EMT Ch 32 Chapter Test

Which of the following is not a principle of splinting that must be considered by the​ EMT?

Gently replace protruding bone ends back beneath the skin to prevent further contamination.

Your patient is an​ 11-year-old male who has a​ swollen, painful, and angulated right lower arm after falling from his bicycle onto his hands. Which of the following should be considered in the immobilization of his injured​ extremity?

Your patient is an​ 11-year-old male who has a​ swollen, painful, and angulated right lower arm after falling from his bicycle onto his hands. Which of the following should be considered in the immobilization of his injured​ extremity?

Which of the following statements is not​ true?

A comminuted break is when a bone is broken in only one place.

Which of the following best describes the compartment​ syndrome?

A serious condition caused by the bleeding and swelling from a fracture or crush injury that becomes so strong that the body can no longer perfuse the tissues against that pressure

Although it can be difficult to definitively determine hip dislocation in the​ field, certain signs and symptoms are usually there. Which of the following statements is false​?

An anterior hip dislocation would probably present with the entire lower limb rotated inward.

Which of the following describes an open extremity​ injury?

Both A and B (A gunshot wound has penetrated the skin and then fractured the bone, Bone ends have lacerated the soft tissues and skin from the inside)

Which of the following allows for smooth movement of bone surfaces against one another at​ joints?

Cartilage

A painter falls from his ladder and tells you he has dislocated his shoulder again. When you attempt to splint the​ shoulder, it​ "pops back into​ place." What should your next step​ be?

Check distal​ CSM, apply a sling and​ swathe, and transport the patient.

Which of the following is appropriate in the examination of a​ painful, swollen extremity of a conscious​ patient?

Comparing the injured side to the uninjured side

One of the more serious conditions that EMTs are confronted with would occur as​ follows: A fracture or crush injury causes bleeding and swelling within the extremity. Pressure and swelling caused by the bleeding within the muscle compartment become so great that the body can no longer perfuse the tissues against the pressure. Cellular damage occurs and causes additional swelling. Blood flow to the area is lost. The limb itself may be lost if the pressure is not relieved. What is this condition​ called?

Compartment syndrome

You are treating a​ 16-year-old skateboarder who has fallen at the skate park. She has an angulated left forearm that she has in a guarded position. When do you splint this​ injury?

During the secondary exam

Your patient is a​ 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows that her left ankle is swollen and painful. Which of the following should you​ do?

Explain to the patient that you cannot tell if her ankle is sprained or fractured until she is​ X-rayed at the emergency​ department, then splint the ankle.

Which of the following is not a mechanism of musculoskeletal​ injury?

Extensive force

The PASG may be used as a splinting device for patients with which of the following suspected​ injuries?

Fractured pelvis

Which one of the following statements is not true concerning a knee​ injury?

Fractures can occur to the proximal femur.

Your patient is a​ 37-year-old man who tripped while walking down a hill and now has a​ painful, deformed right leg. Your assessment reveals that the foot is cold and mottled in appearance. You cannot detect a pulse in the foot or ankle. Which of the following is the best course of​ action?

Gently attempt to straighten the leg to regain a pulse before splinting.

Where could you find the phalange​ bones?

Hands and feet

Which of the following hazards may arise from properly splinting an injured​ extremity?

Ignoring​ life-threatening problems while focusing on an extremity injury

Your patient is a​ 28-year-old male who was ejected from his motorcycle after striking a parked vehicle. He has multiple deformities to his upper and lower extremities on both sides. Which of the following would be the best way to immobilize this​ patient's extremities prior to​ transport?

Immobilize the patient to a long backboard without splinting the extremities individually.

Distinguishing between a knee dislocation and a patella dislocation can sometimes be difficult. Which of the following statements is not​ true?

In a patellar​ dislocation, the knee will be stuck in flexion but the knee cap will not be displaced.

There are general rules that apply to all types of splinting. Which of the following is not a general rule of​ splinting?

In order to avoid loss of use of a​ limb, it is important to splint before​ moving, even if the patient is unstable.

Your patient is a​ 12-year-old female who fell onto her outstretched hands while rollerblading. She has a deformity of her​ forearm, about 2 inches proximal to her wrist. This injury is a result of which of the following​ mechanisms?

Indirect force

Which of the following is not a benefit of splinting an injury to bones and connective​ tissues?

It restricts blood flow to the site of the injury to prevent swelling.

Which of the following statements is not true concerning a pelvic​ wrap?

It should not be used unless the patient shows signs of shock.

Which of the following structures connect bone ends and allow for a stable range of​ motion?

Ligaments

What is a primary problem when treating musculoskeletal​ injuries?

Many musculoskeletal injuries have a grotesque​ appearance, and the EMT cannot be distracted from​ life-threatening conditions by a deformed limb.

A method of assessing compromise to an extremity when a musculoskeletal injury is suspected is to learn and follow the six Ps. Which of the items below is not one of the six​ Ps?

Parenthesis

A suspected musculoskeletal injury of the shoulder is best managed by which of the following​ techniques?

Placing the arm in a sling and using a triangular bandage to secure it to the body

A traction splint may be used on which of the following musculoskeletal​ injuries?

Possible fracture of the femur

Your patient is a​ 20-year-old college student who has fallen from a​ third-level balcony onto a wooden deck below. The patient responds to verbal​ stimuli, is pale in color with moist​ skin, and has a very obvious deformity with protruding bone ends of his right forearm. Which of the following is the best sequence of intervention for this​ patient?

Provide manual​ in-line stabilization of the cervical spine along with assessment of​ breathing, pulse, and the presence of significant​ hemorrhage; apply​ high-concentration oxygen; perform a rapid trauma​ exam; immobilize to a long​ backboard; transport; and splint the extremity en route if time and resources allow.

Which of the following is not a contraindication for the use of a traction​ splint?

Severe swelling and redness at a midshaft femur

Which of the following bones is found in the​ chest?

Sternum

Which of the following is a muscle injury caused by overstretching or overexertion of the​ muscle?

Strain

Which one of the following statements is not​ true?

Tendons are bands of connective tissue that bind the ligaments to muscles.

Which one of the following definitions is not​ true?

Tendons connect muscles to ligaments.

A new EMT who is treating a suspected femur injury asks his​ partner, "How much traction should I​ pull?" The​ partner's best reply is which of the​ following?

The amount of traction applied should be roughly​ 10% of the​ patient's body weight and not exceed 15 pounds.

Which of the following is a complication of bone​ fractures?

all (Nerve damage, Hemorrhage, Swelling)

Your patient is a​ 70-year-old male whose tractor rolled over onto him. Your assessment makes you suspicious that the patient has a fractured pelvis. Which of the following signs and symptoms should you​ anticipate?

all (Patient cannot lift legs when lying supine., Patient demonstrates signs of shock., Patient feels the need to empty his bladder.)

The part of the skeleton that includes the skull and spinal column is called​ the:

axial skeleton.

The strong white fibrous material called the​ periosteum:

covers the bones.

The sound or feeling of the ends of broken bones rubbing together is​ called:

crepitus.

Blood at the meatus of the penis​ (opening of the​ urethra) is a sign​ of:

pelvic​ trauma/fracture.

A pillow is frequently used to splint an ankle or foot injury. It is​ effective, rapid, and can be used for most patients. Its main weakness​ is:

you are not immobilizing the knee and the joint adjacent to the ankle.

When the EMT is assessing compromise to an​ extremity, perhaps due to an orthopedic​ injury, the EMT should initially check what​ "six Ps"?

​Pain, pallor,​ paresthesia, pulses,​ paralysis, and pressure

Your patient is a​ 3-year-old girl who is unable to move her elbow after her mother picked her up by the forearm. Proper splinting of this injury would be to immobilize from the​ ________ to the​ ________.

​forearm; humerus