WEST COAST-EMT REAL EXAM QUESTIONS AND
ANSWERS LATEST UPDATES//GRADED A+
A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains
ofpain to his lower back. What injury mechanism is MOST likely responsible for his back pain?
• Direct trauma to the spinal column
• Secondary fall after the initial impact
• Lateral impact to the spine
• Energy transmission to the spine - answer-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:
• inspect the helmet for cracks.
• obtain baseline vital signs
• stabilize her entire spine
• leave her bicycle helmet on - answer-C. stabilize her entire spine
A young male sustained a gunshot wound to the abdomen during an altercation. As your
partner isassessing and managing his airway, you should control the obvious bleeding and then:
• Obtain baseline vital signs
• assess for an exit wound
• apply a cervical collar
• auscultate bowel sounds - answer-B. Assess for an exit wound
According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult
traumapatient should be transported to the highest level of trauma center if he or she:
• was involved in a motor vehicle crash in which another patient in the same vehicle was killed
• Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
• has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
,• has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110
beats/min. -answer-B. 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 atrauma patient if:
• the patient requires advanced life support care and stabilization, and the nearest ALD-
groundambulance is more than 5 to 10 minutes away
• he or she was involved in a motor vehicle crash in which another occupant in the same vehicle
waskilled, even if your patients injuries are minor
• ground transport will take your ambulance out of service for an extended period of time,
regardlessof the severity of the patients injuries.
• traffic conditions hamper the ability to get the patient to a trauma center by ground within the
idealtime frame for the best clinical outcome. - answer-D. 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:
• lateral collisions
• rear-end collisions
• rollover collisions
• frontal collisions - answer-A. 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
withthe possibility of:
• intracranial bleeding.
• airway compromise
• spinal cord injury
• a fracture of the skull - answer-A. Intracranial bleeding
Force acting over a distance is the definition of:
,• work
• kinetic energy
• potential energy
• latent energy - answer-A. work
The index of suspicion is MOST accurately defined as:
• your awareness and concern for potentially serious underlying illness
• the way in which traumatic injuries occur.
• the detection of less obvious life-threatening injuries
• a predictable patter that leads to serious injuries. - answer-A. your awareness and concern
forpotentially serious underlying injuries
When assessing a patient who experienced a blast injury, it Is important to remember that:
• primary blast injuries are typically the most obvious
• secondary blast injuries are usually the least obvious
• solid organs usually rupture from the pressure wave
• primary blast injuries are the most easily overlooked - answer-D. primary best injuries are the
mosteasily overlooked
When assessing an elderly patient who fell, it is important to remember that:
• elderly patients who fall usually have a secondary head injury
• any fall in the elderly is considered to be high-energy trauma
• bilateral hip fractures usually occur when an elderly person falls.
• osteoporosis can cause a fracture as a result from a fall from a standing position. -
answer-D.osteoporosis can cause a fracture as a result from a fall from a standing position
When the speed of a motor-vehicle doubles, the amount of kinetic energy:
• quadruples
• triples
• is not affected
, • doubles - answer-A. quadruples
Which of the following destinations is most appropriate for a 41-year-old male patient who was
involvesin a rollover motor vehicle collision and is unconscious and unresponsive, assuming that
travel time to each is equal?
• only a level 1 trauma center
• A level I or II trauma center
• A level IV or level III trauma center
• any designated trauma center is acceptable - answer-B. a level I or level II trauma center
Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
• intrusion into the vehicle
• deployment of the airbag
• dismounted seats
• steering wheel deformity - answer-B. deployment of the airbag
Which of the following injuries would MOST likely occur as a direct result of the third collision in a
motorvehicle crash?
• Extremity fractures
• forehead lacerations
• aortic rupture
• flail chest - answer-C. aortic rupture
Which of the following interventions is the MOST critical to the outcome of a patient with multi
systemtrauma?
• elevation of the lower extremities
• Rapid transport to a trauma center
• Early administration of oxygen
• intravenous fluid administration - answer-B. rapid transport to a trauma center
Which of the following regarding gunshot wounds is correct?
ANSWERS LATEST UPDATES//GRADED A+
A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains
ofpain to his lower back. What injury mechanism is MOST likely responsible for his back pain?
• Direct trauma to the spinal column
• Secondary fall after the initial impact
• Lateral impact to the spine
• Energy transmission to the spine - answer-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:
• inspect the helmet for cracks.
• obtain baseline vital signs
• stabilize her entire spine
• leave her bicycle helmet on - answer-C. stabilize her entire spine
A young male sustained a gunshot wound to the abdomen during an altercation. As your
partner isassessing and managing his airway, you should control the obvious bleeding and then:
• Obtain baseline vital signs
• assess for an exit wound
• apply a cervical collar
• auscultate bowel sounds - answer-B. Assess for an exit wound
According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult
traumapatient should be transported to the highest level of trauma center if he or she:
• was involved in a motor vehicle crash in which another patient in the same vehicle was killed
• Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
• has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
,• has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110
beats/min. -answer-B. 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 atrauma patient if:
• the patient requires advanced life support care and stabilization, and the nearest ALD-
groundambulance is more than 5 to 10 minutes away
• he or she was involved in a motor vehicle crash in which another occupant in the same vehicle
waskilled, even if your patients injuries are minor
• ground transport will take your ambulance out of service for an extended period of time,
regardlessof the severity of the patients injuries.
• traffic conditions hamper the ability to get the patient to a trauma center by ground within the
idealtime frame for the best clinical outcome. - answer-D. 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:
• lateral collisions
• rear-end collisions
• rollover collisions
• frontal collisions - answer-A. 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
withthe possibility of:
• intracranial bleeding.
• airway compromise
• spinal cord injury
• a fracture of the skull - answer-A. Intracranial bleeding
Force acting over a distance is the definition of:
,• work
• kinetic energy
• potential energy
• latent energy - answer-A. work
The index of suspicion is MOST accurately defined as:
• your awareness and concern for potentially serious underlying illness
• the way in which traumatic injuries occur.
• the detection of less obvious life-threatening injuries
• a predictable patter that leads to serious injuries. - answer-A. your awareness and concern
forpotentially serious underlying injuries
When assessing a patient who experienced a blast injury, it Is important to remember that:
• primary blast injuries are typically the most obvious
• secondary blast injuries are usually the least obvious
• solid organs usually rupture from the pressure wave
• primary blast injuries are the most easily overlooked - answer-D. primary best injuries are the
mosteasily overlooked
When assessing an elderly patient who fell, it is important to remember that:
• elderly patients who fall usually have a secondary head injury
• any fall in the elderly is considered to be high-energy trauma
• bilateral hip fractures usually occur when an elderly person falls.
• osteoporosis can cause a fracture as a result from a fall from a standing position. -
answer-D.osteoporosis can cause a fracture as a result from a fall from a standing position
When the speed of a motor-vehicle doubles, the amount of kinetic energy:
• quadruples
• triples
• is not affected
, • doubles - answer-A. quadruples
Which of the following destinations is most appropriate for a 41-year-old male patient who was
involvesin a rollover motor vehicle collision and is unconscious and unresponsive, assuming that
travel time to each is equal?
• only a level 1 trauma center
• A level I or II trauma center
• A level IV or level III trauma center
• any designated trauma center is acceptable - answer-B. a level I or level II trauma center
Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
• intrusion into the vehicle
• deployment of the airbag
• dismounted seats
• steering wheel deformity - answer-B. deployment of the airbag
Which of the following injuries would MOST likely occur as a direct result of the third collision in a
motorvehicle crash?
• Extremity fractures
• forehead lacerations
• aortic rupture
• flail chest - answer-C. aortic rupture
Which of the following interventions is the MOST critical to the outcome of a patient with multi
systemtrauma?
• elevation of the lower extremities
• Rapid transport to a trauma center
• Early administration of oxygen
• intravenous fluid administration - answer-B. rapid transport to a trauma center
Which of the following regarding gunshot wounds is correct?
