West Coast EMT - Block 4 Exam Latest Update
2024-2025 Actual Exam 160 Questions and 100%
Verified Correct Answers Verified by Professor
A "hip" fracture is actually a fracture of the:
Select one:
A. pubic symphysis.
B. femoral shaft.
C. proximal femur.
D. pelvic girdle. - CORRECT ANSWER: C. proximal femur.
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 after the initial impact
C. Direct trauma to the spinal column
D. Energy transmission to the spine - CORRECT ANSWER: 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 addition to
managing problems associated with airway, breathing, and circulation, it is MOST
important for you to:
Select one:
A. leave her bicycle helmet on.
B. obtain baseline vital signs.
C. stabilize her entire spine.
D. inspect the helmet for cracks. - CORRECT ANSWER: C. stabilize her entire spine.
,A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and
she complains of severe pain. You should:
Select one:
A. keep her knee flexed and secure it with padded board splints.
B. flex her knee slightly more and assess for distal circulation.
C. gently straighten her knee and apply a padded board splint.
D. make one attempt to return the patella to its normal position. - CORRECT ANSWER:
A. keep her knee flexed and secure it with padded board splints.
A 21-year-old male was working in an auto repair shop and sustained radiator burns to
the anterior aspect of both arms and to his anterior chest. According to the rule of nines,
this patient has burns that cover _____ of his BSA.
Select one:
A. 27%
B. 45%
C. 18%
D. 36% - CORRECT ANSWER: C. 18%
A 22-year-old female was ejected from her car after striking a tree head-on. As you
approach her, you note obvious closed deformities to both of her femurs. She is not
moving and does not appear to be conscious. You should:
Select one:
A. stabilize her head and perform a primary assessment.
B. administer oxygen and perform a rapid assessment.
C. apply manual stabilization to both of her femurs.
D. assess for a carotid pulse and assist her ventilations. - CORRECT ANSWER: A.
stabilize her head and perform a primary assessment.
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He
is conscious and alert and complains of severe chest pain. Your assessment reveals a
,large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to
providing supplemental oxygen, you should:
Select one:
A. apply an AED and assess his BP.
B. prepare for immediate transport.
C. apply bulky dressings to the sternum.
D. determine if he has cardiac problems. - CORRECT ANSWER: B. prepare for
immediate transport.
A 30-year-old female presents with redness, inflammation, and pain to her left eye.
During your assessment, you note that she is having difficulty keeping her eyes open.
You should suspect that she is experiencing:
Select one:
A. acute retinitis.
B. a detached retina.
C. conjunctivitis.
D. a corneal abrasion. - CORRECT ANSWER: C. conjunctivitis.
A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his
abdomen after he was cut with a large knife. After appropriately managing his ABCs and
assessing him for other life-threatening injuries, how you should care for his wound?
Select one:
A. Irrigate it with sterile water and cover it with a dry dressing.
B. Carefully replace the exposed bowel into the abdomen and transport.
C. Cover the exposed bowel and keep his legs in a straight position.
D. Cover it with moist, sterile gauze and secure with an occlusive dressing. - CORRECT
ANSWER: D. Cover it with moist, sterile gauze and secure with an occlusive dressing.
A 39-year-old male was struck in the head by a baseball during a game. He is confused
and has slurred speech. He has a large hematoma in the center of his forehead and
cannot remember the events preceding the injury. After manually stabilizing his head
and assessing his airway, you should:
, Select one:
A. palpate his radial pulses.
B. administer high-flow oxygen.
C. apply ice to the hematoma.
D. perform a neurologic exam. - CORRECT ANSWER: B. administer high-flow oxygen.
A 4-year-old female has a peanut lodged in the external auditory canal of her right ear.
You should:
Select one:
A. thoroughly flush her ear with sterile saline.
B. use tweezers to try to remove the object.
C. remove the peanut with a cotton-tipped swab.
D. transport her to the emergency department. - CORRECT ANSWER: D. transport her
to the emergency department.
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:
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. - CORRECT ANSWER:
C. pinching the patient's nostrils and having him lean forward.
A 52-year-old unrestrained female struck the steering wheel with her face when her
truck collided with another vehicle. She has obvious swelling to her face and several
dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious
and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and
respirations of 22 breaths/min with adequate tidal volume. You should:
Select one:
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