Chapter 32

Question 1

Which of the following structures connect bone ends and allow for a stable range of motion?

Answer 1

Ligaments

Question 2

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?

Answer 2

Indirect force

Question 3

Which of the following statements is not true?

Answer 3

A comminuted break is when a bone is broken only in one place

Question 4

Which of the following is a complication of bone fractures?

Answer 4

Hemorrhage
Swelling
Nerve damage

Question 5

A traction splint may be used on which of the following musculoskeletal injuries?

Answer 5

Possible fracture of the femur

Question 6

Which of the following is appropriate in the examination of a painful, swollen extremity of a conscious patient?

Answer 6

comparing the injured side to the uninjured side

Question 7

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?

Answer 7

Compartment syndrome

Question 8

Which of the following is not a principle of splinting that must be considered by the EMT?

Answer 8

Gently replace protruding bone ends back beneath the skin to prevent further contamination.

Question 9

There are general rules that apply to all types of splinting. Which of the following is not a general rule of splinting?

Answer 9

In order to avoid loss of use of a limb, it is important to splint before moving, even if the patient is unstable.

Question 10

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?

Answer 10

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.

Question 11

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 ________.

Answer 11

forearm;humerus

Question 12

Which one of the following definitions is not true?

Answer 12

Tendons connect muscles to ligaments.

Question 13

A suspected musculoskeletal injury of the shoulder is best managed by which of the following techniques?

Answer 13

Placing the arm in a sling and using a triangular bandage to secure it to the body

Question 14

The PASG may be used as a splinting device for patients with which of the following suspected injuries?

Answer 14

fractured pelvis

Question 15

Blood at the meatus of the penis (opening of the urethra) is a sign of:

Answer 15

pelvic trauma/fracture

Question 16

Which of the following statements is not true concerning a pelvic wrap?

Answer 16

It should not be used unless the patient shows signs of shock.

Question 17

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?

Answer 17

Gently attempt to straighten the leg to regain a pulse before splinting.

Question 18

Where could you find the phalange bones?

Answer 18

hands and feet

Question 19

The strong white fibrous material called the periosteum:

Answer 19

covers the bones

Question 20

Which one of the following statements is not true?
A. Cartilage is connective tissue that covers the outside of the bone end and acts as a surface for articulation.
B. Ligaments are connective tissues that connect bone to bone.
C. Tendons are bands of connective tissue that bind the ligaments to muscles.
D. Muscles are the tissues or fibers that cause movement of body parts or organs.

Answer 20

Tendons are bands of connective tissue that bind the ligaments to muscles.