Soft Tissue Test Bank

Question 1

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):

Answer 1

Degloving Injury:

Question 2

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?

Answer 2

A contusion to the abdomen should always increase your index of suspicion for underlying injury.

Question 3

A nonpenetrating injury caused by blunt trauma that damages blood vessels, causing pain and discoloration, is a(n):

Answer 3

Contusion

Question 4

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?

Answer 4

Occlusive

Question 5

The tough, fibrous sheaths that bundle skeletal muscle are called:

Answer 5

Fascia

Question 6

Which of the following statements about crush injuries is most accurate?

Answer 6

The actual source of bleeding in crush injuries may be hard to identify.

Question 7

Which of the following is best described as the accumulation of a pocket of blood in the tissues?

Answer 7

Hematoma

Question 8

The acute breakdown of muscle fibers in crushing injury is called:

Answer 8

Rhabdomyolysis

Question 9

When caring for an amputated part, which of the following principles apply?

1. Place the unwrapped part in a dry plastic bag, and seal it.
2. 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.
3. Always transport the part with the patient.
4. Keep the part moist, and place it in a container of cold water.
5. Keep the part dry, and place it in an ice-filled container.

Answer 9

2, 5

Question 10

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?

Answer 10

Suction

Question 11

Which of the following are likely to accumulate in the bloodstream following a large crush injury?

Answer 11

All of the above: myoglobin, Potassium, Lactic Acid

Question 12

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:

Answer 12

Infection

Question 13

In which of the following ways does the integumentary system prevent pathogens from entering the body?

Answer 13

Provides a barrier to the environment

Question 14

In which type of soft-tissue injury is the skin cut or torn, leaving a flap of skin attached?

Answer 14

Avulsion

Question 15

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?

Answer 15

Normal saline

Question 16

The layer of skin that contains adipose tissue is the ________ layer.

Answer 16

Subcutaneous

Question 17

Which of the following medications may be indicated in the treatment of a patient with a crush injury?

Answer 17

Mannitol

Question 18

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?

Answer 18

Dry

Question 19

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:

Answer 19

An occlusive bandage sealed on three sides, open on the fourth side

Question 20

The first stage of wound healing is:

Answer 20

Hemostasis

Question 21

A laceration that is perpendicular to the tension lines of the body is more likely to:

Answer 21

Leave a noticeable scar

Question 22

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:

Answer 22

Splint in position of function, start an IV of normal saline, consider morphine for analgesia

Question 23

Which of the following most accurately describes the bleeding you would expect from an abrasion?

Answer 23

Bright red and oozing

Question 24

Which of the following is a principle that should be used when considering application of a tourniquet to control bleeding?

Answer 24

A tourniquet should be used for severe bleeding that cannot be controlled by any other means.

Question 25

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?

Answer 25

Compartment Syndrome

Question 26

The bacteria most often associated with infection of open soft-tissue injury is:

Answer 26

Staphylococcus

Question 27

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):

Answer 27

Laceration

Question 28

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?

Answer 28

Gangrene