1|Page
WEST COAST EMT - BLOCK 4 EXAM 300+ QUESTIONS
WITH 100% CORRECT ANSWERS | VERIFIED |LATEST
UPDATED 2025
Which of the following interventions is the MOST critical to the outcome of a
patient with multisystem trauma?
Select one:
A. Intravenous fluid administration
B. Early administration of oxygen
C. Rapid transport to a trauma center
D. Elevation of the lower extremities - ANSWER: C. Rapid transport to a trauma
center
Which of the following statements regarding gunshot wounds is correct?
Select one:
A. The size of a bullet has the greatest impact on the injury produced.
B. High-velocity bullets will cause less severe internal injuries.
C. The speed of a bullet has the greatest impact on the injury produced.
D. Low-velocity bullets will cause the greatest amount of trauma. - ANSWER: C.
The speed of a bullet has the greatest impact on the injury produced.
Which types of motor vehicle collisions present the greatest potential for multiple
impacts?
Select one:
A. Lateral and rollover
B. Frontal and rotational
,2|Page
C. Rotational and rollover
D. Rear-end and rotational - ANSWER: C. Rotational and rollover
While en route to a major motor vehicle crash, an on-scene police officer advises
you that a 6-year-old male who was riding in the front seat is involved. He further
states that the child was only wearing a lap belt and that the air bag deployed. On
the basis of this information, you should be MOST suspicious that the child has
experienced:
Select one:
A. lower extremity fractures.
B. neck and facial injuries.
C. blunt trauma to the head.
D. open abdominal trauma. - ANSWER: B. neck and facial injuries.
Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood
pressure of 80 mm Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma
Score (RTS) is:
Select one:
A. 10.
B. 11.
C. 9.
D. 8. - ANSWER: C. 9.
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:
Select one:
,3|Page
A. packing both nostrils with gauze pads until the bleeding stops.
B. placing a rolled 4² × 4² dressing between his lower lip and gum.
C. pinching the patient's nostrils and having him lean forward.
D. having the patient pinch his own nostrils and then lie supine. - ANSWER: C.
pinching the patient's nostrils and having him lean forward.
A 67-year-old male presents with weakness, dizziness, and melena that began
approximately 2 days ago. He denies a history of trauma. His blood pressure is
90/50 mm Hg and his pulse is 120 beats/min and thready. You should be MOST
suspicious that this patient is experiencing:
Select one:
A. an aortic aneurysm.
B. acute appendicitis.
C. gastrointestinal bleeding.
D. intrathoracic hemorrhaging. - ANSWER: C. gastrointestinal bleeding.
A young male was shot in the abdomen by an unknown type of gun. He is
semiconscious, has shallow breathing, and is bleeding externally from the wound.
As you control the external bleeding, your partner should:
Select one:
A. perform a secondary assessment.
B. apply a nonrebreathing mask.
C. obtain baseline vital signs.
D. assist the patient's ventilations. - ANSWER: D. assist the patient's ventilations.
, 4|Page
Circulation of blood within an organ or tissue in adequate amounts to meet the
cells' oxygen, nutritional, and waste-removal needs is termed _______.
Select one:
A. perfusion
B. hypoperfusion
C. coagulation
D. hemorrhage - ANSWER: A. perfusion
Following blunt trauma to the abdomen, a 21-year-old female complains of diffuse
abdominal pain and pain to the left shoulder. Your assessment reveals that her
abdomen is distended and tender to palpation. On the basis of these findings, you
should be MOST suspicious of injury to the:
Select one:
A. spleen.
B. gallbladder.
C. pancreas.
D. liver. - ANSWER: A. spleen.
Hypovolemic shock occurs when:
Select one:
A. the patient's systolic blood pressure is less than 100 mm Hg.
B. the clotting ability of the blood is enhanced.
C. the body cannot compensate for rapid blood loss.
D. at least 10% of the patient's blood volume is lost. - ANSWER: C. the body
cannot compensate for rapid blood loss.
WEST COAST EMT - BLOCK 4 EXAM 300+ QUESTIONS
WITH 100% CORRECT ANSWERS | VERIFIED |LATEST
UPDATED 2025
Which of the following interventions is the MOST critical to the outcome of a
patient with multisystem trauma?
Select one:
A. Intravenous fluid administration
B. Early administration of oxygen
C. Rapid transport to a trauma center
D. Elevation of the lower extremities - ANSWER: C. Rapid transport to a trauma
center
Which of the following statements regarding gunshot wounds is correct?
Select one:
A. The size of a bullet has the greatest impact on the injury produced.
B. High-velocity bullets will cause less severe internal injuries.
C. The speed of a bullet has the greatest impact on the injury produced.
D. Low-velocity bullets will cause the greatest amount of trauma. - ANSWER: C.
The speed of a bullet has the greatest impact on the injury produced.
Which types of motor vehicle collisions present the greatest potential for multiple
impacts?
Select one:
A. Lateral and rollover
B. Frontal and rotational
,2|Page
C. Rotational and rollover
D. Rear-end and rotational - ANSWER: C. Rotational and rollover
While en route to a major motor vehicle crash, an on-scene police officer advises
you that a 6-year-old male who was riding in the front seat is involved. He further
states that the child was only wearing a lap belt and that the air bag deployed. On
the basis of this information, you should be MOST suspicious that the child has
experienced:
Select one:
A. lower extremity fractures.
B. neck and facial injuries.
C. blunt trauma to the head.
D. open abdominal trauma. - ANSWER: B. neck and facial injuries.
Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood
pressure of 80 mm Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma
Score (RTS) is:
Select one:
A. 10.
B. 11.
C. 9.
D. 8. - ANSWER: C. 9.
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:
Select one:
,3|Page
A. packing both nostrils with gauze pads until the bleeding stops.
B. placing a rolled 4² × 4² dressing between his lower lip and gum.
C. pinching the patient's nostrils and having him lean forward.
D. having the patient pinch his own nostrils and then lie supine. - ANSWER: C.
pinching the patient's nostrils and having him lean forward.
A 67-year-old male presents with weakness, dizziness, and melena that began
approximately 2 days ago. He denies a history of trauma. His blood pressure is
90/50 mm Hg and his pulse is 120 beats/min and thready. You should be MOST
suspicious that this patient is experiencing:
Select one:
A. an aortic aneurysm.
B. acute appendicitis.
C. gastrointestinal bleeding.
D. intrathoracic hemorrhaging. - ANSWER: C. gastrointestinal bleeding.
A young male was shot in the abdomen by an unknown type of gun. He is
semiconscious, has shallow breathing, and is bleeding externally from the wound.
As you control the external bleeding, your partner should:
Select one:
A. perform a secondary assessment.
B. apply a nonrebreathing mask.
C. obtain baseline vital signs.
D. assist the patient's ventilations. - ANSWER: D. assist the patient's ventilations.
, 4|Page
Circulation of blood within an organ or tissue in adequate amounts to meet the
cells' oxygen, nutritional, and waste-removal needs is termed _______.
Select one:
A. perfusion
B. hypoperfusion
C. coagulation
D. hemorrhage - ANSWER: A. perfusion
Following blunt trauma to the abdomen, a 21-year-old female complains of diffuse
abdominal pain and pain to the left shoulder. Your assessment reveals that her
abdomen is distended and tender to palpation. On the basis of these findings, you
should be MOST suspicious of injury to the:
Select one:
A. spleen.
B. gallbladder.
C. pancreas.
D. liver. - ANSWER: A. spleen.
Hypovolemic shock occurs when:
Select one:
A. the patient's systolic blood pressure is less than 100 mm Hg.
B. the clotting ability of the blood is enhanced.
C. the body cannot compensate for rapid blood loss.
D. at least 10% of the patient's blood volume is lost. - ANSWER: C. the body
cannot compensate for rapid blood loss.