WEST COAST EMT EXAM 6
COMPREHENSIVE QUESTIONS
ACCURATE ANSWERS
◉ Which of the following would MOST likely occur as the direct
result of the second collision in a motor vehicle crash?
A. Deformed steering wheel
B. Collapsed dashboard
C. Intrathoracic hemorrhage
D. Caved-in passenger door Answer: A. deformed steering wheel
◉ Which of the following is NOT one of the three types of collisions
in a typical impact in a motor vehicular crash?
A. Collision of the internal organs against the body's solid structures
B. Collision of a car against another car, a tree, or another object
C. Collision of two passenger bodies within the same vehicle
D. Collision of the passenger against the interior of the car Answer:
C. collision of two passenger bodies within the same vehicles
◉ In which of the following situations would external bleeding be
the most difficult to control?
,A. Jugular vein laceration and a systolic blood pressure of 90 mm Hg
B. Antecubital vein laceration and a blood pressure of 138/92 mm
Hg
C. Carotid artery laceration and a systolic blood pressure of 60 mm
Hg
D. Femoral artery laceration and a blood pressure of 140/90 mm Hg
Answer: D. femoral artery laceration and a blood pressure of
140/90mmHg
◉ A 22-year-old male was kicked in the abdomen multiple times
during an assault. He is conscious but restless and his pulse is rapid.
His skin is cold and moist. Your assessment reveals a large area of
bruising to the right upper quadrant of his abdomen. The
mostappropriate treatment for this patient includes:
A. applying oxygen via nasal cannula.
B. performing a focused physical exam.
C. a detailed assessment of his abdomen.
D. preparing for immediate transport. Answer: D. preparing for
immediate transport
◉ In nontrauma patients, an early indicator of internal bleeding is:
A. a decreasing blood pressure.
B. dizziness upon standing.
C. rapid, shallow breathing.
,D. a rapid, thready pulse. Answer: B. dizziness upon standing
◉ Which of the following body systems or components is the least
critical for supplying and maintaining adequate blood flow to the
body?
A. An intact system of blood vessels
B. An effectively pumping heart
C. The filtering of blood cells in the spleen
D. Adequate blood in the vasculature Answer: C. the filtering of
blood cells in the spleen
◉ A 39-year-old male accidentally cut his wrist while sharpening his
hunting knife. He is conscious and alert with adequate breathing but
is bleeding significantly from the wound. You should:
A. control the bleeding with direct pressure.
B. apply a tourniquet proximal to the wound.
C. apply oxygen with a nonrebreathing mask.
D. ensure the patient has a patent airway. Answer: A. control the
bleeding with direct pressure
◉ Which of the following organs can tolerate inadequate perfusion
for two to three hours?
A. Skeletal muscle
B. Heart
, C. Kidneys
D. Brain Answer: A. skeletal muscle
◉ An organ or tissue might better resist damage from hypoperfusion
if the:
A. heart rate is maintained at more than 100 beats/min.
B. systolic arterial blood pressure is at least 60 mm Hg.
C. body's temperature is considerably less than 98.6°F (37.0°C).
D. body's demand for oxygen is markedly increased. Answer: C.
body's temperature is considerably less than 98.6ºF (37.0ºC)
◉ Bleeding from the nose following head trauma:
A. is a sign of a skull fracture and should not be stopped.
B. should be controlled by packing the nostril with gauze.
C. should be assumed to be caused by a fractured septum.
D. is usually due to hypertension caused by the head injury. Answer:
A. is a sign of a skull fracture and should not be stopped
◉ Perfusion is most accurately defined as the:
A. circulation of blood within an organ in adequate amounts to meet
the body's metabolic needs.
B. effective transfer of oxygen from the venules across the systemic
capillary membrane walls.
COMPREHENSIVE QUESTIONS
ACCURATE ANSWERS
◉ Which of the following would MOST likely occur as the direct
result of the second collision in a motor vehicle crash?
A. Deformed steering wheel
B. Collapsed dashboard
C. Intrathoracic hemorrhage
D. Caved-in passenger door Answer: A. deformed steering wheel
◉ Which of the following is NOT one of the three types of collisions
in a typical impact in a motor vehicular crash?
A. Collision of the internal organs against the body's solid structures
B. Collision of a car against another car, a tree, or another object
C. Collision of two passenger bodies within the same vehicle
D. Collision of the passenger against the interior of the car Answer:
C. collision of two passenger bodies within the same vehicles
◉ In which of the following situations would external bleeding be
the most difficult to control?
,A. Jugular vein laceration and a systolic blood pressure of 90 mm Hg
B. Antecubital vein laceration and a blood pressure of 138/92 mm
Hg
C. Carotid artery laceration and a systolic blood pressure of 60 mm
Hg
D. Femoral artery laceration and a blood pressure of 140/90 mm Hg
Answer: D. femoral artery laceration and a blood pressure of
140/90mmHg
◉ A 22-year-old male was kicked in the abdomen multiple times
during an assault. He is conscious but restless and his pulse is rapid.
His skin is cold and moist. Your assessment reveals a large area of
bruising to the right upper quadrant of his abdomen. The
mostappropriate treatment for this patient includes:
A. applying oxygen via nasal cannula.
B. performing a focused physical exam.
C. a detailed assessment of his abdomen.
D. preparing for immediate transport. Answer: D. preparing for
immediate transport
◉ In nontrauma patients, an early indicator of internal bleeding is:
A. a decreasing blood pressure.
B. dizziness upon standing.
C. rapid, shallow breathing.
,D. a rapid, thready pulse. Answer: B. dizziness upon standing
◉ Which of the following body systems or components is the least
critical for supplying and maintaining adequate blood flow to the
body?
A. An intact system of blood vessels
B. An effectively pumping heart
C. The filtering of blood cells in the spleen
D. Adequate blood in the vasculature Answer: C. the filtering of
blood cells in the spleen
◉ A 39-year-old male accidentally cut his wrist while sharpening his
hunting knife. He is conscious and alert with adequate breathing but
is bleeding significantly from the wound. You should:
A. control the bleeding with direct pressure.
B. apply a tourniquet proximal to the wound.
C. apply oxygen with a nonrebreathing mask.
D. ensure the patient has a patent airway. Answer: A. control the
bleeding with direct pressure
◉ Which of the following organs can tolerate inadequate perfusion
for two to three hours?
A. Skeletal muscle
B. Heart
, C. Kidneys
D. Brain Answer: A. skeletal muscle
◉ An organ or tissue might better resist damage from hypoperfusion
if the:
A. heart rate is maintained at more than 100 beats/min.
B. systolic arterial blood pressure is at least 60 mm Hg.
C. body's temperature is considerably less than 98.6°F (37.0°C).
D. body's demand for oxygen is markedly increased. Answer: C.
body's temperature is considerably less than 98.6ºF (37.0ºC)
◉ Bleeding from the nose following head trauma:
A. is a sign of a skull fracture and should not be stopped.
B. should be controlled by packing the nostril with gauze.
C. should be assumed to be caused by a fractured septum.
D. is usually due to hypertension caused by the head injury. Answer:
A. is a sign of a skull fracture and should not be stopped
◉ Perfusion is most accurately defined as the:
A. circulation of blood within an organ in adequate amounts to meet
the body's metabolic needs.
B. effective transfer of oxygen from the venules across the systemic
capillary membrane walls.
