West Coast EMT - Block 4 Exam 2025 With Correct Answers.

West Coast EMT - Block 4 Exam 2025
With Correct Answers




A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to
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his lower back. What injury mechanism is MOST likely responsible for his back pain?
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Select one: n




A. Lateral impact to the spine
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B. Secondary fall after the initial impact
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C. Direct trauma to the spinal column
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D. Energy transmission to the spine - correct answersD. Energy transmission to the spine
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A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a helmet and was
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thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing,
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and circulation, it is MOST important for you to:
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Select one: n




A. leave her bicycle helmet on.
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,B. obtain baseline vital signs.
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C. stabilize her entire spine.
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D. inspect the helmet for cracks. - correct answersC. stabilize her entire spine.
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A young male sustained a gunshot wound to the abdomen during an altercation. As your partner is assessing
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and managing his airway, you should control the obvious bleeding and then:
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Select one: n




A. auscultate bowel sounds.
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B. assess for an exit wound.
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C. apply a cervical collar.
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D. obtain baseline vital signs. - correct answersB. assess for an exit wound.
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According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient
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should be transported to the highest level of trauma center if he or she:
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Select one: n




A. was involved in a motor vehicle crash in which another patient in the same vehicle was killed.
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B. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min.
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C. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury.
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D. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma. - correct answersD. has a
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GCS score of less than or equal to 13 with a mechanism attributed to trauma.
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According to the Association of Air Medical Services, you should consider air medical transport of a trauma
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patient if: n




Select one: n




A. the patient requires advanced life support care and stabilization, and the nearest ALS-ground ambulance is
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more than 5 to 10 minutes away.
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B. traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time
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frame for the best clinical outcome.
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C. ground transport will take your ambulance out of service for an extended period of time, regardless of the
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severity of the patient's injuries. n n n n

,D. he or she was involved in a motor vehicle crash in which another occupant in the same vehicle was killed,
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even if your patient's injuries are minor. - correct answersB. traffic conditions hamper the ability to get the
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patient to a trauma center by ground within the ideal time frame for the best clinical outcome.
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Approximately 25% of severe injuries to the aorta occur during: n n n n n n n n n




Select one: n




A. frontal collisions.
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B. rollover collisions.
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C. rear-end collisions.
n n




D. lateral collisions. - correct answersD. lateral collisions.
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Following a blunt injury to the head, a 22-year-old female is confused and complains of a severe headache and
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nausea. On the basis of these signs and symptoms, you should be MOST concerned with the possibility of:
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Select one: n




A. a fracture of the skull.
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B. airway compromise.
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C. intracranial bleeding.
n n




D. spinal cord injury. - correct answersC. intracranial bleeding.
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Force acting over a distance is the definition of:
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Select one: n




A. work.
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B. latent energy.
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C. kinetic energy.
n n




D. potential energy. - correct answersA. work.
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The index of suspicion is MOST accurately defined as:
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Select one: n




A. the detection of less obvious life-threatening injuries.
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B. a predictable pattern that leads to serious injuries.
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, C. your awareness and concern for potentially serious underlying injuries.
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D. the way in which traumatic injuries occur. - correct answersC. your awareness and concern for potentially
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serious underlying injuries. n n




When assessing a patient who experienced a blast injury, it is important to remember that:
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Select one: n




A. solid organs usually rupture from the pressure wave.
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B. secondary blast injuries are usually the least obvious.
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C. primary blast injuries are the most easily overlooked.
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D. primary blast injuries are typically the most obvious. - correct answersC. primary blast injuries are the most
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easily overlooked.
n




When assessing an elderly patient who fell, it is important to remember that:
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Select one: n




A. any fall in the elderly is considered to be high-energy trauma.
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B. osteoporosis can cause a fracture as a result of a fall from a standing position.
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C. bilateral hip fractures usually occur when an elderly person falls.
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D. elderly patients who fall usually have a secondary head injury. - correct answersB. osteoporosis can cause a
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fracture as a result of a fall from a standing position.
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When the speed of a motor vehicle doubles, the amount of kinetic energy:
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Select one: n




A. quadruples.
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B. is not affected.
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C. triples.
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D. doubles. - correct answersA. quadruples.
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Which of the following destinations is most appropriate for a 41-year-old male patient who was involved in a
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rollover motor vehicle collision and is unconscious and unresponsive, assuming that travel times to each is
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equal?