WEST COAST EMT FIAL EXAM QUESTIONS AND ANSWERS
Common signs and symptoms of an allergic reaction include all of the following,
EXCEPT:
A. abdominal cramps.
B. drying of the eyes.
C. flushing of the skin.
D. persistent dry cough. - ANS--B. drying of the eyes.
All of the following body structures are lined with mucous membranes, EXCEPT for the:
A. lips.
B. nose.
C. anus.
D. mouth. - ANS--A. lips.
Appendicular skeleton consists of - ANS--Upper extremities
(clavicles,scapulae,arms,wrists,and hands) and lower extremities
(pelvis,thighs,legs,ankles, and feet).
Axial skeleton includes the - ANS--Skull (Cranium, Face), Hyoid bone, Audiotry
ossicles, Vertebral column, Thorax (Sternum, Ribs)
After establishing that an adult patient is unresponsive, you should: - ANS--assess for
breathing and a pulse
You receive a call for a 70-year-old female with respiratory distress. Her husband tells
you that she has congestive heart failure; however, he does not think that she has been
taking her medications as prescribed. The patient is laboring to breathe, appears tired,
and has cyanosis around her lips. You should: - ANS--assist her ventilations with a bag-
valve-mask
A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and
apneic during transport. You should: - ANS--stop the ambulance, begin CPR, and
attach the AED as soon as possible.
While triaging patients at the scene of a motor-vehicle crash, you encounter a 5-year-
old child who is unresponsive and apneic. After positioning his airway, you should:
A. categorize him as immediate.
B. categorize him as deceased.
C. deliver 5 rescue breaths.
D. palpate for a carotid pulse. - ANS--D. palpate for a carotid pulse.
Which of the following statements regarding ventricular fibrillation (V-fib) is
correct?Select one:
A. Most patients in V-fib have a weak carotid pulse.
, B. V-fib results in an absence of forward blood flow.
C. Defibrillation is only indicated for witnessed V-fib.
D. V-fib is a state of rapid ventricular contraction. - ANS--B. V-fib results in an absence
of forward blood flow.
Which dysrhythmia is the most common cause of sudden death in a cardiovascular
emergency?
A. Bradycardia
B. Tachycardia
C. Ventricular tachycardia
D. Ventricular fibrillation - ANS--D. Ventricular fibrillation
Which of the following statements regarding ventricular fibrillation (V-fib) is MOST
correct?
A. Survival rates decrease by 7% to 10% for each minute that V-fib persists.
B. AEDs should not be used to defibrillate patients in V-fib.
C. It is an uncommon dysrhythmia in patients with sudden cardiac arrest.
D. The only indication for immediate defibrillation is V-fib. - ANS--A. Survival rates
decrease by 7% to 10% for each minute that V-fib persists.
The left ventricle has the thickest walls because it:
A. pumps blood to the lungs to be reoxygenated.
B. uses less oxygen than other chambers of the heart.
C. pumps blood into the aorta and systemic circulation.
D. receives blood directly from the systemic circulation. - ANS--C. pumps blood into the
aorta and systemic circulation.
Electrical pathway of the heart - ANS--SA node
Inter-nodal Pathways
Av Node
Bundle of His
Left & Right bundle branches
Prompt transport of a patient with a suspected AMI is important because: - ANS--the
patient may be eligible to receive thrombolytic therapy.
Ischemic heart disease is MOST accurately defined as:
a. decreased blood flow to the heart muscle due to coronary dilation.
b. decreased blood flow to one or more portions of the myocardium.
c. absent myocardial blood flow due to a blocked coronary artery.
d. death of a portion of the heart muscle due to a decrease in oxygen. - ANS--b.
decreased blood flow to one or more portions of the myocardium.
Cardiac output may decrease if the heart beats too rapidly because:
A. a rapid heart beat causes a decrease in the strength of cardiac contractions.
B.the volume of blood that returns to the heart is not sufficient with fast heart rates.
Common signs and symptoms of an allergic reaction include all of the following,
EXCEPT:
A. abdominal cramps.
B. drying of the eyes.
C. flushing of the skin.
D. persistent dry cough. - ANS--B. drying of the eyes.
All of the following body structures are lined with mucous membranes, EXCEPT for the:
A. lips.
B. nose.
C. anus.
D. mouth. - ANS--A. lips.
Appendicular skeleton consists of - ANS--Upper extremities
(clavicles,scapulae,arms,wrists,and hands) and lower extremities
(pelvis,thighs,legs,ankles, and feet).
Axial skeleton includes the - ANS--Skull (Cranium, Face), Hyoid bone, Audiotry
ossicles, Vertebral column, Thorax (Sternum, Ribs)
After establishing that an adult patient is unresponsive, you should: - ANS--assess for
breathing and a pulse
You receive a call for a 70-year-old female with respiratory distress. Her husband tells
you that she has congestive heart failure; however, he does not think that she has been
taking her medications as prescribed. The patient is laboring to breathe, appears tired,
and has cyanosis around her lips. You should: - ANS--assist her ventilations with a bag-
valve-mask
A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and
apneic during transport. You should: - ANS--stop the ambulance, begin CPR, and
attach the AED as soon as possible.
While triaging patients at the scene of a motor-vehicle crash, you encounter a 5-year-
old child who is unresponsive and apneic. After positioning his airway, you should:
A. categorize him as immediate.
B. categorize him as deceased.
C. deliver 5 rescue breaths.
D. palpate for a carotid pulse. - ANS--D. palpate for a carotid pulse.
Which of the following statements regarding ventricular fibrillation (V-fib) is
correct?Select one:
A. Most patients in V-fib have a weak carotid pulse.
, B. V-fib results in an absence of forward blood flow.
C. Defibrillation is only indicated for witnessed V-fib.
D. V-fib is a state of rapid ventricular contraction. - ANS--B. V-fib results in an absence
of forward blood flow.
Which dysrhythmia is the most common cause of sudden death in a cardiovascular
emergency?
A. Bradycardia
B. Tachycardia
C. Ventricular tachycardia
D. Ventricular fibrillation - ANS--D. Ventricular fibrillation
Which of the following statements regarding ventricular fibrillation (V-fib) is MOST
correct?
A. Survival rates decrease by 7% to 10% for each minute that V-fib persists.
B. AEDs should not be used to defibrillate patients in V-fib.
C. It is an uncommon dysrhythmia in patients with sudden cardiac arrest.
D. The only indication for immediate defibrillation is V-fib. - ANS--A. Survival rates
decrease by 7% to 10% for each minute that V-fib persists.
The left ventricle has the thickest walls because it:
A. pumps blood to the lungs to be reoxygenated.
B. uses less oxygen than other chambers of the heart.
C. pumps blood into the aorta and systemic circulation.
D. receives blood directly from the systemic circulation. - ANS--C. pumps blood into the
aorta and systemic circulation.
Electrical pathway of the heart - ANS--SA node
Inter-nodal Pathways
Av Node
Bundle of His
Left & Right bundle branches
Prompt transport of a patient with a suspected AMI is important because: - ANS--the
patient may be eligible to receive thrombolytic therapy.
Ischemic heart disease is MOST accurately defined as:
a. decreased blood flow to the heart muscle due to coronary dilation.
b. decreased blood flow to one or more portions of the myocardium.
c. absent myocardial blood flow due to a blocked coronary artery.
d. death of a portion of the heart muscle due to a decrease in oxygen. - ANS--b.
decreased blood flow to one or more portions of the myocardium.
Cardiac output may decrease if the heart beats too rapidly because:
A. a rapid heart beat causes a decrease in the strength of cardiac contractions.
B.the volume of blood that returns to the heart is not sufficient with fast heart rates.
