rtto rtbreathe, rtappears rttired, rtand rthas rtcyanosis rtaround rther rtlips. rtYou
rtshould: rt- rtANS--assist rther rtventilations rtwith rta rtbag-valve-mask
A rt67-year-old rtfemale rtwith rtsevere rtchest rtpain rtbecomes rtunresponsive, rtpulseless,
rtand rtapneic rtduring rttransport. rtYou rtshould: rt- rtANS--stop rtthe rtambulance, rtbegin
rtCPR, rtand rtattach rtthe rtAED rtas rtsoon rtas rtpossible.
While rttriaging rtpatients rtat rtthe rtscene rtof rta rtmotor-vehicle rtcrash, rtyou rtencounter rta
rt5-year-old rtchild rtwho rtis rtunresponsive rtand rtapneic. rtAfter rtpositioning rthis rtairway,
rtyou rtshould:
,A. rtcategorize rthim rtas rtimmediate. rt
B. rtcategorize rthim rtas rtdeceased. rt
C. rtdeliver rt5 rtrescue rtbreaths. rt
D. rtpalpate rtfor rta rtcarotid rtpulse. rt- rtANS--D. rtpalpate rtfor rta rtcarotid rtpulse.
Which rtof rtthe rtfollowing rtstatements rtregarding rtventricular rtfibrillation rt(V-fib) rtis
rtcorrect?Select rtone:
A. rtMost rtpatients rtin rtV-fib rthave rta rtweak rtcarotid rtpulse.
B. rtV-fib rtresults rtin rtan rtabsence rtof rtforward rtblood rtflow.
C. rtDefibrillation rtis rtonly rtindicated rtfor rtwitnessed rtV-fib.
D. rtV-fib rtis rta rtstate rtof rtrapid rtventricular rtcontraction. rt- rtANS--B. rtV-fib rtresults rtin rtan
rtabsence rtof rtforward rtblood rtflow.
Which rtdysrhythmia rtis rtthe rtmost rtcommon rtcause rtof rtsudden rtdeath rtin rta
rtcardiovascular rtemergency?
A. rtBradycardia
B. rtTachycardia
C. rtVentricular rttachycardia
D. rtVentricular rtfibrillation rt- rtANS--D. rtVentricular rtfibrillation
Which rtof rtthe rtfollowing rtstatements rtregarding rtventricular rtfibrillation rt(V-fib) rtis
rtMOST rtcorrect?
A. rtSurvival rtrates rtdecrease rtby rt7% rtto rt10% rtfor rteach rtminute rtthat rtV-fib rtpersists.
B. rtAEDs rtshould rtnot rtbe rtused rtto rtdefibrillate rtpatients rtin rtV-fib.
C. rtIt rtis rtan rtuncommon rtdysrhythmia rtin rtpatients rtwith rtsudden rtcardiac rtarrest.
D. rtThe rtonly rtindication rtfor rtimmediate rtdefibrillation rtis rtV-fib. rt- rtANS--A. rtSurvival
rtrates rtdecrease rtby rt7% rtto rt10% rtfor rteach rtminute rtthat rtV-fib rtpersists.
The rtleft rtventricle rthas rtthe rtthickest rtwalls rtbecause rtit:
A. rtpumps rtblood rtto rtthe rtlungs rtto rtbe rtreoxygenated.
B. rtuses rtless rtoxygen rtthan rtother rtchambers rtof rtthe rtheart.
C. rtpumps rtblood rtinto rtthe rtaorta rtand rtsystemic rtcirculation.
D. rtreceives rtblood rtdirectly rtfrom rtthe rtsystemic rtcirculation. rt- rtANS--C. rtpumps rtblood
rtinto rtthe rtaorta rtand rtsystemic rtcirculation.
Electrical rtpathway rtof rtthe rtheart rt- rtANS--SA rtnode
Inter-nodal rtPathways
Av rtNode
Bundle rtof rtHis
Left rt& rtRight rtbundle rtbranches
Prompt rttransport rtof rta rtpatient rtwith rta rtsuspected rtAMI rtis rtimportant rtbecause: rt-
rtANS--the rtpatient rtmay rtbe rteligible rtto rtreceive rtthrombolytic rttherapy.
Ischemic rtheart rtdisease rtis rtMOST rtaccurately rtdefined rtas:
a. rtdecreased rtblood rtflow rtto rtthe rtheart rtmuscle rtdue rtto rtcoronary rtdilation.
, b. rtdecreased rtblood rtflow rtto rtone rtor rtmore rtportions rtof rtthe rtmyocardium.
c. rtabsent rtmyocardial rtblood rtflow rtdue rtto rta rtblocked rtcoronary rtartery.
d. rtdeath rtof rta rtportion rtof rtthe rtheart rtmuscle rtdue rtto rta rtdecrease rtin rtoxygen. rt-
rtANS--b. rtdecreased rtblood rtflow rtto rtone rtor rtmore rtportions rtof rtthe rtmyocardium.
Cardiac rtoutput rtmay rtdecrease rtif rtthe rtheart rtbeats rttoo rtrapidly rtbecause:
A. rta rtrapid rtheart rtbeat rtcauses rta rtdecrease rtin rtthe rtstrength rtof rtcardiac
rtcontractions.
B.the rtvolume rtof rtblood rtthat rtreturns rtto rtthe rtheart rtis rtnot rtsufficient rtwith rtfast rtheart
rtrates.
C.as rtthe rtheart rtrate rtincreases, rtmore rtblood rtis rtpumped rtfrom rtthe rtventricles rtthan
rtthe rtatria.
D. rtthere rtis rtnot rtenough rttime rtin rtbetween rtcontractions rtfor rtthe rtheart rtto rtrefill
rtcompletely. rt- rtANS--D. rtthere rtis rtnot rtenough rttime rtin rtbetween rtcontractions rtfor rtthe
rtheart rtto rtrefill rtcompletely.
Cardiogenic rtshock rtfollowing rtAMI rtis rtcaused rtby:
A. rtdecreased rtpumping rtforce rtof rtthe rtheart rtmuscle.
B. rtwidespread rtdilation rtof rtthe rtsystemic rtvasculature.
C. rthypovolemia rtsecondary rtto rtsevere rtvomiting.
D. rta rtprofound rtincrease rtin rtthe rtpatients rtheart rtrate. rt- rtANS--A. rtdecreased rtpumping
rtforce rtof rtthe rtheart rtmuscle.
Recommended rtdepth rtof rtchest rtcompressions rtfor rtan rtinfant rtis
A. rtat rtleast rtone rtfourth rtthe rtdepth rtof rtchest rt(1 rtinch)
B. rtat rtleast rtone rtthird rtthe rtdepth rtof rtchest rt(1.5 rtinch)
C. rtat rtleast rtone rthalf rtthe rtdepth rtof rtchest rt(2 rtinch)
D. rtat rtleast rttwo rtthirds rtthe rtdepth rtof rtchest rt(3 rtinch) rt- rtANS--B. rtat rtleast rtone rtthird
rtthe rtdepth rtof rtchest rt(1.5 rtinch)
What rtis rtthe rtproper rtcompression-to-ventilation rtratio rtfor rtadult rttwo-rescuer rtCPR? rt-
rtANS--30:2
A rt50-year-old rtmale rtwas rtstung rtby rta rthoneybee rtapproximately rt15 rtminutes rtago.
rtHe rtpresents rtwith rtrespiratory rtdistress, rtfacial rtswelling, rtand rthypotension. rtAfter
rtplacing rthim rton rtoxygen rtand rtadministering rthis rtepinephrine rtvia rtauto-injector, rtyou
rtnote rtthat rthis rtbreathing rthas rtimproved. rtAdditionally, rthis rtfacial rtswelling rtis
rtresolving rtand rthis rtblood rtpressure rtis rtstable. rtYour rtnext rtaction rtshould rtbe rtto: rt-
rtANS--record rtthe rttime rtand rtdose rtof rtthe rtinjection rtand rttransport rtpromptly.
Abdominal rtthrusts rtin rta rtconscious rtchild rtor rtadult rtwith rta rtsevere rtupper rtairway
rtobstruction rtare rtperformed: rt- rtANS--until rthe rtor rtshe rtloses rtconsciousness.
A rt71-year-old rtmale rtis rtsemiconscious rtfollowing rta rtsudden, rtsevere rtheadache.
rtThere rtis rtvomitus rton rthis rtface rtand rthis rtrespirations rtare rtslow rtand rtshallow. rtThe
rtEMT rtmust rtimmediately:
QUESTIONS WITH 100% VERIFIED
ANSWERS
Common rtsigns rtand rtsymptoms rtof rtan rtallergic rtreaction rtinclude rtall rtof rtthe rtfollowing,
rtEXCEPT:
A. rtabdominal rtcramps.
B. rtdrying rtof rtthe rteyes.
C. rtflushing rtof rtthe rtskin.
D. rtpersistent rtdry rtcough. rt- rtANS--B. rtdrying rtof rtthe rteyes.
All rtof rtthe rtfollowing rtbody rtstructures rtare rtlined rtwith rtmucous rtmembranes, rtEXCEPT
rtfor rtthe:
A. rtlips.
B. rtnose.
C. rtanus.
D. rtmouth. rt- rtANS--A. rtlips.
Appendicular rtskeleton rtconsists rtof rt- rtANS--Upper rtextremities
rt(clavicles,scapulae,arms,wrists,and rthands) rtand rtlower rtextremities
rt(pelvis,thighs,legs,ankles, rtand rtfeet).
Axial rtskeleton rtincludes rtthe rt- rtANS--Skull rt(Cranium, rtFace), rtHyoid rtbone, rtAudiotry
rtossicles, rtVertebral rtcolumn, rtThorax rt(Sternum, rtRibs)
After rtestablishing rtthat rtan rtadult rtpatient rtis rtunresponsive, rtyou rtshould: rt- rtANS--
assess rtfor rtbreathing rtand rta rtpulse
You rtreceive rta rtcall rtfor rta rt70-year-old rtfemale rtwith rtrespiratory rtdistress. rtHer
rthusband rttells rtyou rtthat rtshe rthas rtcongestive rtheart rtfailure; rthowever, rthe rtdoes rtnot
rtthink rtthat rtshe rthas rtbeen rttaking rther rtmedications rtas rtprescribed. rtThe rtpatient rtis
rtlaboring rtto rtbreathe, rtappears rttired, rtand rthas rtcyanosis rtaround rther rtlips. rtYou
rtshould: rt- rtANS--assist rther rtventilations rtwith rta rtbag-valve-mask
A rt67-year-old rtfemale rtwith rtsevere rtchest rtpain rtbecomes rtunresponsive, rtpulseless,
rtand rtapneic rtduring rttransport. rtYou rtshould: rt- rtANS--stop rtthe rtambulance, rtbegin
rtCPR, rtand rtattach rtthe rtAED rtas rtsoon rtas rtpossible.
While rttriaging rtpatients rtat rtthe rtscene rtof rta rtmotor-vehicle rtcrash, rtyou rtencounter rta
rt5-year-old rtchild rtwho rtis rtunresponsive rtand rtapneic. rtAfter rtpositioning rthis rtairway,
rtyou rtshould:
,A. rtcategorize rthim rtas rtimmediate. rt
B. rtcategorize rthim rtas rtdeceased. rt
C. rtdeliver rt5 rtrescue rtbreaths. rt
D. rtpalpate rtfor rta rtcarotid rtpulse. rt- rtANS--D. rtpalpate rtfor rta rtcarotid rtpulse.
Which rtof rtthe rtfollowing rtstatements rtregarding rtventricular rtfibrillation rt(V-fib) rtis
rtcorrect?Select rtone:
A. rtMost rtpatients rtin rtV-fib rthave rta rtweak rtcarotid rtpulse.
B. rtV-fib rtresults rtin rtan rtabsence rtof rtforward rtblood rtflow.
C. rtDefibrillation rtis rtonly rtindicated rtfor rtwitnessed rtV-fib.
D. rtV-fib rtis rta rtstate rtof rtrapid rtventricular rtcontraction. rt- rtANS--B. rtV-fib rtresults rtin rtan
rtabsence rtof rtforward rtblood rtflow.
Which rtdysrhythmia rtis rtthe rtmost rtcommon rtcause rtof rtsudden rtdeath rtin rta
rtcardiovascular rtemergency?
A. rtBradycardia
B. rtTachycardia
C. rtVentricular rttachycardia
D. rtVentricular rtfibrillation rt- rtANS--D. rtVentricular rtfibrillation
Which rtof rtthe rtfollowing rtstatements rtregarding rtventricular rtfibrillation rt(V-fib) rtis
rtMOST rtcorrect?
A. rtSurvival rtrates rtdecrease rtby rt7% rtto rt10% rtfor rteach rtminute rtthat rtV-fib rtpersists.
B. rtAEDs rtshould rtnot rtbe rtused rtto rtdefibrillate rtpatients rtin rtV-fib.
C. rtIt rtis rtan rtuncommon rtdysrhythmia rtin rtpatients rtwith rtsudden rtcardiac rtarrest.
D. rtThe rtonly rtindication rtfor rtimmediate rtdefibrillation rtis rtV-fib. rt- rtANS--A. rtSurvival
rtrates rtdecrease rtby rt7% rtto rt10% rtfor rteach rtminute rtthat rtV-fib rtpersists.
The rtleft rtventricle rthas rtthe rtthickest rtwalls rtbecause rtit:
A. rtpumps rtblood rtto rtthe rtlungs rtto rtbe rtreoxygenated.
B. rtuses rtless rtoxygen rtthan rtother rtchambers rtof rtthe rtheart.
C. rtpumps rtblood rtinto rtthe rtaorta rtand rtsystemic rtcirculation.
D. rtreceives rtblood rtdirectly rtfrom rtthe rtsystemic rtcirculation. rt- rtANS--C. rtpumps rtblood
rtinto rtthe rtaorta rtand rtsystemic rtcirculation.
Electrical rtpathway rtof rtthe rtheart rt- rtANS--SA rtnode
Inter-nodal rtPathways
Av rtNode
Bundle rtof rtHis
Left rt& rtRight rtbundle rtbranches
Prompt rttransport rtof rta rtpatient rtwith rta rtsuspected rtAMI rtis rtimportant rtbecause: rt-
rtANS--the rtpatient rtmay rtbe rteligible rtto rtreceive rtthrombolytic rttherapy.
Ischemic rtheart rtdisease rtis rtMOST rtaccurately rtdefined rtas:
a. rtdecreased rtblood rtflow rtto rtthe rtheart rtmuscle rtdue rtto rtcoronary rtdilation.
, b. rtdecreased rtblood rtflow rtto rtone rtor rtmore rtportions rtof rtthe rtmyocardium.
c. rtabsent rtmyocardial rtblood rtflow rtdue rtto rta rtblocked rtcoronary rtartery.
d. rtdeath rtof rta rtportion rtof rtthe rtheart rtmuscle rtdue rtto rta rtdecrease rtin rtoxygen. rt-
rtANS--b. rtdecreased rtblood rtflow rtto rtone rtor rtmore rtportions rtof rtthe rtmyocardium.
Cardiac rtoutput rtmay rtdecrease rtif rtthe rtheart rtbeats rttoo rtrapidly rtbecause:
A. rta rtrapid rtheart rtbeat rtcauses rta rtdecrease rtin rtthe rtstrength rtof rtcardiac
rtcontractions.
B.the rtvolume rtof rtblood rtthat rtreturns rtto rtthe rtheart rtis rtnot rtsufficient rtwith rtfast rtheart
rtrates.
C.as rtthe rtheart rtrate rtincreases, rtmore rtblood rtis rtpumped rtfrom rtthe rtventricles rtthan
rtthe rtatria.
D. rtthere rtis rtnot rtenough rttime rtin rtbetween rtcontractions rtfor rtthe rtheart rtto rtrefill
rtcompletely. rt- rtANS--D. rtthere rtis rtnot rtenough rttime rtin rtbetween rtcontractions rtfor rtthe
rtheart rtto rtrefill rtcompletely.
Cardiogenic rtshock rtfollowing rtAMI rtis rtcaused rtby:
A. rtdecreased rtpumping rtforce rtof rtthe rtheart rtmuscle.
B. rtwidespread rtdilation rtof rtthe rtsystemic rtvasculature.
C. rthypovolemia rtsecondary rtto rtsevere rtvomiting.
D. rta rtprofound rtincrease rtin rtthe rtpatients rtheart rtrate. rt- rtANS--A. rtdecreased rtpumping
rtforce rtof rtthe rtheart rtmuscle.
Recommended rtdepth rtof rtchest rtcompressions rtfor rtan rtinfant rtis
A. rtat rtleast rtone rtfourth rtthe rtdepth rtof rtchest rt(1 rtinch)
B. rtat rtleast rtone rtthird rtthe rtdepth rtof rtchest rt(1.5 rtinch)
C. rtat rtleast rtone rthalf rtthe rtdepth rtof rtchest rt(2 rtinch)
D. rtat rtleast rttwo rtthirds rtthe rtdepth rtof rtchest rt(3 rtinch) rt- rtANS--B. rtat rtleast rtone rtthird
rtthe rtdepth rtof rtchest rt(1.5 rtinch)
What rtis rtthe rtproper rtcompression-to-ventilation rtratio rtfor rtadult rttwo-rescuer rtCPR? rt-
rtANS--30:2
A rt50-year-old rtmale rtwas rtstung rtby rta rthoneybee rtapproximately rt15 rtminutes rtago.
rtHe rtpresents rtwith rtrespiratory rtdistress, rtfacial rtswelling, rtand rthypotension. rtAfter
rtplacing rthim rton rtoxygen rtand rtadministering rthis rtepinephrine rtvia rtauto-injector, rtyou
rtnote rtthat rthis rtbreathing rthas rtimproved. rtAdditionally, rthis rtfacial rtswelling rtis
rtresolving rtand rthis rtblood rtpressure rtis rtstable. rtYour rtnext rtaction rtshould rtbe rtto: rt-
rtANS--record rtthe rttime rtand rtdose rtof rtthe rtinjection rtand rttransport rtpromptly.
Abdominal rtthrusts rtin rta rtconscious rtchild rtor rtadult rtwith rta rtsevere rtupper rtairway
rtobstruction rtare rtperformed: rt- rtANS--until rthe rtor rtshe rtloses rtconsciousness.
A rt71-year-old rtmale rtis rtsemiconscious rtfollowing rta rtsudden, rtsevere rtheadache.
rtThere rtis rtvomitus rton rthis rtface rtand rthis rtrespirations rtare rtslow rtand rtshallow. rtThe
rtEMT rtmust rtimmediately:
