West Coast EMT Final Exam questions and solutions

WestCoastEMTFinalExam n
k n
k n
k n
k




1. You have an AMA patient who is refusing transport. What should you be
n
k nk nk nk nk nk nk nk n
k nk nk nk




doing?: When a patient is AMA, they first must be A/O 4x to show that they are alert
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk




and oriented and
nk nk nk




ableto maketheirown decisions.You must inform them of all the possible risks that come
n
k n
k n
k n
k nk n
k nk nk nk nk nk nk nk nk nk nk




with
nk




not being transported (such as death).
nk nk nk nk nk




During documentation, make sure the patient signs the AMA to prove they do not need
nk nk nk nk nk nk nk nk nk nk nk nk nk nk




transport
nk




(and to not get sued).DOCUMENT EVERYTHING
nk nk nk nk nk nk




2. AllinformationinaPCRneedstobeconfidential.Why?: Patientconfidentiality due
n
k n
k n
k n
k n
k n
k n
k n
k n
k nk nk nk




to HIPAA (Health Insurance Portability and Accountability)
nk nk nk nk nk nk nk




3. What is supra ventricular tachycardia (SVT)?: irregularly fast or erratic heart-
nk nk nk nk nk nk nk nk nk nk




beat (arrhythmia) that affects the upper heart chambers
nk nk nk nk nk nk nk nk




4. The physical act of moving air into and out of the lungs is called:: ventilation
nk nk nk nk nk nk nk nk nk nk nk nk nk nk




5. Which of the following is the MOST common cause of airway obstruction in the
nk nk nk nk nk nk nk nk nk nk nk nk nk




unresponsive patient?: the tongue
nk nk nk nk




6. What should a normal patient's capillary refill be?: less than 2 seconds
nk nk nk nk nk nk nk nk nk nk nk




7. After you determine a patient is unconscious,what is the next step?: Begin
nk nk nk nk nk nk n
k nk nk nk nk nk




CPR and begin respiratory support (ie maintain their ABCs)
nk nk nk nk nk nk nk nk nk




After compressions, ventilate and repeat cycle until ALS arrives
nk nk nk nk nk nk nk nk




8. When a patient has signs of poor perfusion, what do you do next?: Provide
nk nk nk nk nk nk nk nk nk nk nk nk nk




high-flow O2 via BVM
nk nk nk nk




Keeppatientwarm Rapid n
k n
k nk




transport
nk




9. A 67-year-old female with severe chest pain becomes unresponsive, pulse-
nk nk nk nk nk nk nk nk n
k




less,and apneic during transport.You should:: stoptheambulance,beginCPR, and
nk n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k nk




attach the AED as soon as possible.
nk nk nk nk nk nk nk




10. What is an aneurysm?: Defined as a swelling within a brain artery due to
nk nk nk nk nk nk nk nk nk nk nk nk nk




weakening of the artery wall
nk nk nk nk nk




11. What is HYPERglycemia?What are the signs and symptoms and the nk nk n
k nk nk nk nk nk nk nk




treatment of it?: High blood sugar
nk nk nk nk nk nk




S/S:
Altered mental status (intoxicated like behavior) Lowered
nk nk nk nk nk nk




level of consciousness
nk nk nk




Polyuria, dark urine, excessive thirst Kussmaul nk nk nk nk nk




respirations (smells fruity)
nk nk nk




nk nk

, WestCoastEMTFinalExam n
k n
k n
k n
k




Rapid, weak pulse nk nk




Symptoms will prevent themselves gradually nk nk nk nk




12. You just administered an EpiPen to your patient.The patient is improved but
nk nk nk nk nk nk nk n
k nk nk nk nk




is now complaining of chest pain. should:: Notify medical control
nk nk nk nk nk nk nk nk nk nk




13. It is most important to determine the patients weight when asking ques-
nk nk nk nk nk nk nk nk nk nk nk




tions pertaining to a toxic ingestion because?: Activated Charcoal is given
nk nk nk nk nk nk nk nk nk nk nk




based on a patients weight.
nk nk nk nk nk




14. Keep in mind scene safety and know when to call law enforcement:Re- nk nk nk nk nk nk nk nk nk nk nk n
k




member to always do BSI, PPE scene safety as well as doing scene size up to
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk




determine best course of action for you
nk nk nk nk nk nk nk




Only call law enforcement when you know that patient is dangerous or is in danger and
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk




must be restrained to be treated
nk nk nk nk nk nk




If you arrive on scene and law enforcement is there, then wait until you are able to gain
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk




entry or talk to whoever in charge to determine where to station
nk nk nk nk nk nk nk nk nk nk nk nk




15. Which of the following is an example of a functional behavioral disorder?- nk nk nk nk nk nk nk nk nk nk nk




: schizophrenia
nk




16. When documenting a call in which a female was sexually assaulted, you nk nk nk nk nk nk nk nk nk nk nk




should:: keep thereport concise and recordonlywhat the patientstated inher own
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk




words.
nk




17. Anunrestraineddriverofacarthathasstruckatreeat45mphhassuffered a
n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k nk




contusion (bruise) to his heart.The EMT would recognize that this injury
nk nk nk nk nk n
k nk nk nk nk nk nk




occurred during which impact of the collision?: Organ collision
nk nk nk nk nk nk nk nk nk




18. External bleeding from a vein is relatively easy to control because::veins are nk nk nk nk nk nk nk nk nk nk n
k nk




under a lower pressure.
nk nk nk nk




19. Accordingtotheruleofpalmmethodforestimatingtheextentofapatient's k
n n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k n
k




burns, the palm of the patient's hand is equal to
nk nk of his or her total nk nk nk nk nk nk nk nk nk nk nk nk nk




BSA.: 1%
nk nk




20. In which of the following patients should you remove an impaled object?: a
nk nk nk nk nk nk nk nk nk nk nk nk




pulseless and apneic patient with a knife impaled in the back
nk nk nk nk nk nk nk nk nk nk nk




21. A 30-year-old female was robbed and assaulted by a gang as she was
nk nk nk nk nk nk nk nk nk nk nk nk




leaving a nightclub.She has massive facial trauma and slow,gurgling res-
nk nk nk n
k nk nk nk nk nk nk n
k nk




pirations. As your partner assumes manual stabilization of her head, you
nk nk nk nk nk nk nk nk nk nk nk




should:: suction her oropharynx for 15 seconds
nk nk nk nk nk nk nk




22. Treat injury to the eye.:make a doughnut gauze and place around the object in nk nk nk nk n
k nk nk nk nk nk nk nk nk nk




the eye, stabilize the object with a gauze around the head covering both eyes
nk nk nk nk nk nk nk nk nk nk nk nk nk nk




23. know S/S of a skull fracture:Retroauricular ecchymosis (Battle signs, behind nk nk nk nk nk n
k nk nk nk nk




the ears); Bilateral periorbitar ecchymosis (raccoon eyes)
nk nk nk nk nk nk nk




nk nk