Chapter 27 - [additional] Soft-Tissue Injuries Flashcards
A young male was struck in the forearm with a baseball and complains of pain to the area. Slight swelling and ecchymosis are present, but no external bleeding. Which type of injury does this describe?
A. Abrasion
B. Contusion
C. Hematoma
D. Avulsion
B. Contusion
A compression injury that is severe enough to cut off blood flow below the injury is called:
A. a contusion.
B. a hematoma.
C. a local thrombus.
D. compartment syndrome.
D. compartment syndrome.
A 45-year-old convenience store clerk was shot in the right anterior chest during a robbery. Your assessment reveals that the wound has blood bubbling from it every time the patient breathes. Your MOST immediate action should be to:
A. prevent air from entering the wound.
B. cover the wound with a bulky dressing.
C. assess the patient’s back for an exit wound.
D. transport the patient promptly to the closest trauma center.
A. prevent air from entering the wound.
What effects will the application of an ice have on a hematoma?
A. Vasodilation and increased pain
B. Vasodilation and decreased bleeding
C. Vasoconstriction and increased swelling
D. Vasoconstriction and decreased bleeding
D. Vasoconstriction and decreased bleeding
The primary reason for applying a sterile dressing to an open injury is to:
A. prevent contamination.
B. control external bleeding.
C. reduce the risk of infection.
D. minimize any internal bleeding.
B. control external bleeding.
The MOST appropriate way to dress and bandage an open abdominal wound with a loop of bowel protruding from it is to:
A. cover the wound with a dry, sterile dressing and apply firm pressure.
B. apply a moist, sterile dressing to the wound and apply firm pressure.
C. apply a moist, sterile dressing to the wound and secure with an occlusive dressing.
D. carefully replace the protruding bowel into the abdomen and cover the wound.
C. apply a moist, sterile dressing to the wound and secure with an occlusive dressing.
A 22-year-old male was attacked by a rival gang and has a large knife impaled in the center of his chest. Your assessment reveals that he is apneic and pulseless. You should:
A. carefully remove the knife, control any bleeding, begin CPR, and transport.
B. stabilize the knife in place, provide rescue breathing, and transport at once.
C. remove the knife and control any bleeding, apply the AED, and analyze his rhythm.
D. begin CPR, control any external bleeding, and transport rapidly to a trauma center.
A. carefully remove the knife, control any bleeding, begin CPR, and transport.
Which of the following is considered a severe burn?
A. Any full-thickness burn
B. 20% partial-thickness burn
C. 10% full-thickness burn with abrasions
D. 5% full-thickness burn with a fracture
D. 5% full-thickness burn with a fracture
A 5-year-old boy was burned when he pulled a barbecue grill over on himself. He has partial- and full-thickness burns to his anterior chest and circumferentially on both arms. What percentage of his body surface area has been burned?
A. 18% B. 27% C. 36% D. 45%
B. 27%
Which of the following statements regarding chemical burns is FALSE?
A. Most chemical burns are caused by strong acids or alkalis.
B. Fumes of strong chemicals can cause burns to the respiratory tract.
C. Prior to removing a dry chemical, you should flush the area with sterile water.
D. You should not attempt to neutralize an acid burn with an alkaline chemical.
C. Prior to removing a dry chemical, you should flush the area with sterile water.
Dry chemicals should be brushed off the patient before irrigating the wound with sterile water or saline. Failure to do so may increase the burning process and cause further tissue damage.
A construction worker fell approximately 30 feet and landed in a pile of steel rods. Your assessment reveals that he is pulseless and apneic and has a 10-foot steel rod impaled in his left leg. You should:
Select one:
A.
control the bleeding, carefully remove the steel rod, begin CPR, and transport as soon as possible.
B.
stabilize the steel rod, control the bleeding, begin CPR, and rapidly transport to a trauma center.
C.
remove the steel rod, control the bleeding, apply an automated external defibrillator, begin CPR, and transport to a trauma center.
D.
control the bleeding, begin CPR, stabilize the steel rod, immobilize his spine, and transport immediately.
D.
control the bleeding, begin CPR, stabilize the steel rod, immobilize his spine, and transport immediately.
An abdominal evisceration:
Select one:
A.
should be covered with bulky dry, sterile dressings.
B.
often causes severe hypothermia because of heat loss.
C.
occurs when organs protrude through an open wound.
D.
is most commonly the result of blunt force trauma.
C.
occurs when organs protrude through an open wound.
During an altercation in a bar, two patrons got into a fist fight. The first patient, a 44-year-old female, was struck in the mouth and refuses EMS care. The second patient, a 39-year-old female, has a small laceration to her left knuckle and also refuses EMS care. Which of the following statements regarding this scenario is correct?
Select one:
A.
The 39-year-old female is at high risk for an infection.
B.
You should contact the police and have the patients arrested.
C.
The patient struck in the mouth should be immobilized.
D.
The 44-year-old female is at high risk for an infection.
A.
The 39-year-old female is at high risk for an infection.
Burns are classified according to:
Select one:
A.
location and pain.
B.
extent and location.
C.
depth and extent.
D.
degree and location.
C.
depth and extent.
What layer of the skin forms a watertight, protective seal for the body?
Select one:
A.
Epidermis
B.
Muscular layer
C.
Subcutaneous layer
D.
Dermis
A.
Epidermis
