WEST COAST EMT BLOCK 4 PREPARATION
2026 HIGH YIELD TOPICS AND SOLUTIONS
FIELD RESPONSE TRAINING KIT
◉ Which of the following statements regarding crush syndrome is
correct?
Select one:
A. With crush syndrome, massive blood vessel damage occurs
following severe soft-tissue injuries, such as amputation of an
extremity.
B. Tissue damage that occurs in crush syndrome is severe, but
kidney injury is unlikely because toxins are quickly eliminated from
the body.
C. Provided that a patient with a crush injury is freed from
entrapment within 6 hours, the amount of tissue damaged is
generally minimal.
D. Compromised arterial blood flow leads to crush syndrome and
can occur when an area of the body is trapped for longer than 4
hours.
Answer: D. Compromised arterial blood flow leads to crush
syndrome and can occur when an area of the body is trapped for
longer than 4 hours.
,◉ You have applied a dressing and roller-gauze bandage to a
laceration on the arm of a young female. During transport, she
begins to complain of numbness and tingling in her hand. You
should:
Select one:
A. remove the gauze bandage and replace it with an elastic one.
B. carefully manipulate her arm until the symptoms subside.
C. remove the bandage and dressing and apply another one.
D. assess distal circulation and readjust the bandage as needed.
Answer: D. assess distal circulation and readjust the bandage as
needed.
◉ A 30-year-old female presents with redness, inflammation, and
pain to her left eye. During your assessment, you note that she is
having difficulty keeping her eyes open. You should suspect that she
is experiencing:
Select one:
A. acute retinitis.
B. a detached retina.
C. conjunctivitis.
D. a corneal abrasion.
Answer: C. conjunctivitis.
,◉ A 4-year-old female has a peanut lodged in the external auditory
canal of her right ear. You should:
Select one:
A. thoroughly flush her ear with sterile saline.
B. use tweezers to try to remove the object.
C. remove the peanut with a cotton-tipped swab.
D. transport her to the emergency department.
Answer: D. transport her to the emergency department.
◉ A 52-year-old unrestrained female struck the steering wheel with
her face when her truck collided with another vehicle. She has
obvious swelling to her face and several dislodged teeth. A visual
exam of her mouth reveals minimal bleeding. She is conscious and
alert with a blood pressure of 130/80 mm Hg, a pulse of 110
beats/min, and respirations of 22 breaths/min with adequate tidal
volume. You should:
Select one:
A. assist ventilations with a BVM device, immobilize her spine,
suction her oropharynx for 30 seconds, and transport.
B. apply oxygen via a nonrebreathing mask, suction her airway as
needed, disregard the dislodged teeth, and transport.
C. fully immobilize her spine, attempt to locate the dislodged teeth,
suction as needed, and transport.
D. fully immobilize her spine, irrigate her empty tooth sockets,
attempt to locate the dislodged teeth, and transport.
, Answer: C. fully immobilize her spine, attempt to locate the
dislodged teeth, suction as needed, and transport.
◉ A 6-year-old female was riding her bicycle and struck a
clothesline with her throat. She is breathing, but with obvious
difficulty. Your assessment reveals a crackling sensation in the soft
tissues of her neck and facial cyanosis. In addition to the appropriate
airway management, the intervention that will MOST likely improve
her chance of survival is:
Select one:
A. requesting a paramedic ambulance.
B. careful monitoring her vital signs.
C. rapidly transporting her to the hospital.
D. quickly immobilizing her spinal column.
Answer: C. rapidly transporting her to the hospital.
◉ A factory worker was splashed in the eyes with a strong acid
chemical. He complains of intense pain and blurred vision. Your
ambulance does not carry bottles of sterile saline or water. You
should:
Select one:
A. neutralize the acid chemical in his eye with an alkaline chemical.
B. mix baking soda with water and irrigate his eyes with the
solution.
2026 HIGH YIELD TOPICS AND SOLUTIONS
FIELD RESPONSE TRAINING KIT
◉ Which of the following statements regarding crush syndrome is
correct?
Select one:
A. With crush syndrome, massive blood vessel damage occurs
following severe soft-tissue injuries, such as amputation of an
extremity.
B. Tissue damage that occurs in crush syndrome is severe, but
kidney injury is unlikely because toxins are quickly eliminated from
the body.
C. Provided that a patient with a crush injury is freed from
entrapment within 6 hours, the amount of tissue damaged is
generally minimal.
D. Compromised arterial blood flow leads to crush syndrome and
can occur when an area of the body is trapped for longer than 4
hours.
Answer: D. Compromised arterial blood flow leads to crush
syndrome and can occur when an area of the body is trapped for
longer than 4 hours.
,◉ You have applied a dressing and roller-gauze bandage to a
laceration on the arm of a young female. During transport, she
begins to complain of numbness and tingling in her hand. You
should:
Select one:
A. remove the gauze bandage and replace it with an elastic one.
B. carefully manipulate her arm until the symptoms subside.
C. remove the bandage and dressing and apply another one.
D. assess distal circulation and readjust the bandage as needed.
Answer: D. assess distal circulation and readjust the bandage as
needed.
◉ A 30-year-old female presents with redness, inflammation, and
pain to her left eye. During your assessment, you note that she is
having difficulty keeping her eyes open. You should suspect that she
is experiencing:
Select one:
A. acute retinitis.
B. a detached retina.
C. conjunctivitis.
D. a corneal abrasion.
Answer: C. conjunctivitis.
,◉ A 4-year-old female has a peanut lodged in the external auditory
canal of her right ear. You should:
Select one:
A. thoroughly flush her ear with sterile saline.
B. use tweezers to try to remove the object.
C. remove the peanut with a cotton-tipped swab.
D. transport her to the emergency department.
Answer: D. transport her to the emergency department.
◉ A 52-year-old unrestrained female struck the steering wheel with
her face when her truck collided with another vehicle. She has
obvious swelling to her face and several dislodged teeth. A visual
exam of her mouth reveals minimal bleeding. She is conscious and
alert with a blood pressure of 130/80 mm Hg, a pulse of 110
beats/min, and respirations of 22 breaths/min with adequate tidal
volume. You should:
Select one:
A. assist ventilations with a BVM device, immobilize her spine,
suction her oropharynx for 30 seconds, and transport.
B. apply oxygen via a nonrebreathing mask, suction her airway as
needed, disregard the dislodged teeth, and transport.
C. fully immobilize her spine, attempt to locate the dislodged teeth,
suction as needed, and transport.
D. fully immobilize her spine, irrigate her empty tooth sockets,
attempt to locate the dislodged teeth, and transport.
, Answer: C. fully immobilize her spine, attempt to locate the
dislodged teeth, suction as needed, and transport.
◉ A 6-year-old female was riding her bicycle and struck a
clothesline with her throat. She is breathing, but with obvious
difficulty. Your assessment reveals a crackling sensation in the soft
tissues of her neck and facial cyanosis. In addition to the appropriate
airway management, the intervention that will MOST likely improve
her chance of survival is:
Select one:
A. requesting a paramedic ambulance.
B. careful monitoring her vital signs.
C. rapidly transporting her to the hospital.
D. quickly immobilizing her spinal column.
Answer: C. rapidly transporting her to the hospital.
◉ A factory worker was splashed in the eyes with a strong acid
chemical. He complains of intense pain and blurred vision. Your
ambulance does not carry bottles of sterile saline or water. You
should:
Select one:
A. neutralize the acid chemical in his eye with an alkaline chemical.
B. mix baking soda with water and irrigate his eyes with the
solution.
