West Coast EMT - Block 4 EXAM
QUESTIONS WITH CORRECT ANSWERS
(100% VERIFIED AND CORRECT
GRADED)
A "hip" fracture is actually a fracture of the:
Select one:
A. pubic symphysis.
B. femoral shaft.
C. proximal femur.
D. pelvic girdle. - CORRECT ANSWERS C. proximal femur.
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 - CORRECT ANSWERS D. Energy transmission to the spine
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. - CORRECT ANSWERS C. stabilize her entire spine.
,A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and she complains of
severe pain. You should:
Select one:
A. keep her knee flexed and secure it with padded board splints.
B. flex her knee slightly more and assess for distal circulation.
C. gently straighten her knee and apply a padded board splint.
D. make one attempt to return the patella to its normal position. - CORRECT ANSWERS A. keep
her knee flexed and secure it with padded board splints.
A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect
of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover
_____ of his BSA.
Select one:
A. 27%
B. 45%
C. 18%
D. 36% - CORRECT ANSWERS C. 18%
A 22-year-old female was ejected from her car after striking a tree head-on. As you approach her, you
note obvious closed deformities to both of her femurs. She is not moving and does not appear to be
conscious. You should:
Select one:
A. stabilize her head and perform a primary assessment.
B. administer oxygen and perform a rapid assessment.
C. apply manual stabilization to both of her femurs.
D. assess for a carotid pulse and assist her ventilations. - CORRECT ANSWERS A. stabilize her
head and perform a primary assessment.
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and
alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the
sternum and a rapid, irregular pulse. In addition to providing supplemental oxygen, you should:
Select one:
A. apply an AED and assess his BP.
,B. prepare for immediate transport.
C. apply bulky dressings to the sternum.
D. determine if he has cardiac problems. - CORRECT ANSWERS B. prepare for immediate
transport.
A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your
assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is
experiencing:
Select one:
A. acute retinitis.
B. a detached retina.
C. conjunctivitis.
D. a corneal abrasion. - CORRECT ANSWERS C. conjunctivitis.
A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he
was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-
threatening injuries, how you should care for his wound?
Select one:
A. Irrigate it with sterile water and cover it with a dry dressing.
B. Carefully replace the exposed bowel into the abdomen and transport.
C. Cover the exposed bowel and keep his legs in a straight position.
D. Cover it with moist, sterile gauze and secure with an occlusive dressing. - CORRECT
ANSWERS D. Cover it with moist, sterile gauze and secure with an occlusive dressing.
A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred
speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding
the injury. After manually stabilizing his head and assessing his airway, you should:
Select one:
A. palpate his radial pulses.
B. administer high-flow oxygen.
C. apply ice to the hematoma.
D. perform a neurologic exam. - CORRECT ANSWERS B. administer high-flow oxygen.
, A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:
Select one:
A. thoroughly flush her ear with sterile saline.
B. use tweezers to try to remove the object.
C. remove the peanut with a cotton-tipped swab.
D. transport her to the emergency department. - CORRECT ANSWERS D. transport her to the
emergency department.
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. - CORRECT ANSWERS C.
pinching the patient's nostrils and having him lean forward.
A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with
another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her
mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a
pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should:
Select one:
A. assist ventilations with a BVM device, immobilize her spine, suction her oropharynx for 30 seconds,
and transport.
B. apply oxygen via a nonrebreathing mask, suction her airway as needed, disregard the dislodged teeth,
and transport.
C. fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.
D. fully immobilize her spine, irrigate her empty tooth sockets, attempt to locate the dislodged teeth, and
transport. - CORRECT ANSWERS C. fully immobilize her spine, attempt to locate the dislodged
teeth, suction as needed, and transport.
QUESTIONS WITH CORRECT ANSWERS
(100% VERIFIED AND CORRECT
GRADED)
A "hip" fracture is actually a fracture of the:
Select one:
A. pubic symphysis.
B. femoral shaft.
C. proximal femur.
D. pelvic girdle. - CORRECT ANSWERS C. proximal femur.
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 - CORRECT ANSWERS D. Energy transmission to the spine
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. - CORRECT ANSWERS C. stabilize her entire spine.
,A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and she complains of
severe pain. You should:
Select one:
A. keep her knee flexed and secure it with padded board splints.
B. flex her knee slightly more and assess for distal circulation.
C. gently straighten her knee and apply a padded board splint.
D. make one attempt to return the patella to its normal position. - CORRECT ANSWERS A. keep
her knee flexed and secure it with padded board splints.
A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect
of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover
_____ of his BSA.
Select one:
A. 27%
B. 45%
C. 18%
D. 36% - CORRECT ANSWERS C. 18%
A 22-year-old female was ejected from her car after striking a tree head-on. As you approach her, you
note obvious closed deformities to both of her femurs. She is not moving and does not appear to be
conscious. You should:
Select one:
A. stabilize her head and perform a primary assessment.
B. administer oxygen and perform a rapid assessment.
C. apply manual stabilization to both of her femurs.
D. assess for a carotid pulse and assist her ventilations. - CORRECT ANSWERS A. stabilize her
head and perform a primary assessment.
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and
alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the
sternum and a rapid, irregular pulse. In addition to providing supplemental oxygen, you should:
Select one:
A. apply an AED and assess his BP.
,B. prepare for immediate transport.
C. apply bulky dressings to the sternum.
D. determine if he has cardiac problems. - CORRECT ANSWERS B. prepare for immediate
transport.
A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your
assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is
experiencing:
Select one:
A. acute retinitis.
B. a detached retina.
C. conjunctivitis.
D. a corneal abrasion. - CORRECT ANSWERS C. conjunctivitis.
A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he
was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-
threatening injuries, how you should care for his wound?
Select one:
A. Irrigate it with sterile water and cover it with a dry dressing.
B. Carefully replace the exposed bowel into the abdomen and transport.
C. Cover the exposed bowel and keep his legs in a straight position.
D. Cover it with moist, sterile gauze and secure with an occlusive dressing. - CORRECT
ANSWERS D. Cover it with moist, sterile gauze and secure with an occlusive dressing.
A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred
speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding
the injury. After manually stabilizing his head and assessing his airway, you should:
Select one:
A. palpate his radial pulses.
B. administer high-flow oxygen.
C. apply ice to the hematoma.
D. perform a neurologic exam. - CORRECT ANSWERS B. administer high-flow oxygen.
, A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:
Select one:
A. thoroughly flush her ear with sterile saline.
B. use tweezers to try to remove the object.
C. remove the peanut with a cotton-tipped swab.
D. transport her to the emergency department. - CORRECT ANSWERS D. transport her to the
emergency department.
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. - CORRECT ANSWERS C.
pinching the patient's nostrils and having him lean forward.
A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with
another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her
mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a
pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should:
Select one:
A. assist ventilations with a BVM device, immobilize her spine, suction her oropharynx for 30 seconds,
and transport.
B. apply oxygen via a nonrebreathing mask, suction her airway as needed, disregard the dislodged teeth,
and transport.
C. fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.
D. fully immobilize her spine, irrigate her empty tooth sockets, attempt to locate the dislodged teeth, and
transport. - CORRECT ANSWERS C. fully immobilize her spine, attempt to locate the dislodged
teeth, suction as needed, and transport.
