West Coast EMT Block Exam -3 2025 With Correct Answers.

West Coast EMT Block Exam #3 2025
With Correct Answers




A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the
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scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which
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of the following would be the MOST compelling reason to disagree with his refusal of transport?
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Select one: n




A. His Glasgow Coma Scale (GCS) score is 15
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B. His wife states that this was his "usual" seizure
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C. He has experienced seizures since he was 20
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D. He is currently not prescribed any medications - correct answersD. He is currently not prescribed any
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medications



A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or
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she:

Select one: n




A. has had a prior heart attack.
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B. has bleeding within the brain.
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,C. has a GCS score that is less than 8.
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D. is older than 60 years of age. - correct answersB. has bleeding within the brain.
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A patient whose speech is slurred and difficult to understand is experiencing:
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Select one: n




A. paraplegia.
n




B. dysphagia.
n




C. dysarthria.
n




D. aphasia. - correct answersC. dysarthria.
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A patient with an altered mental status is:
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Select one: n




A. typically alert but is confused as to preceding events.
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B. not thinking clearly or is incapable of being aroused.
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C. usually able to be aroused with a painful stimulus.
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D. completely unresponsive to all forms of stimuli. - correct answersB. not thinking clearly or is incapable of
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being aroused. n




During the primary assessment of a semiconscious 70-year-old female, you should:
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Select one: n




A. insert a nasopharyngeal airway and assist ventilations.
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B. ask family members if the patient has a history of stroke.
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C. immediately determine the patient's blood glucose level.
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D. ensure a patent airway and support ventilation as needed. - correct answersD. ensure a patent airway and
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support ventilation as needed. n n n




Interruption of cerebral blood flow may result from all of the following, EXCEPT:n n n n n n n n n n n n




Select one: n




A. an embolism.
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,B. cerebral vasodilation.
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C. a thrombus.
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D. an acute arterial rupture. - correct answersB. cerebral vasodilation.
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The left cerebral hemisphere controls:
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Select one: n




A. heart rate and pupil reaction.
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B. the right side of the face.
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C. breathing and blood pressure.
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D. the right side of the body. - correct answersD. the right side of the body.
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The MOST significant risk factor for a hemorrhagic stroke is:
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Select one: n




A. diabetes mellitus.
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B. hypertension.
n




C. heavy exertion.
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D. severe stress. - correct answersB. hypertension.
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The three major parts of the brain are the:
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Select one: n




A. midbrain, cerebellum, and spinal cord.
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B. brain stem, midbrain, and spinal cord.
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C. cerebellum, medulla, and occiput.
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D. cerebrum, cerebellum, and brain stem. - correct answersD. cerebrum, cerebellum, and brain stem.
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When assessing for arm drift of a patient with a suspected stroke, you should:
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Select one: n




A. ask the patient to close his or her eyes during the assessment.
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B. expect to see one arm slowly drift down to the patient's side.
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, C. observe movement of the arms for approximately 2 minutes.
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D. ask the patient to hold his or her arms up with the palms down. - correct answersA. ask the patient to close
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his or her eyes during the assessment.
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When caring for a patient with documented hypoglycemia, you should be MOST alert for:
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Select one: n




A. a seizure.
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B. respiratory distress.
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C. an acute stroke.
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D. a febrile convulsion. - correct answersA. a seizure.
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When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to
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determine:

Select one: n




A. if the patient has been hospitalized before.
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B. if there is a family history of a stroke.
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C. when the patient last appeared normal.
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D. the patient's overall medication compliance. - correct answersC. when the patient last appeared normal.
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Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke?
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Select one: n




A. Intracranial bleeding
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B. A postictal state
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C. Hypoglycemia
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D. Hypovolemia - correct answersD. Hypovolemia
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Which of the following conditions would MOST likely affect the entire brain?
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Select one: n




A. Respiratory failure or cardiopulmonary arrest
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