West Coast EMT Block Exam #3
1. 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 answer-
ing your questions appropriately, and refuses EMS
transport. Which of the following would be the MOST
comp...
West Coast EMT Block Exam #3
1. A 30-year-old male experienced a generalized (ton- D. He is currently
ic-clonic) seizure, which stopped before you arrived not prescribed any
at the scene. The patient is conscious, is answer- medications
ing 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
2. A patient who is possibly experiencing a stroke is B. has bleeding
NOT eligible for thrombolytic (fibrinolytic) therapy if within the brain.
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.
3. A patient whose speech is slurred and difficult to C. dysarthria.
understand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. dysarthria.
D. aphasia.
4. A patient with an altered mental status is: B. not thinking
Select one: clearly or is in-
A. typically alert but is confused as to preceding capable of being
events. aroused.
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.
, West Coast EMT Block Exam #3
5. During the primary assessment of a semiconscious D. ensure a patent
70-year-old female, you should: airway and sup-
Select one: port ventilation as
A. insert a nasopharyngeal airway and assist ventila- needed.
tions.
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.
6. Interruption of cerebral blood flow may result from all B. cerebral vasodi-
of the following, EXCEPT: lation.
Select one:
A. an embolism.
B. cerebral vasodilation.
C. a thrombus.
D. an acute arterial rupture.
7. The left cerebral hemisphere controls: D. the right side of
Select one: the body.
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.
8. The MOST significant risk factor for a hemorrhagic B. hypertension.
stroke is:
Select one:
A. diabetes mellitus.
B. hypertension.
C. heavy exertion.
D. severe stress.
9. The three major parts of the brain are the: D. cerebrum, cere-
Select one: bellum, and brain
A. midbrain, cerebellum, and spinal cord. stem.
B. brain stem, midbrain, and spinal cord.
, West Coast EMT Block Exam #3
C. cerebellum, medulla, and occiput.
D. cerebrum, cerebellum, and brain stem.
10. When assessing for arm drift of a patient with a sus- A. ask the patient
pected stroke, you should: to close his or her
Select one: eyes during the
A. ask the patient to close his or her eyes during the assessment.
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.
11. When caring for a patient with documented hypo- A. a seizure.
glycemia, you should be MOST alert for:
Select one:
A. a seizure.
B. respiratory distress.
C. an acute stroke.
D. a febrile convulsion.
12. When you are obtaining medical history from the fam- C. when the pa-
ily of a suspected stroke patient, it is MOST important tient last appeared
to determine: normal.
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.
13. Which of the following conditions would be the D. Hypovolemia
LEAST likely to mimic the signs and symptoms of a
stroke?
Select one:
A. Intracranial bleeding
B. A postictal state
C. Hypoglycemia
D. Hypovolemia
, West Coast EMT Block Exam #3
14. Which of the following conditions would MOST likely A. Respiratory fail-
affect the entire brain? ure or cardiopul-
Select one: monary arrest
A. Respiratory failure or cardiopulmonary arrest
B. Ruptured cerebral artery in the occipital lobe
C. Blocked cerebral artery in the frontal lobe
D. Reduced blood supply to the left hemisphere
15. Which of the following MOST accurately describes a C. A seizure that
simple partial seizure? begins in one ex-
Select one: tremity
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
16. Which of the following MOST accurately describes D. Confusion and
what the patient will experience during the postictal fatigue
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
17. Which of the following symptoms would lead the EMT D. The pain is
to believe that a patient's headache is caused by worse when bend-
sinus congestion? ing over
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
18. You are caring for a 68-year-old man with sudden A. recovery posi-
onset of left-sided paralysis and slurred speech. His tion and transport.
airway is patent, his respirations are 14 breaths/min
with adequate depth, and his oxygen saturation is
98%. Treatment for this patient should include:
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