CH 30 PRE TEST

How much blood loss can result from a femur​ fracture? Question content area bottom Part 1 A. ​1,000 mL B. ​1,500 mL C. 500 mL D. 250 mL

1,500 mL

The body contains three kinds of​ muscles, each with a specific function. These muscles​ are: Question content area bottom Part 1 A. ​controlled, autonomic, and contracting muscles. B. ​flat, striated, and walled muscles. C. ​long, flat, and specialized muscles. D. ​voluntary, involuntary, and cardiac muscles.

D. ​voluntary, involuntary, and cardiac muscles.

What type of orthopedic injury may have occurred when a joint is injured in such a way that it becomes fixed in an abnormal​ position, is resistive to​ motion, is extremely​ painful, and will likely have noticeable​ deformity? Question content area bottom Part 1 A. Impacted fracture B. Transverse fracture C. Comminuted injury D. Dislocation

Dislocation

Question content area top Part 1 What is the eventual outcome of undiagnosed compartment​ syndrome? Question content area bottom Part 1 A. Fasciotomy B. Internal hemorrhage C. Chronic nerve pain D. Loss of tissue

Loss of tissue

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 pain in his lower leg. From your​ assessment, it is likely that the patient​ has: Question content area bottom Part 1 A. a femur fracture. B. a severe infection in his left leg. C. septic muscle syndrome. D. septicemia caused by osteochondritis.

a femur fracture.

You are unable to locate the pulse distal to a fracture. This may indicate damage to​ a(n): Question content area bottom Part 1 A. nerve. B. vein. C. artery. D. tendon.

artery

The use of a traction splint in the presence of a pelvic​ fracture: Question content area bottom Part 1 A. can cause internal hemorrhage. B. is appropriate if a pelvic binder is applied first. C. requires application of a PASG. D. is an ALS function.

can cause internal hemorrhage.

When assessing your trauma​ patient, you note that he is complaining of​ pain, paresthesia, and pressure in his lower right leg. Upon your​ examination, you note that his lower right leg is pale and does NOT have a pulse. These findings are indicative​ of: Question content area bottom Part 1 A. compartment syndrome. B. deep vein thrombosis. C. arterial rupture and shock. D. severe internal hemorrhaging.

compartment syndrome.

When pressure in the space around the capillaries exceeds the pressure needed to perfuse the​ cells, the result​ is: Question content area bottom Part 1 A. venous bleeding. B. compartment syndrome. C. direct trauma. D. tissue perfusion.

compartment syndrome.

The sound or feeling of a broken bone end rubbing on another broken bone end is​ called: Question content area bottom Part 1 A. fixation. B. traction. C. crepitus. D. sequelae.

crepitus.

Colliding with the internal components of a car during a motor vehicle collision may result in a fracture caused​ by: Question content area bottom Part 1 A. twisting force. B. direct force. C. indirect force. D. tearing force.

direct force.

When a bone is forced well beyond its normal position in a​ joint, this injury is called​ a: Question content area bottom Part 1 A. dislocation. B. strain. C. subluxation. D. sprain.

dislocation.

During your ongoing assessment of a patient with a bone or joint injury while en route to the​ hospital, be sure​ to: Question content area bottom Part 1 A. remove and reapply any splints if the​ patient's distal​ pulses, motor​ function, or sensation have deteriorated. B. recheck the​ patient's vital signs every 20 minutes if the patient is stable. C. palpate the injury site several times to assess if the site is still painful. D. elevate the extremity if spinal injury is not suspected.

elevate the extremity if spinal injury is not suspected.

Guidelines for splinting long bone injuries​ include: Question content area bottom Part 1 A. assessing the radial pulse for a​ lower-extremity injury. B. using the point of your badge pin on the bottom of the​ patient's foot to check sensation. C. immobilizing the hand or foot in the position of function. D. having the patient bend the leg at the knee to check motor function.

immobilizing the hand or foot in the position of function.

When performing a physical examination on a patient with a musculoskeletal​ injury, remember​ that: Question content area bottom Part 1 A. it is important to obtain a SAMPLE history during or after your physical examination. B. it is necessary to assess the joints above and below any bone​ injury, and you should assess the bones above and below any joint injury only if those areas have obvious trauma. C. capillary refill is important to​ check, especially in adult patients. D. pulselessness and cyanosis in the injured extremity are common and should not alter your assessment and transport priorities.

it is important to obtain a SAMPLE history during or after your physical examination.

The main reason an EMT splints a bone or joint injury is to​ prevent: Question content area bottom Part 1 A. splintering. B. crepitation. C. immobilization. D. movement.

movement.

Patients with a past medical history of​ cancer, osteoporosis, and other benign bone conditions such as congenital cysts are at risk​ for: Question content area bottom Part 1 A. frequent dislocations. B. frequent falls. C. nontraumatic fractures. D. debilitating tendonitis.

nontraumatic fractures.

Significant bleeding is most likely associated with a fracture of​ the: Question content area bottom Part 1 A. tibia. B. clavicle. C. pelvis. D. humerus.

pelvis.

A​ 65-year-old male patient fell from the roof of his house. He is unconscious. You notice that he has an open fracture to his lower right leg and a deformity to his left upper arm. There is capillary bleeding associated with the leg fracture. You should​ first: Question content area bottom Part 1 A. prepare for rapid transport. B. control the bleeding. C. splint the upper left arm. D. splint the lower left leg.

prepare for rapid transport.

The functions of the musculoskeletal system​ include: Question content area bottom Part 1 A. temperature regulation. B. protecting the body from bacteria and other foreign organisms. C. the production of hormones. D. providing for movement.

providing for movement.

Traction splinting a fractured femur will realign the bone​ and: Question content area bottom Part 1 A. prevent marrow damage at the fracture location. B. reduce blood loss into the thigh. C. allow the patient to be transported without pain. D. prevent the need for surgery.

reduce blood loss into the thigh.

Failure to properly pad between an extremity and splinting material may lead​ to: Question content area bottom Part 1 A. uncontrolled hemorrhage. B. improved stability. C. skin damage. D. increased bone damage.

skin damage.

Skip to Main contentQuestion 1Question 2Question 3Question 4Question 5Question 6Question 7Question 8Question 9Question 10Question 11Question 12Question 13Question 14Question 15Question 16Question 17Question 18Question 19Question 20Question 21Question 22Question 23Question 24Question 25Question 26 Question content area top Part 1 An​ 18-year-old male patient complains of left lower leg pain after falling from a skateboard. As you approach the​ patient, you notice that the leg is cyanotic distal to an obvious deformity. You should​ first: Question content area bottom Part 1 A. return the leg to its natural position. B. apply a traction splint. C. take appropriate standard precautions. D. splint the leg in the position found.

take appropriate standard precautions.

A​ 53-year-old man complains of an injury to his right lower leg. You notice an obvious deformity. Below the deformity you observe​ warm, flushed skin. This finding may​ indicate: Question content area bottom Part 1 A. that a vein is blocked. B. nerve damage. C. tendon disruption. D. arterial damage.

that a vein is blocked.

The mechanisms of​ injury, or forces that may cause bone and joint​ injury, include indirect​ force, which​ is: Question content area bottom Part 1 A. the injury from a blow occurring at the point of impact. B. the patient being thrown or falling by air pressure​ from, for​ example, an explosion. C. one part of an extremity remaining stationary while the rest rotates. D. the force striking one end of a​ limb, causing injury some distance away from the point of impact.

the force striking one end of a​ limb, causing injury some distance away from the point of impact.

You are treating a​ 17-year-old female patient who fell while playing basketball. Her right thigh is​ painful, swollen, and​ deformed, and she is in considerable pain. The MOST appropriate device for splinting her injury would be​ a: Question content area bottom Part 1 A. inflatable splint. B. PASG. C. traction splint. D. pair of long board splints.

traction splint.