44 orthopedic trauma Flashcards
When assessing musculoskeletal injuries, how should paramedics treat any injuries found?
A.
Make every attempt to diagnose the injury correctly.
B.
Do not be concerned with differentiating among sprains, strains, and fractures.
C.
Manage patients as though they have a fracture.
D.
Manage patients as though they have a strain.
C
What is the most common anatomical site for a stress fracture? A. Hands C. Lower leg B. Spine D. Foot
D
What is a break that occurs at an angle across a bone called? A. Open fracture C. Greenstick fracture B. Comminuted fracture D. Oblique fracture
D
What does a fracture of a child’s bone at the epiphyseal plate commonly lead to? A. Infection B. Permanent angulation or deformity of the extremity C. Frequent breakage of bones in the future D. Torn ligaments and tendons
B
Sprains are categorized according to what aspect? A. Type of tissue involved C. Number of cartilages damaged B. Type of tendons damaged D. Extent of ligament damage
D
What does a second-degree sprain usually result in? A. An unstable joint C. A dislocated joint B. Swelling and ecchymosis D. Vascular compromise
B
To reduce pain and swelling in the first 24 hours after a sprain, what should be provided?
A.
Ice
B.
Warm soaks
C.
Heat first, then ice once the muscles are warmed
D.
Heat and ice, alternating every 3 to 4 hours
A
Which musculoskeletal injury may result in the avulsion of a bone from its attachment site? A. Strain C. Bursitis B. Sprain D. Arthriti
A
Paramedics are called to the scene of an industrial injury. A19-year-old male injured his finger in a hydraulic press. The skin over the affected finger is still intact, but the finger has apparently been completely dislocated at the proximal joint. What is the term given to this type of dislocation? A. Luxation C. First-degree dislocation B. Subluxation D. Third-degree dislocation
A
What is the most common type of arthritis? A. Osteoarthritis C. Gouty arthritis B. Rheumatoid arthritis D. Autoinflammatory arthritis
A
Paramedics are treating a patient who has a history of rheumatoid arthritis. Why did the arthritis develop? A. Wear and tear on the joints C. Uric acid accumulation B. An autoimmune disorder D. A previous fracture
B
What is an easy way to remember the various components of musculoskeletal injury assessment? A. The mnemonic ARM-LEGS B. The mnemonic TIC C. The six Ps of musculoskeletal assessment D. The four Ms of musculoskeletal assessment
C
In the mnemonic memory device DCAP-BTLS, what does the “S” stand for? A. Severity C. Sensation B. Swelling D. Subluxation
B
A 71-year-old female has fallen from a standing position. She is complaining of pain in her left leg. Her left leg is shortened and externally rotated. What is the most likely injury?
A.
Hip dislocation
B.
Fracture of the midshaft femur
C.
Hip fracture with a dislocated femur head
D.
Hip fracture at the femoral head and neck
D
Which injury is most likely to be limb threatening? A. Fracture of the humerus C. Open tibia-fibula fracture B. Hip dislocation D. Subcondylar fracture of the elbow
D
When should a fracture or dislocation be realigned? A. The patient reports extreme pain. C. The site is bleeding. B. Circulation is impaired. D. The lower leg is involved.
B
In the prehospital setting, what should never be manipulated? A. Hip C. Shoulder B. Elbow D. Knee
B
Once the decision has been made to realign a fracture site, what care should the paramedic undertake?
A.
Make only one attempt at realignment.
B.
Continue realignment attempts until distal pulses are present.
C.
Continue realignment attempts until the gross deformity has been reduced.
D.
Wait to perform the procedure and realign only if the patient loses distal circulation.
A
As a rule, what is the standard of care for fractures and dislocated joints? A. Reduce in the field. C. Immobilize with a soft splint. B. Reposition in the field. D. Immobilize in the position of injury.
D
