Test 10 (Chapters 32&38)

Which of the following bandages can be wrapped into an appropriate sized stripe to be used as a tourniquet? (1865)

Triangular

How long should ice be applied to an injury to help decrease the extent of the swelling and speed up the rehabilitation time for the injury? (1864)

20 minutes on and 20 minutes off

The best way to detect deformity or any other abnormality in an injured extremity is to: (2125)

Compare to the extremity on the opposite side

How should you remove a patients clothing when looking for bullet entrance and exit wounds? (1862)

Preserve the clothing as evidence and cur around the bullet holes

Compartment syndrome occurs when: (2142)

Pressure in the fascial compartment leads to impaired circulation, sensory changes, and progressive muscle death

Upon assessing a patient, you find that they have scapular fracture. Based on this finding, you should also assess for: (2122)

Pulmonary contusions

While palpating an extremity, you note a pulsatile expanding hematoma, diminished distal pulses, and a palpable thrill over the site of the injury that correlates with the patients heartbeat. You recognize that these are signs of: (2131)

An arterial injury

If musculoskeletal injuries in the extremities are suspected, you should assess for which of the following before and after any manipulation as well as frequently during transport? (2128)

Circulatory changes

Which of the following interventions encourages drainage from the site of a closed wound and reduces swelling? (1864)

Elevation

Which of the following is a risk factor for developing a stress fracture? (2122)

Endocrine dysfunction

Which of the following is the most common cause of necrotizing fasciitis? (1879)

Group A Streptococcus

The most significant immediate threat to a patient with a soft tissue injury is: (1855)

Hemorrhage

Upon assessing a patient who accidentally shot themselves with a nail gun, you see that the nail is still lodged in their foot. What is your priority when transporting the patient? (1872)

Immobilize the extremity with a splint to prevent motion

A 45 year old patient who fell off a ladder reports that they landed on their feet. Upon assessing the patient, you suspect a pelvic fracture. Which type of injury did the patient experience? (2121)

Indirect

When applying a bandage to an open wound that does not have active bleeding, what should you do first? (1866)

Irrigate the wound with normal saline or sterile water

In contrast to osteoarthritis, rheumatoid arthritis: (2159)

Is a systemic inflammatory disease that affects joints and other body systems

The swelling that occurs in conjunction with a contusion is caused by: (1857)

Leakage of fluid into spaces between the damaged cells

When forming a general impression of a soft tissue injury, you should note which of the following before assessing the patients airway, breathing, circulation, disability, and exposure? (1862)

Life threatening external bleeding

You arrive at the scene of a motorcycle crash and find the rider lying supine approximately 20 feet from his bike he is still wearing his helmet. As you approach him, you note that he is bilaterally deformed femurs. You should: (2128)

Manually stabilize his head and assess his airway

What type of fracture occurs at an angle across the bone and is typically caused by direct or twisting force? (2124)

Oblique

The appendicular skeleton is composed of the: (2120)

Pectoral girdle, pelvic girdle, and bones of the extremities

Closed bilaterally fractured femurs can result in internal blood loss of up to: (2135)

1500 mL

In females, a decrease in bone density is accelerated: (2121)

After menopause

The skin is also referred to as the: (1855)

Integument

Heat therapy should generally be avoided how many hours after a musculoskeletal injury because it may increase pain and swelling during this period? (2135)

48 to 72 hours

Immediate pain from the heel to the calf and a sudden inability for plantar flexion of the foot is MOST indicative of: (2158)

Achilles tendon rupture

When a patient has multiple open wounds to an extremity, you should consider the use of which of the following to allow for constant pressure over large areas that may not be possible using hands alone? (1871)

Air splint

Which type of fracture is unique to children and is most commonly seen in the distal radius? (2124)

Buckle

A hemostatic agent would be used to: (1865)

Control serios hemorrhage when application of a tourniquet is not possible

Primary treatment in the prehospital setting for an abrasion involves: (1866)

Covering it lightly with a sterile dressing

Upon palpating the clavicle of a patient with a suspected fracture, you hear a faint grating sound. You identify this as: (2126)

Crepitus

Which of the following dressings should be used to treat an open injury to the neck? (1869)

Occlusive dressing

Isolated musculoskeletal injuries: (2119)

Often result in short or long term disability

A 71 year old man slipped on wet grass and landed on his left side. He denies losing consciousness before or after the fall and is presently conscious and alert. He complains of pain to his left hip and in his neck. Your assessment reveals a hematoma to the left side of his head and an external rotation and shortening of his left leg. His vital signs are stable. The most appropriate treatment for this patient includes: (2151)

Oxygen if hypoxemia, spinal motion restriction precautions, an IV line of normal saline, stabilization of his hip with pillows, fentanyl if needed, and transport

Prior to splinting the injured extremity of a patient, you should: (2136)

Remove the patients clothing to maximize visualization of the injured area

The use of wet dressing in the field is usually limited to: (1865)

Superficial burns

During the process of wound healing, hemostasis: (1859)

Temporarily stops bleeding via vasoconstriction and platelet aggregation

Which of the following statements regarding soft tissue injuries is correct? (1854)

They are often the most obvious, but are seldom the most life threatening injuries.

When a part of a patients body is completely avulsed, what is the priority? (1874)

Wrap the part loosely in saline moistened sterile gauze.

The first aspect to address in any patient with a soft tissue injury is: (1862)

Your safety