WEST COAST EMT BLOCK 4 LATEST 2023 EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED 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:
• Lateral impact to the spine
• Secondary fall after the initial impact
• Direct trauma to the spinal column
• 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
MOSTimportant for you to:
Select one:
• leave her bicycle helmet on.
• obtain baseline vital signs.
• stabilize her entire spine.
• 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:
• auscultate bowel sounds.
• assess for an exit wound.
• apply a cervical collar.
• 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:
• was involved in a motor vehicle crash in which another patient in the
same vehicle was killed.
• has a systolic blood pressure of less than 110 mm Hg or a heart rate greater
than110 beats/min.
• has a bleeding disorder or takes anticoagulant medications and has any blunt
orpenetrating injury.
• has a GCS score of less than or equal to 13 with a mechanism attributed
totrauma. - 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:
• the patient requires advanced life support care and stabilization, and the
nearest ALS-ground ambulance is more than 5 to 10 minutes away.
• traffic conditions hamper the ability to get the patient to a trauma center
byground within the ideal time frame for the best clinical outcome.
• ground transport will take your ambulance out of service for an extended
periodof time, regardless of the severity of the patient's injuries.
• 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
withinthe ideal time frame for the best clinical outcome.
Approximately 25% of severe injuries to the aorta occur
during:Select one:
• frontal collisions.
• rollover collisions.
• rear-end collisions.
,• 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 fracture of the skull.
• airway compromise.
• intracranial bleeding.
• spinal cord injury. - C. intracranial bleeding.
Force acting over a distance is the definition of:
Select one:
• work.
• latent energy.
• kinetic energy.
• potential energy. - A. work.
The index of suspicion is MOST accurately defined as:
Select one:
• the detection of less obvious life-threatening injuries.
• a predictable pattern that leads to serious injuries.
• your awareness and concern for potentially serious underlying injuries.
• the way in which traumatic injuries occur. - C. your awareness and concern
forpotentially serious underlying injuries.
When assessing a patient who experienced a blast injury, it is important
toremember that:
Select one:
• solid organs usually rupture from the pressure wave.
• secondary blast injuries are usually the least obvious.
• primary blast injuries are the most easily overlooked.
, • primary blast injuries are typically the most obvious. - C. primary blast
injuriesare the most easily overlooked.
When assessing an elderly patient who fell, it is important to remember that:
Select one:
• any fall in the elderly is considered to be high-energy trauma.
• osteoporosis can cause a fracture as a result of a fall from a standing position.
• bilateral hip fractures usually occur when an elderly person falls.
• elderly patients who fall usually have a secondary head injury. - B.
osteoporosiscan 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:
• quadruples.
• is not affected.
• triples.
• 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 Level I or Level II trauma center
• Only a Level I trauma center
• A Level IV or Level III trauma center
• Any designated trauma center is acceptable. - A. A Level I or Level II
traumacenter
Which of the following findings would be LEAST suggestive of the presence
ofhigh-energy trauma?
Select one:
• Intrusion into the vehicle
• Dismounted seats
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED 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:
• Lateral impact to the spine
• Secondary fall after the initial impact
• Direct trauma to the spinal column
• 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
MOSTimportant for you to:
Select one:
• leave her bicycle helmet on.
• obtain baseline vital signs.
• stabilize her entire spine.
• 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:
• auscultate bowel sounds.
• assess for an exit wound.
• apply a cervical collar.
• 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:
• was involved in a motor vehicle crash in which another patient in the
same vehicle was killed.
• has a systolic blood pressure of less than 110 mm Hg or a heart rate greater
than110 beats/min.
• has a bleeding disorder or takes anticoagulant medications and has any blunt
orpenetrating injury.
• has a GCS score of less than or equal to 13 with a mechanism attributed
totrauma. - 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:
• the patient requires advanced life support care and stabilization, and the
nearest ALS-ground ambulance is more than 5 to 10 minutes away.
• traffic conditions hamper the ability to get the patient to a trauma center
byground within the ideal time frame for the best clinical outcome.
• ground transport will take your ambulance out of service for an extended
periodof time, regardless of the severity of the patient's injuries.
• 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
withinthe ideal time frame for the best clinical outcome.
Approximately 25% of severe injuries to the aorta occur
during:Select one:
• frontal collisions.
• rollover collisions.
• rear-end collisions.
,• 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 fracture of the skull.
• airway compromise.
• intracranial bleeding.
• spinal cord injury. - C. intracranial bleeding.
Force acting over a distance is the definition of:
Select one:
• work.
• latent energy.
• kinetic energy.
• potential energy. - A. work.
The index of suspicion is MOST accurately defined as:
Select one:
• the detection of less obvious life-threatening injuries.
• a predictable pattern that leads to serious injuries.
• your awareness and concern for potentially serious underlying injuries.
• the way in which traumatic injuries occur. - C. your awareness and concern
forpotentially serious underlying injuries.
When assessing a patient who experienced a blast injury, it is important
toremember that:
Select one:
• solid organs usually rupture from the pressure wave.
• secondary blast injuries are usually the least obvious.
• primary blast injuries are the most easily overlooked.
, • primary blast injuries are typically the most obvious. - C. primary blast
injuriesare the most easily overlooked.
When assessing an elderly patient who fell, it is important to remember that:
Select one:
• any fall in the elderly is considered to be high-energy trauma.
• osteoporosis can cause a fracture as a result of a fall from a standing position.
• bilateral hip fractures usually occur when an elderly person falls.
• elderly patients who fall usually have a secondary head injury. - B.
osteoporosiscan 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:
• quadruples.
• is not affected.
• triples.
• 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 Level I or Level II trauma center
• Only a Level I trauma center
• A Level IV or Level III trauma center
• Any designated trauma center is acceptable. - A. A Level I or Level II
traumacenter
Which of the following findings would be LEAST suggestive of the presence
ofhigh-energy trauma?
Select one:
• Intrusion into the vehicle
• Dismounted seats
