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WEST COAST EMT BLOCK TEST 3 WITH THE COMPLETE ANSWERS GRADED A+
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WEST COAST EMT BLOCK TEST 3 WITH THE COMPLETE ANSWERS GRADED A+
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WEST COAST EMT BLOCK TEST 3WITH THE COMPLETE ANSWERS
GRADED A+
Ag30-year-oldgmalegexperiencedgaggeneralizedg(tonic-
clonic)gseizure,gwhichgstoppedgbeforegyougarrivedgatgthegscene.gThegpatientgisgconsciou
s,gisgansweringgyourgquestionsgappropriately,gandgrefusesgEMSgtransport.gWhichgofgthe
gfollowinggwouldgbegthegMOSTgcompellinggreasongtogdisagreegwithghisgrefusalgofgtransp
ort?
Selectgone:
A.gHisgGlasgowgComagScaleg(GCS)gscoregisg15
B.gHisgwifegstatesgthatgthisgwasghisg"usual"gseizure
C.gHeghasgexperiencedgseizuresgsinceghegwasg20
D.gHegisgcurrentlygnotgprescribedganygmedicationsg-gcorrectganswer-
D.gHegisgcurrentlygnotgprescribedganygmedications
AgpatientgwhogisgpossiblygexperiencinggagstrokegisgNOTgeligiblegforgthrombolyticg(fibrinol
ytic)gtherapygifghegorgshe:
Selectgone:
A.ghasghadgagpriorgheartgattack.
B.ghasgbleedinggwithingthegbrain.
C.ghasgagGCSgscoregthatgisglessgthang8.
D.gisgoldergthang60gyearsgofgage.g-gcorrectganswer-B.ghasgbleedinggwithingthegbrain.
Agpatientgwhosegspeechgisgslurredgandgdifficultgtogunderstandgisgexperiencing:
Selectgone:
A.gparaplegia.
B.gdysphagia.
C.gdysarthria.
D.gaphasia.g-gcorrectganswer-C.gdysarthria.
Agpatientgwithgangalteredgmentalgstatusgis:
,Selectgone:
A.gtypicallygalertgbutgisgconfusedgasgtogprecedinggevents.
B.gnotgthinkinggclearlygorgisgincapablegofgbeinggaroused.
C.gusuallygablegtogbegarousedgwithgagpainfulgstimulus.
D.gcompletelygunresponsivegtogallgformsgofgstimuli.g-gcorrectganswer-
B.gnotgthinkinggclearlygorgisgincapablegofgbeinggaroused.
Duringgthegprimarygassessmentgofgagsemiconsciousg70-year-oldgfemale,gyougshould:
Selectgone:
A.ginsertgagnasopharyngealgairwaygandgassistgventilations.
B.gaskgfamilygmembersgifgthegpatientghasgaghistorygofgstroke.
C.gimmediatelygdeterminegthegpatient'sgbloodgglucoseglevel.
D.gensuregagpatentgairwaygandgsupportgventilationgasgneeded.g-gcorrectganswer-
D.gensuregagpatentgairwaygandgsupportgventilationgasgneeded.
Interruptiongofgcerebralgbloodgflowgmaygresultgfromgallgofgthegfollowing,gEXCEPT:
Selectgone:
A.gangembolism.
B.gcerebralgvasodilation.
C.gagthrombus.
D.gangacutegarterialgrupture.g-gcorrectganswer-B.gcerebralgvasodilation.
Thegleftgcerebralghemispheregcontrols:
Selectgone:
A.gheartgrategandgpupilgreaction.
B.gthegrightgsidegofgthegface.
C.gbreathinggandgbloodgpressure.
D.gthegrightgsidegofgthegbody.g-gcorrectganswer-D.gthegrightgsidegofgthegbody.
ThegMOSTgsignificantgriskgfactorgforgaghemorrhagicgstrokegis:
Selectgone:
A.gdiabetesgmellitus.
B.ghypertension.
C.gheavygexertion.
D.gseveregstress.g-gcorrectganswer-B.ghypertension.
Thegthreegmajorgpartsgofgthegbraingaregthe:
Selectgone:
A.gmidbrain,gcerebellum,gandgspinalgcord.
B.gbraingstem,gmidbrain,gandgspinalgcord.
C.gcerebellum,gmedulla,gandgocciput.
D.gcerebrum,gcerebellum,gandgbraingstem.g-gcorrectganswer-
D.gcerebrum,gcerebellum,gandgbraingstem.
Whengassessinggforgarmgdriftgofgagpatientgwithgagsuspectedgstroke,gyougshould:
Selectgone:
A.gaskgthegpatientgtogcloseghisgorghergeyesgduringgthegassessment.
B.gexpectgtogseegonegarmgslowlygdriftgdowngtogthegpatient'sgside.
C.gobservegmovementgofgthegarmsgforgapproximatelyg2gminutes.
,D.gaskgthegpatientgtogholdghisgorghergarmsgupgwithgthegpalmsgdown.g-gcorrectganswer-
A.gaskgthegpatientgtogcloseghisgorghergeyesgduringgthegassessment.
Whengcaringgforgagpatientgwithgdocumentedghypoglycemia,gyougshouldgbegMOSTgalertgf
or:
Selectgone:
A.gagseizure.
B.grespiratorygdistress.
C.gangacutegstroke.
D.gagfebrilegconvulsion.g-gcorrectganswer-A.gagseizure.
Whengyougaregobtaininggmedicalghistorygfromgthegfamilygofgagsuspectedgstrokegpatient,gi
tgisgMOSTgimportantgtogdetermine:
Selectgone:
A.gifgthegpatientghasgbeenghospitalizedgbefore.
B.gifgtheregisgagfamilyghistorygofgagstroke.
C.gwhengthegpatientglastgappearedgnormal.
D.gthegpatient'sgoverallgmedicationgcompliance.g-gcorrectganswer-
C.gwhengthegpatientglastgappearedgnormal.
WhichgofgthegfollowinggconditionsgwouldgbegthegLEASTglikelygtogmimicgthegsignsgandgsy
mptomsgofgagstroke?
Selectgone:
A.gIntracranialgbleeding
B.gAgpostictalgstate
C.gHypoglycemia
D.gHypovolemiag-gcorrectganswer-D.gHypovolemia
WhichgofgthegfollowinggconditionsgwouldgMOSTglikelygaffectgthegentiregbrain?
Selectgone:
A.gRespiratorygfailuregorgcardiopulmonarygarrest
B.gRupturedgcerebralgarterygingthegoccipitalglobe
C.gBlockedgcerebralgarterygingthegfrontalglobe
D.gReducedgbloodgsupplygtogthegleftghemisphereg-gcorrectganswer-
A.gRespiratorygfailuregorgcardiopulmonarygarrest
WhichgofgthegfollowinggMOSTgaccuratelygdescribesgagsimplegpartialgseizure?
Selectgone:
A.gAggeneralizedgseizuregwithoutgincontinence
B.gAgseizuregthatgcausesgthegpatientgtogstaregblankly
C.gAgseizuregthatgbeginsgingonegextremity
D.gAgseizuregthatgisgnotgprecededgbygangaurag-gcorrectganswer-
C.gAgseizuregthatgbeginsgingonegextremity
WhichgofgthegfollowinggMOSTgaccuratelygdescribesgwhatgthegpatientgwillgexperiencegdu
ringgthegpostictalgstategthatgfollowsgagseizure?
Selectgone:
A.gAggraduallygdecreasingglevelgofgconsciousness
B.gAgrapidlygimprovingglevelgofgconsciousness
C.gHyperventilationgandghypersalivation
, D.gConfusiongandgfatigueg-gcorrectganswer-D.gConfusiongandgfatigue
WhichgofgthegfollowinggsymptomsgwouldgleadgthegEMTgtogbelievegthatgagpatient'sgheada
chegisgcausedgbygsinusgcongestion?
Selectgone:
A.gThegheadachegbegangsuddenly
B.gTheregisgassociatedgneckgstiffness
C.gTheregisgnumbnessgingthegextremities
D.gThegpaingisgworsegwhengbendinggoverg-gcorrectganswer-
D.gThegpaingisgworsegwhengbendinggover
Yougaregcaringgforgag68-year-oldgmangwithgsuddengonsetgofgleft-
sidedgparalysisgandgslurredgspeech.gHisgairwaygisgpatent,ghisgrespirationsgareg14gbreath
s/mingwithgadequategdepth,gandghisgoxygengsaturationgisg98%.gTreatmentgforgthisgpatie
ntgshouldginclude:
Selectgone:
A.grecoverygpositiongandgtransport.
B.goralgglucoseggelgandgtransport.
C.ghigh-flowgoxygengandgtransport.
D.gventilatorygassistancegandgtransport.g-gcorrectganswer-
A.grecoverygpositiongandgtransport.
Yougrespondgtogagresidencegforgagchildgwhogisghavinggagseizure.gUpongarrivalgatgthegsce
ne,gyougentergthegresidencegandgfindgthegmothergholdingghergchild,gag2-year-
oldgmale.gThegchildgisgconsciousgandgcrying.gAccordinggtogthegmother,gthegchildghadgbe
engrunninggaghighgfevergandgthengexperiencedgagseizuregthatglastedgapproximatelyg3gmi
nutes.gYougshould:
Selectgone:
A.gcallgmedicalgcontrolgandgrequestgpermissiongtoggivegthegchildgaspirin.
B.gtransportgthegchildgtogtheghospitalgandgreassuregthegmothergengroute.
C.gadvisegthegmothergtogtakeghergchildgtogthegdoctorgthegfollowinggday.
D.gcovergthegchildgwithgwetgtowelsgandggivegoxygengviagnasalgcannula.g-
gcorrectganswer-B.gtransportgthegchildgtogtheghospitalgandgreassuregthegmothergengroute.
Yourgpatientgopensghisgeyes,gmoans,gandgpullsgawaygfromgyougwhengyougpinchghisgtrap
eziusgmuscle.gYougshouldgassigngagGlasgowgComagScaleg(GCS)gscoregof:
Selectgone:
A.g7.
B.g9.
C.g8.
D.g6.g-gcorrectganswer-C.g8.
Ag29-year-
oldgpregnantgwomanghasghadgseveregvomitinggforgtheglastg2gdays.gToday,gshegisgvomitin
gglargegamountsgofgblood.gHergskingisgcoolgandgpalegandgshegisgtachycardic.gThegEMTgs
houldgsuspect:
Selectgone:
A.gMallory-Weissgtear.
B.gesophagitis.
C.gesophagealgvarices.
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