EMT Block 4 Exam; Questions Answers

EMT Block 4 Exam; Questions & Answers

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:

• Lateral impact to the spine
• Secondary fall after the initial impact
• Direct trauma to the spinal column
• Energy transmission to the spine

(Ans- 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:

• leave her bicycle helmet on.
• obtain baseline vital signs.
• stabilize her entire spine.
• inspect the helmet for cracks.

(Ans- C. stabilize her entire spine.

A young male sustained a gunshot wound to the abdomen during an altercation. As your partner is assessing and managing his airway, you

should control the obvious bleeding and then:

Select one:

• auscultate bowel sounds.
• assess for an exit wound.
• apply a cervical collar.
• obtain baseline vital signs.

(Ans- B. assess for an exit wound.

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According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient should be transported to the highest

level of trauma center if he or she:

Select one:

• was involved in a motor vehicle crash in which another patient in the

same vehicle was killed.

• has a systolic blood pressure of less than 110 mm Hg or a heart rate

greater than 110 beats/min.

• has a bleeding disorder or takes anticoagulant medications and has any

blunt or penetrating injury.

• has a GCS score of less than or equal to 13 with a mechanism attributed

to trauma.(Ans- D. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.

According to the Association of Air Medical Services, you should consider

air medical transport of a trauma patient if:

Select one:

• the patient requires advanced life support care and stabilization, and the

nearest ALS-ground ambulance is more than 5 to 10 minutes away.

• traffic conditions hamper the ability to get the patient to a trauma center

by ground within the ideal time frame for the best clinical outcome.

• ground transport will take your ambulance out of service for an extended

period of time, regardless of the severity of the patient's injuries.

• he or she was involved in a motor vehicle crash in which another

occupant in the same vehicle was killed, even if your patient's injuries are minor.(Ans- B. traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome.

Approximately 25% of severe injuries to the aorta occur during:

Select one:

• frontal collisions.
• rollover collisions.
• rear-end collisions. 2 / 4

• lateral collisions.

(Ans- 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 fracture of the skull.
• airway compromise.
• intracranial bleeding.
• spinal cord injury.

(Ans- C. intracranial bleeding.

Force acting over a distance is the definition of:

Select one:

• work.
• latent energy.
• kinetic energy.
• potential energy.

(Ans- A. work.

The index of suspicion is MOST accurately defined as:

Select one:

• the detection of less obvious life-threatening injuries.
• a predictable pattern that leads to serious injuries.
• your awareness and concern for potentially serious underlying injuries.
• the way in which traumatic injuries occur.

(Ans- C. your awareness and concern for potentially serious underlying injuries.

When assessing a patient who experienced a blast injury, it is important to

remember that:

Select one:

• solid organs usually rupture from the pressure wave.
• secondary blast injuries are usually the least obvious. 3 / 4

• primary blast injuries are the most easily overlooked.
• primary blast injuries are typically the most obvious.

(Ans- C. primary blast injuries are the most easily overlooked.

When assessing an elderly patient who fell, it is important to remember

that:

Select one:

• any fall in the elderly is considered to be high-energy trauma.
• osteoporosis can cause a fracture as a result of a fall from a standing

position.

• bilateral hip fractures usually occur when an elderly person falls.
• elderly patients who fall usually have a secondary head injury.

(Ans- B. osteoporosis can cause a fracture as a result of a fall from a standing position.

When the speed of a motor vehicle doubles, the amount of kinetic energy:

Select one:

• quadruples.
• is not affected.
• triples.
• doubles.

(Ans- A. quadruples.

Which of the following destinations is most appropriate for a 41-year-old male patient who was involved in a rollover motor vehicle collision and is unconscious and unresponsive, assuming that travel times to each is equal?

Select one:

• A Level I or Level II trauma center
• Only a Level I trauma center
• A Level IV or Level III trauma center
• Any designated trauma center is acceptable.

(Ans- A. A Level I or Level II trauma center

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