Chapter 28 Post Test
What is the primary concern about a splint that is applied too loosely? A. It could allow the bone fragments to move, which could cause further damage B. The patient will lose motor function in that extremity. C. The splint will cut off distal circulation. D. It could cause pressure sores to develop from rubbing against the splint
It could allow the bone fragments to move, which could cause further damage.
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 LEAST likely to have been injured in this fall? A. Thoracic vertebra B. Navicular bone (bone in the wrist at the base of the thumb) C. Clavicle D. Humerus
Thoracic vertebra
If you see angulation when assessing a patient, then: A. the patient is bending the knees or arms. B. the patient's distal pulse must be reassessed. C. a bone or bones are out of anatomical position. D. splinting is unlikely to be of assistance.
a bone or bones are out of anatomical position.
A fracture that results in multiple bone pieces at the fracture site is termed a: A. crush fracture. B. spiral fracture. C. comminuted fracture. D. fracture dislocation.
comminuted fracture.
When palpating a fracture site on a patient's mid-thigh, you notice a grating sensation. This is known as: A. crepitus. B. stridor. C. bone grind. D. thrill.
crepitus.
For a high-priority, unstable patient with musculoskeletal injuries, you should: A. apply a cervical collar and then splint specific injuries before transport. B. position the patient on the less injured side and then "load and go." C. splint specific injuries before transport. D. immobilize the whole body on a long spine board and "load and go."
immobilize the whole body on a long spine board and "load and go."
An fracture may be classified as: A. open or closed. B. common or uncommon. C. simple or complex. D. total or partial.
open or closed.
A 22-year-old female patient slipped running down stairs and has injured her right tibia and fibula. You have used an air splint to splint the injury. To test the splint, you can: A. see if you can cause a slight dent in the plastic with fingertip pressure. B. gently brush the length of the split with your fingertips. C. drum your fingers briefly on the side of the splint. D. ask the patient is the splint is tight enough without being painful.
see if you can cause a slight dent in the plastic with fingertip pressure.
To see the effect of direct force, you would look at: A. areas adjacent to the point of impact. B. any part of the patient that could have rotated from the impact. C. all areas of the patient's body. D. the area of the point of impact.
the area of the point of impact
When treating a patient with an open musculoskeletal injury to the thigh, how would you BEST treat the open wound? A. Cover the wound with bulky dressings, keep the extremity level, and transport immediately. B. Splint the wound, cover with compression bandages, and transport as soon as possible. C. Cover the open wound with a sterile dressing, pack with ice, and wrap with self-adhesive bandages. D. Cover the open wound with a sterile dressing, elevate the extremity, and apply a cold pack to the area to help reduce swelling.
Cover the open wound with a sterile dressing, elevate the extremity, and apply a cold pack to the area to help reduce swelling.
In a dislocation, what other structures are likely to be injured? A. Skin and subcutaneous tissue B. Ligaments C. Tendons D. Muscles
Ligaments
To stabilize a hip fracture, how should you bind the legs together? A. Place a folded blanket between the patient's legs and bind the legs together with wide straps, Velcro-equipped straps, or wide cravats. B. Place the patient on a long spine board and bind the patient's legs against the board with wide cravats or straps. C. Place the patient on an orthopedic stretcher and then bind the ankles and thighs to the stretcher with wide straps. D. Secure the patient to a long spine board and then bind the patient's ankles together with a wide strap or Velcro-equipped strap.
Place a folded blanket between the patient's legs and bind the legs together with wide straps, Velcro-equipped straps, or wide cravats.
The first step in the progression of compartment syndrome is: A. blood flow to the area is lost, and the limb itself may be lost if the pressure is not relieved. B. pressure and swelling caused by bleeding within a muscle compartment becomes so great that the body can no longer perfuse the tissues against the pressure. C. a fracture or crush injury causes bleeding or swelling in an extremity. D. cellular damage occurs and causes additional swelling.
a fracture or crush injury causes bleeding or swelling in an extremity.
The humerus is an example of a(n): A. irregular bone. B. axial bone. C. appendicular bone D. flat bone.
appendicular bone.
The first effects of a bone injury are swelling of soft tissue and: A. the formation of a blood clot in the area of the fracture. B. tearing of cartilage connected to the bone. C. referred pain from the injury to associated muscle and bone groups. D. strain of muscles and sprain of ligaments associated with the bone.
the formation of a blood clot in the area of the fracture.
To realign an extremity, an EMT grasps the distal extremity while a partner places one hand above and one hand below the injury site, and THEN: A. the partner supports the site while the first EMT creates gentle manual traction in the direction of the long axis of the extremity. B. each EMT pulls in a sudden sharp motion away from the site of injury along the long axis of the extremity. C. each EMT exerts gentle manual traction on either side of the injured site until the limb snaps into place. D. the partner immobilizes the site with a splint before the first EMT creates gentle manual traction in the direction of the long axis of the extremity.
the partner supports the site while the first EMT creates gentle manual traction in the direction of the long axis of the extremity.
