West Coast EMT Block Exam #3 Exam with
Complete Solutions Final Solved Papers -
Questions with Complete Solutions.
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 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 - CORRECT ANSWERS D. He is currently not
prescribed any medications
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (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. - CORRECT ANSWERS B. has bleeding within the brain.
A patient whose speech is slurred and difficult to understand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
,C. dysarthria.
D. aphasia. - CORRECT ANSWERS C. dysarthria.
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. - CORRECT ANSWERS B. not thinking clearly or is
incapable of being aroused.
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. - CORRECT ANSWERS D. ensure a patent
airway and support ventilation as needed.
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. - CORRECT ANSWERS B. cerebral vasodilation.
,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. - CORRECT ANSWERS D. the right side of the body.
The MOST significant risk factor for a hemorrhagic stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress. - CORRECT ANSWERS B. hypertension.
The three major parts of the brain are the:
Select one:
A. midbrain, cerebellum, and spinal cord.
B. brain stem, midbrain, and spinal cord.
C. cerebellum, medulla, and occiput.
D. cerebrum, cerebellum, and brain stem. - CORRECT ANSWERS D. cerebrum, cerebellum, and brain
stem.
When assessing for arm drift of a patient with a suspected stroke, you should:
Select one:
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. - CORRECT ANSWERS A. ask the
patient to close his or her eyes during the assessment.
When caring for a patient with documented hypoglycemia, you should be MOST alert for:
Select one:
A. a seizure.
B. respiratory distress.
C. an acute stroke.
D. a febrile convulsion. - CORRECT ANSWERS A. a seizure.
When you are obtaining medical history from the family of a suspected stroke patient, it is MOST
important 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. - CORRECT ANSWERS C. when the patient last appeared
normal.
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a
stroke?
Select one:
A. Intracranial bleeding
B. A postictal state
C. Hypoglycemia
D. Hypovolemia - CORRECT ANSWERS D. Hypovolemia
Complete Solutions Final Solved Papers -
Questions with Complete Solutions.
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 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 - CORRECT ANSWERS D. He is currently not
prescribed any medications
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (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. - CORRECT ANSWERS B. has bleeding within the brain.
A patient whose speech is slurred and difficult to understand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
,C. dysarthria.
D. aphasia. - CORRECT ANSWERS C. dysarthria.
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. - CORRECT ANSWERS B. not thinking clearly or is
incapable of being aroused.
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. - CORRECT ANSWERS D. ensure a patent
airway and support ventilation as needed.
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. - CORRECT ANSWERS B. cerebral vasodilation.
,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. - CORRECT ANSWERS D. the right side of the body.
The MOST significant risk factor for a hemorrhagic stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress. - CORRECT ANSWERS B. hypertension.
The three major parts of the brain are the:
Select one:
A. midbrain, cerebellum, and spinal cord.
B. brain stem, midbrain, and spinal cord.
C. cerebellum, medulla, and occiput.
D. cerebrum, cerebellum, and brain stem. - CORRECT ANSWERS D. cerebrum, cerebellum, and brain
stem.
When assessing for arm drift of a patient with a suspected stroke, you should:
Select one:
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. - CORRECT ANSWERS A. ask the
patient to close his or her eyes during the assessment.
When caring for a patient with documented hypoglycemia, you should be MOST alert for:
Select one:
A. a seizure.
B. respiratory distress.
C. an acute stroke.
D. a febrile convulsion. - CORRECT ANSWERS A. a seizure.
When you are obtaining medical history from the family of a suspected stroke patient, it is MOST
important 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. - CORRECT ANSWERS C. when the patient last appeared
normal.
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a
stroke?
Select one:
A. Intracranial bleeding
B. A postictal state
C. Hypoglycemia
D. Hypovolemia - CORRECT ANSWERS D. Hypovolemia
