Soft Tissue Test Bank Flashcards
You are called to a commercial creamery where an employee got his arm trapped in the ice cream–mixing machinery. You note that the skin has been pulled off his hand and arm from the midforearm down. The patient’s muscles, tendons, and bones are exposed. This type of injury is a(n):
Degloving Injury:
You are assessing an assault victim and note a contusion over the abdomen. Which of the following should you remember while caring for this patient?
A contusion to the abdomen should always increase your index of suspicion for underlying injury.
A nonpenetrating injury caused by blunt trauma that damages blood vessels, causing pain and discoloration, is a(n):
Contusion
You have responded for an injured person at an address you know to be a motorcycle clubhouse. Your patient was attacked by another party with a broken beer bottle. Your patient has a large laceration on her neck with moderate bleeding. Which property of your dressing material is most important in caring for this patient?
Occlusive
The tough, fibrous sheaths that bundle skeletal muscle are called:
Fascia
Which of the following statements about crush injuries is most accurate?
The actual source of bleeding in crush injuries may be hard to identify.
Which of the following is best described as the accumulation of a pocket of blood in the tissues?
Hematoma
The acute breakdown of muscle fibers in crushing injury is called:
Rhabdomyolysis
When caring for an amputated part, which of the following principles apply?
- Place the unwrapped part in a dry plastic bag, and seal it.
- Place the part in a plastic bag with the part wrapped in gauze moistened with lactated Ringer’s solution or normal saline, and seal it.
- Always transport the part with the patient.
- Keep the part moist, and place it in a container of cold water.
- Keep the part dry, and place it in an ice-filled container.
2, 5
You arrive on the scene of a patient with severe blunt trauma to the face. You hear gurgling as you approach the patient. After opening the airway with a manual maneuver, what should your next action be?
Suction
Which of the following are likely to accumulate in the bloodstream following a large crush injury?
All of the above: myoglobin, Potassium, Lactic Acid
Your patient is an 18-year-old male who stepped on a nail in the barnyard. The nail penetrated his tennis shoe and punctured his foot. On your arrival, the patient has removed the nail and the shoe. The wound is about 2 mm in diameter with minor bleeding that has been controlled. The skin around the wound is red. The patient does not want to be transported but asks if you can give him “some ointment and a Band-Aid.” You should explain to the patient that this type of injury is associated with an increased risk of:
Infection
In which of the following ways does the integumentary system prevent pathogens from entering the body?
Provides a barrier to the environment
In which type of soft-tissue injury is the skin cut or torn, leaving a flap of skin attached?
Avulsion
Your patient is a 35-year-old male who has his leg trapped under a section of concrete from an industrial accident. While awaiting removal of the concrete, which type of IV fluid is indicated for administration to this patient?
Normal saline
The layer of skin that contains adipose tissue is the ________ layer.
Subcutaneous
Which of the following medications may be indicated in the treatment of a patient with a crush injury?
Mannitol
For most open, soft-tissue wounds managed by the paramedic in the prehospital setting, which of the following is a desirable characteristic of the dressing applied?
Dry
Your patient is a 19-year-old male who received a penetrating knife wound to his chest. On your arrival he is lying supine with a visible chest wound that is bleeding slightly. You can hear the sucking sound of air moving in and out of the wound. This wound is best managed with:
An occlusive bandage sealed on three sides, open on the fourth side
The first stage of wound healing is:
Hemostasis
A laceration that is perpendicular to the tension lines of the body is more likely to:
Leave a noticeable scar
Your patient is a 30-year-old machinist who had his right hand caught in a press. Upon extrication there is no evidence of significant trauma. You should:
Splint in position of function, start an IV of normal saline, consider morphine for analgesia
Which of the following most accurately describes the bleeding you would expect from an abrasion?
Bright red and oozing
Which of the following is a principle that should be used when considering application of a tourniquet to control bleeding?
A tourniquet should be used for severe bleeding that cannot be controlled by any other means.
Your patient is a 15-year-old soccer player who was kicked in the calf by another player. She has a contusion on her calf, but the amount of pain she is experiencing seems out of proportion to the apparent injury. You note that, although you can palpate a pedal pulse, there is swelling in the foot and ankle, and the skin is cool to the touch. You should suspect which of the following at this time?
Compartment Syndrome
The bacteria most often associated with infection of open soft-tissue injury is:
Staphylococcus
Your patient is a three-year-old male who has struck his head on a concrete patio. He has a linear wound that penetrates the dermis and is approximately 2 cm long. This wound would be best described as a(n):
Laceration
Your patient is a 45-year-old type II diabetic who has a nonhealing wound on his right foot. You note that the right leg is discolored and edematous and has subcutaneous emphysema and a foul odor. Which of the following should you suspect?
Gangrene
