West Coast EMT Block Exam #3
Questions and Verified Answers
100% Guarantee Pass
1. A 30-year-old male experienced a generalized (tonic-clonic) seizure, which
stopped before you arrived at the scene. The patient is conscious, is answering
your questions appropriately, and refuses EMS transport. Which of the fol-
lowing 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
Answer: D. He is currently not prescribed any medications
2. A patient who is possibly experiencing a stroke is NOT eligible for thrombolyt-
ic (fibrinolytic) therapy if he or 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.
Answer: B. has bleeding within the brain.
3. A patient whose speech is slurred and difficult to understand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. dysarthria.
D. aphasia.
Answer: C. dysarthria.
4. A patient with an altered mental status is:
Select one:
A. typically alert but is confused as to preceding 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.
Answer: B. not thinking clearly or is incapable of being aroused.
5. During the primary assessment of a semiconscious 70-year-old female, you
should:
Select one:
A. insert a nasopharyngeal airway and assist ventilations.
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.
Answer: D. ensure a patent airway and support ventilation as needed.
6. Interruption of cerebral blood flow may result from all of the following,
EXCEPT:
Select one:
A. an embolism.
B. cerebral vasodilation.
C. a thrombus.
D. an acute arterial rupture.
, Answer: B. cerebral vasodilation.
7. The left cerebral hemisphere controls:
Select one:
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.
Answer: D. the right side of the body.
8. The MOST significant risk factor for a hemorrhagic stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress.
Answer: B. hypertension.
9. The three major parts of the brain are the:
Select one:
A. midbrain, cerebellum, and spinal cord.
Questions and Verified Answers
100% Guarantee Pass
1. A 30-year-old male experienced a generalized (tonic-clonic) seizure, which
stopped before you arrived at the scene. The patient is conscious, is answering
your questions appropriately, and refuses EMS transport. Which of the fol-
lowing 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
Answer: D. He is currently not prescribed any medications
2. A patient who is possibly experiencing a stroke is NOT eligible for thrombolyt-
ic (fibrinolytic) therapy if he or 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.
Answer: B. has bleeding within the brain.
3. A patient whose speech is slurred and difficult to understand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. dysarthria.
D. aphasia.
Answer: C. dysarthria.
4. A patient with an altered mental status is:
Select one:
A. typically alert but is confused as to preceding 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.
Answer: B. not thinking clearly or is incapable of being aroused.
5. During the primary assessment of a semiconscious 70-year-old female, you
should:
Select one:
A. insert a nasopharyngeal airway and assist ventilations.
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.
Answer: D. ensure a patent airway and support ventilation as needed.
6. Interruption of cerebral blood flow may result from all of the following,
EXCEPT:
Select one:
A. an embolism.
B. cerebral vasodilation.
C. a thrombus.
D. an acute arterial rupture.
, Answer: B. cerebral vasodilation.
7. The left cerebral hemisphere controls:
Select one:
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.
Answer: D. the right side of the body.
8. The MOST significant risk factor for a hemorrhagic stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress.
Answer: B. hypertension.
9. The three major parts of the brain are the:
Select one:
A. midbrain, cerebellum, and spinal cord.
