West Coast EMT Block Exam #3
A 13-12 months-antique toddler is on a home ventilator. The parents called because the
mechanical ventilator is malfunctioning and the child has increasing respiratory misery. You
must:
Select one:
A. Reset the ventilator by unplugging it for 30 to 60 seconds.
B. Disconnect the ventilator and practice a tracheostomy collar.
C. Location a call to the home fitness organization treating this patient.
D. Try and troubleshoot the mechanical ventilator trouble. - ANS-B. Disconnect the ventilator
and follow a tracheostomy collar.
A 19-12 months-old lady turned into stung a couple of instances at the legs via hearth ants.
She states that she is allergic to hearth ants, however does not bring her own epinephrine.
The patient is aware and alert and complains of ache to the region of the bites. Her blood
stress is 122/70 mm Hg, her pulse is 100 beats/min and robust, and her respirations are 18
breaths/min and unlabored. You must:
Select one:
A. Administer oxygen and shipping her to the medical institution.
B. Request a paramedic unit to administer epinephrine.
C. Function her legs well above the extent of her coronary heart.
D. Propose her to look her medical doctor as quickly as viable. - ANS-A. Administer oxygen
and delivery her to the clinic.
A 29-year-vintage pregnant woman has had intense vomiting for the final 2 days. Today, she
is vomiting large quantities of blood. Her pores and skin is cool and pale and she or he is
tachycardic. The EMT must suspect:
Select one:
A. Mallory-Weiss tear.
B. Esophagitis.
C. Esophageal varices.
D. Acute pancreatitis. - ANS-A. Mallory-Weiss tear.
A 30-year-vintage male experienced a generalized (tonic-clonic) seizure, which stopped
earlier than you arrived at the scene. The affected person is aware, is answering your
questions correctly, and refuses EMS delivery. Which of the subsequent would be the MOST
compelling cause to disagree along with his refusal of delivery?
Select one:
A. His Glasgow Coma Scale (GCS) rating is 15
B. His wife states that this changed into his "normal" seizure
C. He has skilled seizures because he turned into 20
D. He is presently now not prescribed any medicinal drugs - ANS-D. He is currently now not
prescribed any medications
,A 30-year-antique male become rescued after being misplaced in the woods for about 18
hours. The outside temperature is 30°F (-1°C). He is right now positioned in the warmed
ambulance, in which you perform a number one assessment. He is unresponsive, pale, and
apneic. You must:
Select one:
A. Examine for a carotid pulse for as much as 60 seconds.
B. Follow chemical warmth packs to his groin and axillae.
C. Observe an AED and verify his cardiac rhythm.
D. Open his airway and supply rescue breaths. - ANS-A. Determine for a carotid pulse for
up to 60 seconds.
A 30-year-antique female with a history of alcoholism affords with severe upper stomach
pain and is vomiting big quantities of shiny purple blood. Her pores and skin is cool, light,
and clammy; her heart price is one hundred twenty beats/min and susceptible; and her blood
stress is 70/50 mm Hg. Your MOST instant motion have to be to:
Select one:
A. Unexpectedly delivery her to the hospital.
B. Deliver her high-go with the flow supplemental oxygen.
C. Protect her airway from aspiration.
D. Hold her supine and maintain her heat. - ANS-C. Protect her airway from aspiration.
A 31-year-vintage male turned into bitten on the leg by an unidentified snake. The patient is
aware and alert and in no apparent misery. Your evaluation of his leg famous small puncture
marks with minimal pain and swelling. In addition to administering oxygen and providing
reassurance, in addition care for this patient must consist of:
Select one:
A. Raising the lower extremities and giving antivenin.
B. Supine positioning, splinting the leg, and transporting.
C. Making use of ice to the wound and transporting quick.
D. Transporting most effective with near, continuous monitoring. - ANS-B. Supine
positioning, splinting the leg, and transporting.
A 37-year-vintage female with a history of diabetes presents with immoderate urination and
weak point of two days' duration. Her blood glucose stage reads 320 mg/dL. If this patient's
circumstance isn't always right away handled, she will be able to MOST likely develop:
Select one:
A. Irreversible renal failure.
B. Excessive insulin surprise.
C. Hypoxia and overhydration.
D. Acidosis and dehydration. - ANS-A. Irreversible renal failure.
A 37-year-antique male is having a severe allergy to penicillin. He does now not have an
epinephrine auto-injector and your protocols do now not can help you deliver epinephrine on
the ambulance. How ought to you continue with the remedy of this affected person?
Select one:
A. Quickly decide if there are any bystanders who can also convey epinephrine.
B. Administer oxygen, delivery immediately, and request a paramedic intercept.
C. Remain at the scene with the patient and request a paramedic ambulance.
,D. Ask the patient if he has any diphenhydramine drugs that you can administer. - ANS-B.
Administer oxygen, shipping right now, and request a paramedic intercept.
A 38-year-antique male with a records of schizophrenia is pronounced by using
acquaintances to be screaming and throwing matters in his residence. You are acquainted
with the patient and feature cared for him within the past for unrelated troubles. Law
enforcement officials escort you into the house when you arrive. The affected person tells
you that he sees vampires and is attempting to ward them off by screaming and throwing
things at them. He has numerous big lacerations to his forearms which might be actively
bleeding. The MOST appropriate manner to manage this case is to:
Select one:
A. Attempt to advantage the affected person's accept as true with with the aid of telling him
that you see the vampires too.
B. Method the patient and calm him by putting your hand on his shoulder.
C. Request that the law enforcement officials arrest him and take him to the health facility.
D. Restrain the patient with appropriate force as a way to treat his injuries. - ANS-D. Restrain
the affected person with suitable force that allows you to deal with his injuries.
A forty-yr-old male deliberately cut his wrist out of anger after losing his process. Law
enforcement has secured the scene prior to your arrival. As you input the residence and
visualize the patient, you could see that he has a towel around his wrist and a moderate
quantity of blood has soaked thru it. You must:
Select one:
A. Inform the patient that you need to help.
B. Flippantly pick out yourself to the patient.
C. Technique the patient with caution.
D. Fast have a tendency to the bleeding wound. - ANS-B. Flippantly discover your self to the
patient.
A 47-year-old male affords with severe stomach pain of 3 hours' length. His abdomen is
distended and protected. Your MOST vital consideration for this patient need to be to:
Select one:
A. Be alert for signs and symptoms and signs of surprise.
B. Check his blood pressure to determine perfusion adequacy.
C. Transport him in a supine function.
D. Decide the exact vicinity and motive of his pain. - ANS-A. Be alert for symptoms and
signs of shock.
A forty nine-12 months-antique male offers with confusion, sweating, and visual
hallucinations. The patient's spouse tells you that he is a heavy drinker and she thinks he
had a seizure rapidly earlier than your arrival. This affected person is MOST possibly
experiencing:
Select one:
A. Acute schizophrenia.
B. Delirium tremens.
C. Alcohol intoxication.
D. Acute hypovolemia. - ANS-B. Delirium tremens.
, A fifty nine-year-vintage male gives with unexpected-onset excessive decrease back ache.
He is aware and alert, but very stressed and diaphoretic. Your evaluation exhibits a pulsating
mass to the left of his umbilicus. You must:
Select one:
A. Request a paramedic unit to give the affected person pain medicine.
B. Vigorously palpate the abdomen to establish pain severity.
C. Administer oxygen and prepare for immediate delivery.
D. Region the patient in a sitting position and transport right away. - ANS-C. Administer
oxygen and put together for fast shipping.
A sixty six-year-old woman skilled a unexpected onset of difficulty respiration. She has a
records of kind 2 diabetes and deep vein thrombosis (DVT). On the basis of her scientific
records, which of the subsequent ought to the EMT suspect?
Select one:
A. Pulmonary embolism
B. Severe hypoglycemia
C. Diabetic ketoacidosis
D. Congestive coronary heart failure - ANS-A. Pulmonary embolism
A 70-12 months-antique male complains of shortness of breath. During your assessment,
you notice that he has bilateral hearing aids. When you ask him questions associated with
his chief complaint, he does not solution you. You can hear a whistling sound coming from
his listening to aids. You should:
Select one:
A. Try repositioning the listening to useful resource or remove it and flip down the quantity.
B. Understand that the batteries in his hearing aids are likely depleted.
C. Cast off his hearing aids, flip up the volume, and replace them in his ears.
D. Dispose of both of his listening to aids and use pencil and paper to communicate. -
ANS-A. Strive repositioning the listening to useful resource or remove it and turn down the
extent.
A 75-yr-old male with kind 1 diabetes provides with chest pain and a wellknown feeling of
weak point. He tells you that he took his insulin today and ate a regular meal about 2 hours
ago. You have to deal with this affected person as although he is experiencing:
Select one:
A. Hyperglycemia.
B. Hypoglycemia.
C. A heart attack.
D. An acute stroke. - ANS-C. A coronary heart attack.
A 77-year-old girl presents with an acute onset of altered mental fame. Her son is gift and
advises that she has a history of high blood pressure, atrial traumatic inflammation, type 2
diabetes, and glaucoma. He in addition advises that she takes severa medicines and that
she is generally alert. When you determine this affected person, it is important to notice that:
Select one:
A. Her mental status is in all likelihood the end result of hypoglycemia and also you should
provide her sugar.
B. Due to her age and medical records, you have to suspect Alzheimer sickness.
A 13-12 months-antique toddler is on a home ventilator. The parents called because the
mechanical ventilator is malfunctioning and the child has increasing respiratory misery. You
must:
Select one:
A. Reset the ventilator by unplugging it for 30 to 60 seconds.
B. Disconnect the ventilator and practice a tracheostomy collar.
C. Location a call to the home fitness organization treating this patient.
D. Try and troubleshoot the mechanical ventilator trouble. - ANS-B. Disconnect the ventilator
and follow a tracheostomy collar.
A 19-12 months-old lady turned into stung a couple of instances at the legs via hearth ants.
She states that she is allergic to hearth ants, however does not bring her own epinephrine.
The patient is aware and alert and complains of ache to the region of the bites. Her blood
stress is 122/70 mm Hg, her pulse is 100 beats/min and robust, and her respirations are 18
breaths/min and unlabored. You must:
Select one:
A. Administer oxygen and shipping her to the medical institution.
B. Request a paramedic unit to administer epinephrine.
C. Function her legs well above the extent of her coronary heart.
D. Propose her to look her medical doctor as quickly as viable. - ANS-A. Administer oxygen
and delivery her to the clinic.
A 29-year-vintage pregnant woman has had intense vomiting for the final 2 days. Today, she
is vomiting large quantities of blood. Her pores and skin is cool and pale and she or he is
tachycardic. The EMT must suspect:
Select one:
A. Mallory-Weiss tear.
B. Esophagitis.
C. Esophageal varices.
D. Acute pancreatitis. - ANS-A. Mallory-Weiss tear.
A 30-year-vintage male experienced a generalized (tonic-clonic) seizure, which stopped
earlier than you arrived at the scene. The affected person is aware, is answering your
questions correctly, and refuses EMS delivery. Which of the subsequent would be the MOST
compelling cause to disagree along with his refusal of delivery?
Select one:
A. His Glasgow Coma Scale (GCS) rating is 15
B. His wife states that this changed into his "normal" seizure
C. He has skilled seizures because he turned into 20
D. He is presently now not prescribed any medicinal drugs - ANS-D. He is currently now not
prescribed any medications
,A 30-year-antique male become rescued after being misplaced in the woods for about 18
hours. The outside temperature is 30°F (-1°C). He is right now positioned in the warmed
ambulance, in which you perform a number one assessment. He is unresponsive, pale, and
apneic. You must:
Select one:
A. Examine for a carotid pulse for as much as 60 seconds.
B. Follow chemical warmth packs to his groin and axillae.
C. Observe an AED and verify his cardiac rhythm.
D. Open his airway and supply rescue breaths. - ANS-A. Determine for a carotid pulse for
up to 60 seconds.
A 30-year-antique female with a history of alcoholism affords with severe upper stomach
pain and is vomiting big quantities of shiny purple blood. Her pores and skin is cool, light,
and clammy; her heart price is one hundred twenty beats/min and susceptible; and her blood
stress is 70/50 mm Hg. Your MOST instant motion have to be to:
Select one:
A. Unexpectedly delivery her to the hospital.
B. Deliver her high-go with the flow supplemental oxygen.
C. Protect her airway from aspiration.
D. Hold her supine and maintain her heat. - ANS-C. Protect her airway from aspiration.
A 31-year-vintage male turned into bitten on the leg by an unidentified snake. The patient is
aware and alert and in no apparent misery. Your evaluation of his leg famous small puncture
marks with minimal pain and swelling. In addition to administering oxygen and providing
reassurance, in addition care for this patient must consist of:
Select one:
A. Raising the lower extremities and giving antivenin.
B. Supine positioning, splinting the leg, and transporting.
C. Making use of ice to the wound and transporting quick.
D. Transporting most effective with near, continuous monitoring. - ANS-B. Supine
positioning, splinting the leg, and transporting.
A 37-year-vintage female with a history of diabetes presents with immoderate urination and
weak point of two days' duration. Her blood glucose stage reads 320 mg/dL. If this patient's
circumstance isn't always right away handled, she will be able to MOST likely develop:
Select one:
A. Irreversible renal failure.
B. Excessive insulin surprise.
C. Hypoxia and overhydration.
D. Acidosis and dehydration. - ANS-A. Irreversible renal failure.
A 37-year-antique male is having a severe allergy to penicillin. He does now not have an
epinephrine auto-injector and your protocols do now not can help you deliver epinephrine on
the ambulance. How ought to you continue with the remedy of this affected person?
Select one:
A. Quickly decide if there are any bystanders who can also convey epinephrine.
B. Administer oxygen, delivery immediately, and request a paramedic intercept.
C. Remain at the scene with the patient and request a paramedic ambulance.
,D. Ask the patient if he has any diphenhydramine drugs that you can administer. - ANS-B.
Administer oxygen, shipping right now, and request a paramedic intercept.
A 38-year-antique male with a records of schizophrenia is pronounced by using
acquaintances to be screaming and throwing matters in his residence. You are acquainted
with the patient and feature cared for him within the past for unrelated troubles. Law
enforcement officials escort you into the house when you arrive. The affected person tells
you that he sees vampires and is attempting to ward them off by screaming and throwing
things at them. He has numerous big lacerations to his forearms which might be actively
bleeding. The MOST appropriate manner to manage this case is to:
Select one:
A. Attempt to advantage the affected person's accept as true with with the aid of telling him
that you see the vampires too.
B. Method the patient and calm him by putting your hand on his shoulder.
C. Request that the law enforcement officials arrest him and take him to the health facility.
D. Restrain the patient with appropriate force as a way to treat his injuries. - ANS-D. Restrain
the affected person with suitable force that allows you to deal with his injuries.
A forty-yr-old male deliberately cut his wrist out of anger after losing his process. Law
enforcement has secured the scene prior to your arrival. As you input the residence and
visualize the patient, you could see that he has a towel around his wrist and a moderate
quantity of blood has soaked thru it. You must:
Select one:
A. Inform the patient that you need to help.
B. Flippantly pick out yourself to the patient.
C. Technique the patient with caution.
D. Fast have a tendency to the bleeding wound. - ANS-B. Flippantly discover your self to the
patient.
A 47-year-old male affords with severe stomach pain of 3 hours' length. His abdomen is
distended and protected. Your MOST vital consideration for this patient need to be to:
Select one:
A. Be alert for signs and symptoms and signs of surprise.
B. Check his blood pressure to determine perfusion adequacy.
C. Transport him in a supine function.
D. Decide the exact vicinity and motive of his pain. - ANS-A. Be alert for symptoms and
signs of shock.
A forty nine-12 months-antique male offers with confusion, sweating, and visual
hallucinations. The patient's spouse tells you that he is a heavy drinker and she thinks he
had a seizure rapidly earlier than your arrival. This affected person is MOST possibly
experiencing:
Select one:
A. Acute schizophrenia.
B. Delirium tremens.
C. Alcohol intoxication.
D. Acute hypovolemia. - ANS-B. Delirium tremens.
, A fifty nine-year-vintage male gives with unexpected-onset excessive decrease back ache.
He is aware and alert, but very stressed and diaphoretic. Your evaluation exhibits a pulsating
mass to the left of his umbilicus. You must:
Select one:
A. Request a paramedic unit to give the affected person pain medicine.
B. Vigorously palpate the abdomen to establish pain severity.
C. Administer oxygen and prepare for immediate delivery.
D. Region the patient in a sitting position and transport right away. - ANS-C. Administer
oxygen and put together for fast shipping.
A sixty six-year-old woman skilled a unexpected onset of difficulty respiration. She has a
records of kind 2 diabetes and deep vein thrombosis (DVT). On the basis of her scientific
records, which of the subsequent ought to the EMT suspect?
Select one:
A. Pulmonary embolism
B. Severe hypoglycemia
C. Diabetic ketoacidosis
D. Congestive coronary heart failure - ANS-A. Pulmonary embolism
A 70-12 months-antique male complains of shortness of breath. During your assessment,
you notice that he has bilateral hearing aids. When you ask him questions associated with
his chief complaint, he does not solution you. You can hear a whistling sound coming from
his listening to aids. You should:
Select one:
A. Try repositioning the listening to useful resource or remove it and flip down the quantity.
B. Understand that the batteries in his hearing aids are likely depleted.
C. Cast off his hearing aids, flip up the volume, and replace them in his ears.
D. Dispose of both of his listening to aids and use pencil and paper to communicate. -
ANS-A. Strive repositioning the listening to useful resource or remove it and turn down the
extent.
A 75-yr-old male with kind 1 diabetes provides with chest pain and a wellknown feeling of
weak point. He tells you that he took his insulin today and ate a regular meal about 2 hours
ago. You have to deal with this affected person as although he is experiencing:
Select one:
A. Hyperglycemia.
B. Hypoglycemia.
C. A heart attack.
D. An acute stroke. - ANS-C. A coronary heart attack.
A 77-year-old girl presents with an acute onset of altered mental fame. Her son is gift and
advises that she has a history of high blood pressure, atrial traumatic inflammation, type 2
diabetes, and glaucoma. He in addition advises that she takes severa medicines and that
she is generally alert. When you determine this affected person, it is important to notice that:
Select one:
A. Her mental status is in all likelihood the end result of hypoglycemia and also you should
provide her sugar.
B. Due to her age and medical records, you have to suspect Alzheimer sickness.
