West Coast EMT - Block 4 Exam (2026-
2027 Newest Update) with Real Exam
Questions and Trusted Answers / 100%
Correct Answers / Already Graded A+
A 12-year-old male jumped approximately 12 feet from a tree and
landed on his feet. He complains of pain to his lower back. What
injury mechanism is MOST likely responsible for his back pain?
Select one:
A. Lateral impact to the spine
B. Secondary fall after the initial impact
C. Direct trauma to the spinal column
D. Energy transmission to the spine
D. Energy transmission to the spine
A 15-year-old female was struck by a small car while riding her
bicycle. She was wearing a helmet and was thrown to the ground,
striking her head. In addition to managing problems associated
with airway, breathing, and circulation, it is MOST important for you
to:
Select one:
A. leave her bicycle helmet on.
B. obtain baseline vital signs.
C. stabilize her entire spine.
D. inspect the helmet for cracks.
C. stabilize her entire spine.
A young male sustained a gunshot wound to the abdomen during
an altercation. As your partner is assessing and managing his
airway, you should control the obvious bleeding and then:
Select one:
A. auscultate bowel sounds.
B. assess for an exit wound.
,C. apply a cervical collar.
D. obtain baseline vital signs.
B. assess for an exit wound.
According to the American College of Surgeons Committee on
Trauma (ACS-COT), an adult trauma patient should be transported
to the highest level of trauma center if he or she:
Select one:
A. was involved in a motor vehicle crash in which another patient in
the same vehicle was killed.
B. has a systolic blood pressure of less than 110 mm Hg or a heart
rate greater than 110 beats/min.
C. has a bleeding disorder or takes anticoagulant medications and
has any blunt or penetrating injury.
D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
According to the Association of Air Medical Services, you should
consider air medical transport of a trauma patient if:
Select one:
A. the patient requires advanced life support care and stabilization,
and the nearest ALS-ground ambulance is more than 5 to 10
minutes away.
B. traffic conditions hamper the ability to get the patient to a trauma
center by ground within the ideal time frame for the best clinical
outcome.
C. ground transport will take your ambulance out of service for an
extended period of time, regardless of the severity of the patient's
injuries.
D. he or she was involved in a motor vehicle crash in which another
occupant in the same vehicle was killed, even if your patient's
injuries are minor.
B. traffic conditions hamper the ability to get the patient to a trauma
center by ground within the ideal time frame for the best clinical
outcome.
Approximately 25% of severe injuries to the aorta occur during:
Select one:
A. frontal collisions.
B. rollover collisions.
,C. rear-end collisions.
D. lateral collisions.
D. lateral collisions.
Following a blunt injury to the head, a 22-year-old female is
confused and complains of a severe headache and nausea. On the
basis of these signs and symptoms, you should be MOST
concerned with the possibility of:
Select one:
A. a fracture of the skull.
B. airway compromise.
C. intracranial bleeding.
D. spinal cord injury.
C. intracranial bleeding.
Force acting over a distance is the definition of:
Select one:
A. work.
B. latent energy.
C. kinetic energy.
D. potential energy.
A. work.
The index of suspicion is MOST accurately defined as:
Select one:
A. the detection of less obvious life-threatening injuries.
B. a predictable pattern that leads to serious injuries.
C. your awareness and concern for potentially serious underlying
injuries.
D. the way in which traumatic injuries occur.
C. your awareness and concern for potentially serious underlying
injuries.
When assessing a patient who experienced a blast injury, it is
important to remember that:
Select one:
A. solid organs usually rupture from the pressure wave.
B. secondary blast injuries are usually the least obvious.
C. primary blast injuries are the most easily overlooked.
D. primary blast injuries are typically the most obvious.
C. primary blast injuries are the most easily overlooked.
When assessing an elderly patient who fell, it is important to
remember that:
, Select one:
A. any fall in the elderly is considered to be high-energy trauma.
B. osteoporosis can cause a fracture as a result of a fall from a
standing position.
C. bilateral hip fractures usually occur when an elderly person falls.
D. elderly patients who fall usually have a secondary head injury.
B. osteoporosis can cause a fracture as a result of a fall from a
standing position.
When the speed of a motor vehicle doubles, the amount of kinetic
energy:
Select one:
A. quadruples.
B. is not affected.
C. triples.
D. doubles.
A. quadruples.
Which of the following destinations is most appropriate for a 41-
year-old male patient who was involved in a rollover motor vehicle
collision and is unconscious and unresponsive, assuming that
travel times to each is equal?
Select one:
A. A Level I or Level II trauma center
B. Only a Level I trauma center
C. A Level IV or Level III trauma center
D. Any designated trauma center is acceptable.
A. A Level I or Level II trauma center
Which of the following findings would be LEAST suggestive of the
presence of high-energy trauma?
Select one:
A. Intrusion into the vehicle
B. Dismounted seats
C. Steering wheel deformity
D. Deployment of the air bag
D. Deployment of the air bag
Which of the following injuries would MOST likely occur as a direct
result of the third collision in a motor vehicle crash?
Select one:
A. Flail chest
B. Forehead lacerations
2027 Newest Update) with Real Exam
Questions and Trusted Answers / 100%
Correct Answers / Already Graded A+
A 12-year-old male jumped approximately 12 feet from a tree and
landed on his feet. He complains of pain to his lower back. What
injury mechanism is MOST likely responsible for his back pain?
Select one:
A. Lateral impact to the spine
B. Secondary fall after the initial impact
C. Direct trauma to the spinal column
D. Energy transmission to the spine
D. Energy transmission to the spine
A 15-year-old female was struck by a small car while riding her
bicycle. She was wearing a helmet and was thrown to the ground,
striking her head. In addition to managing problems associated
with airway, breathing, and circulation, it is MOST important for you
to:
Select one:
A. leave her bicycle helmet on.
B. obtain baseline vital signs.
C. stabilize her entire spine.
D. inspect the helmet for cracks.
C. stabilize her entire spine.
A young male sustained a gunshot wound to the abdomen during
an altercation. As your partner is assessing and managing his
airway, you should control the obvious bleeding and then:
Select one:
A. auscultate bowel sounds.
B. assess for an exit wound.
,C. apply a cervical collar.
D. obtain baseline vital signs.
B. assess for an exit wound.
According to the American College of Surgeons Committee on
Trauma (ACS-COT), an adult trauma patient should be transported
to the highest level of trauma center if he or she:
Select one:
A. was involved in a motor vehicle crash in which another patient in
the same vehicle was killed.
B. has a systolic blood pressure of less than 110 mm Hg or a heart
rate greater than 110 beats/min.
C. has a bleeding disorder or takes anticoagulant medications and
has any blunt or penetrating injury.
D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
According to the Association of Air Medical Services, you should
consider air medical transport of a trauma patient if:
Select one:
A. the patient requires advanced life support care and stabilization,
and the nearest ALS-ground ambulance is more than 5 to 10
minutes away.
B. traffic conditions hamper the ability to get the patient to a trauma
center by ground within the ideal time frame for the best clinical
outcome.
C. ground transport will take your ambulance out of service for an
extended period of time, regardless of the severity of the patient's
injuries.
D. he or she was involved in a motor vehicle crash in which another
occupant in the same vehicle was killed, even if your patient's
injuries are minor.
B. traffic conditions hamper the ability to get the patient to a trauma
center by ground within the ideal time frame for the best clinical
outcome.
Approximately 25% of severe injuries to the aorta occur during:
Select one:
A. frontal collisions.
B. rollover collisions.
,C. rear-end collisions.
D. lateral collisions.
D. lateral collisions.
Following a blunt injury to the head, a 22-year-old female is
confused and complains of a severe headache and nausea. On the
basis of these signs and symptoms, you should be MOST
concerned with the possibility of:
Select one:
A. a fracture of the skull.
B. airway compromise.
C. intracranial bleeding.
D. spinal cord injury.
C. intracranial bleeding.
Force acting over a distance is the definition of:
Select one:
A. work.
B. latent energy.
C. kinetic energy.
D. potential energy.
A. work.
The index of suspicion is MOST accurately defined as:
Select one:
A. the detection of less obvious life-threatening injuries.
B. a predictable pattern that leads to serious injuries.
C. your awareness and concern for potentially serious underlying
injuries.
D. the way in which traumatic injuries occur.
C. your awareness and concern for potentially serious underlying
injuries.
When assessing a patient who experienced a blast injury, it is
important to remember that:
Select one:
A. solid organs usually rupture from the pressure wave.
B. secondary blast injuries are usually the least obvious.
C. primary blast injuries are the most easily overlooked.
D. primary blast injuries are typically the most obvious.
C. primary blast injuries are the most easily overlooked.
When assessing an elderly patient who fell, it is important to
remember that:
, Select one:
A. any fall in the elderly is considered to be high-energy trauma.
B. osteoporosis can cause a fracture as a result of a fall from a
standing position.
C. bilateral hip fractures usually occur when an elderly person falls.
D. elderly patients who fall usually have a secondary head injury.
B. osteoporosis can cause a fracture as a result of a fall from a
standing position.
When the speed of a motor vehicle doubles, the amount of kinetic
energy:
Select one:
A. quadruples.
B. is not affected.
C. triples.
D. doubles.
A. quadruples.
Which of the following destinations is most appropriate for a 41-
year-old male patient who was involved in a rollover motor vehicle
collision and is unconscious and unresponsive, assuming that
travel times to each is equal?
Select one:
A. A Level I or Level II trauma center
B. Only a Level I trauma center
C. A Level IV or Level III trauma center
D. Any designated trauma center is acceptable.
A. A Level I or Level II trauma center
Which of the following findings would be LEAST suggestive of the
presence of high-energy trauma?
Select one:
A. Intrusion into the vehicle
B. Dismounted seats
C. Steering wheel deformity
D. Deployment of the air bag
D. Deployment of the air bag
Which of the following injuries would MOST likely occur as a direct
result of the third collision in a motor vehicle crash?
Select one:
A. Flail chest
B. Forehead lacerations
