WEST COAST EMT BLOCK THREE
COMPLETE SOLUTION SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ C. hypoxic drive. Answer: Your patient has a chronic respiratory
condition. His stimulus to breathe is triggered by low oxygen levels in
the blood. This is known as the ___________.
Select one:
A. COPD drive
B. CO2 drive
C. hypoxic drive
D. alternate drive
⩥ B. assess the adequacy of his respirations.. Answer: A 49-year-old
male presents with an acute onset of crushing chest pain and diaphoresis.
You should:
Select one:
A. administer up to 324 mg of baby aspirin.
B. assess the adequacy of his respirations.
C. administer up to three doses of nitroglycerin.
D. obtain vital signs and a SAMPLE history.
,⩥ A. administer oxygen, give her 324 mg of aspirin, and assess her
further.. Answer: A 66-year-old female with a history of hypertension
and diabetes presents with substernal chest pressure of 2 hours' duration.
Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and
irregular, her respirations are 22 breaths/min, and her oxygen saturation
is 92%. The patient does not have prescribed nitroglycerin, but her
husband does. You should:
Select one:
A. administer oxygen, give her 324 mg of aspirin, and assess her further.
B. give her one nitroglycerin and reassess her systolic blood pressure.
C. obtain a SAMPLE history and contact medical control for advice.
D. give her high-flow oxygen, attach the AED, and transport at once.
⩥ D. remove the battery from the monitor and then remove the vest..
Answer: A patient in cardiac arrest is wearing an external defibrillator
vest, which is interfering with effective chest compressions. The EMT
should:
Select one:
A. remove the battery from the monitor and leave the vest in place.
B. leave the battery attached to the monitor and remove the vest.
C. perform ventilations only and allow the vest device to defibrillate.
D. remove the battery from the monitor and then remove the vest.
,⩥ A. Acute myocardial infarction. Answer: A patient tells you that he has
a left ventricular assist device (LVAD). Which of the following
conditions should you suspect that he has experienced?
Select one:
A. Acute myocardial infarction
B. Thoracic aortic aneurysm
C. Uncontrolled hypertension
D. Obstructive lung disease
⩥ C. the lumen of the coronary artery is narrowed and cannot
accommodate increased blood flow.. Answer: A patient with
atherosclerotic heart disease experiences chest pain during exertion
because:
Select one:
A. the coronary arteries suddenly spasm and cause a marked reduction in
myocardial blood flow.
B. the ragged edge of a tear in the coronary artery lumen causes local
blood clotting and arterial narrowing.
C. the lumen of the coronary artery is narrowed and cannot
accommodate increased blood flow.
D. tissues of the myocardium undergo necrosis secondary to a prolonged
absence of oxygen.
⩥ C. who have experienced a head injury.. Answer: Nitroglycerin is
contraindicated in patients:
, Select one:
A. with a history of an ischemic stroke.
B. who have taken up to two doses.
C. who have experienced a head injury.
D. with a systolic blood pressure less than 120 mm Hg.
⩥ A. have chronic hypertension.. Answer: Signs and symptoms of a
hypertensive emergency would MOST likely be delayed in patients who:
Select one:
A. have chronic hypertension.
B. regularly take illegal drugs.
C. are older than 40 years of age.
D. have had a stroke in the past.
⩥ C. Dependent edema. Answer: Which of the following signs is
commonly observed in patients with right-sided heart failure?
Select one:
A. Labored breathing
B. Flat jugular veins
C. Dependent edema
D. Pulmonary edema
COMPLETE SOLUTION SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ C. hypoxic drive. Answer: Your patient has a chronic respiratory
condition. His stimulus to breathe is triggered by low oxygen levels in
the blood. This is known as the ___________.
Select one:
A. COPD drive
B. CO2 drive
C. hypoxic drive
D. alternate drive
⩥ B. assess the adequacy of his respirations.. Answer: A 49-year-old
male presents with an acute onset of crushing chest pain and diaphoresis.
You should:
Select one:
A. administer up to 324 mg of baby aspirin.
B. assess the adequacy of his respirations.
C. administer up to three doses of nitroglycerin.
D. obtain vital signs and a SAMPLE history.
,⩥ A. administer oxygen, give her 324 mg of aspirin, and assess her
further.. Answer: A 66-year-old female with a history of hypertension
and diabetes presents with substernal chest pressure of 2 hours' duration.
Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and
irregular, her respirations are 22 breaths/min, and her oxygen saturation
is 92%. The patient does not have prescribed nitroglycerin, but her
husband does. You should:
Select one:
A. administer oxygen, give her 324 mg of aspirin, and assess her further.
B. give her one nitroglycerin and reassess her systolic blood pressure.
C. obtain a SAMPLE history and contact medical control for advice.
D. give her high-flow oxygen, attach the AED, and transport at once.
⩥ D. remove the battery from the monitor and then remove the vest..
Answer: A patient in cardiac arrest is wearing an external defibrillator
vest, which is interfering with effective chest compressions. The EMT
should:
Select one:
A. remove the battery from the monitor and leave the vest in place.
B. leave the battery attached to the monitor and remove the vest.
C. perform ventilations only and allow the vest device to defibrillate.
D. remove the battery from the monitor and then remove the vest.
,⩥ A. Acute myocardial infarction. Answer: A patient tells you that he has
a left ventricular assist device (LVAD). Which of the following
conditions should you suspect that he has experienced?
Select one:
A. Acute myocardial infarction
B. Thoracic aortic aneurysm
C. Uncontrolled hypertension
D. Obstructive lung disease
⩥ C. the lumen of the coronary artery is narrowed and cannot
accommodate increased blood flow.. Answer: A patient with
atherosclerotic heart disease experiences chest pain during exertion
because:
Select one:
A. the coronary arteries suddenly spasm and cause a marked reduction in
myocardial blood flow.
B. the ragged edge of a tear in the coronary artery lumen causes local
blood clotting and arterial narrowing.
C. the lumen of the coronary artery is narrowed and cannot
accommodate increased blood flow.
D. tissues of the myocardium undergo necrosis secondary to a prolonged
absence of oxygen.
⩥ C. who have experienced a head injury.. Answer: Nitroglycerin is
contraindicated in patients:
, Select one:
A. with a history of an ischemic stroke.
B. who have taken up to two doses.
C. who have experienced a head injury.
D. with a systolic blood pressure less than 120 mm Hg.
⩥ A. have chronic hypertension.. Answer: Signs and symptoms of a
hypertensive emergency would MOST likely be delayed in patients who:
Select one:
A. have chronic hypertension.
B. regularly take illegal drugs.
C. are older than 40 years of age.
D. have had a stroke in the past.
⩥ C. Dependent edema. Answer: Which of the following signs is
commonly observed in patients with right-sided heart failure?
Select one:
A. Labored breathing
B. Flat jugular veins
C. Dependent edema
D. Pulmonary edema
