WEST COAST EMT EXAM 3 REVIEW
TESTED QUESTIONS ACCURATE
SOLUTIONS
◉ 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. 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. 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. 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.
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. 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. 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. 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. 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.
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. Answer: A. a seizure.
◉ When you are obtaining medical history from the family of a
suspected stroke patient, it is MOST important to determine:
TESTED QUESTIONS ACCURATE
SOLUTIONS
◉ 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. 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. 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. 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.
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. 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. 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. 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. 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.
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. Answer: A. a seizure.
◉ When you are obtaining medical history from the family of a
suspected stroke patient, it is MOST important to determine:
