West Coast EMT - Block 4 Exam with
Questions and Answers
Question 1
Which of the following statements regarding crush syndrome is correct?
Select one:
A. With crush syndrome, massive blood vessel damage occurs following severe soft-
tissue injuries, such as amputation of an extremity.
B. Tissue damage that occurs in crush syndrome is severe, but kidney injury is unlikely
because toxins are quickly eliminated from the body.
C. Provided that a patient with a crush injury is freed from entrapment within 6 hours,
the amount of tissue damaged is generally minimal.
D. Compromised arterial blood flow leads to crush syndrome and can occur when an
area of the body is trapped for longer than 4 hours.
Correct Answer
D. Compromised arterial blood flow leads to crush syndrome and can occur when
an area of the body is trapped for longer than 4 hours.
Question 2
Laceration of the great vessels may be accompanied by?
Correct Answer
Massive rapidly fatal hemorrhage
Question 3
What is commotio cordis?
Correct Answer
Sudden or direct blow to the chest during a critical portion of the heart beat
Page 1 of 99
,Question 4
If direct pressure fails to immediately stop severe bleeding from an extremity, you
should apply:
Select one:
A. a splint and elevate the extremity.
B. a tourniquet proximal to the injury.
C. digital pressure to a proximal artery.
D. additional sterile dressings.
Correct Answer
B. a tourniquet proximal to the injury.
Question 5
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.
Correct Answer
C. The speed of a bullet has the greatest impact on the injury produced.
Question 6
What is considered a significant fall?
Correct Answer
higher than 20ft
Question 7
What is the Epidermis
Correct Answer
tough external layer of skin
Page 2 of 99
,Question 8
Which of the following statements regarding abdominal eviscerations is correct?
Select one:
A. Most eviscerations occur to the left upper quadrant.
B. The protruding organs should be kept warm and moist.
C. The organs should be replaced carefully to avoid heat loss.
D. Adherent material is preferred when covering an evisceration.
Correct Answer
B. The protruding organs should be kept warm and moist.
Question 9
Anterior to the ear and the temporal region you can feel what?
Correct Answer
pulse of the superficial temporal artery
Question 10
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
Correct Answer
A. perfusion
Question 11
The MOST significant complication associated with facial injuries is:
Select one:
A. damage to the eyes.
B. cervical spine injury.
C. airway compromise.
D. mandibular immobility.
Correct Answer
C. airway compromise.
Page 3 of 99
, Question 12
What may happen if the belt is worn too high?
Correct Answer
Internal injuries may occur
Question 13
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
Correct Answer
D. Deployment of the air bag
Question 14
The ideal procedure for moving an injured patient from the ground to a backboard is:
Select one:
A. the four-person log roll.
B. the direct patient carry.
C. the use of a scoop stretcher.
D. the clothes drag.
Correct Answer
A. the four-person log roll.
Question 15
If patient has obvious life threatening external bleeding?
Correct Answer
Address it first
Page 4 of 99
Questions and Answers
Question 1
Which of the following statements regarding crush syndrome is correct?
Select one:
A. With crush syndrome, massive blood vessel damage occurs following severe soft-
tissue injuries, such as amputation of an extremity.
B. Tissue damage that occurs in crush syndrome is severe, but kidney injury is unlikely
because toxins are quickly eliminated from the body.
C. Provided that a patient with a crush injury is freed from entrapment within 6 hours,
the amount of tissue damaged is generally minimal.
D. Compromised arterial blood flow leads to crush syndrome and can occur when an
area of the body is trapped for longer than 4 hours.
Correct Answer
D. Compromised arterial blood flow leads to crush syndrome and can occur when
an area of the body is trapped for longer than 4 hours.
Question 2
Laceration of the great vessels may be accompanied by?
Correct Answer
Massive rapidly fatal hemorrhage
Question 3
What is commotio cordis?
Correct Answer
Sudden or direct blow to the chest during a critical portion of the heart beat
Page 1 of 99
,Question 4
If direct pressure fails to immediately stop severe bleeding from an extremity, you
should apply:
Select one:
A. a splint and elevate the extremity.
B. a tourniquet proximal to the injury.
C. digital pressure to a proximal artery.
D. additional sterile dressings.
Correct Answer
B. a tourniquet proximal to the injury.
Question 5
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.
Correct Answer
C. The speed of a bullet has the greatest impact on the injury produced.
Question 6
What is considered a significant fall?
Correct Answer
higher than 20ft
Question 7
What is the Epidermis
Correct Answer
tough external layer of skin
Page 2 of 99
,Question 8
Which of the following statements regarding abdominal eviscerations is correct?
Select one:
A. Most eviscerations occur to the left upper quadrant.
B. The protruding organs should be kept warm and moist.
C. The organs should be replaced carefully to avoid heat loss.
D. Adherent material is preferred when covering an evisceration.
Correct Answer
B. The protruding organs should be kept warm and moist.
Question 9
Anterior to the ear and the temporal region you can feel what?
Correct Answer
pulse of the superficial temporal artery
Question 10
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
Correct Answer
A. perfusion
Question 11
The MOST significant complication associated with facial injuries is:
Select one:
A. damage to the eyes.
B. cervical spine injury.
C. airway compromise.
D. mandibular immobility.
Correct Answer
C. airway compromise.
Page 3 of 99
, Question 12
What may happen if the belt is worn too high?
Correct Answer
Internal injuries may occur
Question 13
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
Correct Answer
D. Deployment of the air bag
Question 14
The ideal procedure for moving an injured patient from the ground to a backboard is:
Select one:
A. the four-person log roll.
B. the direct patient carry.
C. the use of a scoop stretcher.
D. the clothes drag.
Correct Answer
A. the four-person log roll.
Question 15
If patient has obvious life threatening external bleeding?
Correct Answer
Address it first
Page 4 of 99
