West Coast EMT Block Exam Questions With Complete
Solutions
A 13-year-old child is on a home ventilator. The parents called
because the mechanical ventilator is malfunctioning and the
child has increasing respiratory distress. You should:
Select one:
A. reset the ventilator by unplugging it for 30 to 60 seconds.
B. disconnect the ventilator and apply a tracheostomy collar.
C. place a call to the home health agency treating this patient.
D. attempt to troubleshoot the mechanical ventilator problem.
Correct Answer B. disconnect the ventilator and apply a
tracheostomy collar.
A 19-year-old female was stung multiple times on the legs by
fire ants. She states that she is allergic to fire ants, but does not
carry her own epinephrine. The patient is conscious and alert
and complains of pain to the area of the bites. Her blood
pressure is 122/70 mm Hg, her pulse is 100 beats/min and
strong, and her respirations are 18 breaths/min and unlabored.
You should:
Select one:
A. administer oxygen and transport her to the hospital.
B. request a paramedic unit to administer epinephrine.
C. position her legs well above the level of her heart.
D. advise her to see her physician as soon as possible. Correct
Answer A. administer oxygen and transport her to the hospital.
A 29-year-old pregnant woman has had severe vomiting for the
last 2 days. Today, she is vomiting large amounts of blood. Her
,skin is cool and pale and she is tachycardic. The EMT should
suspect:
Select one:
A. Mallory-Weiss tear.
B. esophagitis.
C. esophageal varices.
D. acute pancreatitis. Correct Answer A. Mallory-Weiss tear.
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
Answer D. He is currently not prescribed any medications
A 30-year-old male was rescued after being lost in the woods for
approximately 18 hours. The outside temperature is 30°F (-1°C).
He is immediately placed in the warmed ambulance, where you
perform a primary assessment. He is unresponsive, pale, and
apneic. You should:
Select one:
A. assess for a carotid pulse for up to 60 seconds.
B. apply chemical heat packs to his groin and axillae.
C. apply an AED and assess his cardiac rhythm.
,D. open his airway and give two rescue breaths. Correct
Answer A. assess for a carotid pulse for up to 60 seconds.
A 30-year-old woman with a history of alcoholism presents with
severe upper abdominal pain and is vomiting large amounts of
bright red blood. Her skin is cool, pale, and clammy; her heart
rate is 120 beats/min and weak; and her blood pressure is 70/50
mm Hg. Your MOST immediate action should be to:
Select one:
A. rapidly transport her to the hospital.
B. give her high-flow supplemental oxygen.
C. protect her airway from aspiration.
D. keep her supine and keep her warm. Correct Answer C.
protect her airway from aspiration.
A 31-year-old male was bitten on the leg by an unidentified
snake. The patient is conscious and alert and in no apparent
distress. Your assessment of his leg reveals two small puncture
marks with minimal pain and swelling. In addition to
administering oxygen and providing reassurance, further care for
this patient should include:
Select one:
A. elevating the lower extremities and giving antivenin.
B. supine positioning, splinting the leg, and transporting.
C. applying ice to the wound and transporting quickly.
D. transporting only with close, continuous monitoring. Correct
Answer B. supine positioning, splinting the leg, and
transporting.
A 37-year-old female with a history of diabetes presents with
excessive urination and weakness of 2 days' duration. Her blood
, glucose level reads 320 mg/dL. If this patient's condition is not
promptly treated, she will MOST likely develop:
Select one:
A. irreversible renal failure.
B. severe insulin shock.
C. hypoxia and overhydration.
D. acidosis and dehydration. Correct Answer A. irreversible
renal failure.
A 37-year-old male is having a severe allergic reaction to
penicillin. He does not have an epinephrine auto-injector and
your protocols do not allow you to carry epinephrine on the
ambulance. How should you proceed with the treatment of this
patient?
Select one:
A. Quickly determine if there are any bystanders who may carry
epinephrine.
B. Administer oxygen, transport at once, 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 tablets that
you can administer. Correct Answer B. Administer oxygen,
transport at once, and request a paramedic intercept.
A 38-year-old male with a history of schizophrenia is reported
by neighbors to be screaming and throwing things in his house.
You are familiar with the patient and have cared for him in the
past for unrelated problems. Law enforcement officers escort
you into the residence when you arrive. The patient tells you that
he sees vampires and is attempting to ward them off by
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