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WEST COAST EMT BLOCK 4 EXAM QUESTIONS AND ANSWERS
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WEST COAST EMT BLOCK 4 EXAM QUESTIONS AND ANSWERS
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WEST COAST EMT BLOCK 4 EXAMQUESTIONS AND ANSWERS
A driver involved in a rollover motor vehicle crash will MOST likely experience serious
injuries or death if he or she:
a. is wearing only a lap belt
b. experienced multiple impacts
c. remains within the vehicle
d. is ejected or partially ejected - Answer-d. is ejected or partially ejected
According to the American College or Surgeons Committee on Trauma (ACS-COT), an
adult trauma patient should be transported to the highest level of trauma center is he or
she:
a. was involved in a motor vehicle crash in which another patient in the same vehicle
was killed.
b. has a bleeding disorder or takes anticoagulant medications and has any blunt or
penetrating injury.
c. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110
beats/min.
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.
Airbags are designed to:
a. prevent the driver from sustaining head trauma
b. decrease the severity of deceleration injuries
c. prevent a second collision inside the car.
d. be used with or without a shoulder harness - Answer-b. decrease the severity oof
deceleration injuries.
Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT
to:
a. recognize if the driver hit the brakes before impact
b. identify contact points and predict injuries
c. determine the vehicle's speed at the time of impact
d. assess the severity of the third collision of the crash - Answer-b. identify contact
points and predict injuries
Factors that should be considered when assessing a patient who has fallen include all
of the following, EXCEPT:
,a. the surface struck
b. the primary impact point
c. the speed of the fall
d. the height of the fall - Answer-c. the speed of the fall
Force acting over a distance is the definition of:
a. work
b. kinetic energy
c. potential energy
d. latent energy - Answer-a. work
If one or more occupants in the same vehicle are killed in a crash, the EMT should:
a. allow the survivors to refuse transport if they have no obvious injuries
b. rapidly assess only the survivors who experienced obvious trauma
c. transport the survivors only if they have injuries or complain of pain
d. suspect that all living occupants experienced the same serious trauma - Answer-d.
suspect that all living occupants experienced the same serious trauma
In contrast to Level III trauma center, a Level I trauma center must:
a. be involved in trauma prevention programs
b. have general surgeons in-house 24 hours a day
c. be able to stabilize patients before transferring too a higher level facility
d. have access to an emergency physician within 30 minutes - Answer-b. have general
surgeons in-house 24 hours a day.
Internal injuries caused by gunshot wounds are difficult to predict because:
a. exit wounds caused by the bullet are usually small
b. the area of a damage is usually smaller than the bullet.
c. the bullet may tumble or ricochet within the body.
d. the caliber of the bullet is frequently unknown - Answer-c. the bullet may tumble or
ricochet within the body.
Signs of a pulmonary blast injury include:
a. coughing up blood
b. vomiting blood
c. multiple rib fractures
d. an irregular pulse - Answer-a. coughing up blood
The energy of a moving object is called:
,a. kinetic energy
b. latent energy
c. potential energy
d. converted energy - Answer-a. kinetic energy
The index of suspicion is MOST accurately defined as:
a. the way in which traumatic injuries occur.
b. a predictable pattern that leads to serious injuries.
c. your awareness and concern for potentially serious underlying injuries.
d. the detection of less obvious life-threatening injuries. - Answer-c. your awareness and
concern for potentially serious underlying injuries
The phenomenon of pressure waves emanating from the bullet, causing damage
remote from its path, is known as:
a. congruent
b. cavitation
c. capitation
d. conversion - Answer-b. cavitation
When assessing an elderly patient who fell, it is important to remember that:
a. osteoporosis can cause a fracture as a result of a fall from a standing position
b. any fall in the elderly is considered to be high-energy trauma
c. bilateral hip fractures usually occur when an elderly person falls.
d. elderly patients who fall usually have a secondary head injury. - Answer-a.
osteoporosis can cause a fracture as a result of a fall from a standing position.
When assessing the interior of a crashed motor vehicle for damage, you are gathering
information regarding the:
a. kinetic energy
b. potential energy
c. index of suspicion
d. mechanism of injury - Answer-d. mechanism of injury
When the speed of a motor vehicle doubles, the amount of kinetic energy:
a. doubles
b. quadruples
c. is not affected
d. triples - Answer-b. quadruples
When treating a patient who experienced a pulmonary blast injury, you should:
a. use a demand valve to ventilate the patient
b. administer large amounts of intravenous fluid
, c. avoid giving oxygen under positive pressure
d. suspect an accompanying cardiac tamponade - Answer-c. avoid giving oxygen under
positive pressure
Which of the following findings would be LEAST suggestive of the presence of high-
energy trauma?
a. Deployment of the airbag
b. Dismounted seats
c. Intrusion onto the vehicle
d. Steering wheel collapse - Answer-a. deployment of the airbag
Which of the following interventions of the MOST critical to the outcome of a patient with
multisystem trauma?
a. Intravenouos fluid administration
b. Rapid transport to a trauma center
c. Early administration of oxygen
d. Elevation of the lower extremities - Answer-b. rapid transport to a trauma center
Which of the following would MOST likely occur as the direct result of the second
collision in a motor vehicle crash?
a. Caved-in passenger door
b. Collapsed dashboard
C. Deformed steering wheel
d. Intrathoracic hemorrhage - Answer-C. Deformed steering wheel
Kinetic energy is a calculation of:
a. weight and size
b. weight and speed
c. mass and weight
d. speed and force - Answer-b. weight and speed
A 20-year-old man has major open facial injuries after his vehicle struck a tree head-on.
Which of the following findings within the car would MOST likely explain his injury
pattern?
a. Deployed airbag
b. Bent steering wheel
c. Nonintact windshield
d. Crushed instrument panel - Answer-c. nonintact windshield
Which of the following would MOST likely result from the third collision in the "three-
collision" effect that occurs during a high-speed, frontal impact motor vehicle crash?
a. Extensive damage to the automobile
b. Flail chest and lower extremity fractures
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