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EMT CHAPTER 28

LimmerEducation
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Terms in this set (29)

A traction splint may be used on which of the following musculoskeletal injuries?
A possible fracture of the femur
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.
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
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.
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
Which of the following is NOT a mechanism of musculoskeletal injury?
Extensive force
When the EMT is assessing compromise to an extremity, perhaps due to an orthopedic injury, the EMT should initially check what "six Ps"?
Pain, pallor, paresthesia, pulses, paralysis, and pressure
Which of the following structures connect bone ends, making joints more stable?
ligaments
Blood at the meatus of the penis (opening of the urethra) is a sign of:
pelvic trauma/fracture.
What is a primary problem when treating musculoskeletal injuries?
Many musculoskeletal injuries have a grotesque appearance, and the EMT cannot be distracted from life-threatening conditions by a deformed limb.
Which of the following statements is NOT true?
A comminuted break is when a bone is broken in only one place.
Which of the following allows for smooth movement of bone surfaces against one another at joints?
cartilage
Which of the following complications may arise from properly splinting an injured extremity?
Ignoring life-threatening problems while focusing on an extremity injury
The part of the skeleton that is made up from the skull and spinal column is called the:
axial skeleton
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 of the following is an injury to the musculature of an extremity?
strain
A painter falls from his ladder and tells you he has dislocated his shoulder again. When you attempt to splint the shoulder, it "pops back into place." What should your next step be?
Check distal CSM, apply a sling and swathe, and transport the patient.
Which one of the following statements is NOT true concerning a knee injury?
Fractures can occur to the proximal femur.
Where could you find the phalange bones?
hands and feet
There are general rules that apply to all types of splinting. Which of the following is NOT a general rule of splinting?
In order to avoid loss of use of a limb, it is important to splint before moving, even if the patient is unstable.
Which one of the following statements is NOT true?
Tendons are bands of connective tissue that bind the ligaments to muscles.
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
The strong white fibrous material called the periosteum:
covers bones
Which of the following is a complication of bone fractures?
Swelling
Nerve damage
Hemorrhage
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.
Although it can be difficult to definitively determine hip dislocation in the field, certain signs and symptoms are usually there. Which of the following statements is false?
An anterior hip dislocation would probably present with the entire lower limb rotated inward and the hip would usually be flexed
Which of the following bones is found in the chest?
sternum
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.
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 percent of the patient's body weight and not exceed
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