West Coast EMT Block Exam #3 (2025) comprehensive questions and
West Coast EMT Block Exam #3
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1. A 30-year-old male experienced a generalized (ton- D. He is currently not pre-
ic-clonic) seizure, which stopped before you arrived at scribed any medications
the scene. The patient is conscious, is answering your
questions appropriately, and refuses EMS transport.
Which of the following would be the MOST compelling
reason to disagree with his refusal of transport?
Select one:
A. His Glasgow Coma Scale (GCS) score is 15
B. His wife states that this was his "usual" seizure
C. He has experienced seizures since he was 20
D. He is currently not prescribed any medications
2. A patient who is possibly experiencing a stroke is NOT B. has bleeding within the
eligible for thrombolytic (fibrinolytic) therapy if he or brain.
she:
Select one:
A. has had a prior heart attack.
B. has bleeding within the brain.
C. has a GCS score that is less than 8.
D. is older than 60 years of age.
3. A patient whose speech is slurred and difficult to un- C. dysarthria.
derstand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. dysarthria.
D. aphasia.
4. A patient with an altered mental status is: B. not thinking clearly
Select one: or is incapable of being
A. typically alert but is confused as to preceding aroused.
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events.
B. not thinking clearly or is incapable of being
aroused.
C. usually able to be aroused with a painful stimulus.
D. completely unresponsive to all forms of stimuli.
5. During the primary assessment of a semiconscious D. ensure a patent airway
70-year-old female, you should: and support ventilation as
Select one: needed.
A. insert a nasopharyngeal airway and assist ventila-
tions.
B. ask family members if the patient has a history of
stroke.
C. immediately determine the patient's blood glucose
level.
D. ensure a patent airway and support ventilation as
needed.
6. Interruption of cerebral blood flow may result from all B. cerebral vasodilation.
of the following, EXCEPT:
Select one:
A. an embolism.
B. cerebral vasodilation.
C. a thrombus.
D. an acute arterial rupture.
7. The left cerebral hemisphere controls: D. the right side of the
Select one: body.
A. heart rate and pupil reaction.
B. the right side of the face.
C. breathing and blood pressure.
D. the right side of the body.
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8. The MOST significant risk factor for a hemorrhagic B. hypertension.
stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress.
9. The three major parts of the brain are the: D. cerebrum, cerebellum,
Select one: and brain stem.
A. midbrain, cerebellum, and spinal cord.
B. brain stem, midbrain, and spinal cord.
C. cerebellum, medulla, and occiput.
D. cerebrum, cerebellum, and brain stem.
10. When assessing for arm drift of a patient with a sus- A. ask the patient to close
pected stroke, you should: his or her eyes during the
Select one: assessment.
A. ask the patient to close his or her eyes during the
assessment.
B. expect to see one arm slowly drift down to the
patient's side.
C. observe movement of the arms for approximately
2 minutes.
D. ask the patient to hold his or her arms up with the
palms down.
11. When caring for a patient with documented hypo- A. a seizure.
glycemia, you should be MOST alert for:
Select one:
A. a seizure.
B. respiratory distress.
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C. an acute stroke.
D. a febrile convulsion.
12. When you are obtaining medical history from the fam- C. when the patient last
ily of a suspected stroke patient, it is MOST important appeared normal.
to determine:
Select one:
A. if the patient has been hospitalized before.
B. if there is a family history of a stroke.
C. when the patient last appeared normal.
D. the patient's overall medication compliance.
13. Which of the following conditions would be the LEAST D. Hypovolemia
likely to mimic the signs and symptoms of a stroke?
Select one:
A. Intracranial bleeding
B. A postictal state
C. Hypoglycemia
D. Hypovolemia
14. Which of the following conditions would MOST likely A. Respiratory failure or
affect the entire brain? cardiopulmonary arrest
Select one:
A. Respiratory failure or cardiopulmonary arrest
B. Ruptured cerebral artery in the occipital lobe
C. Blocked cerebral artery in the frontal lobe
D. Reduced blood supply to the left hemisphere
15. Which of the following MOST accurately describes a C. A seizure that begins in
simple partial seizure? one extremity
Select one:
A. A generalized seizure without incontinence
B. A seizure that causes the patient to stare blankly
West Coast EMT Block Exam #3
verifiedStudy
detailed solutions (MULTIPLE CHOICES) |complete solutions
online at https://quizlet.com/_4g5y92
|A+ GRADED |100% CORRECT!!
1. A 30-year-old male experienced a generalized (ton- D. He is currently not pre-
ic-clonic) seizure, which stopped before you arrived at scribed any medications
the scene. The patient is conscious, is answering your
questions appropriately, and refuses EMS transport.
Which of the following would be the MOST compelling
reason to disagree with his refusal of transport?
Select one:
A. His Glasgow Coma Scale (GCS) score is 15
B. His wife states that this was his "usual" seizure
C. He has experienced seizures since he was 20
D. He is currently not prescribed any medications
2. A patient who is possibly experiencing a stroke is NOT B. has bleeding within the
eligible for thrombolytic (fibrinolytic) therapy if he or brain.
she:
Select one:
A. has had a prior heart attack.
B. has bleeding within the brain.
C. has a GCS score that is less than 8.
D. is older than 60 years of age.
3. A patient whose speech is slurred and difficult to un- C. dysarthria.
derstand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. dysarthria.
D. aphasia.
4. A patient with an altered mental status is: B. not thinking clearly
Select one: or is incapable of being
A. typically alert but is confused as to preceding aroused.
, West Coast EMT Block Exam #3
Study online at https://quizlet.com/_4g5y92
events.
B. not thinking clearly or is incapable of being
aroused.
C. usually able to be aroused with a painful stimulus.
D. completely unresponsive to all forms of stimuli.
5. During the primary assessment of a semiconscious D. ensure a patent airway
70-year-old female, you should: and support ventilation as
Select one: needed.
A. insert a nasopharyngeal airway and assist ventila-
tions.
B. ask family members if the patient has a history of
stroke.
C. immediately determine the patient's blood glucose
level.
D. ensure a patent airway and support ventilation as
needed.
6. Interruption of cerebral blood flow may result from all B. cerebral vasodilation.
of the following, EXCEPT:
Select one:
A. an embolism.
B. cerebral vasodilation.
C. a thrombus.
D. an acute arterial rupture.
7. The left cerebral hemisphere controls: D. the right side of the
Select one: body.
A. heart rate and pupil reaction.
B. the right side of the face.
C. breathing and blood pressure.
D. the right side of the body.
, West Coast EMT Block Exam #3
Study online at https://quizlet.com/_4g5y92
8. The MOST significant risk factor for a hemorrhagic B. hypertension.
stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress.
9. The three major parts of the brain are the: D. cerebrum, cerebellum,
Select one: and brain stem.
A. midbrain, cerebellum, and spinal cord.
B. brain stem, midbrain, and spinal cord.
C. cerebellum, medulla, and occiput.
D. cerebrum, cerebellum, and brain stem.
10. When assessing for arm drift of a patient with a sus- A. ask the patient to close
pected stroke, you should: his or her eyes during the
Select one: assessment.
A. ask the patient to close his or her eyes during the
assessment.
B. expect to see one arm slowly drift down to the
patient's side.
C. observe movement of the arms for approximately
2 minutes.
D. ask the patient to hold his or her arms up with the
palms down.
11. When caring for a patient with documented hypo- A. a seizure.
glycemia, you should be MOST alert for:
Select one:
A. a seizure.
B. respiratory distress.
, West Coast EMT Block Exam #3
Study online at https://quizlet.com/_4g5y92
C. an acute stroke.
D. a febrile convulsion.
12. When you are obtaining medical history from the fam- C. when the patient last
ily of a suspected stroke patient, it is MOST important appeared normal.
to determine:
Select one:
A. if the patient has been hospitalized before.
B. if there is a family history of a stroke.
C. when the patient last appeared normal.
D. the patient's overall medication compliance.
13. Which of the following conditions would be the LEAST D. Hypovolemia
likely to mimic the signs and symptoms of a stroke?
Select one:
A. Intracranial bleeding
B. A postictal state
C. Hypoglycemia
D. Hypovolemia
14. Which of the following conditions would MOST likely A. Respiratory failure or
affect the entire brain? cardiopulmonary arrest
Select one:
A. Respiratory failure or cardiopulmonary arrest
B. Ruptured cerebral artery in the occipital lobe
C. Blocked cerebral artery in the frontal lobe
D. Reduced blood supply to the left hemisphere
15. Which of the following MOST accurately describes a C. A seizure that begins in
simple partial seizure? one extremity
Select one:
A. A generalized seizure without incontinence
B. A seizure that causes the patient to stare blankly
