West Coast EMT - Block exam 4 with
passed exam questions and answers
2025
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 .- .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:
Select .one:
A. leave .her .bicycle .helmet .on.
B. obtain .baseline .vital .signs.
C. stabilize .her .entire .spine.
D. inspect .the .helmet .for .cracks. .- .answer .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. .- .answer .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. .-
.answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .B.
.osteoporosis .can .cause .a .fracture .as .a .result .of .a .fall .from .a .standing .position.
passed exam questions and answers
2025
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 .- .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:
Select .one:
A. leave .her .bicycle .helmet .on.
B. obtain .baseline .vital .signs.
C. stabilize .her .entire .spine.
D. inspect .the .helmet .for .cracks. .- .answer .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. .- .answer .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. .-
.answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .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. .- .answer .B.
.osteoporosis .can .cause .a .fracture .as .a .result .of .a .fall .from .a .standing .position.
