EMT Musculoskeletal Care Quiz

zuvuwete's version from 2015-10-15 23:41


Question Answer
In which of the following situations should the EMT-B splint an injured limb in the position of deformity? a) When distal circulation and neurological functions are absent b) If transport time to the hospital is greater than 20 to 30 minutes c) If resistance is encountered or the patient experiences severe pain d) If a traction splint will be used to immobilize the injured extremityc) If resistance is encountered or the patient experiences severe pain
The primary purpose for splinting a musculoskeletal injury is to:prevent further injury
Which of the following scenarios is an example of a direct injury? a) A person lands on his or her feet and fractures the lumbar spine b) A skier dislocates his knee after a twisting injury to the ankle c) A passenger fractures her patella after it struck the dashboard d) A child dislocates his elbow after falling on his outstretched armc) A passenger fractures her patella after it struck the dashboard
When assessing a patient with a possible fracture of the leg, the EMT-B should:compare it to the uninjured leg
In moving joints, the ends of the bones are covered with:articular cartilage
Of the following musculoskeletal injuries, which is considered to be the LEAST severe? a) An amputation of an extremity b) Nondisplaced pelvic fracture c) Open fractures of a long bone d) Multiple closed long bone fracturesb) Nondisplaced pelvic fracture
A “hip” fracture is actually a fracture of the:proximal femur
Bilateral femur fractures can result in up to _____ mL of internal blood loss.200
The pneumatic antishock garment (PASG) would be MOST appropriate to use when immobilizing:a fractured pelvis
The act of pulling on a body structure in the direction of its normal alignment is called:traction
You receive a call to a local gymnasium for a basketball player with a dislocated shoulder. Upon arrival, you find the patient, a 17-year-old male, sitting on the ground. He is holding his left arm in a fixed position away from his body. There is an obvious anterior bulge to the area of injury. You should:assess distal pulse, motor, and sensory functions
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.
Prior to splinting an open extremity fracture, the EMT-B should first:cover all bleeding or open wounds
When splinting an injury of the wrist, the hand should be placed:in a functional position.
Assessing a person's neurovascular status following a musculoskeletal injury includes all of the following, EXCEPT: a) determining capillary refill b) assessing motor function c) evaluating proximal pulses d) assessing sensory functiona) determining capillary refill
The musculoskeletal system refers to the:bones and voluntary muscles of the body.
Skeletal muscle is attached to the bone by tough, ropelike fibrous structures called:tendon
Which of the following statements regarding shoulder dislocations is MOST correct? a) They are caused by forced arm adduction b) Most shoulder dislocations occur anteriorly c) It involves the acromion process and humerus d) Posterior dislocations are most commonb) Most shoulder dislocations occur anteriorly
A 22-year-old female was ejected from her car after striking a tree head-on. As you approach her, you note obvious closed deformities to both of her femurs. She is not moving and does not appear to be conscious. You should:stabilize her head and perform an initial assessment.
With regard to musculoskeletal injuries, the zone of injury is defined as the:area of soft tissue damage surrounding the injury.
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.
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
Which of the following musculoskeletal injuries would MOST likely result in deformity? a) Severe strain b) Displaced fracture c) Hairline fracture d) Moderate sprainb) Displaced fracture
Applying ice to and elevating an injured extremity are performed in order to:Reduce pain and swelling
A/an __________ fracture occurs in the growth section of a child's bone and may lead to bone growth abnormalities.Epiphyseal
Bones are connected to other bones by tough fibrous tissues called:Ligaments
The disruption of a joint in which the bone' ends are no longer in contact is called a:Dislocation
The MOST significant complication associated with fractures or dislocations of the knee is:Neurovascular compromise
In general, musculoskeletal injuries should be splinted before moving the patient unless:the patient is clinically unstable
A 49-year-old male fell approximately 20 feet and landed on his feet. He complains of severe pain to both of his heels and to his lower back. Your assessment reveals that bilateral pedal pulses are present and that the patient can feel and move his toes. Prior to transporting this patient, it is MOST important to:fully immobilize his spinal column.
The MOST reliable indicator of a fracture is:point tenderness
Which of the following fractures has the greatest potential for internal blood loss and shock? a) Humerus b) Pelvis c) Hip d) Femurb) pelvis
Skeletal muscle is also referred to as __________ muscle.striated
When splinting a possible fracture of the foot, it is MOST important for the EMT-B to:leave the toes exposed
A fracture caused by minimal force that is associated with diseases such as cancer and osteoporosis is called a _________ fracture.pathologic
When splinting a suspected fracture of the radius and ulna, the EMT-B should immobilize the:elbow and wrist
You have applied a zippered air splint to a patient's left arm. During transport, the patient complains of increased numbness and tingling in his left hand. You reassess distal circulation, and note that it remains present. Your MOST appropriate action should be to:assess the amount of air in the splint and let air out as necessary.
Bone marrow produces:red blood cells
Which of the following statements regarding compartment syndrome is MOST correct? a) Pressure within the fascial compartment is increased b) It most commonly occurs following a pelvic fracture c) It is caused by elevated pressure within the bone cavity d) It most commonly develops within minutes of the injurya) Pressure within the fascial compartment is increased
A Colles' fracture involves a fracture of the:distal radius
A supracondylar or intercondylar fracture is also known as a fracture of the:distal humerus
A 70-year-old male experienced sudden pain to his left thigh when he was standing in line at the grocery store. Your assessment reveals ecchymosis and deformity to the distal aspect of his left femur, just above the knee. Distal circulation and sensory and motor functions are intact. The MOST appropriate method of splinting this injury involves:applying padded board splints to both sides of the leg.
A 17-year-old football player collided with another player and has pain to his left clavicular area. He is holding his arm against his chest and refuses to move it. Your assessment reveals obvious deformity to the midshaft clavicle. After assessing distal circulation and neurological function, you should:immobilize the injury with a sling and swathe
Traction splints are used primarily to immobilize and secure fractures of the:femur
What type of muscle contracts and relaxes to control the movement of the contents within its respective structure?smooth
During your rapid trauma assessment of a 19-year-old female with multiple trauma, you note bilateral humeral deformities and a deformity to the left midshaft femur. Her skin is diaphoretic and her pulse is rapid and weak. Your partner has appropriately managed the patient's airway and is maintaining manual stabilization of her head. The MOST appropriate treatment for this patient includes:immobilization to a backboard and rapid transport.
Common signs and symptoms of a sprain include all of the following, EXCEPT: a) swelling b) ecchymosis c) point tenderness d) deformityd) deformity
The MOST significant hazard associated with splinting is:delaying transport of a critically injured patient.
Deformity caused by a fracture would MOST likely be masked by:swelling
During your rapid trauma assessment of a 30-year-old male who fell 25 feet, 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 the rapid trauma assessment, you should:stabilize the pelvis with the PASG and transport immediately.
If a dislocated shoulder has spontaneously reduced before your arrival, the only way to confirm the injury is by noting:the patient history
A fracture is MOST accurately defined as a:break in the continuity of a bone
An open fracture is MOST accurately defined as a fracture in which:the overlying skin is no longer intact
Smooth muscle is found in all of the following organs, EXCEPT for the: a) blood vessels b) myocardium c) esophagus d) large intestineb) myocardium
When caring for a patient with a possible fracture of the scapula, the EMT-B should:carefully assess the patient for breathing problems.
The MOST commonly fractured bone(s) in the body is/are the:clavicle
Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life? a) Bilateral femur fractures b) Pelvic fracture with hypotension c) Nondisplaced long bone fractures d) An amputated extremityb) Pelvic fracture with hypotension
A person who experiences a calcaneus fracture after jumping and landing on his or her feet would MOST likely experience an accompanying fracture of the:lumbar spine

Section 2

Question Answer
A simple joint where the bony projections of the scapula and the clavicle meet at the top of the shoulder.Acromioclavicular (A/C) joint
A pearly layer of specialized cartilage covering the articular surfaces (contact surfaces on the ends) of bones in synovial joints.Articular cartilage
The heel boneCalcaneus
The collarbone; it is lateral to the sternum and medial to the scapula.Clavicle
A fracture in which the skin is not broken.Closed fracture
An elevation of pressure within a closed fascial compartment, characterized by extreme pain, decreased pain sensation, pain on stretching of affected muscles, and decreased power; frequently seen in fractures below the elbow or knee in children.Compartment syndrome
A grating or grinding sensation caused by fractured bone ends or joints rubbing together; also air bubbles under the skin that produce a crackling sound or crinkly feeling.Crepitus
Disruption of a joint in which ligaments are damaged and the bone ends are completely displaced.Dislocation
A fracture in which bone fragments are separated from one another and not in anatomic alignment.Displaced fracture
Bruising or discoloration associated with bleeding within or under the skin.Ecchymosis
The thighbone; the longest and one of the strongest bones in the body.Femur
The outer and smaller bone of the two bones of the lower leg.Fibula
A break in the continuity of a bone.Fracture
The part of the scapula that joins with the humeral head to form the glenohumeral joint.Glenoid fossa
The presence of blood in the urine.Hematuria
The supporting bone of the upper arm.Humerus
The place where two bones come into contact.Joint
A band of the fibrous tissue that connects bones to bones. It supports and strengthens a joint.Ligament
A simple crack in the bone that has not caused the bone to move from its normal anatomic position; also called a hairline fracture.Nondisplaced fracture
Any break in a bone in which the overlying skin has been damaged.Open fracture
The kneecap; a specialized bone that lies within the tendon of the quadriceps muscle.Patella
Tenderness that is sharply localized at the site of the injury, found by gently palpating along the bone with the tip of one finger.Point tenderness
A hand position in which the wrist is slightly dorsiflexed and all finger joints are moderately flexed.Position of function
A hard bony prominence that is found in the midline in the lowermost portion of the abdomen.Pubic symphysis
The bone on the thumb side of the forearm.Radius
Return a dislocated joint or fractured bone to its normal position; set.Reduce
The space between the abdominal cavity and the posterior abdominal wall, containing the kidneys, certain large vessels, and parts of the gastrointestinal tract.Retroperitoneal space
The shoulder bladeScapula
The major nerve to the lower extremity; controls much of muscle function in the leg, and sensation in most of the leg and foot.Sciatic nerve
Muscle that is attached to bones and usually crosses at least one joint; striated, or voluntary, muscle.Skeletal muscle
A bandage or material that helps to support the weight of an injured upper extremity.Sling
A flexible or rigid appliance used to protect and maintain the position of an injured extremity.Splint
A joint injury involving damage to supporting ligaments, and sometimes partial or temporary dislocation of bone ends.Sprain
Stretching or tearing of a muscle; also called a muscle pull.Strain
A bandage that passes around the chest to secure an injured arm to the chest.Swathe
A tough, ropelike cord of fibrous tissue that attaches a skeletal muscle to a bone.Tendon
The shinbone, the larger of the two bones of the lower leg.Tibia
Longitudinal force applied to a structure.Traction
The inner bone of the forearm, on the side opposite the thumb.Ulna
The area of potentially damaged soft tissue, adjacent nerves, and blood vessels surrounding an injury to a bone or a joint.Zone of injury