WEST COAST EMT BLOCK EXAM #3 EXAM QUESTIONS AND CORRECT ANSWERS

WEST COAST EMT BLOCK EXAM #3
EXAM QUESTIONS AND CORRECT
ANSWERS
Agb30-year-oldgbmalegbexperiencedgbagbgeneralizedgb(tonic-
clonic)gbseizure,gbwhichgbstoppedgbbeforegbyougbarrivedgbatgbthegbscene.gbThegbpatientgb
isgbconscious,gbisgbansweringgbyourgbquestionsgbappropriately,gbandgbrefusesgbEMSgbtra
nsport.gbWhichgbofgbthegbfollowinggbwouldgbbegbthegbMOSTgbcompellinggbreasongbtogbdis
agreegbwithgbhisgbrefusalgbofgbtransport?
Selectgbone:
A.gbHisgbGlasgowgbComagbScalegb(GCS)gbscoregbisgb15
B.gbHisgbwifegbstatesgbthatgbthisgbwasgbhisgb"usual"gbseizure
C.gbHegbhasgbexperiencedgbseizuresgbsincegbhegbwasgb20
D.gbHegbisgbcurrentlygbnotgbprescribedgbanygbmedicationsgb-
gbD.gbHegbisgbcurrentlygbnotgbprescribedgbanygbmedications


AgbpatientgbwhogbisgbpossiblygbexperiencinggbagbstrokegbisgbNOTgbeligiblegbforgbthrombol
yticgb(fibrinolytic)gbtherapygbifgbhegborgbshe:
Selectgbone:
A.gbhasgbhadgbagbpriorgbheartgbattack.
B.gbhasgbbleedinggbwithingbthegbbrain.
C.gbhasgbagbGCSgbscoregbthatgbisgblessgbthangb8.
D.gbisgboldergbthangb60gbyearsgbofgbage.gb-gbB.gbhasgbbleedinggbwithingbthegbbrain.

Agbpatientgbwhosegbspeechgbisgbslurredgbandgbdifficultgbtogbunderstandgbisgbexperiencing
:
Selectgbone:
A.gbparaplegia.
B.gbdysphagia.
C.gbdysarthria.
D.gbaphasia.gb-gbC.gbdysarthria.

Agbpatientgbwithgbangbalteredgbmentalgbstatusgbis:
Selectgbone:
A.gbtypicallygbalertgbbutgbisgbconfusedgbasgbtogbprecedinggbevents.
B.gbnotgbthinkinggbclearlygborgbisgbincapablegbofgbbeinggbaroused.
C.gbusuallygbablegbtogbbegbarousedgbwithgbagbpainfulgbstimulus.
D.gbcompletelygbunresponsivegbtogballgbformsgbofgbstimuli.gb-
gbB.gbnotgbthinkinggbclearlygborgbisgbincapablegbofgbbeinggbaroused.


Duringgbthegbprimarygbassessmentgbofgbagbsemiconsciousgb70-year-
oldgbfemale,gbyougbshould:

,Selectgbone:
A.gbinsertgbagbnasopharyngealgbairwaygbandgbassistgbventilations.
B.gbaskgbfamilygbmembersgbifgbthegbpatientgbhasgbagbhistorygbofgbstroke.
C.gbimmediatelygbdeterminegbthegbpatient'sgbbloodgbglucosegblevel.
D.gbensuregbagbpatentgbairwaygbandgbsupportgbventilationgbasgbneeded.gb-
gbD.gbensuregbagbpatentgbairwaygbandgbsupportgbventilationgbasgbneeded.


Interruptiongbofgbcerebralgbbloodgbflowgbmaygbresultgbfromgballgbofgbthegbfollowing,gbEXC
EPT:
Selectgbone:
A.gbangbembolism.
B.gbcerebralgbvasodilation.
C.gbagbthrombus.
D.gbangbacutegbarterialgbrupture.gb-gbB.gbcerebralgbvasodilation.

Thegbleftgbcerebralgbhemispheregbcontrols:
Selectgbone:
A.gbheartgbrategbandgbpupilgbreaction.
B.gbthegbrightgbsidegbofgbthegbface.
C.gbbreathinggbandgbbloodgbpressure.
D.gbthegbrightgbsidegbofgbthegbbody.gb-gbD.gbthegbrightgbsidegbofgbthegbbody.

ThegbMOSTgbsignificantgbriskgbfactorgbforgbagbhemorrhagicgbstrokegbis:
Selectgbone:
A.gbdiabetesgbmellitus.
B.gbhypertension.
C.gbheavygbexertion.
D.gbseveregbstress.gb-gbB.gbhypertension.

Thegbthreegbmajorgbpartsgbofgbthegbbraingbaregbthe:
Selectgbone:
A.gbmidbrain,gbcerebellum,gbandgbspinalgbcord.
B.gbbraingbstem,gbmidbrain,gbandgbspinalgbcord.
C.gbcerebellum,gbmedulla,gbandgbocciput.
D.gbcerebrum,gbcerebellum,gbandgbbraingbstem.gb-
gbD.gbcerebrum,gbcerebellum,gbandgbbraingbstem.


Whengbassessinggbforgbarmgbdriftgbofgbagbpatientgbwithgbagbsuspectedgbstroke,gbyougbsho
uld:
Selectgbone:
A.gbaskgbthegbpatientgbtogbclosegbhisgborgbhergbeyesgbduringgbthegbassessment.
B.gbexpectgbtogbseegbonegbarmgbslowlygbdriftgbdowngbtogbthegbpatient'sgbside.
C.gbobservegbmovementgbofgbthegbarmsgbforgbapproximatelygb2gbminutes.
D.gbaskgbthegbpatientgbtogbholdgbhisgborgbhergbarmsgbupgbwithgbthegbpalmsgbdown.gb-
gbA.gbaskgbthegbpatientgbtogbclosegbhisgborgbhergbeyesgbduringgbthegbassessment.

,Whengbcaringgbforgbagbpatientgbwithgbdocumentedgbhypoglycemia,gbyougbshouldgbbegbM
OSTgbalertgbfor:
Selectgbone:
A.gbagbseizure.
B.gbrespiratorygbdistress.
C.gbangbacutegbstroke.
D.gbagbfebrilegbconvulsion.gb-gbA.gbagbseizure.

Whengbyougbaregbobtaininggbmedicalgbhistorygbfromgbthegbfamilygbofgbagbsuspectedgbstro
kegbpatient,gbitgbisgbMOSTgbimportantgbtogbdetermine:
Selectgbone:
A.gbifgbthegbpatientgbhasgbbeengbhospitalizedgbbefore.
B.gbifgbtheregbisgbagbfamilygbhistorygbofgbagbstroke.
C.gbwhengbthegbpatientgblastgbappearedgbnormal.
D.gbthegbpatient'sgboverallgbmedicationgbcompliance.gb-
gbC.gbwhengbthegbpatientgblastgbappearedgbnormal.


WhichgbofgbthegbfollowinggbconditionsgbwouldgbbegbthegbLEASTgblikelygbtogbmimicgbthegbs
ignsgbandgbsymptomsgbofgbagbstroke?
Selectgbone:
A.gbIntracranialgbbleeding
B.gbAgbpostictalgbstate
C.gbHypoglycemia
D.gbHypovolemiagb-gbD.gbHypovolemia

WhichgbofgbthegbfollowinggbconditionsgbwouldgbMOSTgblikelygbaffectgbthegbentiregbbrain?
Selectgbone:
A.gbRespiratorygbfailuregborgbcardiopulmonarygbarrest
B.gbRupturedgbcerebralgbarterygbingbthegboccipitalgblobe
C.gbBlockedgbcerebralgbarterygbingbthegbfrontalgblobe
D.gbReducedgbbloodgbsupplygbtogbthegbleftgbhemispheregb-
gbA.gbRespiratorygbfailuregborgbcardiopulmonarygbarrest


WhichgbofgbthegbfollowinggbMOSTgbaccuratelygbdescribesgbagbsimplegbpartialgbseizure?
Selectgbone:
A.gbAgbgeneralizedgbseizuregbwithoutgbincontinence
B.gbAgbseizuregbthatgbcausesgbthegbpatientgbtogbstaregbblankly
C.gbAgbseizuregbthatgbbeginsgbingbonegbextremity
D.gbAgbseizuregbthatgbisgbnotgbprecededgbbygbangbauragb-
gbC.gbAgbseizuregbthatgbbeginsgbingbonegbextremity


WhichgbofgbthegbfollowinggbMOSTgbaccuratelygbdescribesgbwhatgbthegbpatientgbwillgbexpe
riencegbduringgbthegbpostictalgbstategbthatgbfollowsgbagbseizure?
Selectgbone:
A.gbAgbgraduallygbdecreasinggblevelgbofgbconsciousness
B.gbAgbrapidlygbimprovinggblevelgbofgbconsciousness

, C.gbHyperventilationgbandgbhypersalivation
D.gbConfusiongbandgbfatiguegb-gbD.gbConfusiongbandgbfatigue

WhichgbofgbthegbfollowinggbsymptomsgbwouldgbleadgbthegbEMTgbtogbbelievegbthatgbagbpati
ent'sgbheadachegbisgbcausedgbbygbsinusgbcongestion?
Selectgbone:
A.gbThegbheadachegbbegangbsuddenly
B.gbTheregbisgbassociatedgbneckgbstiffness
C.gbTheregbisgbnumbnessgbingbthegbextremities
D.gbThegbpaingbisgbworsegbwhengbbendinggbovergb-
gbD.gbThegbpaingbisgbworsegbwhengbbendinggbover


Yougbaregbcaringgbforgbagb68-year-oldgbmangbwithgbsuddengbonsetgbofgbleft-
sidedgbparalysisgbandgbslurredgbspeech.gbHisgbairwaygbisgbpatent,gbhisgbrespirationsgbare
gb14gbbreaths/
mingbwithgbadequategbdepth,gbandgbhisgboxygengbsaturationgbisgb98%.gbTreatmentgbforgbt
hisgbpatientgbshouldgbinclude:
Selectgbone:
A.gbrecoverygbpositiongbandgbtransport.
B.gboralgbglucosegbgelgbandgbtransport.
C.gbhigh-flowgboxygengbandgbtransport.
D.gbventilatorygbassistancegbandgbtransport.gb-gbA.gbrecoverygbpositiongbandgbtransport.

Yougbrespondgbtogbagbresidencegbforgbagbchildgbwhogbisgbhavinggbagbseizure.gbUpongbarri
valgbatgbthegbscene,gbyougbentergbthegbresidencegbandgbfindgbthegbmothergbholdinggbhergb
child,gbagb2-year-
oldgbmale.gbThegbchildgbisgbconsciousgbandgbcrying.gbAccordinggbtogbthegbmother,gbthegbc
hildgbhadgbbeengbrunninggbagbhighgbfevergbandgbthengbexperiencedgbagbseizuregbthatgblas
tedgbapproximatelygb3gbminutes.gbYougbshould:
Selectgbone:
A.gbcallgbmedicalgbcontrolgbandgbrequestgbpermissiongbtogbgivegbthegbchildgbaspirin.
B.gbtransportgbthegbchildgbtogbthegbhospitalgbandgbreassuregbthegbmothergbengbroute.
C.gbadvisegbthegbmothergbtogbtakegbhergbchildgbtogbthegbdoctorgbthegbfollowinggbday.
D.gbcovergbthegbchildgbwithgbwetgbtowelsgbandgbgivegboxygengbviagbnasalgbcannula.gb-
gbB.gbtransportgbthegbchildgbtogbthegbhospitalgbandgbreassuregbthegbmothergbengbroute.


Yourgbpatientgbopensgbhisgbeyes,gbmoans,gbandgbpullsgbawaygbfromgbyougbwhengbyougbpi
nchgbhisgbtrapeziusgbmuscle.gbYougbshouldgbassigngbagbGlasgowgbComagbScalegb(GCS)g
bscoregbof:
Selectgbone:
A.gb7.
B.gb9.
C.gb8.
D.gb6.gb-gbC.gb8.