WEST COAST EMT BLOCK 4 EXAM REVIEW QUESTIONS AND CORRECT VERIFIED ANSWERS

WEST COAST EMT BLOCK 4 EXAM
REVIEW QUESTIONS AND CORRECT
VERIFIED ANSWERS
AA2driverA2involvedA2inA2aA2rolloverA2motorA2vehicleA2crashA2willA2MOSTA2likelyA2experienc
eA2seriousA2injuriesA2orA2deathA2ifA2heA2orA2she:

a.A2isA2wearingA2onlyA2aA2lapA2belt
b.A2experiencedA2multipleA2impacts
c.A2remainsA2withinA2theA2vehicle
d.A2isA2ejectedA2orA2partiallyA2ejectedA2-A2Ans--A2d.A2isA2ejectedA2orA2partiallyA2ejected

AccordingA2toA2theA2AmericanA2CollegeA2orA2SurgeonsA2CommitteeA2onA2TraumaA2(ACS-
COT),A2anA2adultA2traumaA2patientA2shouldA2beA2transportedA2toA2theA2highestA2levelA2ofA2
traumaA2centerA2isA2heA2orA2she:

a.A2wasA2involvedA2inA2aA2motorA2vehicleA2crashA2inA2whichA2anotherA2patientA2inA2theA2sa
meA2vehicleA2wasA2killed.
b.A2hasA2aA2bleedingA2disorderA2orA2takesA2anticoagulantA2medicationsA2andA2hasA2anyA2b
luntA2orA2penetratingA2injury.
c.A2hasA2aA2systolicA2bloodA2pressureA2ofA2lessA2thanA2110A2mmA2HgA2orA2aA2heartA2rateA2
greaterA2thanA2110A2beats/min.
d.A2hasA2aA2GCSA2scoreA2ofA2lessA2thanA2orA2equalA2toA213A2withA2aA2mechanismA2attribut
edA2toA2trauma.A2-A2Ans--
A2d.A2hasA2aA2GCSA2scoreA2ofA2lessA2thanA2orA2equalA2toA213A2withA2aA2mechanismA2attrib
utedA2toA2trauma.

AirbagsA2areA2designedA2to:

a.A2preventA2theA2driverA2fromA2sustainingA2headA2trauma
b.A2decreaseA2theA2severityA2ofA2decelerationA2injuries
c.A2preventA2aA2secondA2collisionA2insideA2theA2car.
d.A2beA2usedA2withA2orA2withoutA2aA2shoulderA2harnessA2-A2Ans--
A2b.A2decreaseA2theA2severityA2oofA2decelerationA2injuries.


EvaluationA2ofA2theA2interiorA2ofA2aA2crashedA2motorA2vehicleA2duringA2extricationA2willA2all
owA2theA2EMTA2to:

a.A2recognizeA2ifA2theA2driverA2hitA2theA2brakesA2beforeA2impact
b.A2identifyA2contactA2pointsA2andA2predictA2injuries
c.A2determineA2theA2vehicle'sA2speedA2atA2theA2timeA2ofA2impact
d.A2assessA2theA2severityA2ofA2theA2thirdA2collisionA2ofA2theA2crashA2-A2Ans--
A2b.A2identifyA2contactA2pointsA2andA2predictA2injuries

,FactorsA2thatA2shouldA2beA2consideredA2whenA2assessingA2aA2patientA2whoA2hasA2fallenA2i
ncludeA2allA2ofA2theA2following,A2EXCEPT:

a.A2theA2surfaceA2struck
b.A2theA2primaryA2impactA2point
c.A2theA2speedA2ofA2theA2fall
d.A2theA2heightA2ofA2theA2fallA2-A2Ans--A2c.A2theA2speedA2ofA2theA2fall

ForceA2actingA2overA2aA2distanceA2isA2theA2definitionA2of:

a.A2work
b.A2kineticA2energy
c.A2potentialA2energy
d.A2latentA2energyA2-A2Ans--A2a.A2work

IfA2oneA2orA2moreA2occupantsA2inA2theA2sameA2vehicleA2areA2killedA2inA2aA2crash,A2theA2E
MTA2should:

a.A2allowA2theA2survivorsA2toA2refuseA2transportA2ifA2theyA2haveA2noA2obviousA2injuries
b.A2rapidlyA2assessA2onlyA2theA2survivorsA2whoA2experiencedA2obviousA2trauma
c.A2transportA2theA2survivorsA2onlyA2ifA2theyA2haveA2injuriesA2orA2complainA2ofA2pain
d.A2suspectA2thatA2allA2livingA2occupantsA2experiencedA2theA2sameA2seriousA2traumaA2-
A2Ans--
A2d.A2suspectA2thatA2allA2livingA2occupantsA2experiencedA2theA2sameA2seriousA2trauma


InA2contrastA2toA2LevelA2IIIA2traumaA2center,A2aA2LevelA2IA2traumaA2centerA2must:

a.A2beA2involvedA2inA2traumaA2preventionA2programs
b.A2haveA2generalA2surgeonsA2in-houseA224A2hoursA2aA2day
c.A2beA2ableA2toA2stabilizeA2patientsA2beforeA2transferringA2tooA2aA2higherA2levelA2facility
d.A2haveA2accessA2toA2anA2emergencyA2physicianA2withinA230A2minutesA2-A2Ans--
A2b.A2haveA2generalA2surgeonsA2in-houseA224A2hoursA2aA2day.


InternalA2injuriesA2causedA2byA2gunshotA2woundsA2areA2difficultA2toA2predictA2because:

a.A2exitA2woundsA2causedA2byA2theA2bulletA2areA2usuallyA2small
b.A2theA2areaA2ofA2aA2damageA2isA2usuallyA2smallerA2thanA2theA2bullet.
c.A2theA2bulletA2mayA2tumbleA2orA2ricochetA2withinA2theA2body.
d.A2theA2caliberA2ofA2theA2bulletA2isA2frequentlyA2unknownA2-A2Ans--
A2c.A2theA2bulletA2mayA2tumbleA2orA2ricochetA2withinA2theA2body.


SignsA2ofA2aA2pulmonaryA2blastA2injuryA2include:

a.A2coughingA2upA2blood
b.A2vomitingA2blood
c.A2multipleA2ribA2fractures

,d.A2anA2irregularA2pulseA2-A2Ans--A2a.A2coughingA2upA2blood

TheA2energyA2ofA2aA2movingA2objectA2isA2called:

a.A2kineticA2energy
b.A2latentA2energy
c.A2potentialA2energy
d.A2convertedA2energyA2-A2Ans--A2a.A2kineticA2energy

TheA2indexA2ofA2suspicionA2isA2MOSTA2accuratelyA2definedA2as:

a.A2theA2wayA2inA2whichA2traumaticA2injuriesA2occur.
b.A2aA2predictableA2patternA2thatA2leadsA2toA2seriousA2injuries.
c.A2yourA2awarenessA2andA2concernA2forA2potentiallyA2seriousA2underlyingA2injuries.
d.A2theA2detectionA2ofA2lessA2obviousA2life-threateningA2injuries.A2-A2Ans--
A2c.A2yourA2awarenessA2andA2concernA2forA2potentiallyA2seriousA2underlyingA2injuries


TheA2phenomenonA2ofA2pressureA2wavesA2emanatingA2fromA2theA2bullet,A2causingA2dama
geA2remoteA2fromA2itsA2path,A2isA2knownA2as:

a.A2congruent
b.A2cavitation
c.A2capitation
d.A2conversionA2-A2Ans--A2b.A2cavitation

WhenA2assessingA2anA2elderlyA2patientA2whoA2fell,A2itA2isA2importantA2toA2rememberA2that:

a.A2osteoporosisA2canA2causeA2aA2fractureA2asA2aA2resultA2ofA2aA2fallA2fromA2aA2standingA2
position
b.A2anyA2fallA2inA2theA2elderlyA2isA2consideredA2toA2beA2high-energyA2trauma
c.A2bilateralA2hipA2fracturesA2usuallyA2occurA2whenA2anA2elderlyA2personA2falls.
d.A2elderlyA2patientsA2whoA2fallA2usuallyA2haveA2aA2secondaryA2headA2injury.A2-A2Ans--
A2a.A2osteoporosisA2canA2causeA2aA2fractureA2asA2aA2resultA2ofA2aA2fallA2fromA2aA2standingA
2position.


WhenA2assessingA2theA2interiorA2ofA2aA2crashedA2motorA2vehicleA2forA2damage,A2youA2are
A2gatheringA2informationA2regardingA2the:
a.A2kineticA2energy
b.A2potentialA2energy
c.A2indexA2ofA2suspicion
d.A2mechanismA2ofA2injuryA2-A2Ans--A2d.A2mechanismA2ofA2injury

WhenA2theA2speedA2ofA2aA2motorA2vehicleA2doubles,A2theA2amountA2ofA2kineticA2energy:
a.A2doubles
b.A2quadruples
c.A2isA2notA2affected

, d.A2triplesA2-A2Ans--A2b.A2quadruples

WhenA2treatingA2aA2patientA2whoA2experiencedA2aA2pulmonaryA2blastA2injury,A2youA2shoul
d:

a.A2useA2aA2demandA2valveA2toA2ventilateA2theA2patient
b.A2administerA2largeA2amountsA2ofA2intravenousA2fluid
c.A2avoidA2givingA2oxygenA2underA2positiveA2pressure
d.A2suspectA2anA2accompanyingA2cardiacA2tamponadeA2-A2Ans--
A2c.A2avoidA2givingA2oxygenA2underA2positiveA2pressure


WhichA2ofA2theA2followingA2findingsA2wouldA2beA2LEASTA2suggestiveA2ofA2theA2presenceA2
ofA2high-energyA2trauma?

a.A2DeploymentA2ofA2theA2airbag
b.A2DismountedA2seats
c.A2IntrusionA2ontoA2theA2vehicle
d.A2SteeringA2wheelA2collapseA2-A2Ans--A2a.A2deploymentA2ofA2theA2airbag

WhichA2ofA2theA2followingA2interventionsA2ofA2theA2MOSTA2criticalA2toA2theA2outcomeA2ofA2
aA2patientA2withA2multisystemA2trauma?

a.A2IntravenouosA2fluidA2administration
b.A2RapidA2transportA2toA2aA2traumaA2center
c.A2EarlyA2administrationA2ofA2oxygen
d.A2ElevationA2ofA2theA2lowerA2extremitiesA2-A2Ans--
A2b.A2rapidA2transportA2toA2aA2traumaA2center


WhichA2ofA2theA2followingA2wouldA2MOSTA2likelyA2occurA2asA2theA2directA2resultA2ofA2theA2
secondA2collisionA2inA2aA2motorA2vehicleA2crash?

a.A2Caved-inA2passengerA2door
b.A2CollapsedA2dashboard
C.A2DeformedA2steeringA2wheel
d.A2IntrathoracicA2hemorrhageA2-A2Ans--A2C.A2DeformedA2steeringA2wheel

KineticA2energyA2isA2aA2calculationA2of:
a.A2weightA2andA2size
b.A2weightA2andA2speed
c.A2massA2andA2weight
d.A2speedA2andA2forceA2-A2Ans--A2b.A2weightA2andA2speed

AA220-year-
oldA2manA2hasA2majorA2openA2facialA2injuriesA2afterA2hisA2vehicleA2struckA2aA2treeA2head-
on.A2WhichA2ofA2theA2followingA2findingsA2withinA2theA2carA2wouldA2MOSTA2likelyA2explainA
2hisA2injuryA2pattern?