pg. 1 West Coast EMT Final Exam Updated 2024 Test Bank Complete 700 Frequently Tested Questions with 100% Correct Verified Answers/ Graded A+
A patient complains of chest tightness, coughing up blood, and subcutaneous
emphysema following an explosions may be suffering from a :
- pulmonary blast injury
- ruptured tympanic membrane
- myocardial blast injury
- ruptured peritoneal cavity - Correct Answer - A. pulmonary blast injury
Awareness of and concern for potentially serious obvious and underlying injuries is
referred to as the :
- general impression
- mechanism of injury
- scene size-up
- index of suspicion - Correct Answer - D. index of suspicion
Significant clues to the possibility of severe injuries in motor vehicle collisions include:
- a blown-out tire
- a deployed air bag
- broken glass
- death of a passenger - Correct Answer - D. death of the passenger
A supracondylar or intercondylar fracture is also known as a fracture of the:
- olecranon process
- radial head 1 / 4
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- proximal radius
- distal humerus - Correct Answer - D. distal humerus
An open fracture is MOST accurately defined as a fracture in which:
- a large laceration overlies the fracture
- bone ends protrude through the skin
- a bullet shatters the underlying bone
- the overlying skin is no longer intact - Correct Answer - D. the overlying skin is no
longer intact
Crepitus and false motion are:
- only seen with open fractures
- indicators of a severe sprain
- most common with dislocations
- positive indicators of a fracture - Correct Answer - D. positive indicators of a fracture
During your assessment of a 29-year-old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is
approximately 40 minutes. You should:
- carefully straighten the injured arm and secure it with padded board splints.
- make two or three attempts to restore distal circulation by manipulating the elbow
- splint the elbow in the position of deformity and transport immediately
- apply gentle manual traction in line with the limb and reassess for a pulse. - Correct
Answer - D. apply gentle manual traction in line with the limb and reassess for a pulse
During your secondary assessment of a 30-year-old male who fell 25 feet, you note crepitus when palpating his pelvis. Your partner advises you that the patients blood pressure is 80.50 mm Hg and his hear rate is 120 beats/min and weak. After completing
your assessment, you should:
- stabilize the pelvis with a pelvic binder and protect the spine
- log roll the patient onto a long backboard and transport at once 2 / 4
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- perform a focused physical exam with emphasis on the pelvis
- defer spinal immobilization and transport to a trauma center. - Correct Answer - A.
stabilize the pelvis with a pelvic binder and protect the spine
In general, musculoskeletal injuries should be splints before moving the patient unless:
- the parties is clinically unstable
- transport time is less than 15 minutes
- deformity and swelling are present
- the patient is in severe pain - Correct Answer - A. the patient is clinically unstable
In which of the following situations should the EMT splint an injured limb in the position of deformity?
- when distal circulation and neurological functions are absent
- if transport time to the hospital is greater than 20-30 minutes
- if resistance is encountered or the patient experiences severe pain
- if a traction splint will be used to immobilize the injured extremity - Correct Answer -
- If resistance is encountered or the patient experiences severe pain
Skeletal muscle is attached to the bone by tough, ropelike, fibrous structures called:
- ligaments.
- fascia.
- tendons.
- cartilage. - Correct Answer - C. tendons.
The MOST significant hazard associated with splinting is:
- compression of nerves, tissues, and vasculature.
- delaying transport of a critically injured patient.
- reduction in circulation distal to the injury site.
- aggravation of the injury or worsened pain. - Correct Answer - B. delaying transport
of a critically injured patient. 3 / 4
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The musculoskeletal system refers to the:
- involuntary muscles of the nervous system.
- bones and voluntary muscles of the body.
- nervous system's control over the muscles.
- connective tissue that supports the skeleton. - Correct Answer - B. bones and
voluntary muscles of the body.
A fall from more than ____ times the patient's height is considered to be significant.
- five
- three
- four
- two - Correct Answer - B. three
The cervical spine is MOST protected from whiplash-type injuries when the:
- headrest is appropriately positioned.
- rear end of the vehicle is initially struck.
- patient tenses up at the time of impact.
- air bag correctly deploys upon impact. - Correct Answer - A. headrest is appropriately
positioned
A driver involved in a rollover motor vehicle crash will MOST likely experience serious
injuries or death if he or she:
- remains within the vehicle.
- is wearing only a lap belt.
- experiences multiple impacts.
- is ejected or partially ejected. - Correct Answer - D. is ejected or partially ejected
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