WEST COAST EMT BLOCK 3 LATEST 2023-
m m m m m m
2024 EXAM 360 QUESTIONS AND CORRECT DETAILE
m m m m m m
D ANSWERS WITH RATIONALES (VERIFIED ANSWER
m m m m m
S) |ALREADY GRADED A+
m m m
Am40-year-oldmpatientmwithoutmamhistorymofmseizuresmexperiencesmamgeneralizedm(tonic-
clonic) mseizure.mThe mLEASTmlikelymcause mofmthismseizure mis:
A:mamseriousminfectio
nmB:mambrainmtumor
C:mepilepsy
D:mintercranialmbleedingm-mANSWER-C:mepilepsy
Ampatientmwhomismexperiencingmaphasiamis:
A:mnotmable mtomswallowmwithoutmchoking
B:mexperiencingmamrightmhemisphericmstrok
e mC:munable mtomproducemormunderstandmsp
eech
D:musuallymconsciousmbutmhasmslurredmspeechm-mANSWER-C:munable mtomproduce mormunderstandmspeech
AmpatientmwhomismpossiblymexperiencingmamstrokemismNOTmeligible mformthrombolyticm(fibrinolytic) mtherapy
m if m he m orm she:
A:mhasmamGCSmscoremthatmismlessmthan
m 8mB:mhasmhadmampriormheartmattack
C:mismoldermthanm60myearsmofmage
D:mhasmbleedingmwithinmthe mbrainm- mANSWER-D:mhasmbleedingmwithinmthe mbrain
Ampatientmwithmanmalteredmmentalmstatusmis:
A:mtypicallymalertmbutmismconfusedmasmtomprecedingmeven
tsmB:musuallymable mtombemarousedmwithmampainfulmstimul
us
C:mcompletelymunresponsive mtomallmformsmof mstimuli
,D:mnotmthinkingmclearlymormismincapable mofmbeingmarousedm-mANSWER-
D:mnotmthinkingmclearlymormismincapable mofmbeingmaroused
Componentsmofmthe mCincinnatimPrehospitalmStroke mScale minclude:
A:marmmdrift,mmemory,mandmgripmstrengt
hmB:mspeech,mpupilmreaction,mandmmem
orymC:mfacialmdroop,mspeech,mandmpupil
m size
D:marmmdrift,mspeech,mandmfacialmdroopm-mANSWER-D:marmmdrigt,mspeech,mandmfacialmdroop
Febrile mseizures:
A:mare musuallymbenignmbutmshouldmbemevaluate
dmB:mare malsomreferredmtomasmabsencemseizures
C:moftenmresultminmpermanentmbrainmdamage
D:moccurmwhenmamchild'smfevermrisesmslowlym-mANSWER-A:mare musuallymbenignmbutmshouldmbe mevaluated
Individualsmwithmchronicmalcoholismmare mpredisposedmtomintracranialmbleedingmandmhypoglycemiamseco
ndarymtomabnormalitiesminmthe:
A:mpancrea
smB:mkidney
smC:mbrain
D:mliverm- mANSWER-D:mliver
Muscle mcontrolmandmbodymcoordinationmaremcontrolledmbymth
e:mA:mbrainmstem
B:mcerebralmcortex
m C:mcerebellum
D:mcerebrumm-mANSWER-C:mcerebellum
Statusmepilepticusmismcharacterizedmby:
,A:mgeneralizedmseizuresmthatmlastmlessmthanm5mminute
smB:manmabsence mseizuremthatmismnotmprecededmbymanm
aura
C:mprolongedmseizuresmwithoutmamreturnmofmconsciousness
D:mprofoundmtachycardiamandmtotalmmuscle mflacciditym-mANSWER-
C:mprolongedmseizuresmwithoutmamreturnmofmconsciousness
The mmostmbasicmfunctionsmofmthembody,msuchmasmbreathing,mbloodmpressure,mandmswallowing,maremcontro
lledmbymthe:
A:mbrainmstemm
B:mcerebellum
C:mcerebralmcortex
D:mcerebrumm-mANSWER-A:mbrainmstem
The mMOSTmsignificantmriskmfactormformamhemorrhagicmstroke m
is:mA:mhypertension
B:mdiabetesmmellitusm
C:msevere mstress
D:mheavymexertionm-mANSWER-A:mhypertension
The mspinalmcordmexitsmthemcraniummthroughmth
e:mA:mforamenmmagnum
B:mcaudamequinam
C:mforamenmlamin
a
D:mvertebralmforamenm-mANSWER-A:mforamenmmagnum
The mthreemmajormpartsmofmthembrainmare mth
e:mA:mcerebellum, mmedulla,mandmocciput
B:mcerebrum, mcerebellum,mandmbrainmste
mmC:mbrainmstem,mmidbrain,mandmspinalmc
ord
, D:mmidbrain,mcerebellum,mandmspinalmcordm-mANSWER-B:mcerebrum,mcerebellum, mandmbrainmstem
Whenmassessingmformarmmdriftmof mampatientmwithmamsuspectedmstroke,myoumsho
uld:mA:maskmthe mpatientmtomholdmhismormhermarmsmupmwithmthe mpalmsmdown
B:maskmthe mpatientmtomclose mhismormhermeyesmduringmthe massessm
entmC:mobservemmovementmofmthemarmsmformapproximatelym2mmi
nutes
D:mexpectmtomsee mone marmmslowlymdriftmdownmtomthe mpatient'smside m-mANSWER-
B:maskmthe mpatientmtomclose mhismormhermeyesmduringmthe massessment
Whenmcaringmformampatientmwithmdocumentedmhypoglycemia,myoumshouldmbemMOSTmalertmf
or:mA:manmacute mstroke
B:mamseizure
C:mrespiratorymdistress
D:mamfebrile mconvulsionm-mANSWER-B:mamseizure
Whichmof mthemfollowingmclinicalmsignsmismMOSTmsuggestivemof mamrupturedmaneurys
m:mA:mConfusionmandmweakness
B:mUnilateralmhemiparesis
C:mSudden,msevere mheadache
D:mNasalmdischarge mof mbloodm-mANSWER-C:mSudden,msevere mheadache
Whichmof mthemfollowingmconditionsmwouldmMOSTmlikelymaffectmthementire mbr
ain:mA:mBlockedmcerebralmarteryminmthe mfrontalmlobe
B:mRupturedmcerebralmarteryminmthe moccipitalmlo
be mC:mReducedmbloodmsupplymtomthemleftmhemis
phere
D:mRespiratorymfailure mormcardiopulmonary marrestm-mANSWER-
D:mRespiratorymfailure mormcardiopulmonary marrest
Whichmof mthemfollowingmfindingsmshouldmconcernmthemEMTmthemMOSTmwhenmassessingmampatientmwhomc
omplainsmofmamheadache:
m m m m m m
2024 EXAM 360 QUESTIONS AND CORRECT DETAILE
m m m m m m
D ANSWERS WITH RATIONALES (VERIFIED ANSWER
m m m m m
S) |ALREADY GRADED A+
m m m
Am40-year-oldmpatientmwithoutmamhistorymofmseizuresmexperiencesmamgeneralizedm(tonic-
clonic) mseizure.mThe mLEASTmlikelymcause mofmthismseizure mis:
A:mamseriousminfectio
nmB:mambrainmtumor
C:mepilepsy
D:mintercranialmbleedingm-mANSWER-C:mepilepsy
Ampatientmwhomismexperiencingmaphasiamis:
A:mnotmable mtomswallowmwithoutmchoking
B:mexperiencingmamrightmhemisphericmstrok
e mC:munable mtomproducemormunderstandmsp
eech
D:musuallymconsciousmbutmhasmslurredmspeechm-mANSWER-C:munable mtomproduce mormunderstandmspeech
AmpatientmwhomismpossiblymexperiencingmamstrokemismNOTmeligible mformthrombolyticm(fibrinolytic) mtherapy
m if m he m orm she:
A:mhasmamGCSmscoremthatmismlessmthan
m 8mB:mhasmhadmampriormheartmattack
C:mismoldermthanm60myearsmofmage
D:mhasmbleedingmwithinmthe mbrainm- mANSWER-D:mhasmbleedingmwithinmthe mbrain
Ampatientmwithmanmalteredmmentalmstatusmis:
A:mtypicallymalertmbutmismconfusedmasmtomprecedingmeven
tsmB:musuallymable mtombemarousedmwithmampainfulmstimul
us
C:mcompletelymunresponsive mtomallmformsmof mstimuli
,D:mnotmthinkingmclearlymormismincapable mofmbeingmarousedm-mANSWER-
D:mnotmthinkingmclearlymormismincapable mofmbeingmaroused
Componentsmofmthe mCincinnatimPrehospitalmStroke mScale minclude:
A:marmmdrift,mmemory,mandmgripmstrengt
hmB:mspeech,mpupilmreaction,mandmmem
orymC:mfacialmdroop,mspeech,mandmpupil
m size
D:marmmdrift,mspeech,mandmfacialmdroopm-mANSWER-D:marmmdrigt,mspeech,mandmfacialmdroop
Febrile mseizures:
A:mare musuallymbenignmbutmshouldmbemevaluate
dmB:mare malsomreferredmtomasmabsencemseizures
C:moftenmresultminmpermanentmbrainmdamage
D:moccurmwhenmamchild'smfevermrisesmslowlym-mANSWER-A:mare musuallymbenignmbutmshouldmbe mevaluated
Individualsmwithmchronicmalcoholismmare mpredisposedmtomintracranialmbleedingmandmhypoglycemiamseco
ndarymtomabnormalitiesminmthe:
A:mpancrea
smB:mkidney
smC:mbrain
D:mliverm- mANSWER-D:mliver
Muscle mcontrolmandmbodymcoordinationmaremcontrolledmbymth
e:mA:mbrainmstem
B:mcerebralmcortex
m C:mcerebellum
D:mcerebrumm-mANSWER-C:mcerebellum
Statusmepilepticusmismcharacterizedmby:
,A:mgeneralizedmseizuresmthatmlastmlessmthanm5mminute
smB:manmabsence mseizuremthatmismnotmprecededmbymanm
aura
C:mprolongedmseizuresmwithoutmamreturnmofmconsciousness
D:mprofoundmtachycardiamandmtotalmmuscle mflacciditym-mANSWER-
C:mprolongedmseizuresmwithoutmamreturnmofmconsciousness
The mmostmbasicmfunctionsmofmthembody,msuchmasmbreathing,mbloodmpressure,mandmswallowing,maremcontro
lledmbymthe:
A:mbrainmstemm
B:mcerebellum
C:mcerebralmcortex
D:mcerebrumm-mANSWER-A:mbrainmstem
The mMOSTmsignificantmriskmfactormformamhemorrhagicmstroke m
is:mA:mhypertension
B:mdiabetesmmellitusm
C:msevere mstress
D:mheavymexertionm-mANSWER-A:mhypertension
The mspinalmcordmexitsmthemcraniummthroughmth
e:mA:mforamenmmagnum
B:mcaudamequinam
C:mforamenmlamin
a
D:mvertebralmforamenm-mANSWER-A:mforamenmmagnum
The mthreemmajormpartsmofmthembrainmare mth
e:mA:mcerebellum, mmedulla,mandmocciput
B:mcerebrum, mcerebellum,mandmbrainmste
mmC:mbrainmstem,mmidbrain,mandmspinalmc
ord
, D:mmidbrain,mcerebellum,mandmspinalmcordm-mANSWER-B:mcerebrum,mcerebellum, mandmbrainmstem
Whenmassessingmformarmmdriftmof mampatientmwithmamsuspectedmstroke,myoumsho
uld:mA:maskmthe mpatientmtomholdmhismormhermarmsmupmwithmthe mpalmsmdown
B:maskmthe mpatientmtomclose mhismormhermeyesmduringmthe massessm
entmC:mobservemmovementmofmthemarmsmformapproximatelym2mmi
nutes
D:mexpectmtomsee mone marmmslowlymdriftmdownmtomthe mpatient'smside m-mANSWER-
B:maskmthe mpatientmtomclose mhismormhermeyesmduringmthe massessment
Whenmcaringmformampatientmwithmdocumentedmhypoglycemia,myoumshouldmbemMOSTmalertmf
or:mA:manmacute mstroke
B:mamseizure
C:mrespiratorymdistress
D:mamfebrile mconvulsionm-mANSWER-B:mamseizure
Whichmof mthemfollowingmclinicalmsignsmismMOSTmsuggestivemof mamrupturedmaneurys
m:mA:mConfusionmandmweakness
B:mUnilateralmhemiparesis
C:mSudden,msevere mheadache
D:mNasalmdischarge mof mbloodm-mANSWER-C:mSudden,msevere mheadache
Whichmof mthemfollowingmconditionsmwouldmMOSTmlikelymaffectmthementire mbr
ain:mA:mBlockedmcerebralmarteryminmthe mfrontalmlobe
B:mRupturedmcerebralmarteryminmthe moccipitalmlo
be mC:mReducedmbloodmsupplymtomthemleftmhemis
phere
D:mRespiratorymfailure mormcardiopulmonary marrestm-mANSWER-
D:mRespiratorymfailure mormcardiopulmonary marrest
Whichmof mthemfollowingmfindingsmshouldmconcernmthemEMTmthemMOSTmwhenmassessingmampatientmwhomc
omplainsmofmamheadache:
