Musculoskeletal trauma

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A subluxation occurs when : Select one
A. a fracture occurs through both cortices .
B. dislocated bones are locked in position .
C. a joint is partially dislocated .
D. a dislocation spontaneously reduces .
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Terms in this set (20)
A 40 - year - old woman has an unstable pelvis following a motor vehicle crash . She is conscious but confused . Her blood pressure is 80/50 mm Hg , pulse is 120 beats / min and weak at the radial arteries , and respirations are 24 breaths / min and shallow . After starting at least one large - bore IV line , you should : Select one :
A. administer a 250 - ml normal saline bolus and then reassess her blood pressure .
B. give enough isotonic crystalloid fluids to improve her mental status and radial pulse quality .
C. run it wide open until her systolic blood pressure is greater than 100 mm Hg .
D. set the IV flow rate to keep the vein open unless her systolic blood pressure falls below 70 mm Hg .
When assessing distal pulses in a patient with a lower extremity injury , it is MOST important to : Select one :
A. suspect severe shock if a unilateral pulse deficit is present .
B. compare the strength of the pulses in both lower extremities .
C. remember that most people do not have a palpable pedal pulse .
D. count the pedal pulse rate and compare it to the radial pulse rate .
Aathologic fracture occurs when : Select one :
A. underdeveloped bones sustain a low - impact traumatic injury .
B. a particular mechanism of injury cannot be identified readily .
C. greater - than - usual forces are required to fracture a large bone .
D. an occult medical condition causes abnormal bone weakness .
A young man has an isolated injury to his left lower leg . Your assessment reveals obvious deformity and ecchymosis . Distal circulation , as well as motor and sensory functions , are grossly intact , and the patient is hemodynamically stable . In addition to stabilizing the suspected fracture site , you should : Select one :
A. carefully palpate to elicit crepitus .
B. apply a traction splint for pain relief .
C. immobilize the knee and the ankle ..
D. place a chemical heat pack over the injury .
A 68 - year - old woman presents with an acute onset of dyspnea and sharp chest pain Her medical history is significant for a hip replacement 2 weeks ago . The patient is conscious and alert , with a blood pressure of 112/58 mm Hg , pulse rate of 90 beats / min and irregular , and respirations of 22 breaths / min and labored . Which of the following treatment interventions is MOST appropriate for this patient ? Select one : A. Pharmacologically assisted intubation and IV therapy B. Supplemental oxygen and elevation of the lower extremities C. Oxygenation and ventilation support and rapid transport D. 324 mg of aspirin and ventilation support with a bag - maskCA patient standing with his or her head cocked toward a knocked - down left shoulder MOST likely has a fracture of the : Select one : A. left clavicle . B. right shoulder . C. right clavicle . D. left shoulder .AWhich of the flowing musculoskeletal injuries would MOST likely occur together ? Select one : A. Knee clocation and tibial fracture B. Scapular and clavicular fractures C. Calcaneal and c - spine fractures D. Scaphoid and femur fracturesATreatment for suspected compartment syndrome includes : Select one : A. elevating the extremity above the heart . B. calcium chloride to prevent rhabdomyolysis . C. IV boluses of a crystalloid solution . D. warm packs over the affected extremity .CSwelling and inflammation associated with musculoskeletal injuries are reduced : Select one : A. if a vasodilator drug is given within 12 hours following the injury . B. if cold packs are applied during the acute stage of the injury . C. if an appropriate dose of a narcotic analgesic is administered . D. when heat therapy is used within 48 to 72 hours after the injury .BAvascular necrosis is a major complication of a fracture of which bone ? Select one : A. Clavicle B. Metacarpal C. Scaphoid D. CalcaneusCThe sudden twisting of a joint beyond its normal range of motion , causing a temporary subluxat , is called ' a : Select ones A. disocation . B. sprain . C. strain . D. fracture - dislocation .Bpain is excruciating . Further narcotics fail to relieve the pain . Reassessment of the and have given her fentanyl for pain . En route to the hospital , the patient states that the You have applied board splints to a suspected lower leg fracture in a young woman injured area reveals that the overlying skin is taut and the pedal pulse is weak . You should : Select one : A. start a second IV line and administer mEq / kg of sodium bicarbonate . B. remove the board splints , apply an air splint , and then reassess her . C. remove the splint to prevent excessive swelling of the extremity . D. loosen the splint , elevate the leg , apply ice , and notify the hospital .DAfter ensuring your own safety your next priority when caring for a patient with an extremity ury is to : Select one A. assess neurovascular function . B. splint the injured extremity . C. prevent further injury . D. administer an analgesic .CThe MOST significant immediate risk associated with an open fracture is : Select one : A. infection . B. nerve damage . C. bone marrow loss . D. hemorrhage .D