EMT CH 31

Which of the following statements regarding compartment syndrome is correct?

Compartment syndrome typically develops within 6 to 12 hours after an injury. Correct

Which of the following musculoskeletal injuries would MOST likely result in deformity?

Displaced fracture Correct

In which of the following situations should the EMT splint an injured limb in the position of deformity?

If resistance is encountered or the patient experiences severe pain Correct

Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life?

Pelvic fracture with hypotension Correct

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:

apply gentle manual traction in line with the limb and reassess for a pulse. Correct

With regard to musculoskeletal injuries, the zone of injury is defined as the:

area of soft-tissue damage surrounding the injury. Correct

The musculoskeletal system refers to the:

bones and voluntary muscles of the body. Correct

A fracture is MOST accurately defined as a(n):

break in the continuity of the bone. Correct

When caring for a patient with a possible fracture of the scapula, the EMT should:

carefully assess the patient for breathing problems. Correct

A 54-year-old male accidentally shot himself in the leg while cleaning his gun. Your assessment reveals a small entrance wound to the medial aspect of his right leg. The exit wound is on the opposite side of the leg and is actively bleeding. The patient complains of numbness and tingling in his right foot. You should:

control the bleeding and cover the wound with a sterile dressing. Correct

The MOST significant hazard associated with splinting is:

delaying transport of a critically injured patient. Correct

A supracondylar or intercondylar fracture is also known as a fracture of the:

distal humerus. Correct

A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and she complains of severe pain. You should:

keep her knee flexed and secure it with padded board splints. Correct

Crepitus and false motion are:

positive indicators of a fracture. Correct

A "hip" fracture is actually a fracture of the:

proximal femur. Correct

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:

stabilize her head and perform a primary assessment. Correct

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 patient's blood pressure is 80/50 mm Hg and his heart rate is 120 beats/min and weak. After completing your assessment, you should:

stabilize the pelvis with a pelvic binder and protect the spine. Correct

Skeletal muscle is attached to the bone by tough, ropelike, fibrous structures called:

tendons. Correct

An open fracture is MOST accurately defined as a fracture in which:

the overlying skin is no longer intact. Correct

In general, musculoskeletal injuries should be splinted before moving the patient unless:

the patient is clinically unstable. Correct