Block 4 West Coast EMT QUESTIONS AND SOLUTIONS
A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if he or she:
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A. is ejected or partially ejected.
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B. experiences multiple impacts
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C. Remains within the vehicle
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D. is wearing only a lap belt - answersA. is ejected or partially ejected.
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According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient should be
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transported to the highest level of trauma center if he or she:
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A. has a bleeding disorder or takes anticoagulant medication and has any blunt or penetrating injury
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B. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma
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C. Has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min
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D. was involved in a motor vehicle crash in which another patient in the same vehicle was killed - answersB. has a GCS scor
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of less than or equal to 13 with a mechanism attributed to trauma
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Airbags are designed to: nk nk nk
A. decrease the severity of deceleration injuries.
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B. prevent the driver from sustaining head trauma
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C. be used with or without a shoulder harness
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D. prevent a second collision inside the car - answersA. decrease the severity of deceleration injuries.
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Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to:
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A. identify contact points and predict potential injuries
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B. determine the vehicle's speed at the time of impact
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C. assess the severity of the third collision of the crash
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D. recognize if the driver hit the brakes before impact - answersA. identify contact points and predict potential injuries
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Factors that should be considered when assessing a patient who has fallen include all of the following, EXCEPT:
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A. the speed of the fall.
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B. the surface struck.
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C. the height of the fall.
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D. the primary impact point. - answersA. the speed of the fall.
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Force acting over a distance is the definition of:
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A. latent energy
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B. work nk
C. kinetic energy
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D. potential energy - answersB. work
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If one or more occupants in the same vehicle are killed in a crash, the EMT should:
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A. allow the survivors to refused transport if they have no obvious injuries
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B. rapidly assess only the survivors who have experienced obvious trauma
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C. Transport the survivors only if they have injuries or complain of pain
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D. suspect that all living occupants experienced the same serious trauma - answersD. suspect that all living occupants
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experienced the same serious trauma
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In contrast to a Level III trauma center, a Level I trauma center must:
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A. have general surgeons that are in-house 24 hours a day.
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B. be involved in trauma prevention programs
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C. Be able to stabilize patients before transferring to a higher level facility
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D. have access to an emergency physician within 30 minutes - answersA. have general surgeons that are in-house 24 hours
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Internal injuries caused by gunshot wounds are difficult to predict because:
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A. the caliber of the bullet is frequently unknown
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B. the area of damage is usually smaller than the bullet
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C. Exit wounds caused by the bullet are usually small
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D. the bullet may tumble or ricochet within the body. - answersD. the bullet may tumble or ricochet within the body.
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Signs of a pulmonary blast injury include: nk nk nk nk nk nk
A. coughing up blood nk nk nk
B. multiple rib fractures
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C. an irregular pulse nk nk nk
D. vomiting blood - answersA. coughing up blood
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The energy of a moving object is called:nk nk nk nk nk nk nk
A. converted energy nk nk
B. latent energy nk nk
C. potential energy nk nk
D. kinetic energy - answersD. kinetic energy
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The index of suspicion is MOST accurately defined as:
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A. the way in which traumatic injuries occur
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B. your awareness and your concern for potentially serious underlying injuries
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C. the detection of less obvious life-threatening injuries
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D. a predictable pattern that leads to serious injuries - answersB. your awareness and your concern for potentially serious
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underlying injuries
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The phenomenon of pressure waves emanating from the bullet, causing damage remote from its path, is known as:
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A. conversion nk
B. cavitation nk
C. congruent nk nk
D. capitation - answersB. cavitation
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When assessing an elderly patient who fell, it is important to remember that:
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A. bilateral hip fractures usually occur when an elderly person falls
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B. any fall in the elderly is considered to be high-energy trauma
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C. osteoporosis can cause a fracture as a result of a fall from a standing position
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D. elderly patients who fall usually have a secondary head injury - answersC. osteoporosis can cause a fracture as a result o
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fall from a standing position
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When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the:
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A. index of suspicionnk nk nk
B. kinetic energy nk nk
C. mechanism of injurynk nk nk
D. potential energy - answersC. mechanism of injury
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When the speed of a motor vehicle doubles, the amount of kinetic energy:
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A. quadruples nk
B. triples nk
C. doubles nk
D. is not affected - answersA. quadruples
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When treating a patient who experienced a pulmonary blast injury, you should:
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A. administer large amounts of intravenous fluid
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B. suspect an accompanying cardiac tamponade
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A driver involved in a rollover motor vehicle crash will MOST likely experience serious injuries or death if he or she:
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
A. is ejected or partially ejected.
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B. experiences multiple impacts
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C. Remains within the vehicle
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D. is wearing only a lap belt - answersA. is ejected or partially ejected.
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According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient should be
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transported to the highest level of trauma center if he or she:
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A. has a bleeding disorder or takes anticoagulant medication and has any blunt or penetrating injury
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B. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma
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C. Has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min
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D. was involved in a motor vehicle crash in which another patient in the same vehicle was killed - answersB. has a GCS scor
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of less than or equal to 13 with a mechanism attributed to trauma
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Airbags are designed to: nk nk nk
A. decrease the severity of deceleration injuries.
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B. prevent the driver from sustaining head trauma
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C. be used with or without a shoulder harness
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D. prevent a second collision inside the car - answersA. decrease the severity of deceleration injuries.
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Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to:
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
A. identify contact points and predict potential injuries
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B. determine the vehicle's speed at the time of impact
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C. assess the severity of the third collision of the crash
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D. recognize if the driver hit the brakes before impact - answersA. identify contact points and predict potential injuries
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Factors that should be considered when assessing a patient who has fallen include all of the following, EXCEPT:
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A. the speed of the fall.
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B. the surface struck.
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C. the height of the fall.
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D. the primary impact point. - answersA. the speed of the fall.
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Force acting over a distance is the definition of:
nk nk nk nk nk nk nk nk
A. latent energy
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B. work nk
C. kinetic energy
nk nk
D. potential energy - answersB. work
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If one or more occupants in the same vehicle are killed in a crash, the EMT should:
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A. allow the survivors to refused transport if they have no obvious injuries
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B. rapidly assess only the survivors who have experienced obvious trauma
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C. Transport the survivors only if they have injuries or complain of pain
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D. suspect that all living occupants experienced the same serious trauma - answersD. suspect that all living occupants
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experienced the same serious trauma
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In contrast to a Level III trauma center, a Level I trauma center must:
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A. have general surgeons that are in-house 24 hours a day.
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B. be involved in trauma prevention programs
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C. Be able to stabilize patients before transferring to a higher level facility
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D. have access to an emergency physician within 30 minutes - answersA. have general surgeons that are in-house 24 hours
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1 /
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5
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,nkday.
Internal injuries caused by gunshot wounds are difficult to predict because:
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A. the caliber of the bullet is frequently unknown
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B. the area of damage is usually smaller than the bullet
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C. Exit wounds caused by the bullet are usually small
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D. the bullet may tumble or ricochet within the body. - answersD. the bullet may tumble or ricochet within the body.
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Signs of a pulmonary blast injury include: nk nk nk nk nk nk
A. coughing up blood nk nk nk
B. multiple rib fractures
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C. an irregular pulse nk nk nk
D. vomiting blood - answersA. coughing up blood
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The energy of a moving object is called:nk nk nk nk nk nk nk
A. converted energy nk nk
B. latent energy nk nk
C. potential energy nk nk
D. kinetic energy - answersD. kinetic energy
nk nk nk nk nk nk
The index of suspicion is MOST accurately defined as:
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A. the way in which traumatic injuries occur
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B. your awareness and your concern for potentially serious underlying injuries
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C. the detection of less obvious life-threatening injuries
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D. a predictable pattern that leads to serious injuries - answersB. your awareness and your concern for potentially serious
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
underlying injuries
nk nk
The phenomenon of pressure waves emanating from the bullet, causing damage remote from its path, is known as:
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
A. conversion nk
B. cavitation nk
C. congruent nk nk
D. capitation - answersB. cavitation
nk nk nk nk
When assessing an elderly patient who fell, it is important to remember that:
nk nk nk nk nk nk nk nk nk nk nk nk
A. bilateral hip fractures usually occur when an elderly person falls
nk nk nk nk nk nk nk nk nk nk
B. any fall in the elderly is considered to be high-energy trauma
nk nk nk nk nk nk nk nk nk nk nk
C. osteoporosis can cause a fracture as a result of a fall from a standing position
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
D. elderly patients who fall usually have a secondary head injury - answersC. osteoporosis can cause a fracture as a result o
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
fall from a standing position
nk nk nk nk nk
When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the:
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
A. index of suspicionnk nk nk
B. kinetic energy nk nk
C. mechanism of injurynk nk nk
D. potential energy - answersC. mechanism of injury
nk nk nk nk nk nk nk
When the speed of a motor vehicle doubles, the amount of kinetic energy:
nk nk nk nk nk nk nk nk nk nk nk nk
A. quadruples nk
B. triples nk
C. doubles nk
D. is not affected - answersA. quadruples
nk nk nk nk nk nk
When treating a patient who experienced a pulmonary blast injury, you should:
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A. administer large amounts of intravenous fluid
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B. suspect an accompanying cardiac tamponade
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2 /
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5
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