Chapter 24 - Soft Tissue Trauma

Question 1

A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover \_\_\_\_\_ of his BSA.
Select one:
A. 27% Incorrect
B. 45%
C. 18%
D. 36%

Answer 1

C. 18%

Question 2

All of the following body structures are lined with mucous membranes, EXCEPT for the:
Select one:
A. mouth.
B. nose.
C. anus.
D. lips.

Answer 2

D. lips.

Question 3

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:
Select one:
A. perform an immediate head-to-toe assessment.
B. assess his pulse for rate, regularity, and quality.
C. open his airway and assess his breathing status.
D. apply high-flow oxygen and assess his injuries.

Answer 3

C. open his airway and assess his breathing status.

Question 4

The hallmark sign of compartment syndrome is:
Select one:
A. extreme redness to the injury site.
B. pain out of proportion to the injury.
C. a lack of pain despite the severity of the injury.
D. a bounding pulse distal to the injury.

Answer 4

B. pain out of proportion to the injury.

Question 5

What layer of the skin forms a watertight, protective seal for the body?
Select one:
A. muscular layer
B. epidermis
C. subcutaneous layer
D. dermis

Answer 5

B. epidermis

Question 6

When assessing a patient with a closed soft-tissue injury, it is MOST important to:
Select one:
A. manipulate the injury site for signs of a fracture.
B. remain alert for more severe underlying injuries.
C. recognize that the integrity of the skin is broken.
D. assess circulation distal to the site of the injury.

Answer 6

B. remain alert for more severe underlying injuries.

Question 7

Which of the following is a severe burn in a 65-year-old patient?
Select one:
A. superficial burn to 30% of the BSA
B. partial-thickness burn to 20% of the BSA
C. second-degree burn covering 10% of the BSA
D. full-thickness burn to 1% of the BSA

Answer 7

B. partial-thickness burn to 20% of the BSA

Question 8

Which of the following statements regarding the dermis is correct?
Select one:
A. The cells of the dermis are worn away and are constantly replaced.
B. The dermis contains hair follicles, sweat glands, and nerve endings.
C. The dermis lies above the germinal layer and provides protection.
D. The dermis produces a substance that provides color to the skin.

Answer 8

B. The dermis contains hair follicles, sweat glands, and nerve endings.