Quiz: Chapter 32: Orthopedic Injuries

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: A. Control the bleeding and cover the wound with a sterile dressing. B. Gently manipulate the injured leg until the numbness dissipates. C. Assess distal pulses as well as sensory and motor functions. D. Manually stabilize the leg above and below the site of injury.

A. Control the bleeding and cover the wound with a sterile dressing.

9. Which of the following musculoskeletal injuries has the GREATEST risk for shock due to blood loss? A.Pelvic fracture B.Posterior hip dislocation C.Unilateral femur fracture Proximal humerus fracture

A.Pelvic fracture

6. To effectively immobilize a fractured clavicle, you should apply a(n): A.sling and swathe. B.air splint over the entire arm. C.rigid splint to the upper arm, then a sling. D.traction splint to the arm of the injured side.

A.sling and swathe.

Crepitus and false motion are: A. Only seen with open fractures B. Positive indicators of a fracture C. Most common with dislocations D. Indicators of a severe sprain

B. Positive indicators of a fracture

8. When treating an open extremity fracture, you should: A.apply a splint and then dress the wound. B.dress the wound before applying a splint. C.irrigate the wound before applying a dressing. allow the material that secures the splint to serve as the dressing

B. dress the wound before applying a splint.

7. A patient tripped, fell, and landed on her elbow. She is in severe pain and has obvious deformity to her elbow. You should: A.assess distal pulses. B.manually stabilize her injury. C.assess her elbow for crepitus. D.apply rigid board splints to her arm.

B. manually stabilize her injury.

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: A. administer oxygen and perform a rapid assessment. B. stabilize her head and perform a primary assessment. C. assess for a carotid pulse and assist her ventilations. D. apply manual stabilization to both of her femurs.

B. stabilize her head and perform a primary assessment.

4. The purpose of splinting a fracture is to: A.reduce the fracture if possible. B.prevent motion of bony fragments. C.reduce swelling in adjacent soft tissues. D. force the bony fragments back into anatomic alignment

B.prevent motion of bony fragments.

10. A patient injured her knee while riding a bicycle. She is lying on the ground, has her left leg flexed, is in severe pain, and cannot move her leg. Your assessment reveals obvious deformity to her left knee. Distal pulses are present and strong. The MOST appropriate treatment for her injury involves: A.wrapping her entire knee area with a pillow. B.splinting the leg in the position in which it was found. C.straightening her leg and applying two rigid board splints. D.straightening her leg and applying and inflating an air splint.

B.splinting the leg in the position in which it was found.

1. Skeletal muscle is also referred to as: A.smooth muscle. B.striated muscle. C.autonomic muscle. D. involuntary muscle.

B.striated muscle.

A construction worker's arm was severed just above the elbow when a steel girder fell on it. The stump is covered with a blood-soaked towel. The patient's skin is cool, clammy, and pale. The EMT should: A. Wrap the severed arm in a sterile dressing. B. Administer high-flow oxygen to the patient. C. Apply a tourniquet just below the shoulder. D. Remove the towel and inspect the wound.

C. Apply a tourniquet just below the shoulder.

In which of the following situations should the EMT splint an injured limb in the position of deformity? A. When distal circulation and neurological functions are absent B. If transport time to the hospital is greater than 20 to 30 minutes C. If resistance is encountered or the patient experiences severe pain D. If a traction splint will be used to immobilize the injured extremity

C. If resistance is encountered or the patient experiences severe pain

A person who experiences a calcaneus fracture after jumping and landing on his or her feet would MOST likely experience an accompanying fracture of the: A. Symphysis B. Coccygeal spine C. Lumbar spine D. Thoracic spine

C. Lumbar spine

Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life? A. Nondisplaced long bone fractures B. Bilateral femur fractures C. Pelvic fracture with hypotension D. An amputated extremity

C. Pelvic fracture with hypotension

When caring for a patient with a possible fracture of the scapula, the EMT should: A. apply rigid board splints across the chest and back. B. assume that minimal force was applied to the back. C. carefully assess the patient for breathing problems. D. recognize that scapular fractures are life threatening.

C. carefully assess the patient for breathing problems.

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: A. defer spinal immobilization and transport to a trauma center. B. perform a focused physical exam with emphasis on the pelvis. C. stabilize the pelvis with a pelvic binder and protect the spine. D. log roll the patient onto a long backboard and transport at once.

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

5. A motorcyclist crashed his bike and has closed deformities to both of his midshaft femurs. He is conscious, but restless; his skin is cool and clammy; and his radial pulses are rapid and weak. The MOST appropriate splinting technique for this patient involves: A.applying rigid board splints. B.applying two traction splints. C.securing him to a long backboard. D. immobilizing his femurs with air splints.

C.securing him to a long backboard.

2. You respond to a soccer game for a 16-year-old male with severe ankle pain. When you deliver him to the hospital, the physician tells you that he suspects a sprain. This means that: A.there is a disruption of the joint and the bone ends are no longer in contact. B.the patient has an incomplete fracture that passes only partway through the bone. C.stretching or tearing of the ligaments with partial or temporary dislocation of the bone ends has occurred. D.the muscles of the ankle have been severely stretched, resulting in displacement of the bones from the joint.

C.stretching or tearing of the ligaments with partial or temporary dislocation of the bone ends has occurred.

You receive a call to a local gymnasium for a basketball player with a dislocated shoulder. Upon arrival, you find the patient, a 17-year-old male, sitting on the ground. He is holding his left arm in a fixed position away from his body. There is an obvious anterior bulge to the area of injury. You should: A. Flex his arm at the elbow and then apply a sling B. Place a pillow under his arm and apply a swathe C. Gently attempt to move his arm toward his body D. Assess distal pulse, motor, and sensory functions

D. Assess distal pulse, motor, and sensory functions

3. A young male has a musculoskeletal injury and is unresponsive. You will NOT be able to assess: A.false motion. B.distal pulses. C.capillary refill. D.sensory and motor functions.

D.sensory and motor functions.