WEST COAST EMT FINAL EXAM LATEST 2023-2024
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His
abdomen is distended and guarded. Your MOST important consideration for this
patient should be to:
A. assess his blood pressure to determine perfusion adequacy.
B. transport him in a supine position.
C. be alert for signs and symptoms of shock.
D. determine the exact location and cause of his pain. - Answer be alert for signs
and symptoms of shock.
A 59-year-old male presents with sudden-onset severe lower back pain. He is
conscious and alert, but very restless and diaphoretic. Your assessment reveals a
pulsating mass to the left of his umbilicus. You should:
A. administer oxygen and prepare for immediate transport.
B. vigorously palpate the abdomen to establish pain severity.
C. request a paramedic unit to give the patient pain medication.
D. place the patient in a sitting position and transport at once. - Answer administer
oxygen and prepare for immediate transport.
A young female presents with costovertebral angle tenderness. She is conscious and
alert with stable vital signs. Which of the following organs is MOST likely causing her
pain?
A. Pancreas
B. Liver
C. Kidney
D. Gallbladder - Answer Kidney
An important aspect in the treatment of a patient with severe abdominal pain is to:
A. encourage the patient to remain in a supine position.
B. administer analgesic medications to alleviate pain.
C. give 100% oxygen only if signs of shock are present.
D. provide emotional support en route to the hospital. - Answer provide emotional
support en route to the hospital.
For a patient with a gastrointestinal complaint, it is MOST important for the EMT to
.
A. identify whether the patient requires rapid transport
, B. avoid transporting the patient if the condition is minor
C. determine the cause of the patient's complaint
D. perform all interventions prior to transport - Answer identify whether the patient
requires rapid transport
Most patients with abdominal pain prefer to:
A. sit in a semi-Fowler position with their knees slightly bent.
B. lie on their side with their knees drawn into the abdomen.
C. lie in a supine position with their knees in a flexed position.
D. sit fully upright because it helps relax the abdominal muscles. - Answer lie on their
side with their knees drawn into the abdomen.
Pain that may be perceived at a distant point on the surface of the body, such as the
back or shoulder, is called:
A. referred pain.
B. remote pain.
C. radiating pain.
D. visceral pain. - Answer referred pain.
Peritonitis may result in shock because:
A. fluid shifts from the bloodstream into body tissues.
B. abdominal distention impairs cardiac contractions.
C. intra-abdominal hemorrhage is typically present.
D. severe pain causes systemic dilation of the vasculature. - Answer fluid shifts from
the bloodstream into body tissues.
Urinary tract infections are more common in .
A. women
B. active adults
C. men
D. sedentary adults - Answer women
When assessing a patient with abdominal pain, you should:
A. visually assess the painful area of the abdomen, but avoid palpation because this
could worsen his or her condition.
B. ask the patient to point to the area of pain or tenderness and assess for rebound
tenderness over that specific area.
C. observe for abdominal guarding, which is characterized by sudden relaxation of
the abdominal muscles when palpated.
D. palpate the abdomen in a clockwise direction, beginning with the quadrant after
the one the patient indicates is painful. - Answer palpate the abdomen in a clockwise
direction, beginning with the quadrant after the one the patient indicates is painful.
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His
abdomen is distended and guarded. Your MOST important consideration for this
patient should be to:
A. assess his blood pressure to determine perfusion adequacy.
B. transport him in a supine position.
C. be alert for signs and symptoms of shock.
D. determine the exact location and cause of his pain. - Answer be alert for signs
and symptoms of shock.
A 59-year-old male presents with sudden-onset severe lower back pain. He is
conscious and alert, but very restless and diaphoretic. Your assessment reveals a
pulsating mass to the left of his umbilicus. You should:
A. administer oxygen and prepare for immediate transport.
B. vigorously palpate the abdomen to establish pain severity.
C. request a paramedic unit to give the patient pain medication.
D. place the patient in a sitting position and transport at once. - Answer administer
oxygen and prepare for immediate transport.
A young female presents with costovertebral angle tenderness. She is conscious and
alert with stable vital signs. Which of the following organs is MOST likely causing her
pain?
A. Pancreas
B. Liver
C. Kidney
D. Gallbladder - Answer Kidney
An important aspect in the treatment of a patient with severe abdominal pain is to:
A. encourage the patient to remain in a supine position.
B. administer analgesic medications to alleviate pain.
C. give 100% oxygen only if signs of shock are present.
D. provide emotional support en route to the hospital. - Answer provide emotional
support en route to the hospital.
For a patient with a gastrointestinal complaint, it is MOST important for the EMT to
.
A. identify whether the patient requires rapid transport
, B. avoid transporting the patient if the condition is minor
C. determine the cause of the patient's complaint
D. perform all interventions prior to transport - Answer identify whether the patient
requires rapid transport
Most patients with abdominal pain prefer to:
A. sit in a semi-Fowler position with their knees slightly bent.
B. lie on their side with their knees drawn into the abdomen.
C. lie in a supine position with their knees in a flexed position.
D. sit fully upright because it helps relax the abdominal muscles. - Answer lie on their
side with their knees drawn into the abdomen.
Pain that may be perceived at a distant point on the surface of the body, such as the
back or shoulder, is called:
A. referred pain.
B. remote pain.
C. radiating pain.
D. visceral pain. - Answer referred pain.
Peritonitis may result in shock because:
A. fluid shifts from the bloodstream into body tissues.
B. abdominal distention impairs cardiac contractions.
C. intra-abdominal hemorrhage is typically present.
D. severe pain causes systemic dilation of the vasculature. - Answer fluid shifts from
the bloodstream into body tissues.
Urinary tract infections are more common in .
A. women
B. active adults
C. men
D. sedentary adults - Answer women
When assessing a patient with abdominal pain, you should:
A. visually assess the painful area of the abdomen, but avoid palpation because this
could worsen his or her condition.
B. ask the patient to point to the area of pain or tenderness and assess for rebound
tenderness over that specific area.
C. observe for abdominal guarding, which is characterized by sudden relaxation of
the abdominal muscles when palpated.
D. palpate the abdomen in a clockwise direction, beginning with the quadrant after
the one the patient indicates is painful. - Answer palpate the abdomen in a clockwise
direction, beginning with the quadrant after the one the patient indicates is painful.
