WEST COAST EMT BLOCK 4 ACTUAL
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A PLUS EMERGENCY MEDICAL
TRAINING
◉ 2nd Degree Burn
Tissue Effected?
Skin Color/Moisture/Appearance?
Answer: Partial Thickness (epidermis and part of dermis)
Not subcutaneous tissue
Blistered/white to red/ moist and spotted
◉ 3rd Degree Burn
Tissue Effected?
Skin Color/Moisture/Appearance?
Answer: Full Thickness
All skin layers including subcutaneous and beyond
Dry/Leathery/white brown or black
◉ hemothorax
,Bleeding?
s/s?
Transport?
Answer: pleural space fills with blood
s/s: shock decreased breath sounds on affected side
rapid transport
◉ Rule of 9's adults
Head
Chest
Arms
Abdomen
Groin
Legs
Answer: Head - 4.5
Chest - 9
Arms - 4.5
Abdomen - 9
Groin - 1
Legs - 9
(this is per side aka front and back)
, ◉ anaphylaxis (anaphylactic shock) S/s
Answer: Can develop within seconds, mild itching or rash, burning
skin, vascular dilation, generalized edema, coma, rapid death
◉ cardiogenic shock S/s
Pulse/Resp.'s/Blood Pressure?
Skin CMT?
Mental Status?
Right vs Left
Answer: P-Either R-Tachy BP-Brady and Narrowing
Cool Pale and Clammy/ Cyanotic
Anxiety to Decreased AMS
JVD/peripheral edema = R. Sided Failure
Crackles or rales upon auscultation L. Side fail
◉ distributive shock S/s
Types of?
Answer: Anaphylactic/Neurogenic/Septic
◉ hypovolemic shock S/s
Pulse/Resp.'s/Blood Pressure?
Skin CMT?
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A PLUS EMERGENCY MEDICAL
TRAINING
◉ 2nd Degree Burn
Tissue Effected?
Skin Color/Moisture/Appearance?
Answer: Partial Thickness (epidermis and part of dermis)
Not subcutaneous tissue
Blistered/white to red/ moist and spotted
◉ 3rd Degree Burn
Tissue Effected?
Skin Color/Moisture/Appearance?
Answer: Full Thickness
All skin layers including subcutaneous and beyond
Dry/Leathery/white brown or black
◉ hemothorax
,Bleeding?
s/s?
Transport?
Answer: pleural space fills with blood
s/s: shock decreased breath sounds on affected side
rapid transport
◉ Rule of 9's adults
Head
Chest
Arms
Abdomen
Groin
Legs
Answer: Head - 4.5
Chest - 9
Arms - 4.5
Abdomen - 9
Groin - 1
Legs - 9
(this is per side aka front and back)
, ◉ anaphylaxis (anaphylactic shock) S/s
Answer: Can develop within seconds, mild itching or rash, burning
skin, vascular dilation, generalized edema, coma, rapid death
◉ cardiogenic shock S/s
Pulse/Resp.'s/Blood Pressure?
Skin CMT?
Mental Status?
Right vs Left
Answer: P-Either R-Tachy BP-Brady and Narrowing
Cool Pale and Clammy/ Cyanotic
Anxiety to Decreased AMS
JVD/peripheral edema = R. Sided Failure
Crackles or rales upon auscultation L. Side fail
◉ distributive shock S/s
Types of?
Answer: Anaphylactic/Neurogenic/Septic
◉ hypovolemic shock S/s
Pulse/Resp.'s/Blood Pressure?
Skin CMT?
