Types of Musculoskeletal Injuries
What is a primary complication of an untreated dislocation? A. Increased range of motion.
B. Chronic instability and avascular necrosis.
C. Enhanced blood supply to the joint.
D. Reduced risk of arthritis.
Correct Answer: B. Chronic instability and avascular necrosis.
What should a nurse monitor for in a patient with an open fracture? A. Hypercalcemia.
B. Signs of osteomyelitis and systemic infection.
C. Dehydration.
D. Elevated blood pressure.
Correct Answer: B. Signs of osteomyelitis and systemic infection.
What is the primary goal of using elevation in the management of a sprain? A. To enhance muscle flexibility.
B. To improve joint stability.
C. To control swelling.
D. To increase blood flow.
Correct Answer: C. To control swelling.
A patient with a fracture is at risk for deep vein thrombosis (DVT). Which sign is indicative of DVT? A. Paresthesia.
B. Moses sign (pain with calf compression against the tibia).
C. Pulseslessness.
D. Poikilothermia.
Correct Answer: B. Moses sign (pain with calf compression against the tibia).
Which of the following interventions is included in the management of contusions, strains, and sprains? A. Application of ice for the first 72 hours.
B. Immediate physical therapy.
C. Administration of systemic antibiotics.
D. Use of heat therapy immediately after injury.
Correct Answer: A. Application of ice for the first 72 hours.
A patient with a complete tear of a ligament is diagnosed with a: A. Contusion.
B. Sprain.
C. Strain.
D. Subluxation.
Correct Answer: B. Sprain.
A patient with a fracture reports severe pain and numbness in the affected limb. The nurse notes pallor and a weak pulse. What should the nurse suspect? A. Neurogenic shock.
B. Fat embolism syndrome.
C. Compartment syndrome.
D. Deep vein thrombosis (DVT).
Correct Answer: C. Compartment syndrome.
Which intervention is crucial for managing an open fracture? A. Immediate elevation of the limb.
B. Sterile dressing application.
C. Application of a tourniquet.
D. High-dose vitamin D supplementation.
Correct Answer: B. Sterile dressing application.
In the context of musculoskeletal trauma, what is the significance of monitoring neurovascular status distal to the injury? A. To assess for signs of systemic infection.
B. To ensure proper alignment of the fracture.
C. To detect early signs of compartment syndrome.
D. To monitor for metabolic disturbances.
Correct Answer: C. To detect early signs of compartment syndrome.
Which intervention is crucial for an open fracture to prevent infection? A. Immediate reduction of the fracture.
B. Application of ice packs.
C. Systemic antibiotics within 6 hours after trauma.
D. Use of corticosteroids to reduce inflammation.
Correct Answer: C. Systemic antibiotics within 6 hours after trauma.
Which condition involves the articular surfaces of the joint not being in contact and is considered an emergency? A. Strain.
B. Sprain.
C. Dislocation.
D. Contusion.
Correct Answer: C. Dislocation.
In the emergency management of musculoskeletal injuries, what does the "6 P's of arterial flow" include? A. Pain, pulse, pallor, paresthesia, paralysis, poikilothermia.
B. Pressure, pain, pallor, paresthesia, pulse, petechiae.
C. Pain, pallor, pulse, petechiae, paralysis, poikilothermia.
D. Pain, pulse, pressure, paresthesia, paralysis, poikilothermia.
Correct Answer: A. Pain, pulse, pallor, paresthesia, paralysis, poikilothermia.
What is the primary treatment for a strain? A. Immediate surgical intervention.
B. Rest, ice, compression, and elevation (RICE).
C. Application of heat for the first 24 hours.
D. High-dose corticosteroids.
Correct Answer: B. Rest, ice, compression, and elevation (RICE).
What is a common complication associated with fracture healing? A. Myocardial infarction.
B. Fat embolism syndrome.
C. Chronic kidney disease.
D. Hyperthyroidism.
Correct Answer: B. Fat embolism syndrome.
In a patient with a musculoskeletal injury, what does poikilothermia indicate? A. Increased muscle strength.
B. Inability to regulate temperature in the affected limb.
C. Hyperactive reflexes.
D. Improved blood circulation.
Correct Answer: B. Inability to regulate temperature in the affected limb.
Which of the following best describes a contusion? A. A complete tear of a ligament.
B. A soft tissue injury produced by blunt force.
C. An injury where the articular surfaces of a joint are not in contact.
D. A partial dislocation of a joint.
Correct Answer: B. A soft tissue injury produced by blunt force.
A patient with a subluxation is at risk for which complication if not treated promptly? A. Hyperthermia.
B. Avascular necrosis.
C. Chronic inflammation.
D. Increased muscle strength.
Correct Answer: B. Avascular necrosis.
Which of the following is a common symptom of a strain? A. Joint instability.
B. Muscle spasm and loss of function.
C. Complete loss of sensation.
D. Joint dislocation.
Correct Answer: B. Muscle spasm and loss of function.
Which of the following best describes avascular necrosis (AVN)? A. A condition where the bone loses its blood supply and dies.
B. An acute inflammatory condition of the muscle.
C. A chronic condition characterized by bone hypertrophy.
D. A congenital defect in the bone structure.
Correct Answer: A. A condition where the bone loses its blood supply and dies.