WEST COAST EMT BLOCK 2 EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Exam Coverage Short Summary
1. Airway Management – Airway assessment, manual maneuvers, suctioning, airway adjuncts
(OPA/NPA), oxygen delivery, ventilation techniques, and advanced airway awareness.
2. Respiratory Emergencies – Recognition and treatment of asthma, COPD, pulmonary edema,
hyperventilation, pneumonia, spontaneous pneumothorax, and respiratory failure.
3. Cardiovascular Emergencies – Chest pain assessment, acute coronary syndrome, heart failure,
shock, cardiac arrest recognition, AED use, and CPR principles.
4. Medical Emergencies – Management of diabetic emergencies, seizures, strokes, allergic
reactions, anaphylaxis, poisoning, overdose, and altered mental status.
5. Trauma Assessment – Primary survey, rapid trauma assessment, bleeding control, spinal motion
restriction, fractures, burns, and soft tissue injuries.
6. Patient Assessment Skills – Scene size-up, primary assessment, secondary assessment, SAMPLE
history, OPQRST pain assessment, and reassessment techniques.
7. Obstetrics and Pediatrics – Childbirth, neonatal care, pediatric assessment triangle, pediatric
respiratory emergencies, and common childhood illnesses.
8. Environmental Emergencies – Heat-related illnesses, hypothermia, drowning, bites, stings,
electrical injuries, and hazardous materials awareness.
9. EMS Operations and Safety – Ambulance operations, incident command, triage, mass casualty
incidents, lifting and moving patients, and infection control.
10. Pharmacology and EMT Medications – Oxygen, aspirin, nitroglycerin, oral glucose, epinephrine
auto-injector, naloxone, bronchodilators, medication administration principles, and
contraindications.
WEST COAST EMT BLOCK 2 Examination
1.
Which finding during the primary assessment most strongly indicates that
immediate airway intervention should take priority over all other treatments
because oxygenation is critically compromised?
,A. Mild chest discomfort after walking upstairs
B. Snoring respirations with decreasing level of consciousness
C. Blood pressure of 146/88 mmHg
D. Minor abrasions on both forearms
Answer: B
Rationale: Snoring respirations indicate partial upper airway obstruction, usually
from the tongue. Immediate airway opening is necessary before addressing other
injuries because airway compromise rapidly leads to hypoxia.
2.
While assessing an adult patient with severe respiratory distress, which
observation most strongly suggests impending respiratory failure rather than
simple respiratory distress requiring routine oxygen therapy?
A. Speaking in complete sentences comfortably
B. Pink, warm skin with normal breathing effort
C. Decreasing respiratory effort accompanied by altered mental status
D. Mild wheezing that improves after coughing
Answer: C
Rationale: Reduced respiratory effort and altered mental status indicate fatigue
and inadequate ventilation, requiring immediate ventilatory support.
3.
Which component of the SAMPLE history specifically helps identify medications
that may directly influence the patient's current illness, treatment decisions, or
potential drug interactions?
A. Signs and symptoms
B. Allergies
,C. Medications
D. Events leading to illness
Answer: C
Rationale: Medication history helps identify prescribed drugs, over-the-counter
medications, and herbal supplements that may contribute to the patient's
condition.
4.
When performing the primary assessment on an unresponsive trauma patient,
which action should immediately follow confirmation that the scene is safe for
rescuers?
A. Obtain a detailed medical history
B. Assess airway while maintaining spinal precautions
C. Perform a head-to-toe examination
D. Obtain insurance information
Answer: B
Rationale: Airway assessment with cervical spine protection is the priority
following scene safety.
5.
Which patient presentation most strongly indicates cardiogenic shock rather than
compensated hypovolemic shock during the initial assessment performed by the
EMT?
A. Warm dry skin with hypertension
B. Chest pain, pulmonary edema, hypotension, and cool clammy skin
C. Nosebleed with normal vital signs
D. Isolated fractured wrist without bleeding
, Answer: B
Rationale: Cardiogenic shock commonly presents with chest pain, pulmonary
edema, hypotension, and poor peripheral perfusion.
6.
A patient suddenly develops facial swelling, wheezing, hypotension, and
widespread hives immediately after being stung by a bee. Which intervention
should receive the highest priority?
A. Apply cold compresses only
B. Encourage oral fluids
C. Assist with administration of epinephrine auto-injector
D. Delay treatment until arrival at hospital
Answer: C
Rationale: Epinephrine is the first-line treatment for life-threatening anaphylaxis.
7.
Which assessment finding most strongly suggests that a patient experiencing
chest pain is suffering from an acute coronary syndrome requiring rapid transport
and early hospital notification?
A. Pain relieved by changing position
B. Sharp pain only during coughing
C. Crushing substernal chest pressure radiating to the left arm with diaphoresis
D. Mild muscle soreness after exercise
Answer: C
Rationale: Classic ACS symptoms include crushing substernal chest pain,
diaphoresis, and radiation to the arm or jaw.
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Exam Coverage Short Summary
1. Airway Management – Airway assessment, manual maneuvers, suctioning, airway adjuncts
(OPA/NPA), oxygen delivery, ventilation techniques, and advanced airway awareness.
2. Respiratory Emergencies – Recognition and treatment of asthma, COPD, pulmonary edema,
hyperventilation, pneumonia, spontaneous pneumothorax, and respiratory failure.
3. Cardiovascular Emergencies – Chest pain assessment, acute coronary syndrome, heart failure,
shock, cardiac arrest recognition, AED use, and CPR principles.
4. Medical Emergencies – Management of diabetic emergencies, seizures, strokes, allergic
reactions, anaphylaxis, poisoning, overdose, and altered mental status.
5. Trauma Assessment – Primary survey, rapid trauma assessment, bleeding control, spinal motion
restriction, fractures, burns, and soft tissue injuries.
6. Patient Assessment Skills – Scene size-up, primary assessment, secondary assessment, SAMPLE
history, OPQRST pain assessment, and reassessment techniques.
7. Obstetrics and Pediatrics – Childbirth, neonatal care, pediatric assessment triangle, pediatric
respiratory emergencies, and common childhood illnesses.
8. Environmental Emergencies – Heat-related illnesses, hypothermia, drowning, bites, stings,
electrical injuries, and hazardous materials awareness.
9. EMS Operations and Safety – Ambulance operations, incident command, triage, mass casualty
incidents, lifting and moving patients, and infection control.
10. Pharmacology and EMT Medications – Oxygen, aspirin, nitroglycerin, oral glucose, epinephrine
auto-injector, naloxone, bronchodilators, medication administration principles, and
contraindications.
WEST COAST EMT BLOCK 2 Examination
1.
Which finding during the primary assessment most strongly indicates that
immediate airway intervention should take priority over all other treatments
because oxygenation is critically compromised?
,A. Mild chest discomfort after walking upstairs
B. Snoring respirations with decreasing level of consciousness
C. Blood pressure of 146/88 mmHg
D. Minor abrasions on both forearms
Answer: B
Rationale: Snoring respirations indicate partial upper airway obstruction, usually
from the tongue. Immediate airway opening is necessary before addressing other
injuries because airway compromise rapidly leads to hypoxia.
2.
While assessing an adult patient with severe respiratory distress, which
observation most strongly suggests impending respiratory failure rather than
simple respiratory distress requiring routine oxygen therapy?
A. Speaking in complete sentences comfortably
B. Pink, warm skin with normal breathing effort
C. Decreasing respiratory effort accompanied by altered mental status
D. Mild wheezing that improves after coughing
Answer: C
Rationale: Reduced respiratory effort and altered mental status indicate fatigue
and inadequate ventilation, requiring immediate ventilatory support.
3.
Which component of the SAMPLE history specifically helps identify medications
that may directly influence the patient's current illness, treatment decisions, or
potential drug interactions?
A. Signs and symptoms
B. Allergies
,C. Medications
D. Events leading to illness
Answer: C
Rationale: Medication history helps identify prescribed drugs, over-the-counter
medications, and herbal supplements that may contribute to the patient's
condition.
4.
When performing the primary assessment on an unresponsive trauma patient,
which action should immediately follow confirmation that the scene is safe for
rescuers?
A. Obtain a detailed medical history
B. Assess airway while maintaining spinal precautions
C. Perform a head-to-toe examination
D. Obtain insurance information
Answer: B
Rationale: Airway assessment with cervical spine protection is the priority
following scene safety.
5.
Which patient presentation most strongly indicates cardiogenic shock rather than
compensated hypovolemic shock during the initial assessment performed by the
EMT?
A. Warm dry skin with hypertension
B. Chest pain, pulmonary edema, hypotension, and cool clammy skin
C. Nosebleed with normal vital signs
D. Isolated fractured wrist without bleeding
, Answer: B
Rationale: Cardiogenic shock commonly presents with chest pain, pulmonary
edema, hypotension, and poor peripheral perfusion.
6.
A patient suddenly develops facial swelling, wheezing, hypotension, and
widespread hives immediately after being stung by a bee. Which intervention
should receive the highest priority?
A. Apply cold compresses only
B. Encourage oral fluids
C. Assist with administration of epinephrine auto-injector
D. Delay treatment until arrival at hospital
Answer: C
Rationale: Epinephrine is the first-line treatment for life-threatening anaphylaxis.
7.
Which assessment finding most strongly suggests that a patient experiencing
chest pain is suffering from an acute coronary syndrome requiring rapid transport
and early hospital notification?
A. Pain relieved by changing position
B. Sharp pain only during coughing
C. Crushing substernal chest pressure radiating to the left arm with diaphoresis
D. Mild muscle soreness after exercise
Answer: C
Rationale: Classic ACS symptoms include crushing substernal chest pain,
diaphoresis, and radiation to the arm or jaw.
