West Coast EMT - Block 4 Exam Ques ons and answers
Newest RATED A+ 2025/2026
A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He
complains of pain to his lower back. What injury mechanism is MOST likely responsible for his
back pain?
Select one:
A. Lateral impact to the spine
B. Secondary fall a'er the ini(al impact
C. Direct trauma to the spinal column
D. Energy transmission to the spine - Answers D. Energy transmission to the spine
A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a
helmet and was thrown to the ground, striking her head. In addi(on to managing problems
associated with airway, breathing, and circula(on, it is MOST important for you to:
Select one:
A. leave her bicycle helmet on.
B. obtain baseline vital signs.
C. stabilize her en(re spine.
D. inspect the helmet for cracks. - Answers C. stabilize her en(re spine.
A young male sustained a gunshot wound to the abdomen during an alterca(on. As your
partner is assessing and managing his airway, you should control the obvious bleeding and then:
Select one:
A. auscultate bowel sounds.
B. assess for an exit wound.
C. apply a cervical collar.
,D. obtain baseline vital signs. - Answers B. assess for an exit wound.
According to the American College of Surgeons Commi2ee on Trauma (ACS-COT), an adult
trauma pa(ent should be transported to the highest level of trauma center if he or she:
Select one:
A. was involved in a motor vehicle crash in which another pa(ent in the same vehicle was killed.
B. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110
beats/min.
C. has a bleeding disorder or takes an(coagulant medica(ons and has any blunt or penetra(ng
injury.
D. has a GCS score of less than or equal to 13 with a mechanism a2ributed to trauma. -
Answers D. has a GCS score of less than or equal to 13 with a mechanism a2ributed to trauma.
According to the Associa(on of Air Medical Services, you should consider air medical transport
of a trauma pa(ent if:
Select one:
A. the pa(ent requires advanced life support care and stabiliza(on, and the nearest ALS-ground
ambulance is more than 5 to 10 minutes away.
B. traffic condi(ons hamper the ability to get the pa(ent to a trauma center by ground within
the ideal (me frame for the best clinical outcome.
C. ground transport will take your ambulance out of service for an extended period of (me,
regardless of the severity of the pa(ent's injuries.
D. he or she was involved in a motor vehicle crash in which another occupant in the same
vehicle was killed, even if your pa(ent's injuries are minor. - Answers B. traffic condi(ons
hamper the ability to get the pa(ent to a trauma center by ground within the ideal (me frame
for the best clinical outcome.
Approximately 25% of severe injuries to the aorta occur during:
Select one:
,A. frontal collisions.
B. rollover collisions.
C. rear-end collisions.
D. lateral collisions. - Answers D. lateral collisions.
Following a blunt injury to the head, a 22-year-old female is confused and complains of a
severe headache and nausea. On the basis of these signs and symptoms, you should be MOST
concerned with the possibility of:
Select one:
A. a fracture of the skull.
B. airway compromise.
C. intracranial bleeding.
D. spinal cord injury. - Answers C. intracranial bleeding.
Force ac(ng over a distance is the defini(on of:
Select one:
A. work.
B. latent energy.
C. kine(c energy.
D. poten(al energy. - Answers A. work.
The index of suspicion is MOST accurately defined as:
Select one:
A. the detec(on of less obvious life-threatening injuries.
B. a predictable pa2ern that leads to serious injuries.
C. your awareness and concern for poten(ally serious underlying injuries.
, D. the way in which trauma(c injuries occur. - Answers C. your awareness and concern for
poten(ally serious underlying injuries.
When assessing a pa(ent who experienced a blast injury, it is important to remember that:
Select one:
A. solid organs usually rupture from the pressure wave.
B. secondary blast injuries are usually the least obvious.
C. primary blast injuries are the most easily overlooked.
D. primary blast injuries are typically the most obvious. - Answers C. primary blast injuries are
the most easily overlooked.
When assessing an elderly pa(ent who fell, it is important to remember that:
Select one:
A. any fall in the elderly is considered to be high-energy trauma.
B. osteoporosis can cause a fracture as a result of a fall from a standing posi(on.
C. bilateral hip fractures usually occur when an elderly person falls.
D. elderly pa(ents who fall usually have a secondary head injury. - Answers B. osteoporosis
can cause a fracture as a result of a fall from a standing posi(on.
When the speed of a motor vehicle doubles, the amount of kine(c energy:
Select one:
A. quadruples.
B. is not affected.
C. triples.
D. doubles. - Answers A. quadruples.
Newest RATED A+ 2025/2026
A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He
complains of pain to his lower back. What injury mechanism is MOST likely responsible for his
back pain?
Select one:
A. Lateral impact to the spine
B. Secondary fall a'er the ini(al impact
C. Direct trauma to the spinal column
D. Energy transmission to the spine - Answers D. Energy transmission to the spine
A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a
helmet and was thrown to the ground, striking her head. In addi(on to managing problems
associated with airway, breathing, and circula(on, it is MOST important for you to:
Select one:
A. leave her bicycle helmet on.
B. obtain baseline vital signs.
C. stabilize her en(re spine.
D. inspect the helmet for cracks. - Answers C. stabilize her en(re spine.
A young male sustained a gunshot wound to the abdomen during an alterca(on. As your
partner is assessing and managing his airway, you should control the obvious bleeding and then:
Select one:
A. auscultate bowel sounds.
B. assess for an exit wound.
C. apply a cervical collar.
,D. obtain baseline vital signs. - Answers B. assess for an exit wound.
According to the American College of Surgeons Commi2ee on Trauma (ACS-COT), an adult
trauma pa(ent should be transported to the highest level of trauma center if he or she:
Select one:
A. was involved in a motor vehicle crash in which another pa(ent in the same vehicle was killed.
B. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110
beats/min.
C. has a bleeding disorder or takes an(coagulant medica(ons and has any blunt or penetra(ng
injury.
D. has a GCS score of less than or equal to 13 with a mechanism a2ributed to trauma. -
Answers D. has a GCS score of less than or equal to 13 with a mechanism a2ributed to trauma.
According to the Associa(on of Air Medical Services, you should consider air medical transport
of a trauma pa(ent if:
Select one:
A. the pa(ent requires advanced life support care and stabiliza(on, and the nearest ALS-ground
ambulance is more than 5 to 10 minutes away.
B. traffic condi(ons hamper the ability to get the pa(ent to a trauma center by ground within
the ideal (me frame for the best clinical outcome.
C. ground transport will take your ambulance out of service for an extended period of (me,
regardless of the severity of the pa(ent's injuries.
D. he or she was involved in a motor vehicle crash in which another occupant in the same
vehicle was killed, even if your pa(ent's injuries are minor. - Answers B. traffic condi(ons
hamper the ability to get the pa(ent to a trauma center by ground within the ideal (me frame
for the best clinical outcome.
Approximately 25% of severe injuries to the aorta occur during:
Select one:
,A. frontal collisions.
B. rollover collisions.
C. rear-end collisions.
D. lateral collisions. - Answers D. lateral collisions.
Following a blunt injury to the head, a 22-year-old female is confused and complains of a
severe headache and nausea. On the basis of these signs and symptoms, you should be MOST
concerned with the possibility of:
Select one:
A. a fracture of the skull.
B. airway compromise.
C. intracranial bleeding.
D. spinal cord injury. - Answers C. intracranial bleeding.
Force ac(ng over a distance is the defini(on of:
Select one:
A. work.
B. latent energy.
C. kine(c energy.
D. poten(al energy. - Answers A. work.
The index of suspicion is MOST accurately defined as:
Select one:
A. the detec(on of less obvious life-threatening injuries.
B. a predictable pa2ern that leads to serious injuries.
C. your awareness and concern for poten(ally serious underlying injuries.
, D. the way in which trauma(c injuries occur. - Answers C. your awareness and concern for
poten(ally serious underlying injuries.
When assessing a pa(ent who experienced a blast injury, it is important to remember that:
Select one:
A. solid organs usually rupture from the pressure wave.
B. secondary blast injuries are usually the least obvious.
C. primary blast injuries are the most easily overlooked.
D. primary blast injuries are typically the most obvious. - Answers C. primary blast injuries are
the most easily overlooked.
When assessing an elderly pa(ent who fell, it is important to remember that:
Select one:
A. any fall in the elderly is considered to be high-energy trauma.
B. osteoporosis can cause a fracture as a result of a fall from a standing posi(on.
C. bilateral hip fractures usually occur when an elderly person falls.
D. elderly pa(ents who fall usually have a secondary head injury. - Answers B. osteoporosis
can cause a fracture as a result of a fall from a standing posi(on.
When the speed of a motor vehicle doubles, the amount of kine(c energy:
Select one:
A. quadruples.
B. is not affected.
C. triples.
D. doubles. - Answers A. quadruples.
