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West Coast EMT block 4 quiz Questions and Answers 100% Accurate
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West Coast EMT block 4 quiz
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West Coast EMT block 4 quizA driver involved in a rollover motor vehicle crash will MOST likely experience serious
injuries or death if he or she:
Select one:
A. experiences multiple impacts.
B. is ejected or partially ejected.
C. is wearing only a lap belt.
D. remains within the vehicle. - answer B. is ejected or partially ejected.
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 v
trauma. - answer D. has a GCS score of less than or equal to 13 with a mechanism
attributed to v trauma.
Airbags are designed to:
Select one:
A. prevent a second collision inside the car.
B. prevent the driver from sustaining head trauma.
C. be used with or without a shoulder harness.
D. decrease the severity of deceleration injuries. - answer D. decrease the severity of
deceleration injuries.
Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT
to:
Select one:
A. assess the severity of the third collision of the crash.
B. recognize if the driver hit the brakes before impact.
C. identify contact points and predict potential injuries.
,D. determine the vehicle's speed at the time of impact. - answer C. identify contact
points and predict potential injuries.
Factors that should be considered when assessing a patient who has fallen include all
of the following, EXCEPT:
Select one:
A. the surface struck.
B. the speed of the fall.
C. the height of the fall.
D. the primary impact point. - answer B. the speed of the fall.
Force acting over a distance is the definition of:
Select one:
A. kinetic energy.
B. potential energy.
C. work.
D. latent energy. - answer C. work.
If one or more occupants in the same vehicle are killed in a crash, the EMT should:
Select one:
A. transport the survivors only if they have injuries or complain of pain.
B. allow the survivors to refuse transport if they have no obvious injuries.
C. suspect that all living occupants experienced the same serious trauma.
D. rapidly assess only the survivors who have experienced obvious trauma. - answer
C. suspect that all living occupants experienced the same serious trauma.
In contrast to a Level Ill trauma center, a Level I trauma center must:
Select one:
A. be involved in trauma prevention programs.
B. have access to an emergency physician within 30 minutes.
C. be able to stabilize patients before transferring to a higher level facility.
D. have general surgeons in-house 24 hours a day. - answer D. have general
surgeons in-house 24 hours a day.
Internal injuries caused by gunshot wounds are difficult to predict because:
Select one:
A. the bullet may tumble or ricochet within the body.
B. the area of damage is usually smaller than the bullet.
C. exit wounds caused by the bullet are usually small.
D. the caliber of the bullet is frequently unknown. - answer A. the bullet may tumble or
ricochet within the body.
Signs of a pulmonary blast injury include:
Select one:
A. multiple rib fractures.
B. an irregular pulse.
,C. coughing up blood.
D. vomiting blood. - answer C. coughing up blood.
The energy of a moving object is called:
Select one:
A. converted energy.
B. latent energy.
C. kinetic energy.
D. potential energy. - answer C. kinetic energy.
The index of suspicion is MOST accurately defined as:
Select one:
A. your awareness and concern for potentially serious underlying injuries.
B. a predictable pattern that leads to serious injuries.
C. the way in which traumatic injuries occur.
D. the detection of less obvious life-threatening injuries. - answer A. 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:
Select one:
A. cavitation.
B. conversion.
C. capitation.
D. congruent. - answer A. cavitation.
When assessing an elderly patient who fell, it is important to remember that:
Select one:
A. osteoporosis can cause a fracture as a result of a fall from a standing position.
B. elderly patients who fall usually have a secondary head injury.
C. bilateral hip fractures usually occur when an elderly person falls.
D. any fall in the elderly is considered to be high-energy trauma. - 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:
Select one:
A. index of suspicion.
B. mechanism of injury.
C. kinetic energy.
D. potential energy. - answer B. mechanism of injury.
When the speed of a motor vehicle doubles, the amount of kinetic energy:
Select one:
A. is not affected
B. quadruples.
, C. triples.
D. doubles. - answer B. quadruples.
When treating a patient who experienced a pulmonary blast injury, you should:
Select one:
A. use a demand valve to ventilate the patient.
B. avoid giving oxygen under positive pressure.
C. administer large amounts of intravenous fluid.
D. suspect an accompanying cardiac tamponade. - answer B. avoid giving oxygen
under positive pressure.
Which of the following findings would be LEAST suggestive of the presence of high-
energy trauma?
Select one:
A. Steering wheel collapse
B. Intrusion into the vehicle
C. Deployment of the airbag
D. Dismounted seats - answer C. Deployment of the airbag
Which of the following interventions is the MOST critical to the outcome of a patient with
multisystem trauma?
Select one:
A. Early administration of oxygen
B. Rapid transport to a trauma center
C. Intravenous fluid administration
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?
Select one:
A. Collapsed dashboard
B. Intrathoracic hemorrhage
C. Deformed steering wheel
D. Caved-in passenger door - answer C. Deformed steering wheel
A fractured femur can result in the loss of _ or more of blood into the soft tissues of the
thigh.
Select one:
A. 1L
B. 500 mL
C. 2L
D. 250 mL - answer A. 1L
An organ or tissue might better resist damage from hypoperfusion if the:
Select one:
A. heart rate is maintained at more than 100 beats/min.
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