West Coast EMT - Block 4
1. 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:
ANS- D. Energy transmission to the spine
2. 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.:
ANS- C. stabilize her entire spine.
3. A young male sustained a gunshot wound to the abdomen during an
altercation. As your partner is assessing and managing his airway, you
should control the obvious bleeding and then:
,West Coast EMT - Block 4
Select one:
A. auscultate bowel sounds.
B. assess for an exit wound.
C. apply a cervical collar.
D. obtain baseline vital signs.
ANS-: B. assess for an exit wound.
4. According to the American College of Surgeons Committee on Trauma
(ACS-COT), an adult trauma patient should be transported to the highest
level of trauma center if he or she:
Select one:
A. was involved in a motor vehicle crash in which another patient in the
same vehicle was killed.
B. has a systolic blood pressure of less than 110 mm Hg or a heart rate
greater than 110 beats/min.
C. has a bleeding disorder or takes anticoagulant medications and has
any blunt or penetrating injury.
D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
ANS-: D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
5. According to the Association of Air Medical Services, you should
consider air medical transport of a trauma patient if:
,West Coast EMT - Block 4
Select one:
A. the patient requires advanced life support care and stabilization, and
the nearest ALS-ground ambulance is more than 5 to 10 minutes away.
B. traffic conditions hamper the ability to get the patient to a trauma center
by ground within the ideal time frame for the best clinical outcome.
C. ground transport will take your ambulance out of service for an
extended period of time, regardless of the severity of the patient's injuries.
D. he or she was involved in a motor vehicle crash in which another
occupant in the same vehicle was killed, even if your patient's injuries are
minor.
ANS-: B. traffic conditions hamper the ability to get the patient to a trauma center
by ground within the ideal time frame for the best clinical outcome.
6. Approximately 25% of severe injuries to the aorta occur during:
Select one:
A. frontal collisions.
B. rollover collisions.
C. rear-end collisions.
D. lateral collisions.
ANS-: D. lateral collisions.
7. Following a blunt injury to the head, a 22-year-old female is confused and
complains of a severe headache and nausea. On the basis of these signs
and symptoms, you should be MOST concerned with the possibility of:
, West Coast EMT - Block 4
Select one:
A. a fracture of the skull.
B. airway compromise.
C. intracranial bleeding.
D. spinal cord injury.
ANS-: C. intracranial bleeding.
8. Force acting over a distance is the definition of:
Select one:
A. work.
B. latent energy.
C. kinetic energy.
D. potential energy.
ANS-: A. work.
9. The index of suspicion is MOST accurately defined as:
Select one:
A. the detection of less obvious life-threatening injuries.
B. a predictable pattern that leads to serious injuries.
C. your awareness and concern for potentially serious underlying injuries.
D. the way in which traumatic injuries occur.
ANS-: C. your awareness and concern for potentially serious underlying
injuries.
1. 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:
ANS- D. Energy transmission to the spine
2. 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.:
ANS- C. stabilize her entire spine.
3. A young male sustained a gunshot wound to the abdomen during an
altercation. As your partner is assessing and managing his airway, you
should control the obvious bleeding and then:
,West Coast EMT - Block 4
Select one:
A. auscultate bowel sounds.
B. assess for an exit wound.
C. apply a cervical collar.
D. obtain baseline vital signs.
ANS-: B. assess for an exit wound.
4. According to the American College of Surgeons Committee on Trauma
(ACS-COT), an adult trauma patient should be transported to the highest
level of trauma center if he or she:
Select one:
A. was involved in a motor vehicle crash in which another patient in the
same vehicle was killed.
B. has a systolic blood pressure of less than 110 mm Hg or a heart rate
greater than 110 beats/min.
C. has a bleeding disorder or takes anticoagulant medications and has
any blunt or penetrating injury.
D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
ANS-: D. has a GCS score of less than or equal to 13 with a mechanism
attributed to trauma.
5. According to the Association of Air Medical Services, you should
consider air medical transport of a trauma patient if:
,West Coast EMT - Block 4
Select one:
A. the patient requires advanced life support care and stabilization, and
the nearest ALS-ground ambulance is more than 5 to 10 minutes away.
B. traffic conditions hamper the ability to get the patient to a trauma center
by ground within the ideal time frame for the best clinical outcome.
C. ground transport will take your ambulance out of service for an
extended period of time, regardless of the severity of the patient's injuries.
D. he or she was involved in a motor vehicle crash in which another
occupant in the same vehicle was killed, even if your patient's injuries are
minor.
ANS-: B. traffic conditions hamper the ability to get the patient to a trauma center
by ground within the ideal time frame for the best clinical outcome.
6. Approximately 25% of severe injuries to the aorta occur during:
Select one:
A. frontal collisions.
B. rollover collisions.
C. rear-end collisions.
D. lateral collisions.
ANS-: D. lateral collisions.
7. Following a blunt injury to the head, a 22-year-old female is confused and
complains of a severe headache and nausea. On the basis of these signs
and symptoms, you should be MOST concerned with the possibility of:
, West Coast EMT - Block 4
Select one:
A. a fracture of the skull.
B. airway compromise.
C. intracranial bleeding.
D. spinal cord injury.
ANS-: C. intracranial bleeding.
8. Force acting over a distance is the definition of:
Select one:
A. work.
B. latent energy.
C. kinetic energy.
D. potential energy.
ANS-: A. work.
9. The index of suspicion is MOST accurately defined as:
Select one:
A. the detection of less obvious life-threatening injuries.
B. a predictable pattern that leads to serious injuries.
C. your awareness and concern for potentially serious underlying injuries.
D. the way in which traumatic injuries occur.
ANS-: C. your awareness and concern for potentially serious underlying
injuries.
