WEST COAST EMT-
j j
BLOCK 4 EXAM QUESTIONS AND CORRECT ANSWERS 2024 LATEST UPDATE ALREADY
j j j j j j j j j j j
GRADED A+ j
Aj12-year-
oldjmalejjumpedjapproximatelyj12jfeetjfromjajtreejandjlandedjonjhisjfeet.jHejcomplainsjofjpainjtojhisjlowerjb
ack.jWhatjinjuryjmechanismjisjMOSTjlikelyjresponsiblejforjhisjbackjpain?
Selectjone:
A. Lateraljimpactjtojthejspine
B. Secondaryjfalljafterjthejinitialjimpact
C. Directjtraumajtojthejspinaljcolumn
D. Energyjtransmissionjtojthejspinej-janswer-D.jEnergyjtransmissionjtojthejspine
Aj15-year-
oldjfemalejwasjstruckjbyjajsmalljcarjwhilejridingjherjbicycle.jShejwasjwearingjajhelmetjandjwasjthrownjtojthej
ground,jstrikingjherjhead.jInjadditionjtojmanagingjproblemsjassociatedjwithjairway,jbreathing,jandjcirculatio
n,jitjisjMOSTjimportantjforjyoujto:
Selectjone:
A. leavejherjbicyclejhelmetjon.
B. obtainjbaselinejvitaljsigns.
C. stabilizejherjentirejspine.
D. inspectjthejhelmetjforjcracks.j-janswer-C.jstabilizejherjentirejspine.
Ajyoungjmalejsustainedjajgunshotjwoundjtojthejabdomenjduringjanjaltercation.jAsjyourjpartnerjisjassessingj
andjmanagingjhisjairway,jyoujshouldjcontroljthejobviousjbleedingjandjthen:
Selectjone:
A. auscultatejboweljsounds.
B. assessjforjanjexitjwound.
C. applyjajcervicaljcollar.
D. obtainjbaselinejvitaljsigns.j-janswer-B.jassessjforjanjexitjwound.
AccordingjtojthejAmericanjCollegejofjSurgeonsjCommitteejonjTraumaj(ACS-
COT),janjadultjtraumajpatientjshouldjbejtransportedjtojthejhighestjleveljofjtraumajcenterjifjhejorjshe:
Selectjone:
,A. wasjinvolvedjinjajmotorjvehiclejcrashjinjwhichjanotherjpatientjinjthejsamejvehiclejwasjkilled.
B. hasjajsystolicjbloodjpressurejofjlessjthanj110jmmjHgjorjajheartjratejgreaterjthanj110jbeats/min.
C. hasjajbleedingjdisorderjorjtakesjanticoagulantjmedicationsjandjhasjanyjbluntjorjpenetratingjinjury.
D. hasjajGCSjscorejofjlessjthanjorjequaljtoj13jwithjajmechanismjattributedjtojtrauma.j-janswer-
D.jhasjajGCSjscorejofjlessjthanjorjequaljtoj13jwithjajmechanismjattributedjtojtrauma.
AccordingjtojthejAssociationjofjAirjMedicaljServices,jyoujshouldjconsiderjairjmedicaljtransportjofjajtraumajpa
tientjif:
Selectjone:
A. thejpatientjrequiresjadvancedjlifejsupportjcarejandjstabilization,jandjthejnearestjALS-
groundjambulancejisjmorejthanj5jtoj10jminutesjaway.
B. trafficjconditionsjhamperjthejabilityjtojgetjthejpatientjtojajtraumajcenterjbyjgroundjwithinjthejidealjtimej
framejforjthejbestjclinicaljoutcome.
C. groundjtransportjwilljtakejyourjambulancejoutjofjservicejforjanjextendedjperiodjofjtime,jregardlessjofjth
ejseverityjofjthejpatient'sjinjuries.
D. hejorjshejwasjinvolvedjinjajmotorjvehiclejcrashjinjwhichjanotherjoccupantjinjthejsamejvehiclejwasjkilled
,jevenjifjyourjpatient'sjinjuriesjarejminor.j-janswer-
B.jtrafficjconditionsjhamperjthejabilityjtojgetjthejpatientjtojajtraumajcenterjbyjgroundjwithinjthejidealjtim
ejframejforjthejbestjclinicaljoutcome.
Approximatelyj25%jofjseverejinjuriesjtojthejaortajoccurjduring:
Selectjone:
A. frontaljcollisions.
B. rolloverjcollisions.
C. rear-endjcollisions.
D. lateraljcollisions.j-janswer-D.jlateraljcollisions.
Followingjajbluntjinjuryjtojthejhead,jaj22-year-
oldjfemalejisjconfusedjandjcomplainsjofjajseverejheadachejandjnausea.jOnjthejbasisjofjthesejsignsjandjsympt
oms,jyoujshouldjbejMOSTjconcernedjwithjthejpossibilityjof:
Selectjone:
A. ajfracturejofjthejskull.
B. airwayjcompromise.
,C. intracranialjbleeding.
D. spinaljcordjinjury.j-janswer-C.jintracranialjbleeding.
Forcejactingjoverjajdistancejisjthejdefinitionjof:
Selectjone:
A. work.
B. latentjenergy.
C. kineticjenergy.
D. potentialjenergy.j-janswer-A.jwork.
ThejindexjofjsuspicionjisjMOSTjaccuratelyjdefinedjas:
Selectjone:
A. thejdetectionjofjlessjobviousjlife-threateningjinjuries.
B. ajpredictablejpatternjthatjleadsjtojseriousjinjuries.
C. yourjawarenessjandjconcernjforjpotentiallyjseriousjunderlyingjinjuries.
D. thejwayjinjwhichjtraumaticjinjuriesjoccur.j-janswer-
C.jyourjawarenessjandjconcernjforjpotentiallyjseriousjunderlyingjinjuries.
Whenjassessingjajpatientjwhojexperiencedjajblastjinjury,jitjisjimportantjtojrememberjthat:jSelectj
one:
A. solidjorgansjusuallyjrupturejfromjthejpressurejwave.
B. secondaryjblastjinjuriesjarejusuallyjthejleastjobvious.
C. primaryjblastjinjuriesjarejthejmostjeasilyjoverlooked.
D. primaryjblastjinjuriesjarejtypicallyjthejmostjobvious.j-janswer-
C.jprimaryjblastjinjuriesjarejthejmostjeasilyjoverlooked.
Whenjassessingjanjelderlyjpatientjwhojfell,jitjisjimportantjtojrememberjthat:jSele
ctjone:
A. anyjfalljinjthejelderlyjisjconsideredjtojbejhigh-energyjtrauma.
, B. osteoporosisjcanjcausejajfracturejasjajresultjofjajfalljfromjajstandingjposition.
C. bilateraljhipjfracturesjusuallyjoccurjwhenjanjelderlyjpersonjfalls.
D. elderlyjpatientsjwhojfalljusuallyjhavejajsecondaryjheadjinjury.j-janswer-
B.josteoporosisjcanjcausejajfracturejasjajresultjofjajfalljfromjajstandingjposition.
Whenjthejspeedjofjajmotorjvehiclejdoubles,jthejamountjofjkineticjenergy:jSelectj
one:
A. quadruples.
B. isjnotjaffected.
C. triples.
D. doubles.j-janswer-A.jquadruples.
Whichjofjthejfollowingjdestinationsjisjmostjappropriatejforjaj41-year-
oldjmalejpatientjwhojwasjinvolvedjinjajrolloverjmotorjvehiclejcollisionjandjisjunconsciousjandjunresponsive,j
assumingjthatjtraveljtimesjtojeachjisjequal?
Selectjone:
A. AjLeveljIjorjLeveljIIjtraumajcenter
B. OnlyjajLeveljIjtraumajcenter
C. AjLeveljIVjorjLeveljIIIjtraumajcenter
D. Anyjdesignatedjtraumajcenterjisjacceptable.j-janswer-A.jAjLeveljIjorjLeveljIIjtraumajcenter
WhichjofjthejfollowingjfindingsjwouldjbejLEASTjsuggestivejofjthejpresencejofjhigh-
energyjtrauma?jSelectjone:
A. Intrusionjintojthejvehicle
B. Dismountedjseats
C. Steeringjwheeljdeformity
D. Deploymentjofjthejairjbagj-janswer-D.jDeploymentjofjthejairjbag
WhichjofjthejfollowingjinjuriesjwouldjMOSTjlikelyjoccurjasjajdirectjresultjofjthejthirdjcollisionjinjajmotorjvehicl
ejcrash?
j j
BLOCK 4 EXAM QUESTIONS AND CORRECT ANSWERS 2024 LATEST UPDATE ALREADY
j j j j j j j j j j j
GRADED A+ j
Aj12-year-
oldjmalejjumpedjapproximatelyj12jfeetjfromjajtreejandjlandedjonjhisjfeet.jHejcomplainsjofjpainjtojhisjlowerjb
ack.jWhatjinjuryjmechanismjisjMOSTjlikelyjresponsiblejforjhisjbackjpain?
Selectjone:
A. Lateraljimpactjtojthejspine
B. Secondaryjfalljafterjthejinitialjimpact
C. Directjtraumajtojthejspinaljcolumn
D. Energyjtransmissionjtojthejspinej-janswer-D.jEnergyjtransmissionjtojthejspine
Aj15-year-
oldjfemalejwasjstruckjbyjajsmalljcarjwhilejridingjherjbicycle.jShejwasjwearingjajhelmetjandjwasjthrownjtojthej
ground,jstrikingjherjhead.jInjadditionjtojmanagingjproblemsjassociatedjwithjairway,jbreathing,jandjcirculatio
n,jitjisjMOSTjimportantjforjyoujto:
Selectjone:
A. leavejherjbicyclejhelmetjon.
B. obtainjbaselinejvitaljsigns.
C. stabilizejherjentirejspine.
D. inspectjthejhelmetjforjcracks.j-janswer-C.jstabilizejherjentirejspine.
Ajyoungjmalejsustainedjajgunshotjwoundjtojthejabdomenjduringjanjaltercation.jAsjyourjpartnerjisjassessingj
andjmanagingjhisjairway,jyoujshouldjcontroljthejobviousjbleedingjandjthen:
Selectjone:
A. auscultatejboweljsounds.
B. assessjforjanjexitjwound.
C. applyjajcervicaljcollar.
D. obtainjbaselinejvitaljsigns.j-janswer-B.jassessjforjanjexitjwound.
AccordingjtojthejAmericanjCollegejofjSurgeonsjCommitteejonjTraumaj(ACS-
COT),janjadultjtraumajpatientjshouldjbejtransportedjtojthejhighestjleveljofjtraumajcenterjifjhejorjshe:
Selectjone:
,A. wasjinvolvedjinjajmotorjvehiclejcrashjinjwhichjanotherjpatientjinjthejsamejvehiclejwasjkilled.
B. hasjajsystolicjbloodjpressurejofjlessjthanj110jmmjHgjorjajheartjratejgreaterjthanj110jbeats/min.
C. hasjajbleedingjdisorderjorjtakesjanticoagulantjmedicationsjandjhasjanyjbluntjorjpenetratingjinjury.
D. hasjajGCSjscorejofjlessjthanjorjequaljtoj13jwithjajmechanismjattributedjtojtrauma.j-janswer-
D.jhasjajGCSjscorejofjlessjthanjorjequaljtoj13jwithjajmechanismjattributedjtojtrauma.
AccordingjtojthejAssociationjofjAirjMedicaljServices,jyoujshouldjconsiderjairjmedicaljtransportjofjajtraumajpa
tientjif:
Selectjone:
A. thejpatientjrequiresjadvancedjlifejsupportjcarejandjstabilization,jandjthejnearestjALS-
groundjambulancejisjmorejthanj5jtoj10jminutesjaway.
B. trafficjconditionsjhamperjthejabilityjtojgetjthejpatientjtojajtraumajcenterjbyjgroundjwithinjthejidealjtimej
framejforjthejbestjclinicaljoutcome.
C. groundjtransportjwilljtakejyourjambulancejoutjofjservicejforjanjextendedjperiodjofjtime,jregardlessjofjth
ejseverityjofjthejpatient'sjinjuries.
D. hejorjshejwasjinvolvedjinjajmotorjvehiclejcrashjinjwhichjanotherjoccupantjinjthejsamejvehiclejwasjkilled
,jevenjifjyourjpatient'sjinjuriesjarejminor.j-janswer-
B.jtrafficjconditionsjhamperjthejabilityjtojgetjthejpatientjtojajtraumajcenterjbyjgroundjwithinjthejidealjtim
ejframejforjthejbestjclinicaljoutcome.
Approximatelyj25%jofjseverejinjuriesjtojthejaortajoccurjduring:
Selectjone:
A. frontaljcollisions.
B. rolloverjcollisions.
C. rear-endjcollisions.
D. lateraljcollisions.j-janswer-D.jlateraljcollisions.
Followingjajbluntjinjuryjtojthejhead,jaj22-year-
oldjfemalejisjconfusedjandjcomplainsjofjajseverejheadachejandjnausea.jOnjthejbasisjofjthesejsignsjandjsympt
oms,jyoujshouldjbejMOSTjconcernedjwithjthejpossibilityjof:
Selectjone:
A. ajfracturejofjthejskull.
B. airwayjcompromise.
,C. intracranialjbleeding.
D. spinaljcordjinjury.j-janswer-C.jintracranialjbleeding.
Forcejactingjoverjajdistancejisjthejdefinitionjof:
Selectjone:
A. work.
B. latentjenergy.
C. kineticjenergy.
D. potentialjenergy.j-janswer-A.jwork.
ThejindexjofjsuspicionjisjMOSTjaccuratelyjdefinedjas:
Selectjone:
A. thejdetectionjofjlessjobviousjlife-threateningjinjuries.
B. ajpredictablejpatternjthatjleadsjtojseriousjinjuries.
C. yourjawarenessjandjconcernjforjpotentiallyjseriousjunderlyingjinjuries.
D. thejwayjinjwhichjtraumaticjinjuriesjoccur.j-janswer-
C.jyourjawarenessjandjconcernjforjpotentiallyjseriousjunderlyingjinjuries.
Whenjassessingjajpatientjwhojexperiencedjajblastjinjury,jitjisjimportantjtojrememberjthat:jSelectj
one:
A. solidjorgansjusuallyjrupturejfromjthejpressurejwave.
B. secondaryjblastjinjuriesjarejusuallyjthejleastjobvious.
C. primaryjblastjinjuriesjarejthejmostjeasilyjoverlooked.
D. primaryjblastjinjuriesjarejtypicallyjthejmostjobvious.j-janswer-
C.jprimaryjblastjinjuriesjarejthejmostjeasilyjoverlooked.
Whenjassessingjanjelderlyjpatientjwhojfell,jitjisjimportantjtojrememberjthat:jSele
ctjone:
A. anyjfalljinjthejelderlyjisjconsideredjtojbejhigh-energyjtrauma.
, B. osteoporosisjcanjcausejajfracturejasjajresultjofjajfalljfromjajstandingjposition.
C. bilateraljhipjfracturesjusuallyjoccurjwhenjanjelderlyjpersonjfalls.
D. elderlyjpatientsjwhojfalljusuallyjhavejajsecondaryjheadjinjury.j-janswer-
B.josteoporosisjcanjcausejajfracturejasjajresultjofjajfalljfromjajstandingjposition.
Whenjthejspeedjofjajmotorjvehiclejdoubles,jthejamountjofjkineticjenergy:jSelectj
one:
A. quadruples.
B. isjnotjaffected.
C. triples.
D. doubles.j-janswer-A.jquadruples.
Whichjofjthejfollowingjdestinationsjisjmostjappropriatejforjaj41-year-
oldjmalejpatientjwhojwasjinvolvedjinjajrolloverjmotorjvehiclejcollisionjandjisjunconsciousjandjunresponsive,j
assumingjthatjtraveljtimesjtojeachjisjequal?
Selectjone:
A. AjLeveljIjorjLeveljIIjtraumajcenter
B. OnlyjajLeveljIjtraumajcenter
C. AjLeveljIVjorjLeveljIIIjtraumajcenter
D. Anyjdesignatedjtraumajcenterjisjacceptable.j-janswer-A.jAjLeveljIjorjLeveljIIjtraumajcenter
WhichjofjthejfollowingjfindingsjwouldjbejLEASTjsuggestivejofjthejpresencejofjhigh-
energyjtrauma?jSelectjone:
A. Intrusionjintojthejvehicle
B. Dismountedjseats
C. Steeringjwheeljdeformity
D. Deploymentjofjthejairjbagj-janswer-D.jDeploymentjofjthejairjbag
WhichjofjthejfollowingjinjuriesjwouldjMOSTjlikelyjoccurjasjajdirectjresultjofjthejthirdjcollisionjinjajmotorjvehicl
ejcrash?