Page 1 of 164
EMT WEST COAST EMT BLOCK 4 ACTUAL
EXAM PRACTICE QUESTIONS WITH
VERIFIED ANSWERS 2025/2026 NEW
UPDATE GRADED A+
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. --CORRECT 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. --CORRECT ANSWER--C. intracranial bleeding.
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Force acting over a distance is the definition of:
Select one: A.
work.
B. latent energy.
C. kinetic energy.
D. potential energy. --CORRECT 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. --CORRECT 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.
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D. primary blast injuries are typically the most obvious. --CORRECT ANSWER--C. primary
blast injuries are the most easily overlooked.
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 --CORRECT 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. --CORRECT ANSWER--C. stabilize her entire spine.
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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. --CORRECT 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. --
CORRECT 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:
EMT WEST COAST EMT BLOCK 4 ACTUAL
EXAM PRACTICE QUESTIONS WITH
VERIFIED ANSWERS 2025/2026 NEW
UPDATE GRADED A+
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. --CORRECT 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. --CORRECT ANSWER--C. intracranial bleeding.
,Page 2 of 164
Force acting over a distance is the definition of:
Select one: A.
work.
B. latent energy.
C. kinetic energy.
D. potential energy. --CORRECT 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. --CORRECT 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.
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D. primary blast injuries are typically the most obvious. --CORRECT ANSWER--C. primary
blast injuries are the most easily overlooked.
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 --CORRECT 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. --CORRECT ANSWER--C. stabilize her entire spine.
, Page 4 of 164
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. --CORRECT 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. --
CORRECT 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:
