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32 Cards in this Set

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Which of the following fractures has the greatest potential for internal blood loss and shock?
pelvis
During your assessment of a 29-year-old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is approximately 40 minutes. You should:
apply gentle manual traction in line with the limb and reassess for a pulse.
A(n) __________ fracture occurs in the growth section of a child's bone and may lead to bone growth abnormalities.
epiphyseal
Atrophy is a condition that occurs when:
muscle decreases in size and function because of disease or trauma.
When assessing a patient with a possible fracture of the leg, the EMT should:
compare it to the uninjured leg.
A ____________ is a musculoskeletal injury in which there is partial or temporary separation of the bone ends as well as partial stretching or tearing of the supporting ligaments.
sprain
A 21-year-old male was thrown over the handlebars of his motorcycle when he rear-ended a car that was stopped at a red light. He was wearing a helmet, which he removed prior to your arrival. He is conscious, but restless, and has closed deformities to both of his femurs. His skin is pale, his heart rate is rapid and weak, and his respirations are rapid and shallow. In addition to applying high-flow oxygen and protecting his spine, you should:
bind his legs together on the backboard, keep him warm, and transport without delay.
In which of the following situations should the EMT splint an injured limb in the position of deformity?
if resistance is encountered or the patient experiences severe pain
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 on the side of the injury is barely palpable. His vital signs are stable and he denies any other injuries. Your transport time to the closest appropriate hospital is approximately 15 minutes. You should:
splint the elbow in the position found and transport.
A 77-year-old woman slipped and fell on a throw rug and landed on her left hip. She denies striking her head or losing consciousness. Assessment of her left leg reveals that it is shortened and externally rotated. Distal pulses, sensory, and motor functions are intact. You should:
place her onto a scoop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps.
Bones are connected to other bones by bands of tough fibrous tissues called:
ligaments.
When splinting a possible fracture of the foot, it is MOST important for the EMT to:
leave the toes exposed.
The disruption of a joint in which the bone ends are no longer in contact is called a:
Answer
dislocation.
Which of the following statements regarding shoulder dislocations is MOST correct?
Most shoulder dislocations occur anteriorly.
During your rapid secondary assessment of a 30-year-old male who fell 25′, you note crepitus when palpating his pelvis. Your partner advises you that the patient's blood pressure is 80/50 mm Hg and his heart rate is 120 beats/min and weak. After completing your assessment, you should:
stabilize the pelvis with a pelvic binder and protect the spine.
Applying ice to and elevating an injured extremity are performed in order to:
reduce pain and swelling.
Skeletal muscle is also referred to as __________ muscle.
striated
Which of the following scenarios is an example of a direct injury?
A passenger fractures her patella after it strikes the dashboard.
A fracture is MOST accurately defined as a(n):
break in the continuity of the bone.
The MOST reliable indicator of an underlying fracture is:
point tenderness
With regard to musculoskeletal injuries, the zone of injury is defined as the:
area of soft-tissue damage surrounding the injury.
The MOST common and significant complication associated with fractures or dislocations of the knee is:
neurovascular compromise.
A “hip” fracture is actually a fracture of the
???????
Which of the following structures is regulated by smooth muscle?
blood vessels
Following 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:
apply high-flow oxygen, consider spinal precautions, and transport without delay.
Traction splints are used primarily to immobilize and secure fractures of the
femur.
In general, musculoskeletal injuries should be splinted before moving the patient unless:
the patient is clinically unstable.
The PASG is absolutely contraindicated in patients who have:
pulmonary edema
A 54-year-old male accidentally shot himself in the leg while cleaning his gun. Your assessment reveals a small entrance wound to the medial aspect of his right leg. The exit wound is on the opposite side of the leg and is actively bleeding. The patient complains of numbness and tingling in his right foot. You should:
control the bleeding and cover the wound with a sterile dressing.
he pectoral girdle consists of the
scapulae and clavicles
Which of the following musculoskeletal injuries would MOST likely result in deformity?
displaced fracture
displaced fracture
a joint is incompletely dislocated.