West Coast Emt Block 4 Exam, 160 Questions, all
Solved 100% Correct with Verified Answers
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
Which of the following findings would be LEAST suggestive of the presence of high-energy
trauma?
Select one:
A. Intrusion into the vehicle
B. Dismounted seats
C. Steering wheel deformity
D. Deployment of the air bag - ✔✔D. Deployment of the air bag
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
,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
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.
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
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.
B. neck and facial injuries.
C. blunt trauma to the head.
D. open abdominal trauma. - ✔✔B. neck and facial injuries.
Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood pressure of 80 mm
Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma Score (RTS) is:
Select one:
A. 10.
B. 11.
C. 9.
D. 8. - ✔✔C. 9.
A 43-year-old man is experiencing a severe nosebleed. His blood pressure is 190/110 mm Hg
and his heart rate is 90 beats/min and bounding. Preferred treatment for this patient includes:
Select one:
A. packing both nostrils with gauze pads until the bleeding stops.
B. placing a rolled 4² × 4² dressing between his lower lip and gum.
C. pinching the patient's nostrils and having him lean forward.
D. having the patient pinch his own nostrils and then lie supine. - ✔✔C. pinching the
patient's nostrils and having him lean forward.
A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2
days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120
beats/min and thready. You should be MOST suspicious that this patient is experiencing:
Select one:
A. an aortic aneurysm.
B. acute appendicitis.
C. gastrointestinal bleeding.
, D. intrathoracic hemorrhaging. - ✔✔C. gastrointestinal bleeding.
A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has
shallow breathing, and is bleeding externally from the wound. As you control the external
bleeding, your partner should:
Select one:
A. perform a secondary assessment.
B. apply a nonrebreathing mask.
C. obtain baseline vital signs.
D. assist the patient's ventilations. - ✔✔D. assist the patient's ventilations.
Circulation of blood within an organ or tissue in adequate amounts to meet the cells' oxygen,
nutritional, and waste-removal needs is termed _______.
Select one:
A. perfusion
B. hypoperfusion
C. coagulation
D. hemorrhage - ✔✔A. perfusion
Following blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal
pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and
tender to palpation. On the basis of these findings, you should be MOST suspicious of injury to
the:
Select one:
A. spleen.
B. gallbladder.
C. pancreas.
D. liver. - ✔✔A. spleen.
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