WEST COAST EMT BLOCK EXAM #3
QUESTIONS WITH 100% SOLUTIONS
A bn30-year-old bnmale bnexperienced bna bngeneralized bn(tonic-clonic) bnseizure, bnwhich
bnstopped bnbefore bnyou bnarrived bnat bnthe bnscene. bnThe bnpatient bnis bnconscious, bnis
bnanswering bnyour bnquestions bnappropriately, bnand bnrefuses bnEMS bntransport.
bnWhich bnof bnthe bnfollowing bnwould bnbe bnthe bnMOST bncompelling bnreason bnto
bndisagree bnwith bnhis bnrefusal bnof bntransport?
Select bnone:
A. bnHis bnGlasgow bnComa bnScale bn(GCS) bnscore bnis bn15
B. bnHis bnwife bnstates bnthat bnthis bnwas bnhis bn"usual" bnseizure
C. bnHe bnhas bnexperienced bnseizures bnsince bnhe bnwas bn20
D. bnHe bnis bncurrently bnnot bnprescribed bnany bnmedications bn- bnANS--D. bnHe bnis
bncurrently bnnot bnprescribed bnany bnmedications
A bnpatient bnwho bnis bnpossibly bnexperiencing bna bnstroke bnis bnNOT bneligible bnfor
bnthrombolytic bn(fibrinolytic) bntherapy bnif bnhe bnor bnshe:
Select bnone:
A. bnhas bnhad bna bnprior bnheart bnattack.
B. bnhas bnbleeding bnwithin bnthe bnbrain.
C. bnhas bna bnGCS bnscore bnthat bnis bnless bnthan bn8.
D. bnis bnolder bnthan bn60 bnyears bnof bnage. bn- bnANS--B. bnhas bnbleeding bnwithin bnthe
bnbrain.
A bnpatient bnwhose bnspeech bnis bnslurred bnand bndifficult bnto bnunderstand bnis
bnexperiencing:
Select bnone:
A. bnparaplegia.
B. bndysphagia.
C. bndysarthria.
D. bnaphasia. bn- bnANS--C. bndysarthria.
A bnpatient bnwith bnan bnaltered bnmental bnstatus bnis:
Select bnone:
A. bntypically bnalert bnbut bnis bnconfused bnas bnto bnpreceding bnevents.
B. bnnot bnthinking bnclearly bnor bnis bnincapable bnof bnbeing bnaroused.
C. bnusually bnable bnto bnbe bnaroused bnwith bna bnpainful bnstimulus.
D. bncompletely bnunresponsive bnto bnall bnforms bnof bnstimuli. bn- bnANS--B. bnnot
bnthinking bnclearly bnor bnis bnincapable bnof bnbeing bnaroused.
During bnthe bnprimary bnassessment bnof bna bnsemiconscious bn70-year-old bnfemale,
bnyou bnshould:
,Select bnone:
A. bninsert bna bnnasopharyngeal bnairway bnand bnassist bnventilations.
B. bnask bnfamily bnmembers bnif bnthe bnpatient bnhas bna bnhistory bnof bnstroke.
C. bnimmediately bndetermine bnthe bnpatient's bnblood bnglucose bnlevel.
D. bnensure bna bnpatent bnairway bnand bnsupport bnventilation bnas bnneeded. bn- bnANS--D.
bnensure bna bnpatent bnairway bnand bnsupport bnventilation bnas bnneeded.
Interruption bnof bncerebral bnblood bnflow bnmay bnresult bnfrom bnall bnof bnthe bnfollowing,
bnEXCEPT:
Select bnone:
A. bnan bnembolism.
B. bncerebral bnvasodilation.
C. bna bnthrombus.
D. bnan bnacute bnarterial bnrupture. bn- bnANS--B. bncerebral bnvasodilation.
The bnleft bncerebral bnhemisphere bncontrols:
Select bnone:
A. bnheart bnrate bnand bnpupil bnreaction.
B. bnthe bnright bnside bnof bnthe bnface.
C. bnbreathing bnand bnblood bnpressure.
D. bnthe bnright bnside bnof bnthe bnbody. bn- bnANS--D. bnthe bnright bnside bnof bnthe bnbody.
The bnMOST bnsignificant bnrisk bnfactor bnfor bna bnhemorrhagic bnstroke bnis:
Select bnone:
A. bndiabetes bnmellitus.
B. bnhypertension.
C. bnheavy bnexertion.
D. bnsevere bnstress. bn- bnANS--B. bnhypertension.
The bnthree bnmajor bnparts bnof bnthe bnbrain bnare bnthe:
Select bnone:
A. bnmidbrain, bncerebellum, bnand bnspinal bncord.
B. bnbrain bnstem, bnmidbrain, bnand bnspinal bncord.
C. bncerebellum, bnmedulla, bnand bnocciput.
D. bncerebrum, bncerebellum, bnand bnbrain bnstem. bn- bnANS--D. bncerebrum,
bncerebellum, bnand bnbrain bnstem.
When bnassessing bnfor bnarm bndrift bnof bna bnpatient bnwith bna bnsuspected bnstroke, bnyou
bnshould:
Select bnone:
A. bnask bnthe bnpatient bnto bnclose bnhis bnor bnher bneyes bnduring bnthe bnassessment.
B. bnexpect bnto bnsee bnone bnarm bnslowly bndrift bndown bnto bnthe bnpatient's bnside.
C. bnobserve bnmovement bnof bnthe bnarms bnfor bnapproximately bn2 bnminutes.
D. bnask bnthe bnpatient bnto bnhold bnhis bnor bnher bnarms bnup bnwith bnthe bnpalms bndown.
bn- bnANS--A. bnask bnthe bnpatient bnto bnclose bnhis bnor bnher bneyes bnduring bnthe
bnassessment.
,When bncaring bnfor bna bnpatient bnwith bndocumented bnhypoglycemia, bnyou bnshould bnbe
bnMOST bnalert bnfor:
Select bnone:
A. bna bnseizure.
B. bnrespiratory bndistress.
C. bnan bnacute bnstroke.
D. bna bnfebrile bnconvulsion. bn- bnANS--A. bna bnseizure.
When bnyou bnare bnobtaining bnmedical bnhistory bnfrom bnthe bnfamily bnof bna bnsuspected
bnstroke bnpatient, bnit bnis bnMOST bnimportant bnto bndetermine:
Select bnone:
A. bnif bnthe bnpatient bnhas bnbeen bnhospitalized bnbefore.
B. bnif bnthere bnis bna bnfamily bnhistory bnof bna bnstroke.
C. bnwhen bnthe bnpatient bnlast bnappeared bnnormal.
D. bnthe bnpatient's bnoverall bnmedication bncompliance. bn- bnANS--C. bnwhen bnthe
bnpatient bnlast bnappeared bnnormal.
Which bnof bnthe bnfollowing bnconditions bnwould bnbe bnthe bnLEAST bnlikely bnto bnmimic
bnthe bnsigns bnand bnsymptoms bnof bna bnstroke?
Select bnone:
A. bnIntracranial bnbleeding
B. bnA bnpostictal bnstate
C. bnHypoglycemia
D. bnHypovolemia bn- bnANS--D. bnHypovolemia
Which bnof bnthe bnfollowing bnconditions bnwould bnMOST bnlikely bnaffect bnthe bnentire
bnbrain?
Select bnone:
A. bnRespiratory bnfailure bnor bncardiopulmonary bnarrest
B. bnRuptured bncerebral bnartery bnin bnthe bnoccipital bnlobe
C. bnBlocked bncerebral bnartery bnin bnthe bnfrontal bnlobe
D. bnReduced bnblood bnsupply bnto bnthe bnleft bnhemisphere bn- bnANS--A. bnRespiratory
bnfailure bnor bncardiopulmonary bnarrest
Which bnof bnthe bnfollowing bnMOST bnaccurately bndescribes bna bnsimple bnpartial
bnseizure?
Select bnone:
A. bnA bngeneralized bnseizure bnwithout bnincontinence
B. bnA bnseizure bnthat bncauses bnthe bnpatient bnto bnstare bnblankly
C. bnA bnseizure bnthat bnbegins bnin bnone bnextremity
D. bnA bnseizure bnthat bnis bnnot bnpreceded bnby bnan bnaura bn- bnANS--C. bnA bnseizure
bnthat bnbegins bnin bnone bnextremity
Which bnof bnthe bnfollowing bnMOST bnaccurately bndescribes bnwhat bnthe bnpatient bnwill
bnexperience bnduring bnthe bnpostictal bnstate bnthat bnfollows bna bnseizure?
, Select bnone:
A. bnA bngradually bndecreasing bnlevel bnof bnconsciousness
B. bnA bnrapidly bnimproving bnlevel bnof bnconsciousness
C. bnHyperventilation bnand bnhypersalivation
D. bnConfusion bnand bnfatigue bn- bnANS--D. bnConfusion bnand bnfatigue
Which bnof bnthe bnfollowing bnsymptoms bnwould bnlead bnthe bnEMT bnto bnbelieve bnthat bna
bnpatient's bnheadache bnis bncaused bnby bnsinus bncongestion?
Select bnone:
A. bnThe bnheadache bnbegan bnsuddenly
B. bnThere bnis bnassociated bnneck bnstiffness
C. bnThere bnis bnnumbness bnin bnthe bnextremities
D. bnThe bnpain bnis bnworse bnwhen bnbending bnover bn- bnANS--D. bnThe bnpain bnis
bnworse bnwhen bnbending bnover
You bnare bncaring bnfor bna bn68-year-old bnman bnwith bnsudden bnonset bnof bnleft-sided
bnparalysis bnand bnslurred bnspeech. bnHis bnairway bnis bnpatent, bnhis bnrespirations bnare
bn14 bnbreaths/min bnwith bnadequate bndepth, bnand bnhis bnoxygen bnsaturation bnis bn98%.
bnTreatment bnfor bnthis bnpatient bnshould bninclude:
Select bnone:
A. bnrecovery bnposition bnand bntransport.
B. bnoral bnglucose bngel bnand bntransport.
C. bnhigh-flow bnoxygen bnand bntransport.
D. bnventilatory bnassistance bnand bntransport. bn- bnANS--A. bnrecovery bnposition bnand
bntransport.
You bnrespond bnto bna bnresidence bnfor bna bnchild bnwho bnis bnhaving bna bnseizure. bnUpon
bnarrival bnat bnthe bnscene, bnyou bnenter bnthe bnresidence bnand bnfind bnthe bnmother
bnholding bnher bnchild, bna bn2-year-old bnmale. bnThe bnchild bnis bnconscious bnand
bncrying. bnAccording bnto bnthe bnmother, bnthe bnchild bnhad bnbeen bnrunning bna bnhigh
bnfever bnand bnthen bnexperienced bna bnseizure bnthat bnlasted bnapproximately bn3
bnminutes. bnYou bnshould:
Select bnone:
A. bncall bnmedical bncontrol bnand bnrequest bnpermission bnto bngive bnthe bnchild bnaspirin.
B. bntransport bnthe bnchild bnto bnthe bnhospital bnand bnreassure bnthe bnmother bnen bnroute.
C. bnadvise bnthe bnmother bnto bntake bnher bnchild bnto bnthe bndoctor bnthe bnfollowing bnday.
D. bncover bnthe bnchild bnwith bnwet bntowels bnand bngive bnoxygen bnvia bnnasal bncannula.
bn- bnANS--B. bntransport bnthe bnchild bnto bnthe bnhospital bnand bnreassure bnthe bnmother
bnen bnroute.
Your bnpatient bnopens bnhis bneyes, bnmoans, bnand bnpulls bnaway bnfrom bnyou bnwhen
bnyou bnpinch bnhis bntrapezius bnmuscle. bnYou bnshould bnassign bna bnGlasgow bnComa
bnScale bn(GCS) bnscore bnof:
Select bnone:
A. bn7.
B. bn9.
QUESTIONS WITH 100% SOLUTIONS
A bn30-year-old bnmale bnexperienced bna bngeneralized bn(tonic-clonic) bnseizure, bnwhich
bnstopped bnbefore bnyou bnarrived bnat bnthe bnscene. bnThe bnpatient bnis bnconscious, bnis
bnanswering bnyour bnquestions bnappropriately, bnand bnrefuses bnEMS bntransport.
bnWhich bnof bnthe bnfollowing bnwould bnbe bnthe bnMOST bncompelling bnreason bnto
bndisagree bnwith bnhis bnrefusal bnof bntransport?
Select bnone:
A. bnHis bnGlasgow bnComa bnScale bn(GCS) bnscore bnis bn15
B. bnHis bnwife bnstates bnthat bnthis bnwas bnhis bn"usual" bnseizure
C. bnHe bnhas bnexperienced bnseizures bnsince bnhe bnwas bn20
D. bnHe bnis bncurrently bnnot bnprescribed bnany bnmedications bn- bnANS--D. bnHe bnis
bncurrently bnnot bnprescribed bnany bnmedications
A bnpatient bnwho bnis bnpossibly bnexperiencing bna bnstroke bnis bnNOT bneligible bnfor
bnthrombolytic bn(fibrinolytic) bntherapy bnif bnhe bnor bnshe:
Select bnone:
A. bnhas bnhad bna bnprior bnheart bnattack.
B. bnhas bnbleeding bnwithin bnthe bnbrain.
C. bnhas bna bnGCS bnscore bnthat bnis bnless bnthan bn8.
D. bnis bnolder bnthan bn60 bnyears bnof bnage. bn- bnANS--B. bnhas bnbleeding bnwithin bnthe
bnbrain.
A bnpatient bnwhose bnspeech bnis bnslurred bnand bndifficult bnto bnunderstand bnis
bnexperiencing:
Select bnone:
A. bnparaplegia.
B. bndysphagia.
C. bndysarthria.
D. bnaphasia. bn- bnANS--C. bndysarthria.
A bnpatient bnwith bnan bnaltered bnmental bnstatus bnis:
Select bnone:
A. bntypically bnalert bnbut bnis bnconfused bnas bnto bnpreceding bnevents.
B. bnnot bnthinking bnclearly bnor bnis bnincapable bnof bnbeing bnaroused.
C. bnusually bnable bnto bnbe bnaroused bnwith bna bnpainful bnstimulus.
D. bncompletely bnunresponsive bnto bnall bnforms bnof bnstimuli. bn- bnANS--B. bnnot
bnthinking bnclearly bnor bnis bnincapable bnof bnbeing bnaroused.
During bnthe bnprimary bnassessment bnof bna bnsemiconscious bn70-year-old bnfemale,
bnyou bnshould:
,Select bnone:
A. bninsert bna bnnasopharyngeal bnairway bnand bnassist bnventilations.
B. bnask bnfamily bnmembers bnif bnthe bnpatient bnhas bna bnhistory bnof bnstroke.
C. bnimmediately bndetermine bnthe bnpatient's bnblood bnglucose bnlevel.
D. bnensure bna bnpatent bnairway bnand bnsupport bnventilation bnas bnneeded. bn- bnANS--D.
bnensure bna bnpatent bnairway bnand bnsupport bnventilation bnas bnneeded.
Interruption bnof bncerebral bnblood bnflow bnmay bnresult bnfrom bnall bnof bnthe bnfollowing,
bnEXCEPT:
Select bnone:
A. bnan bnembolism.
B. bncerebral bnvasodilation.
C. bna bnthrombus.
D. bnan bnacute bnarterial bnrupture. bn- bnANS--B. bncerebral bnvasodilation.
The bnleft bncerebral bnhemisphere bncontrols:
Select bnone:
A. bnheart bnrate bnand bnpupil bnreaction.
B. bnthe bnright bnside bnof bnthe bnface.
C. bnbreathing bnand bnblood bnpressure.
D. bnthe bnright bnside bnof bnthe bnbody. bn- bnANS--D. bnthe bnright bnside bnof bnthe bnbody.
The bnMOST bnsignificant bnrisk bnfactor bnfor bna bnhemorrhagic bnstroke bnis:
Select bnone:
A. bndiabetes bnmellitus.
B. bnhypertension.
C. bnheavy bnexertion.
D. bnsevere bnstress. bn- bnANS--B. bnhypertension.
The bnthree bnmajor bnparts bnof bnthe bnbrain bnare bnthe:
Select bnone:
A. bnmidbrain, bncerebellum, bnand bnspinal bncord.
B. bnbrain bnstem, bnmidbrain, bnand bnspinal bncord.
C. bncerebellum, bnmedulla, bnand bnocciput.
D. bncerebrum, bncerebellum, bnand bnbrain bnstem. bn- bnANS--D. bncerebrum,
bncerebellum, bnand bnbrain bnstem.
When bnassessing bnfor bnarm bndrift bnof bna bnpatient bnwith bna bnsuspected bnstroke, bnyou
bnshould:
Select bnone:
A. bnask bnthe bnpatient bnto bnclose bnhis bnor bnher bneyes bnduring bnthe bnassessment.
B. bnexpect bnto bnsee bnone bnarm bnslowly bndrift bndown bnto bnthe bnpatient's bnside.
C. bnobserve bnmovement bnof bnthe bnarms bnfor bnapproximately bn2 bnminutes.
D. bnask bnthe bnpatient bnto bnhold bnhis bnor bnher bnarms bnup bnwith bnthe bnpalms bndown.
bn- bnANS--A. bnask bnthe bnpatient bnto bnclose bnhis bnor bnher bneyes bnduring bnthe
bnassessment.
,When bncaring bnfor bna bnpatient bnwith bndocumented bnhypoglycemia, bnyou bnshould bnbe
bnMOST bnalert bnfor:
Select bnone:
A. bna bnseizure.
B. bnrespiratory bndistress.
C. bnan bnacute bnstroke.
D. bna bnfebrile bnconvulsion. bn- bnANS--A. bna bnseizure.
When bnyou bnare bnobtaining bnmedical bnhistory bnfrom bnthe bnfamily bnof bna bnsuspected
bnstroke bnpatient, bnit bnis bnMOST bnimportant bnto bndetermine:
Select bnone:
A. bnif bnthe bnpatient bnhas bnbeen bnhospitalized bnbefore.
B. bnif bnthere bnis bna bnfamily bnhistory bnof bna bnstroke.
C. bnwhen bnthe bnpatient bnlast bnappeared bnnormal.
D. bnthe bnpatient's bnoverall bnmedication bncompliance. bn- bnANS--C. bnwhen bnthe
bnpatient bnlast bnappeared bnnormal.
Which bnof bnthe bnfollowing bnconditions bnwould bnbe bnthe bnLEAST bnlikely bnto bnmimic
bnthe bnsigns bnand bnsymptoms bnof bna bnstroke?
Select bnone:
A. bnIntracranial bnbleeding
B. bnA bnpostictal bnstate
C. bnHypoglycemia
D. bnHypovolemia bn- bnANS--D. bnHypovolemia
Which bnof bnthe bnfollowing bnconditions bnwould bnMOST bnlikely bnaffect bnthe bnentire
bnbrain?
Select bnone:
A. bnRespiratory bnfailure bnor bncardiopulmonary bnarrest
B. bnRuptured bncerebral bnartery bnin bnthe bnoccipital bnlobe
C. bnBlocked bncerebral bnartery bnin bnthe bnfrontal bnlobe
D. bnReduced bnblood bnsupply bnto bnthe bnleft bnhemisphere bn- bnANS--A. bnRespiratory
bnfailure bnor bncardiopulmonary bnarrest
Which bnof bnthe bnfollowing bnMOST bnaccurately bndescribes bna bnsimple bnpartial
bnseizure?
Select bnone:
A. bnA bngeneralized bnseizure bnwithout bnincontinence
B. bnA bnseizure bnthat bncauses bnthe bnpatient bnto bnstare bnblankly
C. bnA bnseizure bnthat bnbegins bnin bnone bnextremity
D. bnA bnseizure bnthat bnis bnnot bnpreceded bnby bnan bnaura bn- bnANS--C. bnA bnseizure
bnthat bnbegins bnin bnone bnextremity
Which bnof bnthe bnfollowing bnMOST bnaccurately bndescribes bnwhat bnthe bnpatient bnwill
bnexperience bnduring bnthe bnpostictal bnstate bnthat bnfollows bna bnseizure?
, Select bnone:
A. bnA bngradually bndecreasing bnlevel bnof bnconsciousness
B. bnA bnrapidly bnimproving bnlevel bnof bnconsciousness
C. bnHyperventilation bnand bnhypersalivation
D. bnConfusion bnand bnfatigue bn- bnANS--D. bnConfusion bnand bnfatigue
Which bnof bnthe bnfollowing bnsymptoms bnwould bnlead bnthe bnEMT bnto bnbelieve bnthat bna
bnpatient's bnheadache bnis bncaused bnby bnsinus bncongestion?
Select bnone:
A. bnThe bnheadache bnbegan bnsuddenly
B. bnThere bnis bnassociated bnneck bnstiffness
C. bnThere bnis bnnumbness bnin bnthe bnextremities
D. bnThe bnpain bnis bnworse bnwhen bnbending bnover bn- bnANS--D. bnThe bnpain bnis
bnworse bnwhen bnbending bnover
You bnare bncaring bnfor bna bn68-year-old bnman bnwith bnsudden bnonset bnof bnleft-sided
bnparalysis bnand bnslurred bnspeech. bnHis bnairway bnis bnpatent, bnhis bnrespirations bnare
bn14 bnbreaths/min bnwith bnadequate bndepth, bnand bnhis bnoxygen bnsaturation bnis bn98%.
bnTreatment bnfor bnthis bnpatient bnshould bninclude:
Select bnone:
A. bnrecovery bnposition bnand bntransport.
B. bnoral bnglucose bngel bnand bntransport.
C. bnhigh-flow bnoxygen bnand bntransport.
D. bnventilatory bnassistance bnand bntransport. bn- bnANS--A. bnrecovery bnposition bnand
bntransport.
You bnrespond bnto bna bnresidence bnfor bna bnchild bnwho bnis bnhaving bna bnseizure. bnUpon
bnarrival bnat bnthe bnscene, bnyou bnenter bnthe bnresidence bnand bnfind bnthe bnmother
bnholding bnher bnchild, bna bn2-year-old bnmale. bnThe bnchild bnis bnconscious bnand
bncrying. bnAccording bnto bnthe bnmother, bnthe bnchild bnhad bnbeen bnrunning bna bnhigh
bnfever bnand bnthen bnexperienced bna bnseizure bnthat bnlasted bnapproximately bn3
bnminutes. bnYou bnshould:
Select bnone:
A. bncall bnmedical bncontrol bnand bnrequest bnpermission bnto bngive bnthe bnchild bnaspirin.
B. bntransport bnthe bnchild bnto bnthe bnhospital bnand bnreassure bnthe bnmother bnen bnroute.
C. bnadvise bnthe bnmother bnto bntake bnher bnchild bnto bnthe bndoctor bnthe bnfollowing bnday.
D. bncover bnthe bnchild bnwith bnwet bntowels bnand bngive bnoxygen bnvia bnnasal bncannula.
bn- bnANS--B. bntransport bnthe bnchild bnto bnthe bnhospital bnand bnreassure bnthe bnmother
bnen bnroute.
Your bnpatient bnopens bnhis bneyes, bnmoans, bnand bnpulls bnaway bnfrom bnyou bnwhen
bnyou bnpinch bnhis bntrapezius bnmuscle. bnYou bnshould bnassign bna bnGlasgow bnComa
bnScale bn(GCS) bnscore bnof:
Select bnone:
A. bn7.
B. bn9.
