West Coast EMT Block 4 Exam Review Questions
with Correct Answers 2026
AAdriver vinvolved vin va vrollover vmotor vvehicle vcrash vwill vMOST vlikely vexperience vserious vinjuries
vor vdeath vi v f vhe vor vshe:
a. is vwearing vonly v a vlap vbelt
b. experienced vmultiple vimpacts
c. remains vwithin vthe vvehicle
d. is vejected vor vpartially vejected v- vcorrect vanswer-d. vis vejected vor vpartially vejected
According vto vthe vAmerican vCollege vor vSurgeons vCommittee von vTrauma v(ACS-
COT), van vadult vtrauma vpatient vshould vbe vtransported vto vthe vhighest vlevel vof vtrauma vcenter vis vhe
vor vshe:
a. was vinvolved vin va vmotor vvehicle vcrash vin vwhich vanother vpatient vin vthe vsame vvehicle vwas
vkilled.
b. has va vbleeding vdisorder vor vtakes vanticoagulant vmedications vand vhas vany vblunt vor vpenetrating
vinjury.
c. has va vsystolic vblood vpressure vof vless vthan v110 vmm vHg vor va vheart vrate vgreater vthan v110
vbeats/min.
d. has va vGCS vscore vof vless vthan vor vequal vto v13 vwith va vmechanism vattributed vto vtrauma. v-
vcorrect vanswer-
d. vhas va vGCS vscore vof vless vthan vor vequal vto v13 vwith va vmechanism vattributed vto vtrauma.
Airbags vare vdesigned vto:
a. prevent vthe vdriver vfrom vsustaining vhead vtrauma
b. decrease vthe vseverity vof vdeceleration vinjuries
c. prevent va vsecond vcollision vinside vthe vcar.
,d. be vused vwith vor vwithout va vshoulder vharness v- vcorrect v answer-
b. decrease vthe vseverity voof vdeceleration vinjuries.
Evaluation vof vthe vinterior vof va vcrashed vmotor vvehicle vduring vextrication vwill vallow vthe vEMT vto:
a. recognize vif vthe vdriver vhit vthe vbrakes vbefore vimpact
,b. identify vcontact vpoints vand vpredict vinjuries
c. determine vthe vvehicle's vspeed vat vthe vtime vof vimpact
d. assess vthe vseverity vof vthe v third vcollision vof vthe vcrash v- vcorrect v answer-
b. identify vcontact vpoints vand vpredict vinjuries
Factors vthat vshould vbe vconsidered vwhen vassessing va vpatient vwho vhas vfallen vinclude vall vof vthe
vfollowing, vEXCEPT:
a. the vsurface vstruck
b. the vprimary v impact v point
c. the v speed vof v the v fall
d. the vheight vof vthe vfall v- vcorrect v answer-c. vthe vspeed vof vthe vfall
Force vacting vover va vdistance vis vthe vdefinition vof:
a. work
b. kinetic venergy
c. potential venergy
d. latent venergy v- vcorrect vanswer-a. vwork
If vone vor vmore voccupants vin vthe vsame vvehicle vare vkilled vin va vcrash, vthe vEMT v should:
a. allow vthe vsurvivors vto vrefuse vtransport vif vthey vhave vno vobvious vinjuries
b. rapidly vassess vonly vthe vsurvivors vwho vexperienced vobvious vtrauma
c. transport vthe vsurvivors vonly vif vthey vhave vinjuries vor vcomplain vof vpain
d. suspect vthat vall vliving voccupants vexperienced vthe vsame vserious vtrauma v- vcorrect vanswer-
d. vsuspect vthat vall vliving voccupants vexperienced vthe vsame vserious vtrauma
In vcontrast vto vLevel vIII vtrauma vcenter, va vLevel vI vtrauma vcenter vmust:
, a. be vinvolved vin vtrauma vprevention vprograms
b. have vgeneral vsurgeons vin-house v24 vhours va vday
c. be vable vto vstabilize vpatients vbefore vtransferring vtoo va vhigher vlevel vfacility
d. have vaccess vto van vemergency vphysician vwithin v30 vminutes v- vcorrect vanswer-
b. vhave vgeneral vsurgeons vin-house v24 vhours va vday.
Internal vinjuries vcaused vby vgunshot vwounds vare vdifficult vto vpredict vbecause:
a. exit vwounds vcaused vby vthe vbullet vare vusually vsmall
b. the varea vof va vdamage v is vusually vsmaller vthan vthe v bullet.
c. the vbullet vmay vtumble vor vricochet vwithin vthe vbody.
d. the vcaliber vof vthe vbullet vis vfrequently vunknown v- vcorrect v answer-
c. vthe vbullet vmay vtumble vor vricochet vwithin vthe vbody.
Signs vof va vpulmonary vblast vinjury v include:
a. coughing vup vblood
b. vomiting vblood
c. multiple vrib vfractures
d. an virregular vpulse v- vcorrect vanswer-a. vcoughing vup vblood
The venergy vof va vmoving vobject v is v called:
a. kinetic venergy
b. latent venergy
c. potential venergy
d. converted venergy v- vcorrect vanswer-a. vkinetic venergy
The vindex vof vsuspicion vis vMOST vaccurately vdefined vas:
with Correct Answers 2026
AAdriver vinvolved vin va vrollover vmotor vvehicle vcrash vwill vMOST vlikely vexperience vserious vinjuries
vor vdeath vi v f vhe vor vshe:
a. is vwearing vonly v a vlap vbelt
b. experienced vmultiple vimpacts
c. remains vwithin vthe vvehicle
d. is vejected vor vpartially vejected v- vcorrect vanswer-d. vis vejected vor vpartially vejected
According vto vthe vAmerican vCollege vor vSurgeons vCommittee von vTrauma v(ACS-
COT), van vadult vtrauma vpatient vshould vbe vtransported vto vthe vhighest vlevel vof vtrauma vcenter vis vhe
vor vshe:
a. was vinvolved vin va vmotor vvehicle vcrash vin vwhich vanother vpatient vin vthe vsame vvehicle vwas
vkilled.
b. has va vbleeding vdisorder vor vtakes vanticoagulant vmedications vand vhas vany vblunt vor vpenetrating
vinjury.
c. has va vsystolic vblood vpressure vof vless vthan v110 vmm vHg vor va vheart vrate vgreater vthan v110
vbeats/min.
d. has va vGCS vscore vof vless vthan vor vequal vto v13 vwith va vmechanism vattributed vto vtrauma. v-
vcorrect vanswer-
d. vhas va vGCS vscore vof vless vthan vor vequal vto v13 vwith va vmechanism vattributed vto vtrauma.
Airbags vare vdesigned vto:
a. prevent vthe vdriver vfrom vsustaining vhead vtrauma
b. decrease vthe vseverity vof vdeceleration vinjuries
c. prevent va vsecond vcollision vinside vthe vcar.
,d. be vused vwith vor vwithout va vshoulder vharness v- vcorrect v answer-
b. decrease vthe vseverity voof vdeceleration vinjuries.
Evaluation vof vthe vinterior vof va vcrashed vmotor vvehicle vduring vextrication vwill vallow vthe vEMT vto:
a. recognize vif vthe vdriver vhit vthe vbrakes vbefore vimpact
,b. identify vcontact vpoints vand vpredict vinjuries
c. determine vthe vvehicle's vspeed vat vthe vtime vof vimpact
d. assess vthe vseverity vof vthe v third vcollision vof vthe vcrash v- vcorrect v answer-
b. identify vcontact vpoints vand vpredict vinjuries
Factors vthat vshould vbe vconsidered vwhen vassessing va vpatient vwho vhas vfallen vinclude vall vof vthe
vfollowing, vEXCEPT:
a. the vsurface vstruck
b. the vprimary v impact v point
c. the v speed vof v the v fall
d. the vheight vof vthe vfall v- vcorrect v answer-c. vthe vspeed vof vthe vfall
Force vacting vover va vdistance vis vthe vdefinition vof:
a. work
b. kinetic venergy
c. potential venergy
d. latent venergy v- vcorrect vanswer-a. vwork
If vone vor vmore voccupants vin vthe vsame vvehicle vare vkilled vin va vcrash, vthe vEMT v should:
a. allow vthe vsurvivors vto vrefuse vtransport vif vthey vhave vno vobvious vinjuries
b. rapidly vassess vonly vthe vsurvivors vwho vexperienced vobvious vtrauma
c. transport vthe vsurvivors vonly vif vthey vhave vinjuries vor vcomplain vof vpain
d. suspect vthat vall vliving voccupants vexperienced vthe vsame vserious vtrauma v- vcorrect vanswer-
d. vsuspect vthat vall vliving voccupants vexperienced vthe vsame vserious vtrauma
In vcontrast vto vLevel vIII vtrauma vcenter, va vLevel vI vtrauma vcenter vmust:
, a. be vinvolved vin vtrauma vprevention vprograms
b. have vgeneral vsurgeons vin-house v24 vhours va vday
c. be vable vto vstabilize vpatients vbefore vtransferring vtoo va vhigher vlevel vfacility
d. have vaccess vto van vemergency vphysician vwithin v30 vminutes v- vcorrect vanswer-
b. vhave vgeneral vsurgeons vin-house v24 vhours va vday.
Internal vinjuries vcaused vby vgunshot vwounds vare vdifficult vto vpredict vbecause:
a. exit vwounds vcaused vby vthe vbullet vare vusually vsmall
b. the varea vof va vdamage v is vusually vsmaller vthan vthe v bullet.
c. the vbullet vmay vtumble vor vricochet vwithin vthe vbody.
d. the vcaliber vof vthe vbullet vis vfrequently vunknown v- vcorrect v answer-
c. vthe vbullet vmay vtumble vor vricochet vwithin vthe vbody.
Signs vof va vpulmonary vblast vinjury v include:
a. coughing vup vblood
b. vomiting vblood
c. multiple vrib vfractures
d. an virregular vpulse v- vcorrect vanswer-a. vcoughing vup vblood
The venergy vof va vmoving vobject v is v called:
a. kinetic venergy
b. latent venergy
c. potential venergy
d. converted venergy v- vcorrect vanswer-a. vkinetic venergy
The vindex vof vsuspicion vis vMOST vaccurately vdefined vas:
