Soft tissue quiz pt 2 Flashcards
Which of the following is the MOST common cause of necrotizing fasciitis?
Select one:
a. A fungal infection
b. Clostridium tetani
c. Hemolytic streptococci
d. Clostridium perfringens
c. Hemolytic streptococci
Necrosis of tissue caused by an anaerobic, toxin-producing bacterium is called:
Select one:
a. tetanus.
b. gangrene.
c. fasciitis.
d. lymphedema.
b. gangrene.
An infection characterized by painful muscle contractions is called:
Select one:
a. pertussis
b. polio.
c. rabies.
d. tetanus.
d. tetanus.
Primary treatment in the prehospital setting for an abrasion involves:
Select one:
a. administering a narcotic analgesic.
b. applying an antibiotic ointment or cream.
c. covering it lightly with a sterile dressing.
d. thoroughly cleaning it to prevent infection.
c. covering it lightly with a sterile dressing.
Which of the following statements regarding lacerations is correct?
Select one:
a. Lacerations are linear cuts that tend to heal well due to their relatively even wound margins.
b. The seriousness of a laceration depends on its depth and the structures that have been damaged.
c. The first priority in treating a laceration is to cover it with a sterile dressing to prevent infection.
d. A laceration must be sutured or otherwise closed within 8 to 10 hours following the injury.
b. The seriousness of a laceration depends on its depth and the structures that have been damaged.
In addition to bleeding and contamination, the principal danger associated with an avulsion is:
Select one:
a. undetectable internal damage.
b. disfigurement due to severe scarring.
c. invasion of the wound with Clostridium tetani.
d. a loss of blood supply to the avulsed flap.
d. a loss of blood supply to the avulsed flap.
A crushing or tearing amputation:
Select one:
a. is initially treated by applying a proximal tourniquet and retrieving any detached body parts.
b. causes less blood loss than expected because the blood vessels retain their ability to constrict.
c. cannot be surgically reattached due to the severe vascular and soft-tissue damage that accompanies it.
d. can result in excessive blood loss due to hemorrhage if the paramedic does not intervene rapidly.
d. can result in excessive blood loss due to hemorrhage if the paramedic does not intervene rapidly.
Which of the following medications would MOST likely interfere with hemostasis?
Select one:
a. Paxil
b. Procrit
c. Warfarin
d. Tylenol
c. Warfarin
Which of the following interventions encourages drainage from the site of a closed wound and reduces swelling?
Select one:
a. Elevation
b. Splinting
c. Firm compression
d. Application of ice
a. Elevation
Packing a wound with hemostatic-impregnated gauze is indicated when:
Select one:
a. tourniquet placement is not possible.
b. severe intraabdominal bleeding is present.
c. the wound is below the elbow or knee.
d. the patient’s systolic BP is greater than 90 mm Hg.
a. tourniquet placement is not possible.
If your patient has an open wound in which there is a risk of air being drawn into the vasculature, you should:
Select one:
a. cover the wound with an occlusive dressing.
b. cover the wound with a hemostatic agent.
c. apply direct pressure with moist dressings.
d. transport quickly to a hyperbaric chamber.
a. cover the wound with an occlusive dressing.
Which of the following bandages is associated with the HIGHEST risk of blood flow compromise?
Select one:
a. Roller bandages
b. Elastic bandages
c. Triangular bandages
d. Nonabsorbent bandages
b. Elastic bandages
When caring for a patient with an open chest wound, you should:
Select one:
a. routinely transport the patient in a left lateral recumbent position.
b. place a porous dressing over the wound and secure it on three sides.
c. secure a dressing in place by circumferentially wrapping the chest.
d. frequently assess breath sounds for indications of a pneumothorax.
d. frequently assess breath sounds for indications of a pneumothorax.
A 63-year-old diabetic woman presents with an open wound to her forearm that she experienced when she fell a week ago. She tells you that the wound has been draining purulent fluid, but has not been bleeding. The wound itself is red, inflamed, and warm to the touch. You should:
Select one:
a. carefully irrigate the wound with sterile water for 5 minutes.
b. apply a moist, sterile dressing and transport to the hospital.
c. apply a dry, sterile dressing and transport her to the hospital.
d. apply a light coat of antibiotic ointment and cover the wound.
c. apply a dry, sterile dressing and transport her to the hospital.
A 30-year-old man presents with jaw and neck stiffness and fever. During your assessment, he tells you that he cut his hand on a piece of metal about a week ago. You should suspect:
Select one:
a. tetanus.
b. meningitis.
c. a viral infection.
d. a staph infection.
a. tetanus.
You are dispatched to a residence for a man who cut his hand with a chainsaw. Upon arriving at the scene, your FIRST action should be to:
Select one:
a. immediately gain access to the patient.
b. apply gloves, a gown, and facial protection.
c. determine if air medical transport is available.
d. carefully assess the scene for safety hazards.
d. carefully assess the scene for safety hazards.
A 41-year-old man was assaulted during a robbery attempt. Your primary assessment reveals that the patient is semiconscious. He has massive soft-tissue trauma to the face, inadequate breathing, and oropharyngeal bleeding. You should:
Select one:
a. apply direct pressure to his facial wounds and promptly intubate him.
b. suction the blood from his mouth and assist ventilations with a bag-mask device.
c. insert a nasal airway, apply oxygen via nonrebreathing mask, and transport.
d. suction his oropharynx for 30 seconds and then perform endotracheal intubation.
b. suction the blood from his mouth and assist ventilations with a bag-mask device.
A 22-year-old man was struck in the forehead by a softball. He is conscious and alert, but complains of a severe headache. Your assessment reveals a large hematoma to his forehead. His vital signs are stable and his breathing is adequate. You should:
Select one:
a. apply firm manual pressure to the hematoma to reduce internal bleeding.
b. place him in a sitting position and apply a chemical heat pack to his head.
c. apply an icepack to the hematoma and monitor his level of consciousness. Correct
d. start an IV of normal saline and administer 2 mg of morphine for the pain.
c. apply an icepack to the hematoma and monitor his level of consciousness.
You have dressed and bandaged a laceration to the arm of a 16-year-old woman and are transporting her to the hospital. En route, the patient complains that her fingers are tingling. You touch her hand and note that it is cool. You should:
Select one:
a. readjust the bandage if needed and reassess distal neurovascular function.
b. conclude that the laceration has probably severed a major nerve in her arm.
c. elevate her arm, apply an icepack over the bandage, and reassess her hand.
d. contact the receiving facility and have them place a neurosurgeon on standby.
a. readjust the bandage if needed and reassess distal neurovascular function.
A young woman attempted to commit suicide by cutting her wrist. Bright red blood is spurting from the injury site. Despite direct pressure, the wound continues to bleed heavily. You should:
Select one:
a. apply supplemental oxygen and keep her warm.
b. elevate the extremity above the level of her heart.
c. apply a tourniquet between her elbow and wrist.
d. locate and apply digital pressure to the brachial artery.
c. apply a tourniquet between her elbow and wrist.
