WEST COAST EMT BLOCK 3 EXAM
LATEST ACTUAL EXAM 2024-2025
QUESTIONS AND DETAILED CORRECT
ANSWERS | ALREADY GRADED A+
A 19-year-old female was stung multiple times on the legs
by fire ants. She states that she is allergic to fire ants, but
does not carry her own epinephrine. The patient is
conscious and alert and complains of pain to the area of
the bites. Her blood pressure is 122/70 mm Hg, her pulse
is 100 beats/min and strong, and her respirations are 18
breaths/min and unlabored. You should:
Select one:
A. administer oxygen and transport her to the hospital.
B. request a paramedic unit to administer epinephrine.
C. position her legs well above the level of her heart.
D. advise her to see her physician as soon as possible.
Correct Answer A. administer oxygen and transport her to
the hospital.
A 37-year-old male is having a severe allergic reaction to
penicillin. He does not have an epinephrine auto-injector
and your protocols do not allow you to carry epinephrine
on the ambulance. How should you proceed with the
treatment of this patient?
Select one:
A. Quickly determine if there are any bystanders who may
carry epinephrine.
,B. Administer oxygen, transport at once, and request a
paramedic intercept.
C. Remain at the scene with the patient and request a
paramedic ambulance.
D. Ask the patient if he has any diphenhydramine tablets
that you can administer. Correct Answer B. Administer
oxygen, transport at once, and request a paramedic
intercept.
After administering 0.3 mg of epinephrine via auto-injector
to a 22-year-old woman with an allergic reaction, you note
improvement in her breathing and dissipation of her hives.
However, she is still anxious and tachycardic. You should:
Select one:
A. contact medical control and obtain authorization to
administer another 0.3 mg of epinephrine.
B. consider administering 0.15 mg of epinephrine to
completely resolve her allergic reaction.
C. transport her rapidly, as it is obvious that she is having
a severe reaction to the epinephrine.
D. monitor her closely but recall that anxiety and
tachycardia are side effects of epinephrine. Correct
Answer D. monitor her closely but recall that anxiety and
tachycardia are side effects of epinephrine.
Anaphylaxis caused by stinging insects is typically an
allergic reaction to ____________ rather than the bite or
sting itself.
Select one:
A. injected poison
B. irritating toxin
,C. deadly venom
D. All of these answers are correct. Correct Answer D. All
of these answers are correct.
Anaphylaxis is MOST accurately defined as a(n):
Select one:
A. moderate allergic reaction that primarily affects the
vasculature.
B. extreme allergic reaction that may affect multiple body
systems.
C. severe allergic reaction that typically resolves without
treatment.
D. allergic reaction that causes bronchodilation and
vasoconstriction. Correct Answer B. extreme allergic
reaction that may affect multiple body systems.
At the site of the injury, signs and symptoms of an animal
or insect bite or sting may include pain, localized heat, and
a wheal, which appears as __________.
Select one:
A. an uncomfortable depression in the skin
B. a large area of red, blotchy skin
C. a series of small, raised pustules
D. a raised, well-defined area of the skin Correct Answer
D. a raised, well-defined area of the skin
Care for a victim of an immunologic emergency who is
severely hypotensive should include which of the
following?
Select one:
, A. Position the patient's airway and initiate positive-
pressure ventilations.
B. Initiate basic life support measures, including the use of
an automated external defibrillator, if necessary.
C. Routine spinal immobilization due to the potential for
traumatic injury
D. Apply high-flow oxygen therapy, place the patient in a
shock position, and help maintain the patient's body
temperature. Correct Answer D. Apply high-flow oxygen
therapy, place the patient in a shock position, and help
maintain the patient's body temperature.
Epinephrine stimulates the ________ response,
increasing blood pressure and relieving bronchospasm.
Select one:
A. parasympathetic
B. cardiac
C. sympathetic
D. respiratory Correct Answer C. sympathetic
Patients may experience allergic reactions to which of the
following substances?
Select one:
a. Food and medications
b. Insect or animal bites and stings
c. Plant material
d. All of these answers are correct. Correct Answer d. All
of these answers are correct.
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