Chapter 28: Post Test
In a dislocation, what other structures are likely to be injured? A. Ligaments B. Tendons C. Skin and subcutaneous tissue D. Muscles
A. Ligaments
A pelvic wrap is designed to provide: A. compression. B. protection from hypothermia. C. traction. D. bleeding control.
A. compression.
An incomplete fracture is called a: A. greenstick fracture. B. transverse fracture. C. comminuted fracture. D. partial fracture.
A. greenstick fracture.
The primary reason an EMT splints a bone or joint injury is to prevent: A. movement. B. immobilization. C. splintering. D. crepitation.
A. movement.
You are treating an elderly patient with osteoporosis. You note on examination that his left thigh has a significant hematoma and swelling. The patient has not been ambulating much today because of the pain. As you assess his leg, you notice swelling with deformity and crepitus to his left upper leg. Based on your assessment findings, what is MOST likely the cause of the patient's distress? A. septic muscle syndrome. B. a femur fracture. C. septicemia caused by osteochondritis. D. severe infection in his left leg.
B. a femur fracture.
The humerus is an example of: A. an irregular bone. B. an appendicular bone. C. a flat bone. D. an axial bone.
B. an appendicular bone.
A fracture that results in multiple bone pieces at the fracture site is termed a: A. crush fracture. B. comminuted fracture. C. spiral fracture. D. fracture dislocation.
B. comminuted fracture.
Tissue that connects muscle to bone is called: A cartilage. B. tendon. C. muscle. D. ligament.
B. tendon.
When evaluating a patient with a dislocation, which assessment finding is the most concerning? A.When it involves the elbow. B.When there is no distal pulse or sensation. C.When a bone protrudes through the skin. D.When it involves the shoulder.
B.When there is no distal pulse or sensation.
Under which circumstance should an angulated joint fracture be straightened? A. If the patient complains of extreme pain B. If the angulation is greater than 90 degrees C. If the distal extremity is cyanotic or lacks a pulse D. If the injury involves the knee joint
C. If the distal extremity is cyanotic or lacks a pulse
What is the primary concern about a splint that is applied too loosely? A. The splint will cut off distal circulation. B. It could cause pressure sores to develop from rubbing against the splint. C. It could allow the bone fragments to move, which could cause further damage. D. The patient will lose motor function in that extremity.
C. It could allow the bone fragments to move, which could cause further damage.
Your patient was injured during a hockey game. He presents with a dropped shoulder and is holding his injured arm against his chest. You should suspect: A. a fractured humerus. B. a dislocated elbow. C. a fractured clavicle. D. a fractured scapula.
C. a fractured clavicle.
When palpating a fracture site on a patient's mid-thigh, you notice a grating sensation. This is known as: A. bone grind. B. stridor. C. crepitus. D. thrill.
C. crepitus.
A 14-year-old girl has fallen from her bicycle. She sustained injuries when she landed with her arm extended to catch her fall. According to the principles of indirect mechanisms of injury, which of the following bones is likely NOT to have been injured in this fall? A. Clavicle B. Navicular bone (bone in the wrist at the base of the thumb) C. thoracic vertebra D. Humerus
C. thoracic vertebra
You are treating a 22-year-old female who slipped running down stairs and has injured her right tibia and fibula. There is no distal pulse or motor function. The patient denies any other injuries. What should you do? A. Splint the extremity in the position in which it was found, and transport right away. B. Apply ice to the bone ends, and move the patient on a long spine board. C. Call for ALS before any movement. D. Apply gentle tension to realign the extremity, splint the leg, and then reassess for a distal pulse.
D. Apply gentle tension to realign the extremity, splint the leg, and then reassess for a distal pulse.
You are caring for a 16-year-old female who fell in gym class. She is holding her right arm in front and away from her body. You want to apply a sling and swathe, but despite your best efforts, she will not allow you to position her arm near her body. How would you treat this injury? A. Have someone hold the patient's torso firmly while you apply traction to her arm to reset the shoulder. B. You must convince the patient to allow you to move her arm to her chest so that you can properly splint it. C. Gently but firmly move the patient's arm to her side while you apply traction to her arm to reset the shoulder. D. Splint the arm as is, supporting it in a position away from the body.
D. Splint the arm as is, supporting it in a position away from the body.