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WEST COAST EMT BLOCK EXAM
#3
Question : A 30-Year-Old Male Experienced A
Generalized (Tonic-Clonic) Seizure, Which Stopped Before You Arrived At The Scene. The Patient Is Conscious, Is Answering Your Questions Appropriately, And Refuses Ems Transport. Which Of The Following Would Be The Most Compelling Reason To Disagree With His Refusal Of Transport?(a) His Glasgow Coma Scale (Gcs) Score Is 15 (b) His Wife States That This Was His "Usual" Seizure (c) He Has Experienced Seizures Since He Was 20 (d) He Is Currently Not Prescribed Any Medications
Correct Answer: (d) He Is Currently Not Prescribed Any
Medications
Question : A Patient Who Is Possibly Experiencing A
Stroke Is Not Eligible For Thrombolytic (Fibrinolytic)
Therapy If He Or She:
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(a) Has Had A Prior Heart Attack.(b) Has Bleeding Within The Brain.(c) Has A Gcs Score That Is Less Than 8.(d) Is Older Than 60 Years Of Age.
Correct Answer: (b) Has Bleeding Within The Brain.
Question : A Patient Whose Speech Is Slurred And
Difficult To Understand Is Experiencing:
(a) Paraplegia.(b) Dysphagia.(c) Dysarthria.(d) Aphasia.
Correct Answer: (c) Dysarthria.
Question : A Patient With An Altered Mental Status Is: (a) Typically Alert But Is Confused As To Preceding Events.(b) Not Thinking Clearly Or Is Incapable Of Being Aroused.
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(c) Usually Able To Be Aroused With A Painful Stimulus.(d) Completely Unresponsive To All Forms Of Stimuli.
Correct Answer: (b) Not Thinking Clearly Or Is
Incapable Of Being Aroused.
Question : During The Primary Assessment Of A
Semiconscious 70-Year-Old Female, You Should:
(a) Insert A Nasopharyngeal Airway And Assist Ventilations.(b) Ask Family Members If The Patient Has A History Of Stroke.(c) Immediately Determine The Patient'S Blood Glucose Level.(d) Ensure A Patent Airway And Support Ventilation As Needed.
Correct Answer: (d) Ensure A Patent Airway And
Support Ventilation As Needed.
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Question : Interruption Of Cerebral Blood Flow May
Result From All Of The Following, Except:
(a) An Embolism.(b) Cerebral Vasodilation.(c) A Thrombus.(d) An Acute Arterial Rupture.
Correct Answer: (b) Cerebral Vasodilation.
Question : The Left Cerebral Hemisphere Controls: (a) Heart Rate And Pupil Reaction.(b) The Right Side Of The Face.(c) Breathing And Blood Pressure.(d) The Right Side Of The Body.
Correct Answer: (d) The Right Side Of The Body.
Question : The Most Significant Risk Factor For A
Hemorrhagic Stroke Is:
(a) Diabetes Mellitus.(b) Hypertension.