Musculoskeletal Injury and Treatment

Bones are covered by a strong, white, fibrous material called the:

• periosteum

• endosteum

• fibrocartilage

• sarcoplasm

What mechanism of injury was applied?

• Twisting force

• Direct blow

• Falling

• Overextension

Which of the following should be applied to provide stability for an upper arm injury?

• Sling and swathe

• Arm sling

• Shoulder immobilizer

• Figure-of-eight bandage

Your patient has a nontraumatic fracture of the left wrist. Appropriate treatment would be to: splint with a padded rigid splint.

• splint with a padded rigid splint.

• apply a plaster of Paris cast.

• immobilize with a rigid and unpadded splint.

• perform surgical reduction and internal fixation.

You arrive on scene to a private residence, where you find a 56-year-old female patient sitting in her living room complaining of pain, paresthesia, and pressure in her lower right leg. She states that a few days ago, she slipped on her way downstairs, and has had pain in her leg ever since, but she has not been to the doctor. During your examination, you note that her right lower leg is pale and pulseless. You see swelling and palpate hardness compared with the uninjured left lower leg. Based on these findings, the patient is most likely experiencing which of the following conditions?

• Compartment syndrome

• Deep vein thrombosis

• Arterial embolism

• Acute limb ischemia

You arrive on scene to the local park, where you are presented with a 20-year-old male complaining of severe left shoulder pain. The patient states he fell on the ground and immediately felt a sharp pain in the shoulder. As you evaluate the shoulder, you note that the left shoulder sits lower than the right. He has an intact distal pulse, motor, and sensory function, but his shoulder is locked in place and he cannot move it without severe pain. Based on the assessment findings, the patient is most likely suffering from which of the following?

• Dislocation

• Fracture

• Rotator Cuff Tear

• Subluxation

Guidelines for splinting long-bone injuries include: immobilizing the hand or foot in the position of function.

• immobilizing the hand or foot in the position of function.

• applying a cast immediately without considering the position of function.

• avoiding immobilization to allow natural movement of the injured limb.

• splinting the limb in a non-functional position to reduce swelling.

The tough connective tissues that bind bone ends together at joints are termed:

• ligaments

• tendons

• fascia

• cartilage

A fracture in which the broken bone segments are at an angle to each other is called:

• an angulated fracture

• a comminuted fracture

• a spiral fracture

• a greenstick fracture

A primary reason for splinting a bone or joint injury is: preventing movement to reduce the chance for further injury.

• preventing movement to reduce the chance for further injury.

• reducing pain by simply resting the injured area.

• limiting blood flow to the injured area.

• enhancing circulation to promote healing.