A “hip” fracture is a fracture of the:, pelvic girdle., femoral shaft., pubic symphysis, proximal femur, A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed, and she complains of severe pain. You should:, make one attempt to return the patella to its normal position., keep her knee flexed and secure it with padded board splints., A 17-year-old football player collided with another player and has pain to his left clavicle. 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:, perform a rapid secondary assessment., straighten his arm and apply a board splint., immobilize the injury with a sling and swathe., A 20-year-old male collided with another player during a hockey game and complains of severe pain to the left shoulder. Assessment reveals that the clavicle is bulging anteriorly at the shoulder. The EMT should suspect:, dislocation of the glenohumeral joint., posterior dislocation of the shoulder., separation of the acromioclavicular joint., multiple fractures of the proximal humerus., 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. You should:, bind his legs together on the backboard, keep him warm, and transport without delay., apply traction splints to both of his legs, keep him warm, and transport without delay, 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:, anterior hip dislocation., posterior hip dislocation., 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:, manually stabilize the leg above and below the site of injury., control the bleeding and cover the wound with a sterile dressing., 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. You should:, apply padded board splints to both sides of the leg., apply a traction splint to realign the deformity., A person who experiences a calcaneus fracture after jumping and landing on their feet would _most_ likely experience an accompanying fracture of the:, Thoracic spine, Lumbar spine, coccyx, symphysis pubis, A supracondylar or intercondylar fracture is also known as a fracture of the:, radial head, distal humerus, proximal radius, olecranon process, After 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:, hyperventilate him with a bag-mask device and monitor his oxygen saturation., apply high-flow oxygen, perform a detailed secondary assessment, and transport, focus your assessment on his scapulae and clavicles and apply high-flow oxygen., apply high-flow oxygen, consider spinal precautions, and transport without delay., An open fracture is _most_ accurately defined as a fracture in which:, fractured bone ends protrude through the skin., an external wound is present over the fracture site., Any deformity close to a joint in children younger than the age of ______ should be assumed to be a growth plate injury., 12 years, 10 years, 16 years, 18 years, Applying cold packs to and elevating an injured extremity are performed to:, prevent further injury, reduce pain and swelling, enhance circulation, maintain extremity perfusion, Bones are connected to other bones by bands of tough fibrous tissues called, burse, tendons, cartilage, ligaments, Care for a patient with a fractured tibia and suspected compartment syndrome includes:, applying traction to maintain distal pulses, keeping the leg at the level of the heart, Crepitus and false motion are:, indicators of a severe sprain., only seen with open fractures., positive indicators of a fracture., most common with dislocations., Deformity caused by a fracture would _most_ likely be masked by:, swellling, guarding, crepitus, ecchymosis, During your secondary 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 your assessment, you should:, log roll to spine board and transport at once, stabilize the pelvis with a pelvic binder and protect the spine, EMTs should use an adult splint device on a child _only_ if:, the child is large enough to properly fit in the splint device., a consulting adult gives permission to use the adult device., Femoral shaft fractures can result in up to _____ mL of internal blood loss., 1000, 2000, 3000, 1500, In general, musculoskeletal injuries should be splinted before moving the patient unless:, The patient is in severe pain, The patient is clinically unstable, In which of the following injuries would the use of a traction splint be appropriate?, A midshaft femur fracture with no other visible injuries, A partial amputation of the thigh with bone separation, A pelvic injury, A lower leg injury, The disruption of a joint in which the bone ends are no longer in contact is called a:, fracture, dislocation, The _most_ common and significant complication associated with fractures or dislocations of the knee is:, neurovascular compromise., internal bleeding and shock., The pectoral girdle consists of the, scapulae and clavicles., clavicles and rib cage., sternum and scapulae., acromion and clavicles., When splinting an injury of the wrist, the hand should be placed:, in an extended position, in a functional position, You and your partner are preparing to apply a traction splint to a patient’s deformed thigh. As you apply manual traction, the patient resists your efforts and states that the pain is getting worse. You should:, assess distal pulses and continue pulling traction., stop and splint the leg in the deformed position., You respond to a call at a playground where a 5-year-old boy fell while playing tag. After talking to his mother, you learn he landed on an outstretched hand. He is now holding his arm across the front of his body and appears to be in pain. Which injury do you most suspect he has?, Clavicular fracture, Shoulder dislocation, Supracondylar humerus fracture, Wrist fracture

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