West Coast EMT Block 3 Exam Questions
With Verified Answers.
A 40-year-old patient without a history of seizures experiences a generalized (tonic-clonic)
seizure. The LEAST likely cause of this seizure is:
A: a serious infection
B: a brain tumor
C: epilepsy
D: intercranial bleeding - answer✔C: epilepsy
A patient who is experiencing aphasia is:
A: not able to swallow without choking
B: experiencing a right hemispheric stroke
C: unable to produce or understand speech
D: usually conscious but has slurred speech - answer✔C: unable to produce or understand speech
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic)
therapy if he or she:
A: has a GCS score that is less than 8
B: has had a prior heart attack
C: is older than 60 years of age
D: has bleeding within the brain - answer✔D: has bleeding within the brain
A patient with an altered mental status is:
A: typically alert but is confused as to preceding events
B: usually able to be aroused with a painful stimulus
C: completely unresponsive to all forms of stimuli
D: not thinking clearly or is incapable of being aroused - answer✔D: not thinking clearly or is
incapable of being aroused
Components of the Cincinnati Prehospital Stroke Scale include:
A: arm drift, memory, and grip strength
B: speech, pupil reaction, and memory
C: facial droop, speech, and pupil size
D: arm drift, speech, and facial droop - answer✔D: arm drigt, speech, and facial droop
Febrile seizures:
A: are usually benign but should be evaluated
B: are also referred to as absence seizures
C: often result in permanent brain damage
D: occur when a child's fever rises slowly - answer✔A: are usually benign but should be
evaluated
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia
secondary to abnormalities in the:
A: pancreas
B: kidneys
C: brain
D: liver - answer✔D: liver
Muscle control and body coordination are controlled by the:
D: cerebrum - answer✔C: cerebellum
Status epilepticus is characterized by:
A: generalized seizures that last less than 5 minutes
B: an absence seizure that is not preceded by an aura
C: prolonged seizures without a return of consciousness
D: profound tachycardia and total muscle flaccidity - answer✔C: prolonged seizures without a
return of consciousness
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are
controlled by the:
A: brain stem
B: cerebellum
C: cerebral cortex
D: cerebrum - answer✔A: brain stem
The MOST significant risk factor for a hemorrhagic stroke is:
A: hypertension
B: diabetes mellitus
C: severe stress
D: heavy exertion - answer✔A: hypertension
The spinal cord exits the cranium through the:
D: vertebral foramen - answer✔A: foramen magnum
The three major parts of the brain are the:
A: cerebellum, medulla, and occiput
B: cerebrum, cerebellum, and brain stem
C: brain stem, midbrain, and spinal cord
D: midbrain, cerebellum, and spinal cord - answer✔B: cerebrum, cerebellum, and brain stem
When assessing for arm drift of a patient with a suspected stroke, you should:
A: ask the patient to hold his or her arms up with the palms down
B: ask the patient to close his or her eyes during the assessment
C: observe movement of the arms for approximately 2 minutes
D: expect to see one arm slowly drift down to the patient's side - answer✔B: 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:
A: an acute stroke
B: a seizure
C: respiratory distress
D: a febrile convulsion - answer✔B: a seizure
Which of the following clinical signs is MOST suggestive of a ruptured aneurysm:
A: Confusion and weakness
B: Unilateral hemiparesis
C: Sudden, severe headache
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