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Exam (elaborations)

West Coast EMT Block 4 Exam With Verified Questions and Answers

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West Coast EMT Block 4 Exam With Verified Questions and Answers A 77-year-old female presents with an acute onset of altered mental status. Her son is present and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and glaucoma. He further advises that she take...

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  • August 19, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • West coast Emt
  • West coast Emt
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©EXAM STUDY MATERIAL 8/9/2024 11:50 AM



West Coast EMT Block 4 Exam With
Verified Questions and Answers


A 77-year-old female presents with an acute onset of altered mental status. Her son is present
and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and
glaucoma. He further advises that she takes numerous medications and that she is normally alert.
When you assess this patient, it is important to note that: - answer✔✔the patient is experiencing
delirious behavior, which suggests a new health problem.
A specific legal document that directs relatives and caregivers regarding the medical treatment
that may be given to patients who cannot speak for themselves is called a(n): -
answer✔✔advance directive.
An 84-year-old male fell a week ago and has been bedridden since then. Today, he presents with
an altered mental status. His skin is pale and cold and his respirations are rapid and shallow. The
EMT should suspect: - answer✔✔a systemic infection.

An abdominal aortic aneurysm: - answer✔✔is often the result of hypertension and
atherosclerosis.
Because of the complexity of the older patient and the vagueness of his or her complaint, you
should: - answer✔✔attempt to differentiate between chronic and acute problems
Blood levels of medications may rise in the elderly, sometimes to toxic levels. This is MOST
likely due to: - answer✔✔renal insufficiency.

Clouding of the lenses of the eyes is called: - answer✔✔cataracts
Common causes of depression in the elderly include all of the following, EXCEPT: -
answer✔✔acute onset of dementia
During the natural process of aging, the number of functional cilia in the respiratory system
decreases, resulting in: - answer✔✔a decreased ability to cough
n contrast to younger patients, older patients are more prone to a decrease in blood pressure (BP)
upon standing because: - answer✔✔the body is less able to adapt the BP to rapid postural
changes

, ©EXAM STUDY MATERIAL 8/9/2024 11:50 AM


Poor maintenance of home, poor personal care, and dietary neglect are all possible indicators of
____________ elder abuse. - answer✔✔physical
Sedentary behavior while healing from a hip fracture would MOST likely predispose the older
patient to: - answer✔✔pneumonia.
Talking about an elderly patient in front of him or her to other members of the family: -
answer✔✔may cause the patient to think that he or she has no say in making decisions
The EMT should suspect left-sided heart failure in the geriatric patient who presents with: -
answer✔✔tachypnea and paroxysmal nocturnal dyspnea.

The leading cause of death in the geriatric patient is: - answer✔✔heart disease
The stooped posture of some older people, which gives them a humpback appearance, is called: -
answer✔✔kyphosis.
To minimize distractions and confusion when assessing an older patient, you should: -
answer✔✔have only one EMT speak to the patient at a time
When immobilizing a patient with a kyphotic spine to a long backboard, the EMT would MOST
likely have to: - answer✔✔place blankets behind the patient's head
Which of the following observations or statements represents the "E" in the GEMS diamond? -
answer✔✔The patient's residence is cold due to a malfunctioning heater
You are assessing a 70-year-old female who complains of intense thirst, frequent urination, and
dizziness. She has a history of type 2 diabetes, heart disease, rheumatoid arthritis, and gout. Her
blood glucose reads "high." She is conscious, but confused. Her blood pressure is 92/52 mm Hg,
her pulse rate is 130 beats/min and weak, and her respirations are 22 breaths/min and shallow.
This patient's clinical presentation is MOST consistent with: - answer✔✔hyperosmolar
hyperglycemic nonketotic syndrome
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: -
answer✔✔disconnect the ventilator and apply a tracheostomy collar.
A 70-year-old male complains of shortness of breath. During your assessment, you note that he
has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not
answer you. You can hear a whistling sound coming from his hearing aids. You should: -
answer✔✔try repositioning the hearing aid or remove it and turn down the volume.
A person is said to be obese when he or she is ________ over his or her ideal weight. -
answer✔✔30% or more

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