Ch 32: Pretest

You arrive on scene to a private residence where you find a​ 56-year-old female patient sitting in her living room complaining of​ pain, paresthesia, and pressure in her lower right leg. She states that a few days ago she slipped on her way downstairs and has had pain in her leg ever​ since, but she has not been to the doctor. During your​ examination, you note that her right lower leg is pale and pulseless. You see swelling and palpate hardness compared with the uninjured left lower leg. Based on these​ findings, the patient is MOST likely experiencing which of the​ conditions? A. Muscle strain of the gastrocnemius B. Compartment syndrome C. Deep vein thrombosis D. Possible sprain of her right ankle

Compartment syndrome

A​ 23-year-old male sustained a musculoskeletal injury to his leg while playing organized football. He reports that his cleated foot was planted into the field when he was hit with a force that caused him to rotate. He heard a snap at this point. What mechanism of injury was​ applied? A. Twisting force B. Indirect force C. Crushing force D. Direct force

Twisting force

A fracture in which the broken bone segments are at an angle to each other is​ called: A. a greenstick fracture. B. a displaced fracture. C. a misaligned fracture. D. an angulated fracture.

an angulated fracture.

When performing a primary assessment of a patient with musculoskeletal​ injuries, you​ should: A. consider multiple fractures to the femurs to be​ low-priority injuries. B. avoid your focus being distracted by the most dramatic extremity injuries. C. keep in mind that painful extremity injuries tend to be the most serious. D. focus primarily on highly​ visible, external factors.

avoid your focus being distracted by the most dramatic extremity injuries.

Application of a cervical collar to a patient should​ happen: A. after loading the patient to initiate transport. B. during the primary assessment. C. during the secondary assessment. D. before addressing any​ life-threatening conditions.

during the secondary assessment.

A type of musculoskeletal injury involving the bones and that can be classified as open or closed is​ a: A. sprain. B. dislocation. C. strain. D. fracture.

fracture.

Guidelines for splinting​ long-bone injuries​ include: A. having the patient bend the leg at the knee to check motor function. B. assessing the radial pulse for a lower extremity injury. C. immobilizing the hand or foot in the position of function. D. splinting the injured extremity to the uninjured extremity.

immobilizing the hand or foot in the position of function.

The tough connective tissues that bind bone ends together at joints are​ termed: A. cartilage. B. tendons. C. periosteum. D. ligaments.

ligaments.

Bones are covered by a​ strong, white, fibrous material called​ the: A. axial skeleton. B. pericardium. C. periosteum. D. appendicular skeleton.

periosteum.

The primary reasons for splinting a bone or joint injury​ include: A. setting the bone ends back into their proper position. B. replacing exposed bone ends back into the extremity. C. preventing movement to reduce the chance for further injury. D. preventing​ swelling, which might complicate the ED​ physician's examination.

preventing movement to reduce the chance for further injury.

Your patient has a nontraumatic fracture of the left wrist. Appropriate treatment would be​ to: A. splint with a padded rigid splint. B. splint the injured wrist to the uninjured wrist. C. apply a sling and swathe followed by rigid splinting. D. transport the patient without a splint.

splint with a padded rigid splint.

Twisting force​ involves: A. crushing of tissue and bone. B. indirect damage to the​ knees, femurs,​ pelvis, and spinal column. C. compression of the bones of the neck. D. stretching or tearing of muscles and ligaments.

stretching or tearing of muscles and ligaments.

You arrive on scene to the local park where you are presented with a​ 20-year-old male complaining of severe left shoulder pain. The patient states he fell on the ground and immediately felt a sharp pain in the shoulder. As you evaluate the​ shoulder, you note that the left shoulder sits lower than the right. He has intact distal​ pulse, motor, and sensory​ function, but his shoulder is locked in place and he cannot move it without severe pain. Based on the assessment​ findings, the patient is MOST likely suffering from which of the​ following? A. Compartment syndrome B. Shoulder strain C. Dislocation D. Distal humerus fracture

Dislocation

Which element of the musculoskeletal system belongs to the lower extremities of the appendicular​ skeleton? A. Skull B. Arms C. Ribs D. Legs

Legs

Which of the following should be applied to provide stability for an upper humerus​ injury? A. Straight arm splint B. Sling and swathe C. Pressure bandage D. Traction splint

Sling and swathe

What must happen for a joint to​ dislocate? A. An injury must break the skin B. A muscle must be overexerted C. Soft tissue and ligaments must be stretched D. A bone must break

Soft tissue and ligaments must be stretched