Chapter 32 - [additional] Orthopaedic Injuries Flashcards
Skeletal muscle is also referred to as:
A. smooth muscle.
B. striated muscle.
C. autonomic muscle.
D. involuntary muscle.
B. striated muscle.
You respond to a soccer game for a 16-year-old male with severe ankle pain. When you deliver him to the hospital, the physician tells you that he suspects a sprain. This means that:
A. there is a disruption of the joint and the bone ends are no longer in contact.
B. the patient has an incomplete fracture that passes only partway through the bone.
C. stretching or tearing of the ligaments with partial or temporary dislocation of the bone ends has occurred.
D. the muscles of the ankle have been severely stretched, resulting in displacement of the bones from the joint.
C. stretching or tearing of the ligaments with partial or temporary dislocation of the bone ends has occurred.
A young male has a musculoskeletal injury and is unresponsive. You will NOT be able to assess:
A. false motion.
B. distal pulses.
C. capillary refill.
D. sensory and motor functions.
D. sensory and motor functions.
The purpose of splinting a fracture is to:
A. reduce the fracture if possible.
B. prevent motion of bony fragments.
C. reduce swelling in adjacent soft tissues.
D. force the bony fragments back into anatomic alignment.
B. prevent motion of bony fragments.
A motorcyclist crashed his bike and has closed deformities to both of his midshaft femurs. He is conscious, but restless; his skin is cool and clammy; and his radial pulses are rapid and weak. The MOST appropriate splinting technique for this patient involves:
A. applying rigid board splints.
B. applying two traction splints.
C. securing him to a long backboard.
D. immobilizing his femurs with air splints.
C. securing him to a long backboard.
To effectively immobilize a fractured clavicle, you should apply a(n):
A. sling and swathe.
B. air splint over the entire arm.
C. rigid splint to the upper arm, then a sling.
D. traction splint to the arm of the injured side.
A. sling and swathe.
A patient tripped, fell, and landed on her elbow. She is in severe pain and has obvious deformity to her elbow. You should:
A. assess distal pulses.
B. manually stabilize her injury.
C. assess her elbow for crepitus.
D. apply rigid board splints to her arm.
B. manually stabilize her injury.
When treating an open extremity fracture, you should:
A. apply a splint and then dress the wound.
B. dress the wound before applying a splint.
C. irrigate the wound before applying a dressing.
D. allow the material that secures the splint to serve as the dressing.
B. dress the wound before applying a splint.
A patient injured her knee while riding a bicycle. She is lying on the ground, has her left leg flexed, is in severe pain, and cannot move her leg. Your assessment reveals obvious deformity to her left knee. Distal pulses are present and strong. The MOST appropriate treatment for her injury involves:
A. wrapping her entire knee area with a pillow.
B. splinting the leg in the position in which it was found.
C. straightening her leg and applying two rigid board splints.
D. straightening her leg and applying and inflating an air splint.
B. splinting the leg in the position in which it was found.
A 31-year-old male fell and landed on his left elbow. Your assessment reveals that the elbow is grossly deformed, his forearm is cool and pale, and the distal pulse is barely palpable. His vital signs are stable, and he denies any other injuries. Your transport time to the closest appropriate hospital is approximately 12 minutes. You should:
Select one:
A.
gently straighten the elbow and apply an air splint.
B.
splint the elbow in the position found and transport.
C.
gently manipulate the elbow to improve circulation.
D.
apply a heat pack to the elbow to reduce swelling.
B.
splint the elbow in the position found and transport.
A 45-year-old female was the unrestrained passenger of a small car that rear-ended another vehicle at a moderate rate of speed. She is conscious and alert but complains of pain to both of her knees. There is visible damage to the dashboard on the passenger’s side of the vehicle. In addition to fractures or dislocations of the knees, you should be most suspicious for:
Select one:
A.
a thoracic spine fracture.
B.
anterior hip dislocation.
C.
fracture of the tibia or fibula.
D.
posterior hip dislocation
D.
posterior hip dislocation
Which of the following statements regarding shoulder dislocations is correct?
Select one:
A.
They involve the acromion process and humerus.
B.
They are caused by forced arm adduction.
C.
Most shoulder dislocations occur anteriorly.
D.
Posterior dislocations are most common.
C.
Most shoulder dislocations occur anteriorly.
After direct trauma to the left upper back, a 44-year-old male presents with diaphoresis and restlessness. His blood pressure is 100/50 mm Hg, his pulse rate is 120 beats/min and weak, and his respirations are 24 breaths/min and labored. Your assessment reveals abrasions and contusions over the left scapula. You should:
Select one:
A.
apply high-flow oxygen, consider spinal precautions, and transport without delay.
B.
focus your assessment on his scapulae and clavicles and apply high-flow oxygen.
C.
hyperventilate him with a bag valve mask and monitor his oxygen saturation.
D.
apply high-flow oxygen, perform a detailed secondary assessment, and transport.
A.
apply high-flow oxygen, consider spinal precautions, and transport without delay.
Which of the following statements regarding striated muscle is correct?
Select one:
A.
Most of the body’s striated muscle is found within the walls of the blood vessels.
B.
Striated muscle tissue is attached directly to the bones by tough bands of cartilage.
C.
Striated muscle is involuntary because you have no conscious control over it.
D.
It forms the major muscle mass of the body and usually crosses at least one joint.
D.
It forms the major muscle mass of the body and usually crosses at least one joint.
