WEST COAST EMT - BLOCK 4 EXAM QUESTIONS WITH CORRECT ANSWERS

WEST COAST EMT - BLOCK 4 EXAM
QUESTIONS WITH CORRECT ANSWERS
Agb12-year-
oldgbmalegbjumpedgbapproximatelygb12gbfeetgbfromgbagbtreegbandgblandedgbongbhisgbfeet.
gbHegbcomplainsgbofgbpaingbtogbhisgblowergbback.gbWhatgbinjurygbmechanismgbisgbMOSTg
blikelygbresponsiblegbforgbhisgbbackgbpain?
Selectgbone:
A.gbLateralgbimpactgbtogbthegbspine
B.gbSecondarygbfallgbaftergbthegbinitialgbimpact
C.gbDirectgbtraumagbtogbthegbspinalgbcolumn
D.gbEnergygbtransmissiongbtogbthegbspinegb-gbANS--
D.gbEnergygbtransmissiongbtogbthegbspine

Agb15-year-
oldgbfemalegbwasgbstruckgbbygbagbsmallgbcargbwhilegbridinggbhergbbicycle.gbShegbwasgbwe
aringgbagbhelmetgbandgbwasgbthrowngbtogbthegbground,gbstrikinggbhergbhead.gbIngbaddition
gbtogbmanaginggbproblemsgbassociatedgbwithgbairway,gbbreathing,gbandgbcirculation,gbitgbi
sgbMOSTgbimportantgbforgbyougbto:
Selectgbone:
A.gbleavegbhergbbicyclegbhelmetgbon.
B.gbobtaingbbaselinegbvitalgbsigns.
C.gbstabilizegbhergbentiregbspine.
D.gbinspectgbthegbhelmetgbforgbcracks.gb-gbANS--C.gbstabilizegbhergbentiregbspine.

Agbyounggbmalegbsustainedgbagbgunshotgbwoundgbtogbthegbabdomengbduringgbangbalterc
ation.gbAsgbyourgbpartnergbisgbassessinggbandgbmanaginggbhisgbairway,gbyougbshouldgbco
ntrolgbthegbobviousgbbleedinggbandgbthen:
Selectgbone:
A.gbauscultategbbowelgbsounds.
B.gbassessgbforgbangbexitgbwound.
C.gbapplygbagbcervicalgbcollar.
D.gbobtaingbbaselinegbvitalgbsigns.gb-gbANS--B.gbassessgbforgbangbexitgbwound.

AccordinggbtogbthegbAmericangbCollegegbofgbSurgeonsgbCommitteegbongbTraumagb(ACS-
COT),gbangbadultgbtraumagbpatientgbshouldgbbegbtransportedgbtogbthegbhighestgblevelgbofg
btraumagbcentergbifgbhegborgbshe:
Selectgbone:
A.gbwasgbinvolvedgbingbagbmotorgbvehiclegbcrashgbingbwhichgbanothergbpatientgbingbthegbs
amegbvehiclegbwasgbkilled.
B.gbhasgbagbsystolicgbbloodgbpressuregbofgblessgbthangb110gbmmgbHggborgbagbheartgbrateg
bgreatergbthangb110gbbeats/min.

,C.gbhasgbagbbleedinggbdisordergborgbtakesgbanticoagulantgbmedicationsgbandgbhasgbanygb
bluntgborgbpenetratinggbinjury.
D.gbhasgbagbGCSgbscoregbofgblessgbthangborgbequalgbtogb13gbwithgbagbmechanismgbattribu
tedgbtogbtrauma.gb-gbANS--
D.gbhasgbagbGCSgbscoregbofgblessgbthangborgbequalgbtogb13gbwithgbagbmechanismgbattribu
tedgbtogbtrauma.

AccordinggbtogbthegbAssociationgbofgbAirgbMedicalgbServices,gbyougbshouldgbconsidergbai
rgbmedicalgbtransportgbofgbagbtraumagbpatientgbif:
Selectgbone:
A.gbthegbpatientgbrequiresgbadvancedgblifegbsupportgbcaregbandgbstabilization,gbandgbthegb
nearestgbALS-groundgbambulancegbisgbmoregbthangb5gbtogb10gbminutesgbaway.
B.gbtrafficgbconditionsgbhampergbthegbabilitygbtogbgetgbthegbpatientgbtogbagbtraumagbcenter
gbbygbgroundgbwithingbthegbidealgbtimegbframegbforgbthegbbestgbclinicalgboutcome.
C.gbgroundgbtransportgbwillgbtakegbyourgbambulancegboutgbofgbservicegbforgbangbextended
gbperiodgbofgbtime,gbregardlessgbofgbthegbseveritygbofgbthegbpatient'sgbinjuries.
D.gbhegborgbshegbwasgbinvolvedgbingbagbmotorgbvehiclegbcrashgbingbwhichgbanothergboccu
pantgbingbthegbsamegbvehiclegbwasgbkilled,gbevengbifgbyourgbpatient'sgbinjuriesgbaregbmino
r.gb-gbANS--
B.gbtrafficgbconditionsgbhampergbthegbabilitygbtogbgetgbthegbpatientgbtogbagbtraumagbcenter
gbbygbgroundgbwithingbthegbidealgbtimegbframegbforgbthegbbestgbclinicalgboutcome.


Approximatelygb25%gbofgbseveregbinjuriesgbtogbthegbaortagboccurgbduring:
Selectgbone:
A.gbfrontalgbcollisions.
B.gbrollovergbcollisions.
C.gbrear-endgbcollisions.
D.gblateralgbcollisions.gb-gbANS--D.gblateralgbcollisions.

Followinggbagbbluntgbinjurygbtogbthegbhead,gbagb22-year-
oldgbfemalegbisgbconfusedgbandgbcomplainsgbofgbagbseveregbheadachegbandgbnausea.gbO
ngbthegbbasisgbofgbthesegbsignsgbandgbsymptoms,gbyougbshouldgbbegbMOSTgbconcernedg
bwithgbthegbpossibilitygbof:
Selectgbone:
A.gbagbfracturegbofgbthegbskull.
B.gbairwaygbcompromise.
C.gbintracranialgbbleeding.
D.gbspinalgbcordgbinjury.gb-gbANS--C.gbintracranialgbbleeding.

Forcegbactinggbovergbagbdistancegbisgbthegbdefinitiongbof:
Selectgbone:
A.gbwork.
B.gblatentgbenergy.
C.gbkineticgbenergy.
D.gbpotentialgbenergy.gb-gbANS--A.gbwork.

,ThegbindexgbofgbsuspiciongbisgbMOSTgbaccuratelygbdefinedgbas:
Selectgbone:
A.gbthegbdetectiongbofgblessgbobviousgblife-threateninggbinjuries.
B.gbagbpredictablegbpatterngbthatgbleadsgbtogbseriousgbinjuries.
C.gbyourgbawarenessgbandgbconcerngbforgbpotentiallygbseriousgbunderlyinggbinjuries.
D.gbthegbwaygbingbwhichgbtraumaticgbinjuriesgboccur.gb-gbANS--
C.gbyourgbawarenessgbandgbconcerngbforgbpotentiallygbseriousgbunderlyinggbinjuries.

Whengbassessinggbagbpatientgbwhogbexperiencedgbagbblastgbinjury,gbitgbisgbimportantgbtog
bremembergbthat:
Selectgbone:
A.gbsolidgborgansgbusuallygbrupturegbfromgbthegbpressuregbwave.
B.gbsecondarygbblastgbinjuriesgbaregbusuallygbthegbleastgbobvious.
C.gbprimarygbblastgbinjuriesgbaregbthegbmostgbeasilygboverlooked.
D.gbprimarygbblastgbinjuriesgbaregbtypicallygbthegbmostgbobvious.gb-gbANS--
C.gbprimarygbblastgbinjuriesgbaregbthegbmostgbeasilygboverlooked.

Whengbassessinggbangbelderlygbpatientgbwhogbfell,gbitgbisgbimportantgbtogbremembergbthat
:
Selectgbone:
A.gbanygbfallgbingbthegbelderlygbisgbconsideredgbtogbbegbhigh-energygbtrauma.
B.gbosteoporosisgbcangbcausegbagbfracturegbasgbagbresultgbofgbagbfallgbfromgbagbstandingg
bposition.
C.gbbilateralgbhipgbfracturesgbusuallygboccurgbwhengbangbelderlygbpersongbfalls.
D.gbelderlygbpatientsgbwhogbfallgbusuallygbhavegbagbsecondarygbheadgbinjury.gb-gbANS--
B.gbosteoporosisgbcangbcausegbagbfracturegbasgbagbresultgbofgbagbfallgbfromgbagbstandingg
bposition.


Whengbthegbspeedgbofgbagbmotorgbvehiclegbdoubles,gbthegbamountgbofgbkineticgbenergy:
Selectgbone:
A.gbquadruples.
B.gbisgbnotgbaffected.
C.gbtriples.
D.gbdoubles.gb-gbANS--A.gbquadruples.

Whichgbofgbthegbfollowinggbdestinationsgbisgbmostgbappropriategbforgbagb41-year-
oldgbmalegbpatientgbwhogbwasgbinvolvedgbingbagbrollovergbmotorgbvehiclegbcollisiongbandgb
isgbunconsciousgbandgbunresponsive,gbassuminggbthatgbtravelgbtimesgbtogbeachgbisgbequ
al?
Selectgbone:
A.gbAgbLevelgbIgborgbLevelgbIIgbtraumagbcenter
B.gbOnlygbagbLevelgbIgbtraumagbcenter
C.gbAgbLevelgbIVgborgbLevelgbIIIgbtraumagbcenter
D.gbAnygbdesignatedgbtraumagbcentergbisgbacceptable.gb-gbANS--
A.gbAgbLevelgbIgborgbLevelgbIIgbtraumagbcenter

, WhichgbofgbthegbfollowinggbfindingsgbwouldgbbegbLEASTgbsuggestivegbofgbthegbpresenceg
bofgbhigh-energygbtrauma?
Selectgbone:
A.gbIntrusiongbintogbthegbvehicle
B.gbDismountedgbseats
C.gbSteeringgbwheelgbdeformity
D.gbDeploymentgbofgbthegbairgbbaggb-gbANS--D.gbDeploymentgbofgbthegbairgbbag

WhichgbofgbthegbfollowinggbinjuriesgbwouldgbMOSTgblikelygboccurgbasgbagbdirectgbresultgbo
fgbthegbthirdgbcollisiongbingbagbmotorgbvehiclegbcrash?
Selectgbone:
A.gbFlailgbchest
B.gbForeheadgblacerations
C.gbAorticgbrupture
D.gbExtremitygbfracturesgb-gbANS--C.gbAorticgbrupture

WhichgbofgbthegbfollowinggbinterventionsgbisgbthegbMOSTgbcriticalgbtogbthegboutcomegbofgb
agbpatientgbwithgbmultisystemgbtrauma?
Selectgbone:
A.gbIntravenousgbfluidgbadministration
B.gbEarlygbadministrationgbofgboxygen
C.gbRapidgbtransportgbtogbagbtraumagbcenter
D.gbElevationgbofgbthegblowergbextremitiesgb-gbANS--
C.gbRapidgbtransportgbtogbagbtraumagbcenter

Whichgbofgbthegbfollowinggbstatementsgbregardinggbgunshotgbwoundsgbisgbcorrect?
Selectgbone:
A.gbThegbsizegbofgbagbbulletgbhasgbthegbgreatestgbimpactgbongbthegbinjurygbproduced.
B.gbHigh-velocitygbbulletsgbwillgbcausegblessgbseveregbinternalgbinjuries.
C.gbThegbspeedgbofgbagbbulletgbhasgbthegbgreatestgbimpactgbongbthegbinjurygbproduced.
D.gbLow-velocitygbbulletsgbwillgbcausegbthegbgreatestgbamountgbofgbtrauma.gb-gbANS--
C.gbThegbspeedgbofgbagbbulletgbhasgbthegbgreatestgbimpactgbongbthegbinjurygbproduced.

Whichgbtypesgbofgbmotorgbvehiclegbcollisionsgbpresentgbthegbgreatestgbpotentialgbforgbmul
tiplegbimpacts?
Selectgbone:
A.gbLateralgbandgbrollover
B.gbFrontalgbandgbrotational
C.gbRotationalgbandgbrollover
D.gbRear-endgbandgbrotationalgb-gbANS--C.gbRotationalgbandgbrollover

Whilegbengbroutegbtogbagbmajorgbmotorgbvehiclegbcrash,gbangbon-
scenegbpolicegbofficergbadvisesgbyougbthatgbagb6-year-
oldgbmalegbwhogbwasgbridinggbingbthegbfrontgbseatgbisgbinvolved.gbHegbfurthergbstatesgbtha
tgbthegbchildgbwasgbonlygbwearinggbagblapgbbeltgbandgbthatgbthegbairgbbaggbdeployed.gbOn