Quiz 10 - Abdominal Trauma & Orthopaedic Trauma Flashcards
Generalized abdominal pain following rupture of a hollow organ is MOST suggestive of:
A. gas accumulation in the peritoneum.
B. diffuse peritoneal contamination.
C. severe intraabdominal bleeding.
D. inflammation of deep nerve endings.
B. diffuse peritoneal contamination.
A ____________ is a padlike sac or cavity located within the connective tissue, usually in proximity to a joint.
A. joint capsule
B. bursa
C. ligament
D. synovial membrane
B. bursa
When blood is released into the peritoneal cavity:
A. blood pressure falls with as little as 500 mL of internal blood loss.
B. the abdomen almost immediately becomes grossly distended.
C. it is most often the result of blunt force trauma to the pancreas.
D. nonspecific signs such as tachycardia and hypotension may occur.
D. nonspecific signs such as tachycardia and hypotension may occur.
A function of the musculoskeletal system is hematopoiesis, which is defined as the process of:
A. destroying platelets.
B. generating blood cells.
C. producing bone marrow.
D. filtering the blood.
B. generating blood cells.
The upper extremity’s blood supply originates from the:
A. axillary artery.
B. radial artery.
C. brachial artery.
D. subclavian artery.
D. subclavian artery.
Intraabdominal bleeding may produce few signs and symptoms of trauma because:
A. the abdominal musculature can sustain massive blunt force without bruising.
B. the intraabdominal cavity can accommodate large amounts of blood.
C. it takes approximately 4 L of blood loss before signs of shock manifest.
D. blood in the peritoneum can compress the aorta and maintain perfusion.
B. the intraabdominal cavity can accommodate large amounts of blood.
What type of fracture occurs at an angle across the bone and is typically caused by direct or twisting force?
A. Spiral
B. Linear
C. Transverse
D. Oblique
D. Oblique
Because of its anatomic position in the retroperitoneum, it typically takes high-energy force to damage the:
A. stomach.
B. pancreas.
C. spleen.
D. liver.
B. pancreas.
You should suspect a ruptured kidney if a patient presents with flank pain, gross hematuria, and:
A. pain with exhalation.
B. pain with inhalation.
C. left shoulder pain.
D. right shoulder pain.
B. pain with inhalation.
The MOST significant immediate risk associated with an open fracture is:
A. hemorrhage.
B. bone marrow loss.
C. nerve damage.
D. infection.
A. hemorrhage.
When assessing a multisystems trauma patient, it is MOST important to:
A. administer an analgesic promptly to minimize pain.
B. splint swollen, painful extremities as soon as possible.
C. avoid being distracted by visually impressive injuries.
D. only splint fractures involving long bones at the scene.
C. avoid being distracted by visually impressive injuries.
Osteoporosis is MOST accurately defined as a(n):
A. reduced range of motion in the joints.
B. significant decrease in bone density.
C. estrogen-related change in bone strength.
D. progressive loss of bone marrow.
B. significant decrease in bone density.
Which of the following is NOT one of the 6 Ps of musculoskeletal injury assessment?
A. Parasthesias
B. Pulselessness
C. Pallor
D. Passive extension
D. Passive extension
A 24-year-old male intentionally placed a commercially manufactured constricting object around the base of his penis. He complains of moderate pain, and assessment of his penis reveals that it is cyanotic. You should:
A. transport him to the hospital and provide emotional support en route.
B. apply ice to the area to reduce any swelling and then remove the object.
C. make one attempt to cut the constricting object away from his penis.
D. administer a narcotic analgesic prior to removing the constricting object
A. transport him to the hospital and provide emotional support en route.
Immediate pain from the heel to the calf and a sudden inability for plantar flexion of the foot is MOST indicative of:
A. ligament disruption.
B. Achilles tendon rupture.
C. a dislocated ankle.
D. acute tendonitis.
B. Achilles tendon rupture.
