CH 32 Flashcards
Your patient is a 3-year-old girl who is unable to move her elbow after her mother picked her up by the forearm. Proper splinting of this injury would be to immobilize from the ________ to the ________.
forearm; humerus
Your patient is a 20-year-old college student who has fallen from a third-level balcony onto a wooden deck below. The patient responds to verbal stimuli, is pale in color with moist skin, and has a very obvious deformity with protruding bone ends of his right forearm. Which of the following is the best sequence of intervention for this patient?
Provide manual in-line stabilization of the cervical spine along with assessment of breathing, pulse, and the presence of significant hemorrhage; apply high-concentration oxygen; perform a rapid trauma exam; immobilize to a long backboard; transport; and splint the extremity en route if time and resources allow.
Your patient is a 28-year-old male who was ejected from his motorcycle after striking a parked vehicle. He has multiple deformities to his upper and lower extremities on both sides. Which of the following would be the best way to immobilize this patient’s extremities prior to transport?
Immobilize the patient to a long backboard without splinting the extremities individually.
Which of the following is not a mechanism of musculoskeletal injury?
extensive force
Which of the following is not a principle of splinting that must be considered by the EMT?
Gently replace protruding bone ends back beneath the skin to prevent further contamination.
Distinguishing between a knee dislocation and a patella dislocation can sometimes be difficult. Which of the following statements is not true?
In a patellar dislocation, the knee will be stuck in flexion but the knee cap will not be displaced.
Which of the following structures connect bone ends and allow for a stable range of motion?
ligaments
You are treating a 16-year-old skateboarder who has fallen at the skate park. She has an angulated left forearm that she has in a guarded position. When do you splint this injury?
During the secondary exam
Which of the following best describes the compartment syndrome?
A serious condition caused by the bleeding and swelling from a fracture or crush injury that becomes so strong that the body can no longer perfuse the tissues against that pressure
Which one of the following definitions is true?
A sprain is the stretching and tearing of ligaments.
C.
Another name for manual traction is tension.
D.
Joints are places where bones articulate.
Your patient is a 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows that her left ankle is swollen and painful. Which of the following should you do?
Explain to the patient that you cannot tell if her ankle is sprained or fractured until she is X-rayed at the emergency department, then splint the ankle.
Which of the following hazards may arise from properly splinting an injured extremity?
Ignoring life-threatening problems while focusing on an extremity injury
A suspected musculoskeletal injury of the shoulder is best managed by which of the following techniques?
Placing the arm in a sling and using a triangular bandage to secure it to the body
The strong white fibrous material called the periosteum:
covers the bones
One of the more serious conditions that EMTs are confronted with would occur as follows: A fracture or crush injury causes bleeding and swelling within the extremity. Pressure and swelling caused by the bleeding within the muscle compartment become so great that the body can no longer perfuse the tissues against the pressure. Cellular damage occurs and causes additional swelling. Blood flow to the area is lost. The limb itself may be lost if the pressure is not relieved. What is this condition called?
compartment syndrome
Your patient is a 12-year-old female who fell onto her outstretched hands while rollerblading. She has a deformity of her forearm, about 2 inches proximal to her wrist. This injury is a result of which of the following mechanisms?
indirect force
A new EMT who is treating a suspected femur injury asks his partner, “How much traction should I pull?” The partner’s best reply is which of the following?
The amount of traction applied should be roughly 10% of the patient’s body weight and not exceed 15 pounds.
Your patient is a 37-year-old man who tripped while walking down a hill and now has a painful, deformed right leg. Your assessment reveals that the foot is cold and mottled in appearance. You cannot detect a pulse in the foot or ankle. Which of the following is the best course of action?
Gently attempt to straighten the leg to regain a pulse before splinting.
Which of the following is not a benefit of splinting an injury to bones and connective tissues?
It restricts blood flow to the site of the injury to prevent swelling.
Which one of the following statements is true?
Muscles are the tissues or fibers that cause movement of body parts or organs.
C.
Cartilage is connective tissue that covers the outside of the bone end and acts as a surface for articulation.
D.
Ligaments are connective tissues that connect bone to bone
Your patient is an 11-year-old male who has a swollen, painful, and angulated right lower arm after falling from his bicycle onto his hands. Which of the following should be considered in the immobilization of his injured extremity?
Check pulse, movement, and sensation distal to the injury before and after splinting.
Which of the following allows for smooth movement of bone surfaces against one another at joints?
Cartilage
Which of the following is a complication of bone fractures?
Nerve damage
B.
Hemorrhage
C.
Swelling
The part of the skeleton that includes the skull and spinal column is called the:
axial skeleton
