NEW WEST COAST EMT FINAL EXAM
PRACTICE QUESTIONS WITH VERIFIED
SOLUTIONS TESTED AND APPROVED
GRADED A+
When the speed of a motor-vehicle doubles, the amount of kinetic energy:
A. quadruples
B. triples
C. is not affected
D. doubles -- ANSWER--A. quadruples
Which of the following destinations is most appropriate for a 41-year-old male patient who
was involves in a rollover motor vehicle collision and is unconscious and unresponsive,
assuming that travel time to each is equal?
A. only a level 1 trauma center
B. A level I or II trauma center
C. A level IV or level III trauma center
D. 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?
A. intrusion into the vehicle
1
,B. deployment of the airbag
C. dismounted seats
D. 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 motor vehicle crash?
A. Extremity fractures
B. forehead lacerations
C. aortic rupture
D. flail chest -- ANSWER--C. aortic rupture
Which of the following interventions is the MOST critical to the outcome of a patient with
multi system trauma?
A. elevation of the lower extremities
B. Rapid transport to a trauma center
C. Early administration of oxygen
D. intravenous fluid administration -- ANSWER--B. rapid transport to a trauma center
Which of the following regarding gunshot wounds is correct?
A. Low-velocity bullets will cause the greatest amount of trauma.
B. high-velocity bullets will cause less severe internal injuries
C. the speed of a bullet has the greatest impact on the injury produced
D. the size of a bullet has the greatest impact on the injury produced -- ANSWER--C. the
speed of the bullet has the greatest impact on the injury produced
2
,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?
A. Direct trauma to the spinal column
B. Secondary fall after the initial impact
C. Lateral impact to the spine
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: A.
inspect the helmet for cracks.
B. obtain baseline vital signs
C. stabilize her entire spine
D. 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 is assessing and managing his airway, you should control the obvious bleeding and
then:
A. Obtain baseline vital signs
B. assess for an exit wound
C. apply a cervical collar
D. auscultate bowel sounds -- 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:
3
, A. was involved in a motor vehicle crash in which another patient in the same vehicle
was
killed
B. Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
C. has a bleeding disorder or takes anticoagulant medications and has any blunt or
penetrating injury.
D. 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 a trauma patient if:
A. the patient requires advanced life support care and stabilization, and the nearest
ALDground ambulance is more than 5 to 10 minutes away
B. he or she was involved in a motor vehicle crash in which another occupant in the
same vehicle was killed, even if your patients injuries are minor
C. ground transport will take your ambulance out of service for an extended period of
time, regardless of the severity of the patients injuries.
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. -- 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:
A. lateral collisions
B. rear-end collisions
C. rollover collisions
4
PRACTICE QUESTIONS WITH VERIFIED
SOLUTIONS TESTED AND APPROVED
GRADED A+
When the speed of a motor-vehicle doubles, the amount of kinetic energy:
A. quadruples
B. triples
C. is not affected
D. doubles -- ANSWER--A. quadruples
Which of the following destinations is most appropriate for a 41-year-old male patient who
was involves in a rollover motor vehicle collision and is unconscious and unresponsive,
assuming that travel time to each is equal?
A. only a level 1 trauma center
B. A level I or II trauma center
C. A level IV or level III trauma center
D. 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?
A. intrusion into the vehicle
1
,B. deployment of the airbag
C. dismounted seats
D. 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 motor vehicle crash?
A. Extremity fractures
B. forehead lacerations
C. aortic rupture
D. flail chest -- ANSWER--C. aortic rupture
Which of the following interventions is the MOST critical to the outcome of a patient with
multi system trauma?
A. elevation of the lower extremities
B. Rapid transport to a trauma center
C. Early administration of oxygen
D. intravenous fluid administration -- ANSWER--B. rapid transport to a trauma center
Which of the following regarding gunshot wounds is correct?
A. Low-velocity bullets will cause the greatest amount of trauma.
B. high-velocity bullets will cause less severe internal injuries
C. the speed of a bullet has the greatest impact on the injury produced
D. the size of a bullet has the greatest impact on the injury produced -- ANSWER--C. the
speed of the bullet has the greatest impact on the injury produced
2
,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?
A. Direct trauma to the spinal column
B. Secondary fall after the initial impact
C. Lateral impact to the spine
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: A.
inspect the helmet for cracks.
B. obtain baseline vital signs
C. stabilize her entire spine
D. 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 is assessing and managing his airway, you should control the obvious bleeding and
then:
A. Obtain baseline vital signs
B. assess for an exit wound
C. apply a cervical collar
D. auscultate bowel sounds -- 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:
3
, A. was involved in a motor vehicle crash in which another patient in the same vehicle
was
killed
B. Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.
C. has a bleeding disorder or takes anticoagulant medications and has any blunt or
penetrating injury.
D. 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 a trauma patient if:
A. the patient requires advanced life support care and stabilization, and the nearest
ALDground ambulance is more than 5 to 10 minutes away
B. he or she was involved in a motor vehicle crash in which another occupant in the
same vehicle was killed, even if your patients injuries are minor
C. ground transport will take your ambulance out of service for an extended period of
time, regardless of the severity of the patients injuries.
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. -- 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:
A. lateral collisions
B. rear-end collisions
C. rollover collisions
4
