1 | Page
WEST COAST EMT BLOCK 4 2026
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
A 40-year-old unrestrained female impacted the steering wheel
of her vehicle with her chest when she hit a tree while traveling
at 45 mph. She is conscious and alert, but is experiencing
significant chest pain and shortness of breath. Which of the
following injuries is the LEAST likely?
A. Head injury
B. Pulmonary contusion
C. Multiple rib fractures
D. Cardiac contusion - ANSWER-A. Head injury
When caring for an occupant inside a motor vehicle equipped
with an airbag that did not deploy upon impact, you should:
A. remember that it could still deploy and seriously injure you.
B. realize that the airbag malfunctioned at the time of impact.
C. suspect that the patient may have experienced serious
injuries.
D. recognize that the force of impact was most likely not
severe. - ANSWER-A. remember that it could still deploy and
seriously injure you
,2 | Page
A 30-year-old male sustained a stab wound to the neck when
he was attacked outside a nightclub. During your assessment,
you should be MOST alert for:
A. injury to the cervical spine.
B. potential airway compromise.
C. damage to internal structures.
D. alterations in his mental status - ANSWER-B. potential
airway compromise
Which of the following statements regarding gunshot wounds is
correct?
A. Low-velocity bullets will cause the greatest amount of
trauma.
B. The speed of a bullet has the greatest impact on the injury
produced.
C. The size of a bullet has the greatest impact on the injury
produced.
D. High-velocity bullets will cause less severe internal injuries. -
ANSWER-B. the speed of a bullet has the greatest impact on
the injury proceeded
The cervical spine is MOST protected from whiplash-type
injuries when the:
,3 | Page
A. rear end of the vehicle is initially struck.
B. headrest is appropriately positioned.
C. patient tenses up at the time of impact.
D. airbag correctly deploys upon impact. - ANSWER-B.
headrest is appropraitely positioned
Approximately 25% of severe injuries to the aorta occur during:
A. rear-end collisions.
B. rollover collisions.
C. lateral collisions.
D. frontal collisions - ANSWER-C. lateral collisions
Evaluation of the interior of a crashed motor vehicle during
extrication will allow the EMT to:
A. determine the vehicle's speed at the time of impact.
B. identify contact points and predict potential injuries.
C. recognize if the driver hit the brakes before impact.
D. assess the severity of the third collision of the crash. -
ANSWER-B. identify contact points and predict potential
injuries
, 4 | Page
Which of the following interventions is the MOST critical to the
outcome of a patient with multisystem trauma?
A. Elevation of the lower extremities
B. Intravenous fluid administration
C. Early administration of oxygen
D. Rapid transport to a trauma center - ANSWER-D. rapid
transport to a trauma center
When evaluating the mechanism of injury of a car versus
pedestrian collision, you should first:
A. determine if the patient was propelled away from the vehicle.
B. approximate the speed of the vehicle that struck the
pedestrian.
C. determine if the patient was struck and pulled under the
vehicle.
D. evaluate the vehicle that struck the patient for structural
damage. - ANSWER-B. approximate the speed of the vehicle
that struck the pedestrian
If one or more occupants in the same vehicle are killed in a
crash, the EMT should:
A. transport the survivors only if they have injuries or complain
of pain.
WEST COAST EMT BLOCK 4 2026
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
A 40-year-old unrestrained female impacted the steering wheel
of her vehicle with her chest when she hit a tree while traveling
at 45 mph. She is conscious and alert, but is experiencing
significant chest pain and shortness of breath. Which of the
following injuries is the LEAST likely?
A. Head injury
B. Pulmonary contusion
C. Multiple rib fractures
D. Cardiac contusion - ANSWER-A. Head injury
When caring for an occupant inside a motor vehicle equipped
with an airbag that did not deploy upon impact, you should:
A. remember that it could still deploy and seriously injure you.
B. realize that the airbag malfunctioned at the time of impact.
C. suspect that the patient may have experienced serious
injuries.
D. recognize that the force of impact was most likely not
severe. - ANSWER-A. remember that it could still deploy and
seriously injure you
,2 | Page
A 30-year-old male sustained a stab wound to the neck when
he was attacked outside a nightclub. During your assessment,
you should be MOST alert for:
A. injury to the cervical spine.
B. potential airway compromise.
C. damage to internal structures.
D. alterations in his mental status - ANSWER-B. potential
airway compromise
Which of the following statements regarding gunshot wounds is
correct?
A. Low-velocity bullets will cause the greatest amount of
trauma.
B. The speed of a bullet has the greatest impact on the injury
produced.
C. The size of a bullet has the greatest impact on the injury
produced.
D. High-velocity bullets will cause less severe internal injuries. -
ANSWER-B. the speed of a bullet has the greatest impact on
the injury proceeded
The cervical spine is MOST protected from whiplash-type
injuries when the:
,3 | Page
A. rear end of the vehicle is initially struck.
B. headrest is appropriately positioned.
C. patient tenses up at the time of impact.
D. airbag correctly deploys upon impact. - ANSWER-B.
headrest is appropraitely positioned
Approximately 25% of severe injuries to the aorta occur during:
A. rear-end collisions.
B. rollover collisions.
C. lateral collisions.
D. frontal collisions - ANSWER-C. lateral collisions
Evaluation of the interior of a crashed motor vehicle during
extrication will allow the EMT to:
A. determine the vehicle's speed at the time of impact.
B. identify contact points and predict potential injuries.
C. recognize if the driver hit the brakes before impact.
D. assess the severity of the third collision of the crash. -
ANSWER-B. identify contact points and predict potential
injuries
, 4 | Page
Which of the following interventions is the MOST critical to the
outcome of a patient with multisystem trauma?
A. Elevation of the lower extremities
B. Intravenous fluid administration
C. Early administration of oxygen
D. Rapid transport to a trauma center - ANSWER-D. rapid
transport to a trauma center
When evaluating the mechanism of injury of a car versus
pedestrian collision, you should first:
A. determine if the patient was propelled away from the vehicle.
B. approximate the speed of the vehicle that struck the
pedestrian.
C. determine if the patient was struck and pulled under the
vehicle.
D. evaluate the vehicle that struck the patient for structural
damage. - ANSWER-B. approximate the speed of the vehicle
that struck the pedestrian
If one or more occupants in the same vehicle are killed in a
crash, the EMT should:
A. transport the survivors only if they have injuries or complain
of pain.
