Chapter 20 Flashcards
The type of muscle found in the forearm is:
a. voluntary muscle.
b. involuntary muscle.
c. integumentary muscle.
d. contractor muscle.
a. voluntary muscle.
b. involuntary muscle.
c. integumentary muscle.
d. contractor muscle.
Answer: a
Objective: 20-1
Reference: 608
- The closed fracture of which of the following bone(s) has the greatest potential for internal blood loss?
a. The tibia/fibula
b. The femur
c. The humerus
d. The pelvis
a. The tibia/fibula
b. The femur
c. The humerus
d. The pelvis
Answer: d
Objective: Supplemental
Reference: 642
Which of the following statements about voluntary muscles is true?
a. They are mostly located on the torso of the body.
b. They make up less mass in the body than do involuntary muscles.
c. They have the ability to cause movement by extending.
d. They generally connect to the skeletal system.
a. They are mostly located on the torso of the body.
b. They make up less mass in the body than do involuntary muscles.
c. They have the ability to cause movement by extending.
d. They generally connect to the skeletal system.
Answer: d
Objective: 20-1
Reference: 608
During your SAMPLE inquiry, a patient reports that he had surgery to repair a torn ligament. Based on your training, you know that a ligament is:
a. a thick muscle that surrounds a joint.
b. a tissue that stabilizes two contiguous bone ends.
c. a muscle that connects to a bone.
d. connective tissue that connects muscle and bone.
a. a thick muscle that surrounds a joint.
b. a tissue that stabilizes two contiguous bone ends.
c. a muscle that connects to a bone.
d. connective tissue that connects muscle and bone.
Answer: b
Objective: 20-1
Reference: 607
Which of the following statements about musculoskeletal injuries is true?
a. A sprain is an injury to a joint that involves the stretching or tearing of ligaments.
b. Strains are injuries that occur to ligaments and to the joints to which they are attached.
c. A fracture occurs when a tendon connecting a muscle to a bone is overstretched and becomes injured.
d. A dislocation occurs when a bone that forms part of a joint is broken.
a. A sprain is an injury to a joint that involves the stretching or tearing of ligaments.
b. Strains are injuries that occur to ligaments and to the joints to which they are attached.
c. A fracture occurs when a tendon connecting a muscle to a bone is overstretched and becomes injured.
d. A dislocation occurs when a bone that forms part of a joint is broken.
Answer: a
Objective: 20-4
Reference: 612
The _____________ can be injured when a hip is dislocated, resulting in numbness or paralysis of a lower extremity.
a. cranial nerve
b. sciatic nerve
c. tibial nerve
d. central nervous system
a. cranial nerve
b. sciatic nerve
c. tibial nerve
d. central nervous system
Answer: b
Objective: 20-7
Reference: 631
You are assessing a 47-year-old woman who fell about 20 feet from a chair lift. When you palpate her pelvis you note instability, and she complains of pain. Which of the following is your primary concern for a patient who has a potential pelvic fracture?
a. Risk of infection
b. Internal blood loss
c. Severe pain
d. Permanent deformity
a. Risk of infection
b. Internal blood loss
c. Severe pain
d. Permanent deformity
Answer: b
Objective: Supplemental
Reference: 631, 642
Which of the following signs has the potential for the most immediate life-threatening consequences?
a. Deformity of the femur
b. An open fracture of the forearm
c. Dislocation of two fingers
d. Crepitus in the mid-humerus
a. Deformity of the femur
b. An open fracture of the forearm
c. Dislocation of two fingers
d. Crepitus in the mid-humerus
Answer: a
Objective: 20-7
Reference: 615
You are treating a patient who is complaining of moderate pain in the right knee. The knee is swollen, ecchymotic, and flexed about 45 degrees. CMS is intact. How would you treat this patient?
a. Place the patient on a long spine board and transport to the aid room, where you can examine the injury more efficiently.
b. Straighten the injured knee and then immobilize it by attaching it to the other leg.
c. Splint the knee in the position found before moving the patient.
d. Apply a traction splint and straighten the knee until the pain is decreased.
a. Place the patient on a long spine board and transport to the aid room, where you can examine the injury more efficiently.
b. Straighten the injured knee and then immobilize it by attaching it to the other leg.
c. Splint the knee in the position found before moving the patient.
d. Apply a traction splint and straighten the knee until the pain is decreased.
Answer: c
Objective: 20-7
Reference: 665
Your patient was struck in the right upper arm with a baseball bat. Which of the following signs or symptoms indicates the highest probability that the humerus has been fractured?
a. Crepitus felt on palpation
b. Pain in the right upper arm
c. Swelling in the upper arm
d. Decreased sensation in the right hand
a. Crepitus felt on palpation
b. Pain in the right upper arm
c. Swelling in the upper arm
d. Decreased sensation in the right hand
Answer: a
Objective: 20-7
Reference: 621
Your secondary assessment of a patient who is complaining of pain in his right leg reveals an opening in the skin where the fractured tibia broke through the skin and retreated back into the leg. You would recognize this injury as a(n):
a. open fracture.
b. closed fracture.
c. laceration.
d. partial fracture.
a. open fracture.
b. closed fracture.
c. laceration.
d. partial fracture.
Answer: a
Objective: 20-7
Reference: 613
You respond to a 9-year-old boy who was injured in the terrain park. He is complaining of pain in his right wrist. Upon examination you note deformity and swelling of the right wrist, pinkness of the right hand, and a strong radial pulse. Which of the following actions would be part of the proper care for this boy?
a. Straighten the wrist to promote blood flow to the hand.
b. Maintain the wrist below the level of the heart to decrease swelling.
c. Apply a cold pack to the wrist to reduce swelling.
d. Massage the wrist gently to decrease the pain.
a. Straighten the wrist to promote blood flow to the hand.
b. Maintain the wrist below the level of the heart to decrease swelling.
c. Apply a cold pack to the wrist to reduce swelling.
d. Massage the wrist gently to decrease the pain.
Answer: c
Objective: 20-7
Reference: 640
A 42-year-old man has fallen 25 feet while rock climbing. He hit the ground feet first and suffered open fractures to both tibias, which are protruding through the skin. When you arrive, he is responding to painful stimuli. His airway is open, his breathing is adequate, and his radial pulse is strong and rapid. At this point in his care, it is a priority for you to:
a. cover him to help prevent shock.
b. look for other injuries.
c. obtain a medical history from his friends.
d. immobilize the fractures.
a. cover him to help prevent shock.
b. look for other injuries.
c. obtain a medical history from his friends.
d. immobilize the fractures.
Answer: b
Objective: 20-7
Reference: 619
When placing a person in anatomic position using the principles of Pretzels and Jams, are the head, shoulders, and buttocks put into a straight line?
a. Yes
b. No
a. Yes
b. No
Answer: a
Objective: Supplemental
Reference: 674
A patient fell and sustained an open fracture of the left humerus. Assessment reveals that the bone has pulled back into the arm. Bleeding from the site is controlled. For which of the following reasons would splinting the left arm benefit this patient?
a. A splint decreases the likelihood of further injury to nerves and blood vessels.
b. A splint starts the process of healing by aligning and connecting the bone ends.
c. A splint eliminates the possibility of infection through the open wound.
d. A splint converts the open fracture to a closed fracture.
a. A splint decreases the likelihood of further injury to nerves and blood vessels.
b. A splint starts the process of healing by aligning and connecting the bone ends.
c. A splint eliminates the possibility of infection through the open wound.
d. A splint converts the open fracture to a closed fracture.
Answer: a
Objective: Supplemental
Reference: 640
Which of the following emergency care measures for a patient with a possible bone fracture can be an effective way of reducing pain?
a. Administering oxygen therapy to the patient
b. Applying warm packs to the fracture site
c. Splinting the fracture
d. Massaging the injury site
a. Administering oxygen therapy to the patient
b. Applying warm packs to the fracture site
c. Splinting the fracture
d. Massaging the injury site
Answer: c
Objective: Supplemental
Reference: 640
A patient has suffered an injury to his right leg, and deformity of the tibia-fibula region is obvious. After conducting a primary assessment and manually stabilizing the leg, which of the following actions should you take next?
a. Apply a traction splint.
b. Apply a Quick Splint.
c. Check for a pedal pulse.
d. Apply an ice pack to the injury.
a. Apply a traction splint.
b. Apply a Quick Splint.
c. Check for a pedal pulse.
d. Apply an ice pack to the injury.
Answer: c
Objective: Supplemental
Reference: 640
A patient with a closed fracture to the mid-forearm has been properly splinted when which of the following structures have been immobilized?
a. The wrist and forearm
b. The wrist, forearm, and elbow
c. The elbow and forearm
d. The shoulder, elbow, and forearm
a. The wrist and forearm
b. The wrist, forearm, and elbow
c. The elbow and forearm
d. The shoulder, elbow, and forearm
Answer: b
Objective: Supplemental
Reference: 656
You are called to treat a 27-year-old man who fell while snowboarding and struck his leg against a tree. The primary assessment shows no threats to his airway, breathing, or circulation. A secondary assessment reveals a severely deformed knee that is swollen and ecchymotic. The leg is pale and cool, and the patient cannot move the leg when asked to do so. In addition, you cannot palpate a pedal pulse. Which of the following actions should you take at this time?
a. Apply cold packs to the knee and then Quick Splint it in the position found.
b. Continue attempting to realign the leg until a pulse returns.
c. Apply a traction splint and enough traction until a pulse returns.
d. Attempt to straighten the leg once to see if a pulse returns.
a. Apply cold packs to the knee and then Quick Splint it in the position found.
b. Continue attempting to realign the leg until a pulse returns.
c. Apply a traction splint and enough traction until a pulse returns.
d. Attempt to straighten the leg once to see if a pulse returns.
Answer: d
Objective: Supplemental
Reference: 665
A 60-year-old woman suffered an open tibial fracture when she stepped sideways on her foot while jogging. Which of the following interventions constitutes appropriate care for this injury?
a. Gently replace the protruding bone beneath the skin.
b. Clean dirt from off the bone and out of the wound before splinting the leg.
c. Tightly apply a pressure dressing to the open wound.
d. Apply a sterile dressing to the bone end and to the soft-tissue wound.
a. Gently replace the protruding bone beneath the skin.
b. Clean dirt from off the bone and out of the wound before splinting the leg.
c. Tightly apply a pressure dressing to the open wound.
d. Apply a sterile dressing to the bone end and to the soft-tissue wound.
Answer: d
Objective: Supplemental
Reference: 639
The benefit of applying a traction splint to a deformed femur fracture is that it:
a. corrects the fracture.
b. decreases pain.
c. increases perfusion to the muscle.
d. contracts the thigh muscle.
a. corrects the fracture.
b. decreases pain.
c. increases perfusion to the muscle.
d. contracts the thigh muscle.
Answer: b
Objective: Supplemental
Reference: 644
You are watching an OEC candidate apply a splint to an injured patient. You note that the splint appears to be loose, and you assist the candidate in properly applying it. After you have delivered your patient to the aid room, you explain to the candidate that a splint applied too loosely could result in:
a. damage to muscles, nerves, and blood vessels.
b. conversion of an open fracture to a closed fracture.
c. decreased pain to the fracture site.
d. new fractures along the bone.
a. damage to muscles, nerves, and blood vessels.
b. conversion of an open fracture to a closed fracture.
c. decreased pain to the fracture site.
d. new fractures along the bone.
Answer: a
Objective: Supplemental
Reference: 640
You and a fellow patroller respond to a snowboard injury in a 12-year-old boy who fell on his outstretched arm. His left wrist is swollen and ecchymotic. A radial pulse is readily palpated, and the skin on the hand is warm to the touch. Which of the following instructions to your partner indicates that you have a proper understanding of the care for this patient’s arm?
a. “After we splint his wrist, we will need to apply a sling and swathe to prevent further movement.”
b. “When you splint that arm, make sure that it is somewhat loose so the patient can move it if he becomes uncomfortable.”
c. “Make sure to wrap that splint as tightly as you can; we need a lot of pressure to prevent additional swelling.”
d. “Since he still has a pulse in the arm, the swelling must be from a muscle injury. We can forego the splint and just apply ice packs.”
a. “After we splint his wrist, we will need to apply a sling and swathe to prevent further movement.”
b. “When you splint that arm, make sure that it is somewhat loose so the patient can move it if he becomes uncomfortable.”
c. “Make sure to wrap that splint as tightly as you can; we need a lot of pressure to prevent additional swelling.”
d. “Since he still has a pulse in the arm, the swelling must be from a muscle injury. We can forego the splint and just apply ice packs.”
Answer: a
Objective: Supplemental
Reference: 640
You are working in the first-aid room when a patient arrives with an open injury of the left lower leg. Which of the following observations would indicate that the extremity was improperly splinted?
a. The splint has immobilized the ankle, knee, and hip regions.
b. Ice packs wrapped in towels have been applied to the skin between the splints.
c. The patient is able to flex her left ankle when directed to do so.
d. The skin of the left foot is red and swollen and a pedal pulse is present.
a. The splint has immobilized the ankle, knee, and hip regions.
b. Ice packs wrapped in towels have been applied to the skin between the splints.
c. The patient is able to flex her left ankle when directed to do so.
d. The skin of the left foot is red and swollen and a pedal pulse is present.
Answer: c
Objective: Supplemental
Reference: 667
A patient exhibits swelling and deformity to the wrist. Which of the following positions for the hand is most appropriate when splinting this injury?
a. Fingers curled slightly down around a roller bandage
b. Fingers extended and spread
c. Hand in a fist with the thumb inside the fist
d. Wrist flexed with fingers extended
a. Fingers curled slightly down around a roller bandage
b. Fingers extended and spread
c. Hand in a fist with the thumb inside the fist
d. Wrist flexed with fingers extended
Answer: a
Objective: Supplemental
Reference: 656
Which of the following statements indicates that an OEC Technician has a good understanding of the proper care of a possible joint dislocation?
a. “If a joint injury is suspected, ice packs, but not splints, are indicated.”
b. “The care for a patient with a joint injury is similar to that for a fracture.”
c. “If a distal pulse is absent, three attempts to straighten the joint can be made.”
d. “Warm packs, not cold packs, are indicated for a patient with a possible joint injury.”
a. “If a joint injury is suspected, ice packs, but not splints, are indicated.”
b. “The care for a patient with a joint injury is similar to that for a fracture.”
c. “If a distal pulse is absent, three attempts to straighten the joint can be made.”
d. “Warm packs, not cold packs, are indicated for a patient with a possible joint injury.”
Answer: b
Objective: 20-3
Reference: 602
Which of the following assessment findings contraindicates the use of a traction splint to treat a femur injury?
a. A gross deformity of the hip that indicates dislocation
b. Decreased pedal pulse rate
c. Numbness in the foot
d. An open fracture
a. A gross deformity of the hip that indicates dislocation
b. Decreased pedal pulse rate
c. Numbness in the foot
d. An open fracture
Answer: a
Objective: Supplemental
Reference: 644
Which of the following statements about traction splints is correct?
a. Once a traction splint has been positioned under the leg, you attach the ankle hitch and then manual traction can be released.
b. Mechanical traction should be applied until the affected leg is approximately 1–2 inches longer than the unaffected leg.
c. Manual traction should be applied until the mechanical traction is at least equal to the manual traction.
d. Once the mechanical traction has been applied, the ischial strap must be released to promote circulation in the affected leg.
a. Once a traction splint has been positioned under the leg, you attach the ankle hitch and then manual traction can be released.
b. Mechanical traction should be applied until the affected leg is approximately 1–2 inches longer than the unaffected leg.
c. Manual traction should be applied until the mechanical traction is at least equal to the manual traction.
d. Once the mechanical traction has been applied, the ischial strap must be released to promote circulation in the affected leg.
Answer: c
Objective: Supplemental
Reference: 661
Which of the following functions is not one of the several functions of bones?
a. Providing structure and form for body tissues
b. Protecting vital organs
c. Responding to sensory nerve stimulation to protect skin and other tissues
d. Producing red blood cells
a. Providing structure and form for body tissues
b. Protecting vital organs
c. Responding to sensory nerve stimulation to protect skin and other tissues
d. Producing red blood cells
Answer: c
Objective: 20-1
Reference: 603
Displacement of the bones of a joint is known as:
a. a dislocation.
b. a fracture.
c. circumduction.
d. dorsiflexion.
a. a dislocation.
b. a fracture.
c. circumduction.
d. dorsiflexion.
Answer: a
Objective: 20-8
Reference: 615
You are discussing a sling and swathe while teaching an OEC class about splints. Which of the following statements regarding a sling and swathe is correct?
a. It is used to immobilize injuries to either the upper extremity or the lower extremity.
b. It provides a stable platform for the arm and can be used to immobilize either the arm alone or the arm with a separate splint in place.
c. It is the second most commonly used splint by OEC Technicians.
d. There is only one way to properly apply a sling and swathe.
a. It is used to immobilize injuries to either the upper extremity or the lower extremity.
b. It provides a stable platform for the arm and can be used to immobilize either the arm alone or the arm with a separate splint in place.
c. It is the second most commonly used splint by OEC Technicians.
d. There is only one way to properly apply a sling and swathe.
Answer: b
Objective: Supplemental
Reference: 640
A patient for whom you recently provided care stops by to thank you. He reports that he was diagnosed with a strain to his lower right leg. Which of the following structures is the primary structure affected in that injury?
a. A joint
b. A ligament
c. A muscle
d. A bone
a. A joint
b. A ligament
c. A muscle
d. A bone
Answer: c
Objective: 20-1
Reference: 612
