The musculoskeletal system refers to the: |
A |
Skeletal muscle is also referred to as __________ muscle. |
B |
Which of the following statements regarding striated muscle is correct? |
D |
Which of the following types of muscle is under direct voluntary control of the brain? |
B |
Atrophy is a condition that occurs when: |
C |
Skeletal muscle is attached to the bone by tough, ropelike fibrous structures called: |
B |
Which of the following structures is regulated by smooth muscle? |
C |
What type of muscle contracts and relaxes to control the movement of the contents within its structures? |
D |
Bone marrow produces: |
B |
The pectoral girdle consists of the: |
A |
Bones are connected to other bones by bands of tough fibrous tissues called: |
D |
In moving joints, the ends of the bones are covered with: |
A |
A fracture is MOST accurately defined as a(n): |
B |
The disruption of a joint in which the bone ends are no longer in contact is called a: |
D |
A subluxation occurs when: |
C |
Which of the following joints allows no motion? |
A |
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. |
B |
With regard to musculoskeletal injuries, the zone of injury is defined as the: |
C |
Which of the following scenarios is an example of a direct injury? |
A |
An open fracture is MOST accurately defined as a fracture in which: |
D |
Which of the following musculoskeletal injuries would MOST likely result in deformity? |
D |
When assessing a patient with a possible fracture of the leg, the EMT should: |
B |
A fracture caused by minimal force that is associated with diseases such as cancer and osteoporosis is called a __________ fracture. |
B |
A(n) __________ fracture occurs in the growth section of a child’s bone and may lead to bone growth abnormalities. |
C |
The MOST reliable indicator of an underlying fracture is: |
D |
Deformity caused by a fracture would MOST likely be masked by: |
A |
Crepitus and false motion are: |
C |
If a dislocated shoulder has spontaneously reduced before your arrival, the only way to confirm the injury is by noting: |
B |
Common signs and symptoms of a sprain include all of the following, EXCEPT: |
B |
Which of the following statements regarding compartment syndrome is correct? |
A |
Which of the following musculoskeletal injuries would pose the greatest threat to a patient’s life? |
D |
Of the following musculoskeletal injuries, which is considered to be the LEAST severe? |
A |
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: |
D |
Assessing a person’s neurovascular status following a musculoskeletal injury includes all of the following, EXCEPT: |
C |
During your rapid secondary 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 her airway and is maintaining manual stabilization of her head. The MOST appropriate treatment for this patient includes: |
B |
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: |
D |
Applying ice to and elevating an injured extremity are performed in order to: |
B |
In general, musculoskeletal injuries should be splinted before moving the patient unless: |
B |
The primary purpose for splinting a musculoskeletal injury is to: |
A |
The act of pulling on a body structure in the direction of its normal alignment is called: |
A |
A 21-year-old male was thrown over the handlebars of his motorcycle when he rear-ended a car that was stopped at a red light. He was wearing a helmet, which he removed prior to your arrival. He is conscious, but restless, and has closed deformities to both of his femurs. His skin is pale, his heart rate is rapid and weak, and his respirations are rapid and shallow. In addition to applying high-flow oxygen and protecting his spine, you should: |
A |
In which of the following situations should the EMT splint an injured limb in the position of deformity? |
C |
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: |
C |
Traction splints are used primarily to immobilize and secure fractures of the: |
C |
A 76-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: |
C |
During your rapid secondary assessment of a 30-year-old male who fell 25′, 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 your assessment, you should: |
C |
The PASG is absolutely contraindicated in patients who have: |
B |
The MOST significant hazard associated with splinting is: |
D |
The MOST commonly fractured bone(s) in the body is the: |
A |
When caring for a patient with a possible fracture of the scapula, the EMT should: |
A |
Following direct trauma to the left upper back, a 44-year-old male presents with diaphoresis and restlessness. His blood pressure is 100/50 mm Hg, his pulse rate is 120 beats/min and weak, and his respirations are 24 breaths/min and labored. Your assessment reveals abrasions and contusions over the left scapula. You should: |
D |
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 pulse, sensory, and motor functions, you should: |
C |
Which of the following statements regarding shoulder dislocations is MOST correct? |
C |
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: |
A |
A supracondylar or intercondylar fracture is also known as a fracture of the: |
B |
A 31-year-old male fell and landed on his left elbow. Your assessment reveals that the elbow is grossly deformed, his forearm is cool and pale, and the distal pulse on the side of the injury is barely palpable. His vital signs are stable and he denies any other injuries. Your transport time to the closest appropriate hospital is approximately 15 minutes. You should: |
A |
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: |
B |
A Colles fracture involves a fracture of the: |
B |
When splinting an injury of the wrist, the hand should be placed: |
D |
Which of the following fractures has the greatest potential for internal blood loss and shock? |
C |
A 45-year-old female was the unrestrained passenger of a small car that rear-ended another vehicle at a moderate rate of speed. She is conscious and alert, but complains of pain to both of her knees. There is visible damage to the dashboard on the passenger’s side of the vehicle. In addition to fractures or dislocations of the knees, you should be MOST suspicious for: |
B |
A "hip" fracture is actually a fracture of the: |
D |
A 77-year-old woman slipped and fell on a throw rug and landed on her left hip. She denies striking her head or losing consciousness. Assessment of her left leg reveals that it is shortened and externally rotated. Distal pulses, sensory, and motor functions are intact. You should: |
C |
Femoral shaft fractures can result in up to _____ mL of internal blood loss. |
A |
The MOST common and significant complication associated with fractures or dislocations of the knee is: |
A |
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: |
B |
When splinting a possible fracture of the foot, it is MOST important for the EMT to: |
B |
Blood in the urine is known as: |
A |
Smooth muscle is found in the: |
B |
The bones in the skeleton produce _______ in the bone marrow. |
A |
_______ are held together in a tough fibrous structure known as a capsule. |
B |
Joints are bathed and lubricated by _______ fluid. |
C |
A _______ is a disruption of a joint in which the bone ends are no longer in contact. |
B |
A _______ is an injury to the ligaments, the articular capsule, the synovial membrane, and the tendons crossing the joint. |
C |
A _______ is a stretching or tearing of the muscle. |
A |
The zone of injury includes the: |
D |
A(n) _______ fractures the bone at the point of impact. |
A |
A(n) _______ may cause a fracture or discoloration at a distant point. |
B |
When caring for patients who have fallen, you must identify the _______ and the mechanism of injury so that you will not overlook associated injuries. |
C |
_______ produce severe damage to the skeleton, surrounding soft tissues, and vital internal organs. |
D |
Regardless of the extent and severity of the damage to the skin, you should treat any injury that breaks the skin as a possible: |
B |
A(n) _______ is also known as a hairline fracture. |
C |
A(n) _______ fracture produces actual deformity, or distortion, of the limb by shortening, rotating, or angulating it. |
D |
You respond to a 19-year-old woman who was kicked in the leg by a horse. She is alert and oriented. Respirations are 20 breaths/min, regular and unlabored. Pulse is 110 beats/min and regular. Distal pulses are present. She has point tenderness at the site of the injury. You should compare the limb to: |
A |
_______ is the most reliable indicator of an underlying fracture. |
C |
A(n) _______ fracture occurs in a growth section of a child’s bone, which may prematurely stop growth if not properly treated. |
D |
A(n) _______ fracture is an incomplete fracture that passes only partway through the shaft of a bone but many still cause severe angulation. |
A |
You are called to the local assisted living facility where a 94-year-old man has fallen. He is alert and oriented and denies passing out. His respirations are 18 breaths/min and regular. Pulse is 106 beats/min, regular, and strong. Distal pulses are present. He states that he was walking and heard a pop and fell to the floor. You suspect a(n): |
C |
A(n) _______ is a fracture in which the bone is broken into two or more fragments. |
B |
Your 24-year-old patient fell off a balance beam and landed on his arm. He is complaining of pain in the upper arm, and there is obvious swelling. You know that swelling is a sign of: |
A |
Fractures are almost always associated with _______ of the surrounding soft tissue. |
C |
Signs and symptoms of a dislocated joint include all of the following EXCEPT: |
D |
Signs and symptoms of sprains include all of the following EXCEPT: |
C |
Which of the following is not considered one of the "6 Ps" of the musculoskeletal assessment? |
D |
Which of the following statements about compartment syndrome is FALSE? |
B |
Always check neurovascular function: |
D |
You respond to a 19-year-old woman who was involved in a motor vehicle collision. She is alert and oriented. Her airway is open, and respirations are 18 breaths/min and unlabored. Pulse is 94 beats/min and is strong and regular. Distal pulses are present. Her upper arm has obvious deformity. You splint the upper arm. You know that splinting will do all of the following EXCEPT: |
A |
In-line _______ is the act of exerting a pulling force on a body structure in the direction of its normal alignment. |
C |
Which of the following is a basic type of splint? |
D |
Which of the following injuries would be appropriate to treat with a traction splint? |
B |
While transporting a patient, you continue to recheck the splint you applied. You know that improperly applying a splint can cause all of the following EXCEPT: |
A |
The _______ is one of the most commonly fractured bones in the body. |
B |
What joint is frequently separated during football and hockey when a player falls and lands on the point of the shoulder? |
B |
Signs and symptoms associated with hip dislocation include all of the following EXCEPT: |
D |
There is often a significant amount of blood loss, as much as _______ mL, after a fracture of the shaft of the femur. |
C |
The knee is especially susceptible to _______ injuries, which occur when abnormal bending or twisting forces are applied to the joint. |
B |
Signs and symptoms of knee ligament injury include: |
D |
Although substantial ligament damage always occurs with a knee dislocation, the more urgent injury is to the _______ artery, which is often lacerated or compressed by the displaced tibia. |
C |
Because of local tenderness and swelling, it is easy to confuse a nondisplaced or minimally displaced fracture at the knee with a: |
B |
Fracture of the tibia and fibula are often associated with _______ as a result of the distorted positions of the limb following injury. |
A |
The _______ is one of the most commonly injured joints. |
C |
Which of the following statements regarding the treatment of an amputation is FALSE? |
A |
You respond to a soccer game for a 16-year-old male with severe |
C |
A young male has a musculoskeletal injury |
D |
The purpose of splinting a fracture is to: |
B |
A motorcyclist crashed his bike and has closed |
C |
To effectively immobilize a fractured clavicle, |
A |
A patient tripped, fell, and landed on her |
B |
When treating an open extremity fracture, |
B |
Which of the following musculoskeletal |
A |
A patient injured her knee while riding a bicycle. She is lying on the |
B |
Chapter 29- Orthopaedic Injuries
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