WEST COAST EMT - BLOCK 4 EXAM SOLUTION
1. 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: D. Energy transmission to the spine
2. 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.: C. stabilize her entire spine.
3. 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.: B. assess for an exit wound.
4. 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.: D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
,WEST COAST EMT - BLOCK 4 EXAM SOLUTION
5. 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.: 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.
6. 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.: D. lateral collisions.
7. 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.: C. intracranial bleeding.
8. Force acting over a distance is the definition of:
Select one:
A. work.
B. latent energy.
C. kinetic energy.
D. potential energy.: A. work.
9. 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.
,WEST COAST EMT - BLOCK 4 EXAM SOLUTION
D. the way in which traumatic injuries occur.: C. your awareness and concern
for potentially serious underlying injuries.
10. 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.: C. primary blast
injuries are the most easily overlooked.
11. 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.: B. osteo-
porosis can cause a fracture as a result of a fall from a standing position.
12. When the speed of a motor vehicle doubles, the amount of kinetic energy:
Select one:
A. quadruples.
B. is not affected.
C. triples.
D. doubles.: A. quadruples.
13. 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. A Level I or Level II trauma center
B. Only a Level I trauma center
C. A Level IV or Level III trauma center
D. Any designated trauma center is acceptable.: A. A Level I or Level II trauma
center
14. Which of the following findings would be LEAST suggestive of the pres-
ence of high-energy trauma?
Select one:
A. Intrusion into the vehicle
, WEST COAST EMT - BLOCK 4 EXAM SOLUTION
B. Dismounted seats
C. Steering wheel deformity
D. Deployment of the air bag: D. Deployment of the air bag
15. Which of the following injuries would MOST likely occur as a direct result
of the third collision in a motor vehicle crash?
Select one:
A. Flail chest
B. Forehead lacerations
C. Aortic rupture
D. Extremity fractures: C. Aortic rupture
16. Which of the following interventions is the MOST critical to the outcome
of a patient with multisystem trauma?
Select one:
A. Intravenous fluid administration
B. Early administration of oxygen
C. Rapid transport to a trauma center
D. Elevation of the lower extremities: C. Rapid transport to a trauma center
17. Which of the following statements regarding gunshot wounds is correct?
Select one:
A. The size of a bullet has the greatest impact on the injury produced.
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. Low-velocity bullets will cause the greatest amount of trauma.: C. The
speed of a bullet has the greatest impact on the injury produced.
18. Which types of motor vehicle collisions present the greatest potential for
multiple impacts?
Select one:
A. Lateral and rollover
B. Frontal and rotational
C. Rotational and rollover
D. Rear-end and rotational: C. Rotational and rollover
19. While en route to a major motor vehicle crash, an on-scene police officer
advises you that a 6-year-old male who was riding in the front seat is
involved. He further states that the child was only wearing a lap belt and that
the air bag deployed. On the basis of this information, you should be MOST
suspicious that the child has experienced:
Select one:
A. lower extremity fractures.
1. 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: D. Energy transmission to the spine
2. 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.: C. stabilize her entire spine.
3. 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.: B. assess for an exit wound.
4. 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.: D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
,WEST COAST EMT - BLOCK 4 EXAM SOLUTION
5. 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.: 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.
6. 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.: D. lateral collisions.
7. 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.: C. intracranial bleeding.
8. Force acting over a distance is the definition of:
Select one:
A. work.
B. latent energy.
C. kinetic energy.
D. potential energy.: A. work.
9. 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.
,WEST COAST EMT - BLOCK 4 EXAM SOLUTION
D. the way in which traumatic injuries occur.: C. your awareness and concern
for potentially serious underlying injuries.
10. 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.: C. primary blast
injuries are the most easily overlooked.
11. 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.: B. osteo-
porosis can cause a fracture as a result of a fall from a standing position.
12. When the speed of a motor vehicle doubles, the amount of kinetic energy:
Select one:
A. quadruples.
B. is not affected.
C. triples.
D. doubles.: A. quadruples.
13. 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. A Level I or Level II trauma center
B. Only a Level I trauma center
C. A Level IV or Level III trauma center
D. Any designated trauma center is acceptable.: A. A Level I or Level II trauma
center
14. Which of the following findings would be LEAST suggestive of the pres-
ence of high-energy trauma?
Select one:
A. Intrusion into the vehicle
, WEST COAST EMT - BLOCK 4 EXAM SOLUTION
B. Dismounted seats
C. Steering wheel deformity
D. Deployment of the air bag: D. Deployment of the air bag
15. Which of the following injuries would MOST likely occur as a direct result
of the third collision in a motor vehicle crash?
Select one:
A. Flail chest
B. Forehead lacerations
C. Aortic rupture
D. Extremity fractures: C. Aortic rupture
16. Which of the following interventions is the MOST critical to the outcome
of a patient with multisystem trauma?
Select one:
A. Intravenous fluid administration
B. Early administration of oxygen
C. Rapid transport to a trauma center
D. Elevation of the lower extremities: C. Rapid transport to a trauma center
17. Which of the following statements regarding gunshot wounds is correct?
Select one:
A. The size of a bullet has the greatest impact on the injury produced.
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. Low-velocity bullets will cause the greatest amount of trauma.: C. The
speed of a bullet has the greatest impact on the injury produced.
18. Which types of motor vehicle collisions present the greatest potential for
multiple impacts?
Select one:
A. Lateral and rollover
B. Frontal and rotational
C. Rotational and rollover
D. Rear-end and rotational: C. Rotational and rollover
19. While en route to a major motor vehicle crash, an on-scene police officer
advises you that a 6-year-old male who was riding in the front seat is
involved. He further states that the child was only wearing a lap belt and that
the air bag deployed. On the basis of this information, you should be MOST
suspicious that the child has experienced:
Select one:
A. lower extremity fractures.
