1 / 46
West Coast EMT Block Exam #3
1. D. He is current-
ly not prescribed
any medications
2. B. has bleeding
within the brain.
3. C. dysarthria.
4. B. not thinking
clearly or is in-
capable of being
aroused.
5. D. ensure a
patent airway
and support ven-
A 30-year-old male experience...
West Coast EMT Block Exam #3 1. D. He is current - ly not prescribed any medications 2. B. has bleeding within the brain. 3. C. dysarthria. 4. B. not thinking clearly or is in - capable of being aroused. 5. D. ensure a patent airway and support ven- A 30-year-old male experienced a generalized (ton- ic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your ques - tions 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 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. A patient whose speech is slurred and difficult to under - stand is experiencing: Select one: A. paraplegia. B. dysphagia. C. dysarthria. D. aphasia. 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. During the primary assessment of a semiconscious 70-year-old female, you should: Select one: A. insert a nasopharyngeal airway and assist ventilations. West Coast EMT Block Exam #3 6. 7. 8. 9. 10. tilation as need - ed. B. cerebral va- sodilation. D. the right side of the body. B. hypertension. D. cerebrum, cerebellum, and brain stem. A. ask the patient to close his or B. ask family members if the patient has a history of stroke. C. immediately determine the patient's blood glucose lev- el. D. ensure a patent airway and support ventilation as need - ed. 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. 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. The MOST significant risk factor for a hemorrhagic stroke is: Select one: A. diabetes mellitus. B. hypertension. C. heavy exertion. D. severe stress. 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. When assessing for arm drift of a patient with a suspected stroke, you should: Select one: West Coast EMT Block Exam #3 11. 12. 13. 14. her eyes during the assessment. A. a seizure. C. when the pa- tient last ap - peared normal. D. Hypovolemia A. Respiratory failure or car - diopulmonary ar- rest 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. When caring for a patient with documented hypo - glycemia, you should be MOST alert for: Select one: A. a seizure. B. respiratory distress. C. an acute stroke. D. a febrile convulsion. 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. 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 Which of the following conditions would MOST likely af- fect the entire brain? Select one: A. Respiratory failure or cardiopulmonary arrest B. Ruptured cerebral artery in the occipital lobe West Coast EMT Block Exam #3 15. 16. 17. 18. C. A seizure that begins in one ex- tremity D. Confusion and fatigue D. The pain is worse when bending over A. recovery po - sition and trans - port. C. Blocked cerebral artery in the frontal lobe D. Reduced blood supply to the left hemisphere Which of the following MOST accurately describes a sim- ple partial seizure? Select one: A. A generalized seizure without incontinence B. A seizure that causes the patient to stare blankly C. A seizure that begins in one extremity D. A seizure that is not preceded by an aura Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure? Select one: A. A gradually decreasing level of consciousness B. A rapidly improving level of consciousness C. Hyperventilation and hypersalivation D. Confusion and fatigue Which of the following symptoms would lead the EMT to believe that a patient's headache is caused by sinus congestion? Select one: A. The headache began suddenly B. There is associated neck stiffness C. There is numbness in the extremities D. The pain is worse when bending over You are caring for a 68 -year-old man with sudden onset of left -sided paralysis and slurred speech. His airway is patent, his respirations are 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include: Select one: A. recovery position and transport. B. oral glucose gel and transport. C. high-flow oxygen and transport. D. ventilatory assistance and transport.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MERCYTRISHIA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
