WEST COAST EMT EXAM 4
COMPREHENSIVE QUESTIONS
ACCURATE ANSWERS
◉ Blood stasis, changes in the vessel wall, and certain medications
affect the:
A. systolic blood pressure exclusively.
B. white blood cells' ability to fight infection.
C. ability of red blood cells to carry oxygen.
D. ability of the blood to effectively clot. Answer: D. ability of the
blood to effectively clot
◉ Early signs and symptoms of intra-abdominal bleeding include:
A. significant hypotension.
B. pain and distention.
C. widespread ecchymosis.
D. bruising only. Answer: B. pain and distention
◉ Which of the following is not considered a basic technique when
controlling bleeding?
,A. Pack the wound with a hemostatic impregnated gauze.
B. Apply a tourniquet to an extremity above the level of the bleeding.
C. Apply direct pressure over the wound with a dry, sterile dressing.
D. Apply a cervical collar and place the patient on a long backboard.
Answer: D. apply a cervical collar and place the patient on a long
backboard
◉ External bleeding from a vein is relatively easy to control because:
A. veins carry deoxygenated blood.
B. blood typically oozes from a vein.
C. veins hold smaller blood volume.
D. veins are under a lower pressure. Answer: D. veins are under a
lower pressure
◉ A patient is bleeding severely from a severed femoral artery high
in the groin region. Which of the following would most likely control
the bleeding?
A. Apply a topical hemostatic agent with direct pressure.
B. Apply a pelvic binder device to stabilize the pelvis.
C. Position the patient with his injured side down.
D. Apply chemical ice packs to the wound and transport. Answer: A.
apply a topical hemostatic agent with direct pressure
,◉ The severity of bleeding should be based on all of the following
findings, except:
A. clinical signs and symptoms.
B. poor general appearance.
C. systolic blood pressure.
D. the mechanism of injury. Answer: C. systolic blood pressure
◉ Regardless of the type of tourniquet used, it is important to
remember that:
A. you should try to control the bleeding by applying pressure to a
proximal arterial pressure point first.
B. the tourniquet should be applied directly over a joint if possible
because this provides better bleeding control.
C. the tourniquet should only be removed at the hospital because
bleeding might return if the tourniquet is released.
D. bulky dressings should be securely applied over the tourniquet to
further assist in controlling the bleeding. Answer: C. the tourniquet
should only be removed at the hospital because bleeding might
return if the tourniquet is released
◉ 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:
A. pinching the patient's nostrils and having him lean forward.
, B. having the patient pinch his own nostrils and then lie supine.
C. placing a rolled 4 × 4-inch dressing between his lower lip and
gum.
D. packing both nostrils with gauze pads until the bleeding stops.
Answer: A. pinching the patient's nostrils and having him lean
forward
◉ What is the approximate blood volume of an 80-kg adult male?
A. 5.25 L
B. 6.25 L
C. 6.0 L
D. 6.50 L Answer: C. 6.0 L
◉ A 39-year-old male sustained a large laceration to his leg during
an accident with a chainsaw and is experiencing signs and
symptoms of shock. You should first:
A. apply direct pressure to the wound.
B. cover the patient with a blanket.
C. provide high-flow oxygen.
D. obtain baseline vital signs. Answer: A. apply direct pressure to the
wound
◉ In older patients, the first indicator of nontraumatic internal
bleeding might be:
COMPREHENSIVE QUESTIONS
ACCURATE ANSWERS
◉ Blood stasis, changes in the vessel wall, and certain medications
affect the:
A. systolic blood pressure exclusively.
B. white blood cells' ability to fight infection.
C. ability of red blood cells to carry oxygen.
D. ability of the blood to effectively clot. Answer: D. ability of the
blood to effectively clot
◉ Early signs and symptoms of intra-abdominal bleeding include:
A. significant hypotension.
B. pain and distention.
C. widespread ecchymosis.
D. bruising only. Answer: B. pain and distention
◉ Which of the following is not considered a basic technique when
controlling bleeding?
,A. Pack the wound with a hemostatic impregnated gauze.
B. Apply a tourniquet to an extremity above the level of the bleeding.
C. Apply direct pressure over the wound with a dry, sterile dressing.
D. Apply a cervical collar and place the patient on a long backboard.
Answer: D. apply a cervical collar and place the patient on a long
backboard
◉ External bleeding from a vein is relatively easy to control because:
A. veins carry deoxygenated blood.
B. blood typically oozes from a vein.
C. veins hold smaller blood volume.
D. veins are under a lower pressure. Answer: D. veins are under a
lower pressure
◉ A patient is bleeding severely from a severed femoral artery high
in the groin region. Which of the following would most likely control
the bleeding?
A. Apply a topical hemostatic agent with direct pressure.
B. Apply a pelvic binder device to stabilize the pelvis.
C. Position the patient with his injured side down.
D. Apply chemical ice packs to the wound and transport. Answer: A.
apply a topical hemostatic agent with direct pressure
,◉ The severity of bleeding should be based on all of the following
findings, except:
A. clinical signs and symptoms.
B. poor general appearance.
C. systolic blood pressure.
D. the mechanism of injury. Answer: C. systolic blood pressure
◉ Regardless of the type of tourniquet used, it is important to
remember that:
A. you should try to control the bleeding by applying pressure to a
proximal arterial pressure point first.
B. the tourniquet should be applied directly over a joint if possible
because this provides better bleeding control.
C. the tourniquet should only be removed at the hospital because
bleeding might return if the tourniquet is released.
D. bulky dressings should be securely applied over the tourniquet to
further assist in controlling the bleeding. Answer: C. the tourniquet
should only be removed at the hospital because bleeding might
return if the tourniquet is released
◉ 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:
A. pinching the patient's nostrils and having him lean forward.
, B. having the patient pinch his own nostrils and then lie supine.
C. placing a rolled 4 × 4-inch dressing between his lower lip and
gum.
D. packing both nostrils with gauze pads until the bleeding stops.
Answer: A. pinching the patient's nostrils and having him lean
forward
◉ What is the approximate blood volume of an 80-kg adult male?
A. 5.25 L
B. 6.25 L
C. 6.0 L
D. 6.50 L Answer: C. 6.0 L
◉ A 39-year-old male sustained a large laceration to his leg during
an accident with a chainsaw and is experiencing signs and
symptoms of shock. You should first:
A. apply direct pressure to the wound.
B. cover the patient with a blanket.
C. provide high-flow oxygen.
D. obtain baseline vital signs. Answer: A. apply direct pressure to the
wound
◉ In older patients, the first indicator of nontraumatic internal
bleeding might be:
