Biloxi EMT Ch 27 Soft Tissue Injuries Flashcards

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1
Q

The _________ is/are our first line of defense against external forces.

a. extremities
b. hair
c. skin
d. lips

A

c. skin

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2
Q

The skin covering the _______ is quite thick.

a. lips
b. scalp
c. ears
d. eyelids

A

b. scalp

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3
Q

As the cells on the surface of the skin are worn away, new cells form in the _________ layer.

a. dermal
b. germinal
c. epidermal
d. subcutaneous

A

b. germinal

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4
Q

The hair follicles, sweat glands, and sebaceous glands are found in the:

a. dermis
b. germinal layer
c. epidermis
d. subcutaneous layer

A

a. dermis

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5
Q

The skin regulates temperature in a cold environment by:

a. secreting sweat through sweat glands
b. constricting the blood vessels
c. dilating the blood vessels
d. increasing the amount of heat that is radiated from the body’s surface

A

b. constricting the blood vessels

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6
Q

Closed soft-tissue injuries are characterized by all of the following EXCEPT:

a. pain at the site of injury
b. swelling beneath the skin
c. damage of the protective layer of skin
d. a history of blunt trauma

A

c. damage of the protective layer of skin

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7
Q

A(n) _________ occurs whenever a blood a blood vessel is damaged and bleeds into the surrounding tissues.

a. contusion
b. hematoma
c. crushing injury
d. avulsion.

A

b. hematoma

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8
Q

A(n) __________ is usually associated with extensive tissue damage.

a. contusion
b. hematoma
c. crushing injury
d. avulsion

A

b. hematoma

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9
Q

________ develops when edema and swelling result in increased pressure within a closed soft-tissue space.

a. A hematoma
b. An avulsion
c. Compartment syndrome
d. Ecchymosis

A

c. Compartment syndrome

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10
Q

A(n) __________ occurs when a great amount of force is applied to the body for a long period of time.

a. contusion
b. hematoma
c. crushing injury
d. avulsion

A

c. crushing injury

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11
Q

More extensive closed injuries may involve significant swelling and bleeding beneath the skin, which could lead to:

a. compartment syndrome
b. contamination
c. hypovolemic shock
d. hemothorax

A

c. hypovolemic shock

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12
Q

A laceration may be all of the following EXCEPT:

a. linear
b. deep
c. stellate
d. a scrape

A

d. a scrape

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13
Q

Because shootings usually end up in court, it is important to factually and completely document:

a. the statements from witnesses
b. the suspect’s description
c. the treatment given
d. the number of shots bystanders say were fired

A

c. the treatment given

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14
Q

All open wounds are assumed to be _________ and present a risk of infection.

a. contaminated
b. life threatening
c. minimal
d. extensive

A

a. contaminated

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15
Q

Before you begin caring for a patient with an open wound, you should:

a. ensure standard precautions
b. splint potential fractures
c. notify the hospital
d. ask about patient medications

A

a. ensure standard precautions

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16
Q

Splinting an extremity, even when there is no fracture, may:

a. reduce pain
b. increase damage to an already-injured extremity
c. make it difficult to move the patient
d. cause any dressings to move

A

a. reduce pain

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17
Q

Treatment for an abdominal evisceration includes:

a. pushing the exposed organs back into the abdominal cavity
b. covering the organs with dry dressings
c. flexing the knees and legs to relieve pressure on the abdomen
d. applying moist, adherent dressings

A

c. flexing the knees and legs to relieve pressure on the abdomen

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18
Q

An open neck injury may result in __________ if enough air is sucked into a blood vessel.

a. hypovolemic shock
b. tracheal deviation
c. an air embolism
d. an asthma attack

A

c. an air embolism

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19
Q

Burns may result from all of the following EXCEPT:

a. heat
b. toxic chemicals
c. electricity
d. choking

A

d. choking

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20
Q

Which of the following is NOT a factor that can aid in determining the severity of a burn?

a. The depth of the burn
b. If the patient is insured
c. The extent of the burn
d. Whether critical areas are involved

A

b. If the patient is insured

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21
Q

__________ burns involve only the epidermis.

a. Full-thickness
b. Second-degree
c. Superficial
d. Third-degree

A

c. Superficial

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22
Q

__________ burns cause intense pain.

a. First-degree
b. Second-degree
c. Superficial
d. Third-degree

A

b. Second-degree

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23
Q

__________ burns may involve the subcutaneous layers, muscle, bone, or internal organs.

a. Superficial
b. Partial-thickness
c. Full-thickness
d. Second-degree

A

c. Full-thickness

24
Q

Significant airway burns may be associated with all of the following EXCEPT:

a. singeing of the hair within the nostrils
b. hoarseness
c. hypoxia
d. abdominal pain

A

d. abdominal pain

25
Q

The most important consideration when dealing with electrical burns is:

a. standard precautions
b. scene safety
c. level of responsiveness
d. airway

A

b. scene safety

26
Q

Treatment of electrical burns includes all of the following EXCEPT:

a. maintaining the airway
b. monitoring the patient closely for respiratory or cardiac arrest
c. splinting any suspected injuries
d. immersion in water

A

d. immersion in water

27
Q

Which of the following should NOT be used as an occlusive dressing?

a. Gauze pads
b. Vaseline gauze
c. Aluminum foil
d. Plastic

A

a. Gauze pads

28
Q

Using elastic bandages to secure dressings may result in __________ if the injury swells or if the bandages are applied improperly.

a. additional tissue damage
b. increased edema
c. increased circulation
d. further blood loss

A

a. additional tissue damage

29
Q

Burns are diffuse soft-tissue injuries created by destructive energy transfers from all of the following sources EXCEPT:

a. thermal sources
b. kinetic sources
c. radiation sources
d. electrical sources

A

b. kinetic sources

30
Q

___________ is an acute, potentially fatal virus infection of the central nervous system that affects all warm-blooded animals.

a. Streptococcus
b. Rabies
c. Tuberculosis
d. Emboli

A

b. Rabies

31
Q

True/False

Partial-thickness burns involve the epidermis and some portion of the dermis.

A

True

32
Q

True/False

Blisters are commonly seen with superficial burns.

A

False

33
Q

True/False

Severe burns are usually a combination of superficial, partial-thickness, and full-thickness burns.

A

True

34
Q

True/False

The rule of nines allows you to estimate the percentage of body surface area that has been burned.

A

True

35
Q

True/False

Two factors, depth and extent, are critical in assessing the severity of a burn.

A

True

36
Q

True/False

Your first responsibility with a burn patient is to stop the burning process.

A

True

37
Q

True/False

Burned areas should be immersed in cool water for up to 30 minutes.

A

False

38
Q

True/False

Electrical burns are often more severe than the external signs indicate.

A

True

39
Q

True/False

The hallmark sign of compartment syndrome is severe but painless swelling.

A

False

40
Q

True/False

Occlusive dressings are usually made of Vasoline gauze, aluminum foil, or plastic.

A

True

41
Q

True/False

Gauze pads prevent air and liquids from entering or exiting the wound.

A

False

42
Q

True/False

Elastic bandages should be used to secure dressings.

A

False

43
Q

True/False

Soft roller bandages are slightly elastic, and the layers adhere somewhat to one another.

A

True

44
Q

True/False

Ecchymosis is associated with open wounds.

A

False

45
Q

True/False

A laceration is considered a closed wound.

A

False

46
Q

Fill in the blank.

There are three types of ionizing radiation: ___________, _____________, and ______________.

A

Alpha, beta, gamma

47
Q

Fill in the blank.

A person will sweat in an effort to __________ the body.

A

cool

48
Q

Fill in the blank

Nerve endings are located in the _________.

A

dermis

49
Q

Fill in the blank.

When an area of the body is trapped for longer than 4 hours and arterial blood flow is compromised, __________ can develop.

A

crush syndrome

50
Q

Fill in the blank.

In cold weather, blood vessels in the skin will ___________.

A

constrict

51
Q

Fill in the blank.

The only exceptions to the rule of not removing an impaled object are an object in the _________ that obstructs breathing and an object in the ____________ that interferes with CPR.

A

Cheek, chest

52
Q

Fill in the blank.

_________ burns can occur when skin is exposed to temperatures higher than ____________ degrees Fahrenheit.

A

Thermal, 111

53
Q

Fill in the blank.

A(n) __________ is an injury in which part of the body is completely severed.
amputation

A

amputation

54
Q

Fill in the blank.

The external layer of skin is the ___________, and the inner layer is the ___________.

A

Epidermis, dermis

55
Q

Fill in the blank.

When the vessels of the skin dilate, heat is _____________ from the body.

A

radiated