WEST COAST EMT FINAL EXAM LATEST 2023-2024
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
Which of the following must be assessed in every respiratory patient?
-Blood glucose levels
-Lung sounds
-Orthostatic vital signs
-Distal pulse, motor, sensation - Answer -Lung sounds Page
604, Patient Assessment
While ascultating an elderly woman's breath sounds, you hear low-pitched "rattling"
sounds at the bases of both of her lungs. This finding is MOST consistent with which
of the following conditions?
-Aspiration pneumonia
-Early pulmonary edema
-Acute asthma attack
-Widespread atelectasis - Answer -Aspiration pneumonia
Page 618, Patient Assessment
You are assessing an asthma patient with his prescribed metered-dose inhaler. After
the patient takes a deep breath and depresses the inhaler, you should:
-instruct him to hold his breath for as long as he comfortably can
-allow him to breathe room air and assess his oxygen saturation
-advise him to exhale forcefully to ensure medication absorption - Answer -instruct
him to hold his breath for as long as he comfortably can
Page 612, Emergency Medical Care
You are attending to a 3-year-old male patient who is presenting with severe
shortness of breath. His parents report that he has had a cough and cold with a low
grade fever for the past two days. They became worried today, as his level of distress
has increased dramatically. On assessment, the patient is sitting upright and making
high-pitched noises with each breath. Based on this information, the patient is most
likely suffering from:
-inflammation of the lower respiratory tract and bronchospasm.
-inflammation of the bronchioles.
-viral infection of the upper respiratory tract.
-bacterial infection of the epiglottis. - Answer -viral infection of the upper respiratory
tract.
Page 590-591, Causes of Dyspnea
You are attending to a 54-year-old female patient in a homelss shelter. The patient tells
you that she had the flu a couple of weeks ago, and she has not gotten over it. She has
been tired and keeps waking up at night, sweating. She has been coughing up green
,sputum occasionally and has been experiencing episodes of chest pain that get worse
when she breathes. Based on this information, your patient is most likely suffering from:
-influenza Type A
-chronic obstructive pulmonary disease (COPD)
-pneumonia
-tuberculosis - Answer -tuberculosis
Page 593, Causes of Dyspnea
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 .
-alternate drive
-hypoxic drive
-CO2 drive
-COPD drive - Answer -hypoxic drive
Page 589, Pathophysiology
The process in which oxygen and carbon dioxide are exchanged in the lungs is called:
respiration.
ventilation.
metabolism.
inhalation. - Answer respiration.
Which of the following respiratory diseases causes obstruction of the lower airway?
Croup Asthma
Epiglottitis
Laryngitis - Answer Asthma
Which of the following diseases is potentially drug resistant and is thought to be
transmitted by coughing?
Tuberculosis
Croup
Diphtheria
Epiglottitis - Answer Tuberculosis
All of the following are causes of acute dyspnea, EXCEPT:
asthma. emphysema.
pneumothorax.
pulmonary embolism. - Answer emphysema.
Bronchospasm is MOST often associated with:
asthma.
bronchitis.
pneumonia.
, pneumothorax. - Answer asthma.
A sudden onset of difficulty breathing, sharp chest pain, and cyanosis that persists
despite supplemental oxygen is MOST consistent with:
severe pneumonia.
myocardial infarction.
a pulmonary embolism.
a spontaneous pneumothorax. - Answer a pulmonary embolism.
Albuterol, a beta-2 agonist, is the generic name for:
Alupent.
Metaprel.
Brethine.
Ventolin. - Answer Ventolin.
An acute bacterial infection that results in swelling of the flap that covers the larynx
during swallowing is called:
croup.
laryngitis.
epiglottitis.
diphtheria. - Answer epiglottitis.
A 70-year-old man recently had a heart attack and now complains of severe difficulty
breathing, especially when lying flat. He is coughing up pink, frothy secretions. This
patient is MOST likely experiencing:
acute right heart failure.
severe left heart failure.
an acute onset of bronchitis.
an acute pulmonary embolism. - Answer severe left heart failure.
Which of the following patients is breathing adequately?
36-year-old man with cyanosis around the lips and irregular respirations
29-year old woman with respirations of 20 breaths/min, who is conscious and alert
22-year-old man with labored respirations at a rate of 28 breaths/min and pale skin
59-year-old woman with difficulty breathing, whose respirations are rapid and
shallow - Answer 29-year old woman with respirations of 20 breaths/min, who is
conscious and alert
Ten days after treating a 34-year-old patient with tuberculosis, you are given a
tuberculin skin test, which yields a positive result. This MOST likely indicates that:
-you contracted the disease by casual contact instead of exposure to secretions.
-you are actively infected with tuberculosis and should be treated immediately.
-you were exposed to another infected person prior to treating the 34-year-old
patient.
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
Which of the following must be assessed in every respiratory patient?
-Blood glucose levels
-Lung sounds
-Orthostatic vital signs
-Distal pulse, motor, sensation - Answer -Lung sounds Page
604, Patient Assessment
While ascultating an elderly woman's breath sounds, you hear low-pitched "rattling"
sounds at the bases of both of her lungs. This finding is MOST consistent with which
of the following conditions?
-Aspiration pneumonia
-Early pulmonary edema
-Acute asthma attack
-Widespread atelectasis - Answer -Aspiration pneumonia
Page 618, Patient Assessment
You are assessing an asthma patient with his prescribed metered-dose inhaler. After
the patient takes a deep breath and depresses the inhaler, you should:
-instruct him to hold his breath for as long as he comfortably can
-allow him to breathe room air and assess his oxygen saturation
-advise him to exhale forcefully to ensure medication absorption - Answer -instruct
him to hold his breath for as long as he comfortably can
Page 612, Emergency Medical Care
You are attending to a 3-year-old male patient who is presenting with severe
shortness of breath. His parents report that he has had a cough and cold with a low
grade fever for the past two days. They became worried today, as his level of distress
has increased dramatically. On assessment, the patient is sitting upright and making
high-pitched noises with each breath. Based on this information, the patient is most
likely suffering from:
-inflammation of the lower respiratory tract and bronchospasm.
-inflammation of the bronchioles.
-viral infection of the upper respiratory tract.
-bacterial infection of the epiglottis. - Answer -viral infection of the upper respiratory
tract.
Page 590-591, Causes of Dyspnea
You are attending to a 54-year-old female patient in a homelss shelter. The patient tells
you that she had the flu a couple of weeks ago, and she has not gotten over it. She has
been tired and keeps waking up at night, sweating. She has been coughing up green
,sputum occasionally and has been experiencing episodes of chest pain that get worse
when she breathes. Based on this information, your patient is most likely suffering from:
-influenza Type A
-chronic obstructive pulmonary disease (COPD)
-pneumonia
-tuberculosis - Answer -tuberculosis
Page 593, Causes of Dyspnea
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 .
-alternate drive
-hypoxic drive
-CO2 drive
-COPD drive - Answer -hypoxic drive
Page 589, Pathophysiology
The process in which oxygen and carbon dioxide are exchanged in the lungs is called:
respiration.
ventilation.
metabolism.
inhalation. - Answer respiration.
Which of the following respiratory diseases causes obstruction of the lower airway?
Croup Asthma
Epiglottitis
Laryngitis - Answer Asthma
Which of the following diseases is potentially drug resistant and is thought to be
transmitted by coughing?
Tuberculosis
Croup
Diphtheria
Epiglottitis - Answer Tuberculosis
All of the following are causes of acute dyspnea, EXCEPT:
asthma. emphysema.
pneumothorax.
pulmonary embolism. - Answer emphysema.
Bronchospasm is MOST often associated with:
asthma.
bronchitis.
pneumonia.
, pneumothorax. - Answer asthma.
A sudden onset of difficulty breathing, sharp chest pain, and cyanosis that persists
despite supplemental oxygen is MOST consistent with:
severe pneumonia.
myocardial infarction.
a pulmonary embolism.
a spontaneous pneumothorax. - Answer a pulmonary embolism.
Albuterol, a beta-2 agonist, is the generic name for:
Alupent.
Metaprel.
Brethine.
Ventolin. - Answer Ventolin.
An acute bacterial infection that results in swelling of the flap that covers the larynx
during swallowing is called:
croup.
laryngitis.
epiglottitis.
diphtheria. - Answer epiglottitis.
A 70-year-old man recently had a heart attack and now complains of severe difficulty
breathing, especially when lying flat. He is coughing up pink, frothy secretions. This
patient is MOST likely experiencing:
acute right heart failure.
severe left heart failure.
an acute onset of bronchitis.
an acute pulmonary embolism. - Answer severe left heart failure.
Which of the following patients is breathing adequately?
36-year-old man with cyanosis around the lips and irregular respirations
29-year old woman with respirations of 20 breaths/min, who is conscious and alert
22-year-old man with labored respirations at a rate of 28 breaths/min and pale skin
59-year-old woman with difficulty breathing, whose respirations are rapid and
shallow - Answer 29-year old woman with respirations of 20 breaths/min, who is
conscious and alert
Ten days after treating a 34-year-old patient with tuberculosis, you are given a
tuberculin skin test, which yields a positive result. This MOST likely indicates that:
-you contracted the disease by casual contact instead of exposure to secretions.
-you are actively infected with tuberculosis and should be treated immediately.
-you were exposed to another infected person prior to treating the 34-year-old
patient.
