WEST COAST EMT - BLOCK 4
QUESTIONS WITH CORRECT ANSWERS
Save
A bn12-year-old bnmale bnjumped bnapproximately bn12 bnfeet bnfrom bna bntree bnand
bnlanded bnon bnhis bnfeet. bnHe bncomplains bnof bnpain bnto bnhis bnlower bnback. bnWhat
bninjury bnmechanism bnis bnMOST bnlikely bnresponsible bnfor bnhis bnback bnpain?
Select bnone:
A. bnLateral bnimpact bnto bnthe bnspine
B. bnSecondary bnfall bnafter bnthe bninitial bnimpact
C. bnDirect bntrauma bnto bnthe bnspinal bncolumn
D. bnEnergy bntransmission bnto bnthe bnspine bn- bnANS--D. bnEnergy bntransmission bnto
bnthe bnspine
A bn15-year-old bnfemale bnwas bnstruck bnby bna bnsmall bncar bnwhile bnriding bnher
bnbicycle. bnShe bnwas bnwearing bna bnhelmet bnand bnwas bnthrown bnto bnthe bnground,
bnstriking bnher bnhead. bnIn bnaddition bnto bnmanaging bnproblems bnassociated bnwith
bnairway, bnbreathing, bnand bncirculation, bnit bnis bnMOST bnimportant bnfor bnyou bnto:
Select bnone:
A. bnleave bnher bnbicycle bnhelmet bnon.
B. bnobtain bnbaseline bnvital bnsigns.
C. bnstabilize bnher bnentire bnspine.
D. bninspect bnthe bnhelmet bnfor bncracks. bn- bnANS--C. bnstabilize bnher bnentire bnspine.
A bnyoung bnmale bnsustained bna bngunshot bnwound bnto bnthe bnabdomen bnduring bnan
bnaltercation. bnAs bnyour bnpartner bnis bnassessing bnand bnmanaging bnhis bnairway, bnyou
bnshould bncontrol bnthe bnobvious bnbleeding bnand bnthen:
Select bnone:
A. bnauscultate bnbowel bnsounds.
B. bnassess bnfor bnan bnexit bnwound.
C. bnapply bna bncervical bncollar.
D. bnobtain bnbaseline bnvital bnsigns. bn- bnANS--B. bnassess bnfor bnan bnexit bnwound.
According bnto bnthe bnAmerican bnCollege bnof bnSurgeons bnCommittee bnon bnTrauma
bn(ACS-COT), bnan bnadult bntrauma bnpatient bnshould bnbe bntransported bnto bnthe
bnhighest bnlevel bnof bntrauma bncenter bnif bnhe bnor bnshe:
Select bnone:
A. bnwas bninvolved bnin bna bnmotor bnvehicle bncrash bnin bnwhich bnanother bnpatient bnin
bnthe bnsame bnvehicle bnwas bnkilled.
B. bnhas bna bnsystolic bnblood bnpressure bnof bnless bnthan bn110 bnmm bnHg bnor bna bnheart
bnrate bngreater bnthan bn110 bnbeats/min.
,C. bnhas bna bnbleeding bndisorder bnor bntakes bnanticoagulant bnmedications bnand bnhas
bnany bnblunt bnor bnpenetrating bninjury.
D. bnhas bna bnGCS bnscore bnof bnless bnthan bnor bnequal bnto bn13 bnwith bna bnmechanism
bnattributed bnto bntrauma. bn- bnANS--D. bnhas bna bnGCS bnscore bnof bnless bnthan bnor
bnequal bnto bn13 bnwith bna bnmechanism bnattributed bnto bntrauma.
According bnto bnthe bnAssociation bnof bnAir bnMedical bnServices, bnyou bnshould
bnconsider bnair bnmedical bntransport bnof bna bntrauma bnpatient bnif:
Select bnone:
A. bnthe bnpatient bnrequires bnadvanced bnlife bnsupport bncare bnand bnstabilization, bnand
bnthe bnnearest bnALS-ground bnambulance bnis bnmore bnthan bn5 bnto bn10 bnminutes
bnaway.
B. bntraffic bnconditions bnhamper bnthe bnability bnto bnget bnthe bnpatient bnto bna bntrauma
bncenter bnby bnground bnwithin bnthe bnideal bntime bnframe bnfor bnthe bnbest bnclinical
bnoutcome.
C. bnground bntransport bnwill bntake bnyour bnambulance bnout bnof bnservice bnfor bnan
bnextended bnperiod bnof bntime, bnregardless bnof bnthe bnseverity bnof bnthe bnpatient's
bninjuries.
D. bnhe bnor bnshe bnwas bninvolved bnin bna bnmotor bnvehicle bncrash bnin bnwhich bnanother
bnoccupant bnin bnthe bnsame bnvehicle bnwas bnkilled, bneven bnif bnyour bnpatient's bninjuries
bnare bnminor. bn- bnANS--B. bntraffic bnconditions bnhamper bnthe bnability bnto bnget bnthe
bnpatient bnto bna bntrauma bncenter bnby bnground bnwithin bnthe bnideal bntime bnframe bnfor
bnthe bnbest bnclinical bnoutcome.
Approximately bn25% bnof bnsevere bninjuries bnto bnthe bnaorta bnoccur bnduring:
Select bnone:
A. bnfrontal bncollisions.
B. bnrollover bncollisions.
C. bnrear-end bncollisions.
D. bnlateral bncollisions. bn- bnANS--D. bnlateral bncollisions.
Following bna bnblunt bninjury bnto bnthe bnhead, bna bn22-year-old bnfemale bnis bnconfused
bnand bncomplains bnof bna bnsevere bnheadache bnand bnnausea. bnOn bnthe bnbasis bnof
bnthese bnsigns bnand bnsymptoms, bnyou bnshould bnbe bnMOST bnconcerned bnwith bnthe
bnpossibility bnof:
Select bnone:
A. bna bnfracture bnof bnthe bnskull.
B. bnairway bncompromise.
C. bnintracranial bnbleeding.
D. bnspinal bncord bninjury. bn- bnANS--C. bnintracranial bnbleeding.
Force bnacting bnover bna bndistance bnis bnthe bndefinition bnof:
Select bnone:
A. bnwork.
B. bnlatent bnenergy.
C. bnkinetic bnenergy.
,D. bnpotential bnenergy. bn- bnANS--A. bnwork.
The bnindex bnof bnsuspicion bnis bnMOST bnaccurately bndefined bnas:
Select bnone:
A. bnthe bndetection bnof bnless bnobvious bnlife-threatening bninjuries.
B. bna bnpredictable bnpattern bnthat bnleads bnto bnserious bninjuries.
C. bnyour bnawareness bnand bnconcern bnfor bnpotentially bnserious bnunderlying bninjuries.
D. bnthe bnway bnin bnwhich bntraumatic bninjuries bnoccur. bn- bnANS--C. bnyour bnawareness
bnand bnconcern bnfor bnpotentially bnserious bnunderlying bninjuries.
When bnassessing bna bnpatient bnwho bnexperienced bna bnblast bninjury, bnit bnis bnimportant
bnto bnremember bnthat:
Select bnone:
A. bnsolid bnorgans bnusually bnrupture bnfrom bnthe bnpressure bnwave.
B. bnsecondary bnblast bninjuries bnare bnusually bnthe bnleast bnobvious.
C. bnprimary bnblast bninjuries bnare bnthe bnmost bneasily bnoverlooked.
D. bnprimary bnblast bninjuries bnare bntypically bnthe bnmost bnobvious. bn- bnANS--C.
bnprimary bnblast bninjuries bnare bnthe bnmost bneasily bnoverlooked.
When bnassessing bnan bnelderly bnpatient bnwho bnfell, bnit bnis bnimportant bnto bnremember
bnthat:
Select bnone:
A. bnany bnfall bnin bnthe bnelderly bnis bnconsidered bnto bnbe bnhigh-energy bntrauma.
B. bnosteoporosis bncan bncause bna bnfracture bnas bna bnresult bnof bna bnfall bnfrom bna
bnstanding bnposition.
C. bnbilateral bnhip bnfractures bnusually bnoccur bnwhen bnan bnelderly bnperson bnfalls.
D. bnelderly bnpatients bnwho bnfall bnusually bnhave bna bnsecondary bnhead bninjury. bn-
bnANS--B. bnosteoporosis bncan bncause bna bnfracture bnas bna bnresult bnof bna bnfall bnfrom
bna bnstanding bnposition.
When bnthe bnspeed bnof bna bnmotor bnvehicle bndoubles, bnthe bnamount bnof bnkinetic
bnenergy:
Select bnone:
A. bnquadruples.
B. bnis bnnot bnaffected.
C. bntriples.
D. bndoubles. bn- bnANS--A. bnquadruples.
Which bnof bnthe bnfollowing bndestinations bnis bnmost bnappropriate bnfor bna bn41-year-old
bnmale bnpatient bnwho bnwas bninvolved bnin bna bnrollover bnmotor bnvehicle bncollision bnand
bnis bnunconscious bnand bnunresponsive, bnassuming bnthat bntravel bntimes bnto bneach bnis
bnequal?
Select bnone:
A. bnA bnLevel bnI bnor bnLevel bnII bntrauma bncenter
B. bnOnly bna bnLevel bnI bntrauma bncenter
C. bnA bnLevel bnIV bnor bnLevel bnIII bntrauma bncenter
, D. bnAny bndesignated bntrauma bncenter bnis bnacceptable. bn- bnANS--A. bnA bnLevel bnI bnor
bnLevel bnII bntrauma bncenter
Which bnof bnthe bnfollowing bnfindings bnwould bnbe bnLEAST bnsuggestive bnof bnthe
bnpresence bnof bnhigh-energy bntrauma?
Select bnone:
A. bnIntrusion bninto bnthe bnvehicle
B. bnDismounted bnseats
C. bnSteering bnwheel bndeformity
D. bnDeployment bnof bnthe bnair bnbag bn- bnANS--D. bnDeployment bnof bnthe bnair bnbag
Which bnof bnthe bnfollowing bninjuries bnwould bnMOST bnlikely bnoccur bnas bna bndirect
bnresult bnof bnthe bnthird bncollision bnin bna bnmotor bnvehicle bncrash?
Select bnone:
A. bnFlail bnchest
B. bnForehead bnlacerations
C. bnAortic bnrupture
D. bnExtremity bnfractures bn- bnANS--C. bnAortic bnrupture
Which bnof bnthe bnfollowing bninterventions bnis bnthe bnMOST bncritical bnto bnthe bnoutcome
bnof bna bnpatient bnwith bnmultisystem bntrauma?
Select bnone:
A. bnIntravenous bnfluid bnadministration
B. bnEarly bnadministration bnof bnoxygen
C. bnRapid bntransport bnto bna bntrauma bncenter
D. bnElevation bnof bnthe bnlower bnextremities bn- bnANS--C. bnRapid bntransport bnto bna
bntrauma bncenter
Which bnof bnthe bnfollowing bnstatements bnregarding bngunshot bnwounds bnis bncorrect?
Select bnone:
A. bnThe bnsize bnof bna bnbullet bnhas bnthe bngreatest bnimpact bnon bnthe bninjury
bnproduced.
B. bnHigh-velocity bnbullets bnwill bncause bnless bnsevere bninternal bninjuries.
C. bnThe bnspeed bnof bna bnbullet bnhas bnthe bngreatest bnimpact bnon bnthe bninjury
bnproduced.
D. bnLow-velocity bnbullets bnwill bncause bnthe bngreatest bnamount bnof bntrauma. bn-
bnANS--C. bnThe bnspeed bnof bna bnbullet bnhas bnthe bngreatest bnimpact bnon bnthe bninjury
bnproduced.
Which bntypes bnof bnmotor bnvehicle bncollisions bnpresent bnthe bngreatest bnpotential bnfor
bnmultiple bnimpacts?
Select bnone:
A. bnLateral bnand bnrollover
B. bnFrontal bnand bnrotational
C. bnRotational bnand bnrollover
D. bnRear-end bnand bnrotational bn- bnANS--C. bnRotational bnand bnrollover
QUESTIONS WITH CORRECT ANSWERS
Save
A bn12-year-old bnmale bnjumped bnapproximately bn12 bnfeet bnfrom bna bntree bnand
bnlanded bnon bnhis bnfeet. bnHe bncomplains bnof bnpain bnto bnhis bnlower bnback. bnWhat
bninjury bnmechanism bnis bnMOST bnlikely bnresponsible bnfor bnhis bnback bnpain?
Select bnone:
A. bnLateral bnimpact bnto bnthe bnspine
B. bnSecondary bnfall bnafter bnthe bninitial bnimpact
C. bnDirect bntrauma bnto bnthe bnspinal bncolumn
D. bnEnergy bntransmission bnto bnthe bnspine bn- bnANS--D. bnEnergy bntransmission bnto
bnthe bnspine
A bn15-year-old bnfemale bnwas bnstruck bnby bna bnsmall bncar bnwhile bnriding bnher
bnbicycle. bnShe bnwas bnwearing bna bnhelmet bnand bnwas bnthrown bnto bnthe bnground,
bnstriking bnher bnhead. bnIn bnaddition bnto bnmanaging bnproblems bnassociated bnwith
bnairway, bnbreathing, bnand bncirculation, bnit bnis bnMOST bnimportant bnfor bnyou bnto:
Select bnone:
A. bnleave bnher bnbicycle bnhelmet bnon.
B. bnobtain bnbaseline bnvital bnsigns.
C. bnstabilize bnher bnentire bnspine.
D. bninspect bnthe bnhelmet bnfor bncracks. bn- bnANS--C. bnstabilize bnher bnentire bnspine.
A bnyoung bnmale bnsustained bna bngunshot bnwound bnto bnthe bnabdomen bnduring bnan
bnaltercation. bnAs bnyour bnpartner bnis bnassessing bnand bnmanaging bnhis bnairway, bnyou
bnshould bncontrol bnthe bnobvious bnbleeding bnand bnthen:
Select bnone:
A. bnauscultate bnbowel bnsounds.
B. bnassess bnfor bnan bnexit bnwound.
C. bnapply bna bncervical bncollar.
D. bnobtain bnbaseline bnvital bnsigns. bn- bnANS--B. bnassess bnfor bnan bnexit bnwound.
According bnto bnthe bnAmerican bnCollege bnof bnSurgeons bnCommittee bnon bnTrauma
bn(ACS-COT), bnan bnadult bntrauma bnpatient bnshould bnbe bntransported bnto bnthe
bnhighest bnlevel bnof bntrauma bncenter bnif bnhe bnor bnshe:
Select bnone:
A. bnwas bninvolved bnin bna bnmotor bnvehicle bncrash bnin bnwhich bnanother bnpatient bnin
bnthe bnsame bnvehicle bnwas bnkilled.
B. bnhas bna bnsystolic bnblood bnpressure bnof bnless bnthan bn110 bnmm bnHg bnor bna bnheart
bnrate bngreater bnthan bn110 bnbeats/min.
,C. bnhas bna bnbleeding bndisorder bnor bntakes bnanticoagulant bnmedications bnand bnhas
bnany bnblunt bnor bnpenetrating bninjury.
D. bnhas bna bnGCS bnscore bnof bnless bnthan bnor bnequal bnto bn13 bnwith bna bnmechanism
bnattributed bnto bntrauma. bn- bnANS--D. bnhas bna bnGCS bnscore bnof bnless bnthan bnor
bnequal bnto bn13 bnwith bna bnmechanism bnattributed bnto bntrauma.
According bnto bnthe bnAssociation bnof bnAir bnMedical bnServices, bnyou bnshould
bnconsider bnair bnmedical bntransport bnof bna bntrauma bnpatient bnif:
Select bnone:
A. bnthe bnpatient bnrequires bnadvanced bnlife bnsupport bncare bnand bnstabilization, bnand
bnthe bnnearest bnALS-ground bnambulance bnis bnmore bnthan bn5 bnto bn10 bnminutes
bnaway.
B. bntraffic bnconditions bnhamper bnthe bnability bnto bnget bnthe bnpatient bnto bna bntrauma
bncenter bnby bnground bnwithin bnthe bnideal bntime bnframe bnfor bnthe bnbest bnclinical
bnoutcome.
C. bnground bntransport bnwill bntake bnyour bnambulance bnout bnof bnservice bnfor bnan
bnextended bnperiod bnof bntime, bnregardless bnof bnthe bnseverity bnof bnthe bnpatient's
bninjuries.
D. bnhe bnor bnshe bnwas bninvolved bnin bna bnmotor bnvehicle bncrash bnin bnwhich bnanother
bnoccupant bnin bnthe bnsame bnvehicle bnwas bnkilled, bneven bnif bnyour bnpatient's bninjuries
bnare bnminor. bn- bnANS--B. bntraffic bnconditions bnhamper bnthe bnability bnto bnget bnthe
bnpatient bnto bna bntrauma bncenter bnby bnground bnwithin bnthe bnideal bntime bnframe bnfor
bnthe bnbest bnclinical bnoutcome.
Approximately bn25% bnof bnsevere bninjuries bnto bnthe bnaorta bnoccur bnduring:
Select bnone:
A. bnfrontal bncollisions.
B. bnrollover bncollisions.
C. bnrear-end bncollisions.
D. bnlateral bncollisions. bn- bnANS--D. bnlateral bncollisions.
Following bna bnblunt bninjury bnto bnthe bnhead, bna bn22-year-old bnfemale bnis bnconfused
bnand bncomplains bnof bna bnsevere bnheadache bnand bnnausea. bnOn bnthe bnbasis bnof
bnthese bnsigns bnand bnsymptoms, bnyou bnshould bnbe bnMOST bnconcerned bnwith bnthe
bnpossibility bnof:
Select bnone:
A. bna bnfracture bnof bnthe bnskull.
B. bnairway bncompromise.
C. bnintracranial bnbleeding.
D. bnspinal bncord bninjury. bn- bnANS--C. bnintracranial bnbleeding.
Force bnacting bnover bna bndistance bnis bnthe bndefinition bnof:
Select bnone:
A. bnwork.
B. bnlatent bnenergy.
C. bnkinetic bnenergy.
,D. bnpotential bnenergy. bn- bnANS--A. bnwork.
The bnindex bnof bnsuspicion bnis bnMOST bnaccurately bndefined bnas:
Select bnone:
A. bnthe bndetection bnof bnless bnobvious bnlife-threatening bninjuries.
B. bna bnpredictable bnpattern bnthat bnleads bnto bnserious bninjuries.
C. bnyour bnawareness bnand bnconcern bnfor bnpotentially bnserious bnunderlying bninjuries.
D. bnthe bnway bnin bnwhich bntraumatic bninjuries bnoccur. bn- bnANS--C. bnyour bnawareness
bnand bnconcern bnfor bnpotentially bnserious bnunderlying bninjuries.
When bnassessing bna bnpatient bnwho bnexperienced bna bnblast bninjury, bnit bnis bnimportant
bnto bnremember bnthat:
Select bnone:
A. bnsolid bnorgans bnusually bnrupture bnfrom bnthe bnpressure bnwave.
B. bnsecondary bnblast bninjuries bnare bnusually bnthe bnleast bnobvious.
C. bnprimary bnblast bninjuries bnare bnthe bnmost bneasily bnoverlooked.
D. bnprimary bnblast bninjuries bnare bntypically bnthe bnmost bnobvious. bn- bnANS--C.
bnprimary bnblast bninjuries bnare bnthe bnmost bneasily bnoverlooked.
When bnassessing bnan bnelderly bnpatient bnwho bnfell, bnit bnis bnimportant bnto bnremember
bnthat:
Select bnone:
A. bnany bnfall bnin bnthe bnelderly bnis bnconsidered bnto bnbe bnhigh-energy bntrauma.
B. bnosteoporosis bncan bncause bna bnfracture bnas bna bnresult bnof bna bnfall bnfrom bna
bnstanding bnposition.
C. bnbilateral bnhip bnfractures bnusually bnoccur bnwhen bnan bnelderly bnperson bnfalls.
D. bnelderly bnpatients bnwho bnfall bnusually bnhave bna bnsecondary bnhead bninjury. bn-
bnANS--B. bnosteoporosis bncan bncause bna bnfracture bnas bna bnresult bnof bna bnfall bnfrom
bna bnstanding bnposition.
When bnthe bnspeed bnof bna bnmotor bnvehicle bndoubles, bnthe bnamount bnof bnkinetic
bnenergy:
Select bnone:
A. bnquadruples.
B. bnis bnnot bnaffected.
C. bntriples.
D. bndoubles. bn- bnANS--A. bnquadruples.
Which bnof bnthe bnfollowing bndestinations bnis bnmost bnappropriate bnfor bna bn41-year-old
bnmale bnpatient bnwho bnwas bninvolved bnin bna bnrollover bnmotor bnvehicle bncollision bnand
bnis bnunconscious bnand bnunresponsive, bnassuming bnthat bntravel bntimes bnto bneach bnis
bnequal?
Select bnone:
A. bnA bnLevel bnI bnor bnLevel bnII bntrauma bncenter
B. bnOnly bna bnLevel bnI bntrauma bncenter
C. bnA bnLevel bnIV bnor bnLevel bnIII bntrauma bncenter
, D. bnAny bndesignated bntrauma bncenter bnis bnacceptable. bn- bnANS--A. bnA bnLevel bnI bnor
bnLevel bnII bntrauma bncenter
Which bnof bnthe bnfollowing bnfindings bnwould bnbe bnLEAST bnsuggestive bnof bnthe
bnpresence bnof bnhigh-energy bntrauma?
Select bnone:
A. bnIntrusion bninto bnthe bnvehicle
B. bnDismounted bnseats
C. bnSteering bnwheel bndeformity
D. bnDeployment bnof bnthe bnair bnbag bn- bnANS--D. bnDeployment bnof bnthe bnair bnbag
Which bnof bnthe bnfollowing bninjuries bnwould bnMOST bnlikely bnoccur bnas bna bndirect
bnresult bnof bnthe bnthird bncollision bnin bna bnmotor bnvehicle bncrash?
Select bnone:
A. bnFlail bnchest
B. bnForehead bnlacerations
C. bnAortic bnrupture
D. bnExtremity bnfractures bn- bnANS--C. bnAortic bnrupture
Which bnof bnthe bnfollowing bninterventions bnis bnthe bnMOST bncritical bnto bnthe bnoutcome
bnof bna bnpatient bnwith bnmultisystem bntrauma?
Select bnone:
A. bnIntravenous bnfluid bnadministration
B. bnEarly bnadministration bnof bnoxygen
C. bnRapid bntransport bnto bna bntrauma bncenter
D. bnElevation bnof bnthe bnlower bnextremities bn- bnANS--C. bnRapid bntransport bnto bna
bntrauma bncenter
Which bnof bnthe bnfollowing bnstatements bnregarding bngunshot bnwounds bnis bncorrect?
Select bnone:
A. bnThe bnsize bnof bna bnbullet bnhas bnthe bngreatest bnimpact bnon bnthe bninjury
bnproduced.
B. bnHigh-velocity bnbullets bnwill bncause bnless bnsevere bninternal bninjuries.
C. bnThe bnspeed bnof bna bnbullet bnhas bnthe bngreatest bnimpact bnon bnthe bninjury
bnproduced.
D. bnLow-velocity bnbullets bnwill bncause bnthe bngreatest bnamount bnof bntrauma. bn-
bnANS--C. bnThe bnspeed bnof bna bnbullet bnhas bnthe bngreatest bnimpact bnon bnthe bninjury
bnproduced.
Which bntypes bnof bnmotor bnvehicle bncollisions bnpresent bnthe bngreatest bnpotential bnfor
bnmultiple bnimpacts?
Select bnone:
A. bnLateral bnand bnrollover
B. bnFrontal bnand bnrotational
C. bnRotational bnand bnrollover
D. bnRear-end bnand bnrotational bn- bnANS--C. bnRotational bnand bnrollover
