West Coast EMT Block 3 Questions with

West Coast EMT Block 3 Questions with Complete Solutions A 40-year-old patient without a history of seizures experiences a generalized (tonic-

clonic) seizure. The LEAST likely cause of this seizure is:

a epilepsy b a brain tumor c intracraniular bleeding - Correct Answer a

A patient who is experiencing aphasia is:

a right hemisphere stroke b unable to produce or understand speech.c usually concoius with slurred speach - Correct Answer b A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic

(fibrinolytic) therapy if he or she:

a has bleeding within the brain.b GSC score of less than 8 c has had a prior heart attack - Correct Answer a A patient with an altered mental status a typically alert but unaware of the proceeding events b usually able to be aroused by painful stimuli c not thinking clearly or is incapable of being aroused - Correct Answer c

Components of the Cincinnati Prehospital Stroke Scale include:

a air dift, memmory, facial droop b facial droop, speech, and pupil size c arm drift, speech, and facial droop. - Correct Answer c

Febrile seizures:Choose one answer.

• are also referred to as petit mal seizures.
• often result in permanent brain damage.
• occur when a child's fever progressively rises.
• are usually benign but should be evaluated. - Correct Answer d

Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the:Select one:

• brain.
• kidneys.
• pancreas.
• liver. - Correct Answer d

muscle control and body coordination are controlled by the a cerebellum 1 / 3

b cerebrum c brain stem - Correct Answer a

Status epilepticus is characterized by:Choose one answer.

• prolonged seizures without a return of consciousness.
• an absence seizure that is not preceded by an aura.
• profound tachycardia and total muscle flaccidity.
• generalized seizures that last less than 5 minutes. - Correct Answer a

The most basic functions of the body, such as breathing, blood pressure, and

swallowing, are controlled by the:Choose one answer.'

• cerebellum.
• brain stem.
• cerebral cortex.
• cerebrum. - Correct Answer b

the MOST significant risk factor for a hemorrhagic stroke is:Select one:

• severe stress.
• heavy exertion.
• hypertension.
• diabetes mellitus. - Correct Answer c

The spinal cord exits the cranium through the:

• foramen magnum.
• vertebral foramen.
• foramen lamina.
• cauda equina. - Correct Answer a

When assessing arm drift of a patient with a suspected stroke, you should:Choose one answer.

• observe for approximately 5 minutes.
• ask the patient to hold his or her arms up with the palms down.
• expect to see one arm slowly drift down to the patient's side.
• ask the patient to close his or her eyes during the assessment - Correct Answer d

When caring for a patient with documented hypoglycemia, you should be MOST alert

for:Choose one answer.

• an acute stroke.
• respiratory distress.
• a seizure.
• a febrile convulsion. - Correct Answer c

Which of the following clinical signs is MOST suggestive of a ruptured aneurysm?a confusion weakeness b sudden severe headache c bloody nasal discharge - Correct Answer b 2 / 3

Which of the following conditions would MOST likely affect the entire brain?Select one:

• Respiratory failure or cardiopulmonary arrest
• Reduced blood supply to the left hemisphere
• Ruptured cerebral artery in the occipital lobe
• Blocked cerebral artery in the frontal lobe - Correct Answer a

Which of the following findings should concern the EMT the MOST when assessing a patient who complains of a headache?a history of miagrines b neck pain or stiffness c sinus congestion - Correct Answer b Which of the following MOST accurately describes the cause of an ischemic stroke?

• Acute atherosclerotic disease
• Blockage of a cerebral artery
• Narrowing of a carotid artery
• Rupture of a cerebral artery - Correct Answer b

a technique used to gain insight into a patient's thinking, which involves repeating in

question form what the patine that said, is called:

a reflective listening b active listening c intuitive listening - Correct Answer a

common causes of acute psychotic behavior include all of the following, EXCEPT:

• intense stress
• schizophrenia
• Alzheimer's disease
• mind-altering substance use - Correct Answer c

immediately after physically restraining a violent patient, the EMT should:

a inform medical control b reassess patients breathing and air way c advise patient as to why restraints were used - Correct Answer b

organic brain syndrome is defined as:

a a dysfunction of the brain caused by abnormal physical or physiological function b a change in behavior secondary to chemical imbalance c a disorder that cannot be traced - Correct Answer a

post-traumatic stress disorder can happen after:

a alcohol abuse b exposure to or injury from a traumatic occurrence c extended periods of hypothermia - Correct Answer b

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