Ch. 30
Soft Tissue Trauma
Soft Tissue Trauma
When using the rule of palm to estimate the approximate body surface area burned, the patient's palm equals about what percentage of the BSA?
1%
Which of the following injuries may produce disteneded neck veins?
Tension pneumothorax
Cardiac Tamponade
Traumatic Asphyxia
All of them
Which of the statements is not true concerning a knee injury?
A. There could be pain and tenderness
B. Fractures can occur to the proximal femur
C. Fractures can occur to the proximal tibia and fibula
D. Fractures can occur to the patella
B. Fractures can occur to the proximal femur
What is the opening at the base of the skull called?
Foramen magnum
A wound in which the epidermis is scraped away with minimal bleeding, such as commonly occurs when a child falls on his knees on a sidewalk is called a(n):
abrasion
The pathophysiology of is one in which the pericardial sac fills with blood to the point that the chambers of the heart no longer fill adequately, usually secondary to trauma.
cardiac tamponade
The sound or feeling of the ends of broken bones rubbing together is called...
crepitus
How many cervical vertebrae are there?
7
Which of the following describes an avulsion?
A. Epidermis that is scraped away by a rough surface.
B. Flap of skin that is partially or completely torn away from the underlying tissue.
C. Accumulation of blood beneath the skin, resulting in swelling
D. An injury caused by a sharp, pointed object.
B. Flap of skin that is partially or completely torn away from the underlying tissue.
For which of the following wounds should the EMT apply an absorbent dressing moistened with sterile saline?
A. A hemothorax from an object impaled into the chest
B. Stab wound to the chest
C. Laceration to the neck
D. Gunshot wound to the abdomen from which a loop of intestine is protruding.
D. Gunshot wound to the abdomen from which a loop of intestine is protruding.
What is the name of the chest bone?
Sternum
Which of the following causes worsening of the damage in a brain injury?
A. Allowing seepage of CSF from the ears or nose
B. Improper management of the airway and ventilation
C. Administration of 100% oxygen
D. Failure to keep the patient awake and talking
B. Improper management of the airway and ventilation
An injury in which the epidermis remains intact, but blood vessels and cells in the dermis are injured, is called a(n):
contusion
Your patient is a 17-year-old male baseball player found pulseless and apneic after being struck in the chest by a baseball 6 minutes ago. He is surrounded by other players and staff but no one is providing care. You should...
Begin chest compressions
Which structures connect bones ends and allow for stable range of motion?
Ligaments
Where on the body is the maxillae?
Upper Jaw
Which type of wound has a small opening into the skin, but may be quite deep, and is often caused by instruments such as nails, ice picks, or pencils?
Puncture
Which of the following is an accurate definition of a flail chest?
A. Fracture of at least four ribs in two or more places
B. Fracture of one rib in two or more consecutive places.
C. Lung that has been punctured by a fractured rib, resulting in a build up of air.
D. Section of the chest wall that is unstable, leading to breathing problems
D. Section of the chest wall that is unstable, leading to breathing problems
When the EMT is assessing compromise to an extremity, perhaps due to an orthopedic injury, the EMT should initially check what "six Ps"
A. Pain, pallor, paresthesia, pulses, paralysis, and pressure
B. Pain, pallor, position, pulses, placement, and pressure
C. Pain, pallor paresthesia, pulses, placement, and pressure
D. Pain, pallor, position, pulses, placement, and pad
A. Pain, pallor, paresthesia, pulses, paralysis, and pressure
Which of the following is not used to calculate the patient's GCS?
A. Eye Movement
B. Work of Breathing
C. Verbal Response
D. Motor Response
B. Work of Breathing
Bleeding from soft-tissue injuries should initially be controlled with which technique?
Direct pressure
Which of the following is a strategy to maintain adherence of an occlusive dressing to bloody or diaphoretic skin?
A. Do not use occlusive dressings in this case
B. Manually maintain pressure
C. Wrap the dressing circumferentially with gauze
D. Do no use adhesive tape
B. Manually maintain pressure
A traction splint may be used on which musculoskeletal injury?
Possible femur fracture
Which of the following is controlled by the left side of the brain?
A. Movement of left arm
B. Sensation of left arm
C. Sensation of right leg
D. Movement of both lower extremities
C. Sensation of right leg
An injury caused by heavy pressure to the tissues, such as when an extremity is trapped under a fallen tree, that results in damage to the underlying structures, bleeding, and inflammation is called a(n):
crush injury
While palpating the radial pulses of a patient who was involved in a motor vehicle crash, you notice a difference in the strength of the pulses bilaterally. This finding could be associated with what medical emergency?
Aortic Dissection
A fracture or crush injury causes bleeding and swelling with the extremity. Pressure and swelling caused y the bleeding within the muscle compartment become so great that the body can no longer peruse the tissues against the pressure. Cellular damage occurs and causes additional swelling. Blood flow to the are is lost and the limb itself may be lost if pressure is not relieved. What condition is this?
Compartment Syndrom
Which of the following is classified as an open head injury?
A. Contusion without a skull fracture
B. Laceration with a skull fracture
C. Laceration without a skull fracture
D. Both A and B
B. Laceration with a skull fracture
Which of the following best describes a partial thickness burn?
A. The skin is charred or blackened and lacks sensation.
B. The skin is white and dry with no sensation of pain.
C. The skin is red, but dry and painful.
D. The skin is red and moist with blister formation
D. The skin is red and moist with blister formation
Which of the following is a vascular organ in the abdomen that can produce blood loss quickly enough to result in life-threatening hemorrhage following high mechanism of injury blunt trauma?
A. Pancreas
B. Kidneys
C. Liver
D. Intestines
C. Liver
The part of the skeleton that includes the skull and spinal column is called the....
Axial skeleton
Which section of the spine are the ribs attached?
Thoracic
What is the outermost layer of the skin?
Epidermis
What is the correct terminology for a wound in which a vacuum has been created within the chest, drawing air into the thorax through a penetration of the chest wall with each breath?
Sucking Chest Wound
A muscle injury caused by overstretching or overexertion of the muscle.
Strain
When assessing a patient with a laceration to the neck, the EMT must be aware which condition may develop due to the pressure in the neck veins being lower than atmospheric pressure.
Air embolus
A burn extending into the subcutaneous fat would be classified as which type of burn?
Full thickness
Which of the following best describes an evisceration?
A. A penetrating chest wound in which the air is "sucked" into the chest cavity
B. Fracture of two or more adjacent ribs in two or more places
C. Open wound of the abdomen from which organs protrude
D. Movement of ribs opposite to the direction of movement of the rest of the chest wall
C. Open wound of the abdomen from which organs protrude
The strong white fibrous material that covers the bones is called the....
Periosteum
You are treating an unresponsive homeless patient found in an alley. During your assessment you notice the Battle sign, which is bruising where?
Behind the ear