WEST COAST EMT FINAL EXAM LATEST 2023-2024
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
The three major parts of the brain are the:
A. cerebrum, cerebellum, and brain stem.
B. cerebellum, medulla, and occiput.
C. brain stem, midbrain, and spinal cord.
D. midbrain, cerebellum, and spinal cord. - Answer cerebrum, cerebellum, and brain
stem
When assessing for arm drift of a patient with a suspected stroke, you should:
A. ask the patient to hold his or her arms up with the palms down.
B. observe movement of the arms for approximately 2 minutes.
C. ask the patient to close his or her eyes during the assessment.
D. expect to see one arm slowly drift down to the patient's side. - Answer ask the
patient to close his or her eyes during the assessment
When caring for a patient with documented hypoglycemia, you should be MOST alert
for:
• a seizure.
• respiratory distress.
• C. an acute stroke.
D. a febrile convulsion. - Answer a seizure
When you are obtaining medical history from the family of a suspected stroke
patient, it is MOST important to determine:
A. when the patient last appeared normal.
B. if there is a family history of a stroke.
C. if the patient has been hospitalized before.
D. the patient's overall medication compliance. - Answer when the patient last
appeared normal
Which of the following conditions would be the LEAST likely to mimic the signs and
symptoms of a stroke?
A. A postictal state
B. Hypovolemia
C. Intracranial bleeding
D. Hypoglycemia - Answer hypovolemia
,Which of the following conditions would MOST likely affect the entire brain?
• Blocked cerebral artery in the frontal lobe
• Reduced blood supply to the left hemisphere
• C. Respiratory failure or cardiopulmonary
arrest
D. Ruptured cerebral artery in the occipital lobe - Answer Respiratory failure or
cardiopulmonary arrest
Which of the following MOST accurately describes a simple partial seizure?
A. A seizure that causes the patient to stare blankly
B. A seizure that is not preceded by an aura
C. A generalized seizure without incontinence
D. A seizure that begins in one extremity - Answer A seizure that begins in one
extremity
Which of the following MOST accurately describes what the patient will experience
during the postictal state that follows a seizure?
A. Hyperventilation and hypersalivation
B. Confusion and fatigue
C. A rapidly improving level of consciousness
D. A gradually decreasing level of consciousness - Answer confusion and fatigue
Which of the following symptoms would lead the EMT to believe that a patient's
headache is caused by sinus congestion?
A. The pain is worse when bending over
B. There is associated neck stiffness
C. The headache began suddenly
D. There is numbness in the extremities - Answer the pain is worse when bending
over
You are caring for a 68-year-old man with sudden onset of left-sided paralysis and
slurred speech. His airway is patent, his respirations are 14 breaths/min with
adequate depth, and his oxygen saturation is 98%. Treatment for this patient should
include:
• oral glucose gel and transport.
• ventilatory assistance and transport.
• recovery position and transport.
• high-flow oxygen and transport. - Answer recovery position and transport
You respond to a residence for a child who is having a seizure. Upon arrival at the
scene, you enter the residence and find the mother holding her child, a 2-year-old
male. The child is conscious and crying. According to the mother, the child had been
, running a high fever and then experienced a seizure that lasted approximately 3
minutes. You should:
A. transport the child to the hospital and reassure the mother en route.
B. cover the child with wet towels and give oxygen via nasal cannula.
C. call medical control and request permission to give the child aspirin.
D. advise the mother to take her child to the doctor the following day. - Answer
transport the child to the hospital and reassure the mother en route
Your patient opens his eyes, moans, and pulls away from you when you pinch his
trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of:
• 7.
• 8.
• 9.
• 6. - Answer 8
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:
A. disconnect the ventilator and apply a tracheostomy collar.
B. attempt to troubleshoot the mechanical ventilator problem.
C. reset the ventilator by unplugging it for 30 to 60 seconds.
D. place a call to the home health agency treating this patient. - Answer A.
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:
• try repositioning the hearing aid or remove it and turn down the volume.
• remove both of his hearing aids and use pencil and paper to communicate.
• C. remove his hearing aids, turn up the volume, and replace them in his
ears.
D. recognize that the batteries in his hearing aids are probably depleted. - Answer A.
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.
A. 20% or more
B. 30% or more
C. 10% or more
D. 40% or more - Answer B. 30% or more
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
The three major parts of the brain are the:
A. cerebrum, cerebellum, and brain stem.
B. cerebellum, medulla, and occiput.
C. brain stem, midbrain, and spinal cord.
D. midbrain, cerebellum, and spinal cord. - Answer cerebrum, cerebellum, and brain
stem
When assessing for arm drift of a patient with a suspected stroke, you should:
A. ask the patient to hold his or her arms up with the palms down.
B. observe movement of the arms for approximately 2 minutes.
C. ask the patient to close his or her eyes during the assessment.
D. expect to see one arm slowly drift down to the patient's side. - Answer ask the
patient to close his or her eyes during the assessment
When caring for a patient with documented hypoglycemia, you should be MOST alert
for:
• a seizure.
• respiratory distress.
• C. an acute stroke.
D. a febrile convulsion. - Answer a seizure
When you are obtaining medical history from the family of a suspected stroke
patient, it is MOST important to determine:
A. when the patient last appeared normal.
B. if there is a family history of a stroke.
C. if the patient has been hospitalized before.
D. the patient's overall medication compliance. - Answer when the patient last
appeared normal
Which of the following conditions would be the LEAST likely to mimic the signs and
symptoms of a stroke?
A. A postictal state
B. Hypovolemia
C. Intracranial bleeding
D. Hypoglycemia - Answer hypovolemia
,Which of the following conditions would MOST likely affect the entire brain?
• Blocked cerebral artery in the frontal lobe
• Reduced blood supply to the left hemisphere
• C. Respiratory failure or cardiopulmonary
arrest
D. Ruptured cerebral artery in the occipital lobe - Answer Respiratory failure or
cardiopulmonary arrest
Which of the following MOST accurately describes a simple partial seizure?
A. A seizure that causes the patient to stare blankly
B. A seizure that is not preceded by an aura
C. A generalized seizure without incontinence
D. A seizure that begins in one extremity - Answer A seizure that begins in one
extremity
Which of the following MOST accurately describes what the patient will experience
during the postictal state that follows a seizure?
A. Hyperventilation and hypersalivation
B. Confusion and fatigue
C. A rapidly improving level of consciousness
D. A gradually decreasing level of consciousness - Answer confusion and fatigue
Which of the following symptoms would lead the EMT to believe that a patient's
headache is caused by sinus congestion?
A. The pain is worse when bending over
B. There is associated neck stiffness
C. The headache began suddenly
D. There is numbness in the extremities - Answer the pain is worse when bending
over
You are caring for a 68-year-old man with sudden onset of left-sided paralysis and
slurred speech. His airway is patent, his respirations are 14 breaths/min with
adequate depth, and his oxygen saturation is 98%. Treatment for this patient should
include:
• oral glucose gel and transport.
• ventilatory assistance and transport.
• recovery position and transport.
• high-flow oxygen and transport. - Answer recovery position and transport
You respond to a residence for a child who is having a seizure. Upon arrival at the
scene, you enter the residence and find the mother holding her child, a 2-year-old
male. The child is conscious and crying. According to the mother, the child had been
, running a high fever and then experienced a seizure that lasted approximately 3
minutes. You should:
A. transport the child to the hospital and reassure the mother en route.
B. cover the child with wet towels and give oxygen via nasal cannula.
C. call medical control and request permission to give the child aspirin.
D. advise the mother to take her child to the doctor the following day. - Answer
transport the child to the hospital and reassure the mother en route
Your patient opens his eyes, moans, and pulls away from you when you pinch his
trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of:
• 7.
• 8.
• 9.
• 6. - Answer 8
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:
A. disconnect the ventilator and apply a tracheostomy collar.
B. attempt to troubleshoot the mechanical ventilator problem.
C. reset the ventilator by unplugging it for 30 to 60 seconds.
D. place a call to the home health agency treating this patient. - Answer A.
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:
• try repositioning the hearing aid or remove it and turn down the volume.
• remove both of his hearing aids and use pencil and paper to communicate.
• C. remove his hearing aids, turn up the volume, and replace them in his
ears.
D. recognize that the batteries in his hearing aids are probably depleted. - Answer A.
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.
A. 20% or more
B. 30% or more
C. 10% or more
D. 40% or more - Answer B. 30% or more
