West Coast EMT Block #2 Exam
"PASTE" is an alternate evaluation tool for ___________.
Select one:
A. Respiratory sufferers
B. Seizure sufferers
C. Stroke sufferers
D. Cardiac sufferers - ANS-A. Breathing sufferers
A 19-12 months-vintage woman is discovered subconscious via her roommate. Your number
one assessment exhibits that her breathing is inadequate. As you insert an oropharyngeal
airway, she starts to gag violently. You should:
Select one:
A. Pick out a smaller oropharyngeal airway and try and insert it.
B. Insert the airway no further but go away it in vicinity as a chew block.
C. Dispose of the airway and be prepared to suction her oropharynx.
D. Continue to insert the airway as you suction her oropharynx. - ANS-C. Put off the airway
and be organized to suction her oropharynx
A 20-yr-vintage male has a big laceration to his wrist. He is conserving a blood-soaked towel
over the wound, however it maintains to bleed swiftly. You must:
Select one:
A. Administer excessive-flow supplemental oxygen.
B. Follow a tourniquet proximal to the wrist.
C. Observe strain to the brachial artery.
D. Wrap the towel with stress bandages. - ANS-B. Follow a tourniquet proximal to the wrist.
A 25-year-antique unrestrained female struck the steerage wheel with her chest while her
vehicle hit a tree while travelling at a high rate of velocity. She has signs and signs and
symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the
subsequent interventions will offer this patient with the greatest threat for survival?
Select one:
A. High-go with the flow oxygen management
B. Rapid delivery to a trauma center
C. Full immobilization of her backbone
D. Intravenous fluid administration - ANS-B. Rapid transport to a trauma center
A 30-yr-old male presents with acute shortness of breath, significant hives, and facial
swelling. He denies any past medical history and takes no medications. During your
evaluation, you hear wheezing over all the lung fields. His blood strain is ninety/50 mm Hg
and his heart rate is a hundred and ten beats/min. In addition to giving him high-waft oxygen,
the MOST essential remedy for this affected person is:
Select one:
A. Epinephrine.
B. A beta-antagonist.
,C. Albuterol.
D. An antihistamine. - ANS-A. Epinephrine.
A 31-12 months-vintage female is experiencing an acute asthma attack. She is conscious
and alert, but in obvious breathing distress. After helping her together with her prescribed
MDI, you must:
Select one:
A. Administer any other remedy in 30 seconds if she remains in distress.
B. Contact clinical manipulate and apprise her or him of what you probably did.
C. Check the drug's expiration date to make certain that it's far nevertheless modern.
D. Think again the affected person and document her reaction to the medicine. - ANS-D.
Reassess the patient and document her reaction to the medicine.
A 39-yr-old male sustained a stab wound to the groin throughout an altercation at a bar. As
you technique the affected person, you be aware that he is conscious. He is screaming in
pain and is making an attempt to manipulate the bleeding, which is bright red and spurting
from his groin location. You need to:
Select one:
A. Elevate his legs and preserve him heat.
B. Follow direct stress to the wound.
C. Administer one hundred% supplemental oxygen.
D. Ensure that his airway is patent. - ANS-B. Apply direct strain to the wound.
A 49-year-vintage male presents with an acute onset of crushing chest pain and diaphoresis.
You have to:
Select one:
A. Administer up to a few doses of nitroglycerin.
B. Administer up to 324 mg of infant aspirin.
C. Acquire important signs and symptoms and a SAMPLE records.
D. Determine the adequacy of his respirations. - ANS-D. Assess the adequacy of his
respirations.
A fifty nine-year-antique male with a history of emphysema complains of an acute worsening
of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals
that he has a barrel-formed chest, unilaterally diminished breath sounds, and tachycardia.
What is the MOST probable reason of this patient's situation?
Select one:
A. Spontaneous pneumothorax
B. Exacerbation of his COPD
C. Acute pulmonary embolism
D. Rupture of the diaphragm - ANS-A. Spontaneous pneumothorax
A 60-year-vintage guy is located to be unresponsive, pulseless, and apneic. You should:
Select one:
A. Begin CPR and delivery without delay.
B. Begin CPR till an AED is available.
C. Withhold CPR till he is defibrillated.
D. Determine if he has a legitimate living will. - ANS-B. Start CPR till an AED is to be had.
,A 62-yr-old male is seen with crushing chest ache, which he describes as being the same
form of pain that he had with a previous heart assault. He has prescribed nitroglycerin
however states that he has now not taken any. After administering supplemental oxygen if
wanted and contacting scientific control, you ought to:
Select one:
A. Administer the nitroglycerin unless he has taken Viagra in the beyond 72 hours.
B. Administer up to a few doses of nitroglycerin before assessing his blood strain.
C. Begin on the spot shipping and request a rendezvous with a paramedic unit.
D. Help him along with his nitroglycerin except his systolic blood strain is less than one
hundred mm Hg. - ANS-D. Assist him along with his nitroglycerin until his systolic blood
pressure is much less than a hundred mm Hg.
A 66-yr-vintage lady with a records of high blood pressure and diabetes provides with
substernal chest strain of two hours' length. Her blood stress is a hundred and forty/ninety
mm Hg, her pulse is a hundred beats/min and irregular, her respirations are 22 breaths/min,
and her oxygen saturation is 92%. The affected person does no longer have prescribed
nitroglycerin, but her husband does. You need to:
Select one:
A. Give her one nitroglycerin and think again her systolic blood strain.
B. Administer oxygen, supply her 324 mg of aspirin, and investigate her similarly.
C. Obtain a SAMPLE records and speak to medical manipulate for advice.
D. Deliver her excessive-glide oxygen, attach the AED, and delivery right away. - ANS-B.
Administer oxygen, supply her 324 mg of aspirin, and assess her similarly.
A spinoff of involuntary muscle contraction and rest is:
Select one:
A. Oxygen.
B. Lactic acid.
C. Warmness.
D. Nitrogen. - ANS-C. Warmth.
A dissecting aortic aneurysm happens when:
Select one:
A. A weakened vicinity develops inside the aortic wall.
B. The aorta ruptures, resulting in profound bleeding.
C. The inner layers of the aorta grow to be separated.
D. All layers of the aorta unexpectedly settlement. - ANS-C. The inner layers of the aorta
become separated.
A man changed into found unresponsive in his bed at domestic. There isn't any evidence of
harm and the patient's clinical records is not acknowledged. The affected person's face is
cyanotic, yet the heartbeat oximeter reads ninety eight%. Which of the subsequent could
MOST probable explain this?
Select one:
A. Severe pulmonary edema
B. Carbon monoxide poisoning
C. Increased frame temperature
, D. His extremities are bloodless - ANS-B. Carbon monoxide poisoning
A palpable pulse is created by using:
Select one:
A. Electrical conduction in the heart producing ventricular contraction.
B. The stress of circulating blood towards the walls of the arteries.
C. Pressure waves thru the arteries because of cardiac contraction.
D. The stress this is triggered while venous blood returns to the coronary heart. - ANS-C.
Stress waves thru the arteries caused by cardiac contraction.
A patient has a blood pressure of a hundred thirty/70 mm Hg. The "130" in this measurement
represents:
Select one:
A. Atrial contraction.
B. Ventricular relaxation.
C. Ventricular contraction.
D. Ventricular filling. - ANS-C. Ventricular contraction.
A patient has a big accumulation of blood within the sac surrounding the coronary heart.
Which type of shock could this situation motive?
Select one:
A. Hypovolemic
B. Obstructive
C. Cardiogenic
D. Neurogenic - ANS-B. Obstructive
A affected person in cardiac arrest is wearing an external defibrillator vest, that is interfering
with effective chest compressions. The EMT must:
Select one:
A. Carry out ventilations simplest and permit the vest device to defibrillate.
B. Eliminate the battery from the display after which put off the vest.
C. Leave the battery connected to the screen and put off the vest.
D. Remove the battery from the display and leave the vest in vicinity. - ANS-B. Eliminate the
battery from the reveal after which do away with the vest.
A patient tells you that he has a left ventricular help tool (LVAD). Which of the subsequent
situations should you suspect that he has skilled?
Select one:
A. Thoracic aortic aneurysm
B. Acute myocardial infarction
C. Uncontrolled high blood pressure
D. Obstructive lung disease - ANS-B. Acute myocardial infarction
A patient who is suspected of being hypoxic and is breathing effectively have to receive
supplemental oxygen with a:
Select one:
A. Nonrebreathing mask.
B. Nasal cannula.
"PASTE" is an alternate evaluation tool for ___________.
Select one:
A. Respiratory sufferers
B. Seizure sufferers
C. Stroke sufferers
D. Cardiac sufferers - ANS-A. Breathing sufferers
A 19-12 months-vintage woman is discovered subconscious via her roommate. Your number
one assessment exhibits that her breathing is inadequate. As you insert an oropharyngeal
airway, she starts to gag violently. You should:
Select one:
A. Pick out a smaller oropharyngeal airway and try and insert it.
B. Insert the airway no further but go away it in vicinity as a chew block.
C. Dispose of the airway and be prepared to suction her oropharynx.
D. Continue to insert the airway as you suction her oropharynx. - ANS-C. Put off the airway
and be organized to suction her oropharynx
A 20-yr-vintage male has a big laceration to his wrist. He is conserving a blood-soaked towel
over the wound, however it maintains to bleed swiftly. You must:
Select one:
A. Administer excessive-flow supplemental oxygen.
B. Follow a tourniquet proximal to the wrist.
C. Observe strain to the brachial artery.
D. Wrap the towel with stress bandages. - ANS-B. Follow a tourniquet proximal to the wrist.
A 25-year-antique unrestrained female struck the steerage wheel with her chest while her
vehicle hit a tree while travelling at a high rate of velocity. She has signs and signs and
symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the
subsequent interventions will offer this patient with the greatest threat for survival?
Select one:
A. High-go with the flow oxygen management
B. Rapid delivery to a trauma center
C. Full immobilization of her backbone
D. Intravenous fluid administration - ANS-B. Rapid transport to a trauma center
A 30-yr-old male presents with acute shortness of breath, significant hives, and facial
swelling. He denies any past medical history and takes no medications. During your
evaluation, you hear wheezing over all the lung fields. His blood strain is ninety/50 mm Hg
and his heart rate is a hundred and ten beats/min. In addition to giving him high-waft oxygen,
the MOST essential remedy for this affected person is:
Select one:
A. Epinephrine.
B. A beta-antagonist.
,C. Albuterol.
D. An antihistamine. - ANS-A. Epinephrine.
A 31-12 months-vintage female is experiencing an acute asthma attack. She is conscious
and alert, but in obvious breathing distress. After helping her together with her prescribed
MDI, you must:
Select one:
A. Administer any other remedy in 30 seconds if she remains in distress.
B. Contact clinical manipulate and apprise her or him of what you probably did.
C. Check the drug's expiration date to make certain that it's far nevertheless modern.
D. Think again the affected person and document her reaction to the medicine. - ANS-D.
Reassess the patient and document her reaction to the medicine.
A 39-yr-old male sustained a stab wound to the groin throughout an altercation at a bar. As
you technique the affected person, you be aware that he is conscious. He is screaming in
pain and is making an attempt to manipulate the bleeding, which is bright red and spurting
from his groin location. You need to:
Select one:
A. Elevate his legs and preserve him heat.
B. Follow direct stress to the wound.
C. Administer one hundred% supplemental oxygen.
D. Ensure that his airway is patent. - ANS-B. Apply direct strain to the wound.
A 49-year-vintage male presents with an acute onset of crushing chest pain and diaphoresis.
You have to:
Select one:
A. Administer up to a few doses of nitroglycerin.
B. Administer up to 324 mg of infant aspirin.
C. Acquire important signs and symptoms and a SAMPLE records.
D. Determine the adequacy of his respirations. - ANS-D. Assess the adequacy of his
respirations.
A fifty nine-year-antique male with a history of emphysema complains of an acute worsening
of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals
that he has a barrel-formed chest, unilaterally diminished breath sounds, and tachycardia.
What is the MOST probable reason of this patient's situation?
Select one:
A. Spontaneous pneumothorax
B. Exacerbation of his COPD
C. Acute pulmonary embolism
D. Rupture of the diaphragm - ANS-A. Spontaneous pneumothorax
A 60-year-vintage guy is located to be unresponsive, pulseless, and apneic. You should:
Select one:
A. Begin CPR and delivery without delay.
B. Begin CPR till an AED is available.
C. Withhold CPR till he is defibrillated.
D. Determine if he has a legitimate living will. - ANS-B. Start CPR till an AED is to be had.
,A 62-yr-old male is seen with crushing chest ache, which he describes as being the same
form of pain that he had with a previous heart assault. He has prescribed nitroglycerin
however states that he has now not taken any. After administering supplemental oxygen if
wanted and contacting scientific control, you ought to:
Select one:
A. Administer the nitroglycerin unless he has taken Viagra in the beyond 72 hours.
B. Administer up to a few doses of nitroglycerin before assessing his blood strain.
C. Begin on the spot shipping and request a rendezvous with a paramedic unit.
D. Help him along with his nitroglycerin except his systolic blood strain is less than one
hundred mm Hg. - ANS-D. Assist him along with his nitroglycerin until his systolic blood
pressure is much less than a hundred mm Hg.
A 66-yr-vintage lady with a records of high blood pressure and diabetes provides with
substernal chest strain of two hours' length. Her blood stress is a hundred and forty/ninety
mm Hg, her pulse is a hundred beats/min and irregular, her respirations are 22 breaths/min,
and her oxygen saturation is 92%. The affected person does no longer have prescribed
nitroglycerin, but her husband does. You need to:
Select one:
A. Give her one nitroglycerin and think again her systolic blood strain.
B. Administer oxygen, supply her 324 mg of aspirin, and investigate her similarly.
C. Obtain a SAMPLE records and speak to medical manipulate for advice.
D. Deliver her excessive-glide oxygen, attach the AED, and delivery right away. - ANS-B.
Administer oxygen, supply her 324 mg of aspirin, and assess her similarly.
A spinoff of involuntary muscle contraction and rest is:
Select one:
A. Oxygen.
B. Lactic acid.
C. Warmness.
D. Nitrogen. - ANS-C. Warmth.
A dissecting aortic aneurysm happens when:
Select one:
A. A weakened vicinity develops inside the aortic wall.
B. The aorta ruptures, resulting in profound bleeding.
C. The inner layers of the aorta grow to be separated.
D. All layers of the aorta unexpectedly settlement. - ANS-C. The inner layers of the aorta
become separated.
A man changed into found unresponsive in his bed at domestic. There isn't any evidence of
harm and the patient's clinical records is not acknowledged. The affected person's face is
cyanotic, yet the heartbeat oximeter reads ninety eight%. Which of the subsequent could
MOST probable explain this?
Select one:
A. Severe pulmonary edema
B. Carbon monoxide poisoning
C. Increased frame temperature
, D. His extremities are bloodless - ANS-B. Carbon monoxide poisoning
A palpable pulse is created by using:
Select one:
A. Electrical conduction in the heart producing ventricular contraction.
B. The stress of circulating blood towards the walls of the arteries.
C. Pressure waves thru the arteries because of cardiac contraction.
D. The stress this is triggered while venous blood returns to the coronary heart. - ANS-C.
Stress waves thru the arteries caused by cardiac contraction.
A patient has a blood pressure of a hundred thirty/70 mm Hg. The "130" in this measurement
represents:
Select one:
A. Atrial contraction.
B. Ventricular relaxation.
C. Ventricular contraction.
D. Ventricular filling. - ANS-C. Ventricular contraction.
A patient has a big accumulation of blood within the sac surrounding the coronary heart.
Which type of shock could this situation motive?
Select one:
A. Hypovolemic
B. Obstructive
C. Cardiogenic
D. Neurogenic - ANS-B. Obstructive
A affected person in cardiac arrest is wearing an external defibrillator vest, that is interfering
with effective chest compressions. The EMT must:
Select one:
A. Carry out ventilations simplest and permit the vest device to defibrillate.
B. Eliminate the battery from the display after which put off the vest.
C. Leave the battery connected to the screen and put off the vest.
D. Remove the battery from the display and leave the vest in vicinity. - ANS-B. Eliminate the
battery from the reveal after which do away with the vest.
A patient tells you that he has a left ventricular help tool (LVAD). Which of the subsequent
situations should you suspect that he has skilled?
Select one:
A. Thoracic aortic aneurysm
B. Acute myocardial infarction
C. Uncontrolled high blood pressure
D. Obstructive lung disease - ANS-B. Acute myocardial infarction
A patient who is suspected of being hypoxic and is breathing effectively have to receive
supplemental oxygen with a:
Select one:
A. Nonrebreathing mask.
B. Nasal cannula.
