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WorksheetsMedical Emergencies - Shock and Musculoskeletal Emergencies
Total questions: 42
Worksheet time: 21mins
Shock is best defined as a condition of
Sudden loss of consciousness
Inadequate tissue perfusion leading to cellular hypoxia
Acute infection of the bloodstream
Cardiac arrhythmia
The primary pathophysiological problem in shock is
Reduced oxygen delivery to tissues
Increased blood glucose level
Excessive fluid in the body
Increased metabolic rate
Which organ is most sensitive to prolonged shock?
Liver
Skin
Brain
Skeletal muscle
A common early clinical sign of shock is
Hypertension
Warm and flushed skin
Tachycardia
Bradycardia
Which of the following is a typical feature of hypovolemic shock?
Bounding pulse
Slow respiratory rate
Dilated pupils with high blood pressure
Cold, clammy skin
Reduced urine output in a shocked patient indicates
Impaired organ perfusion
Normal kidney function
Increased renal perfusion
Excessive fluid intake
Which combination of signs is MOST suggestive of shock?
Fever, hypertension, bradycardia
Pale skin, rapid pulse, low blood pressure
Warm skin, normal pulse, normal BP
Cyanosis with hypertension
Shock caused by severe blood loss is classified as
Cardiogenic shock
Septic shock
Hypovolemic shock
Neurogenic shock
Cardiogenic shock is primarily due to
Loss of blood volume
Severe allergic reaction
Systemic infection
Failure of the heart to pump effectively
Anaphylactic shock is an example of
Distributive shock
Hypovolemic shock
Cardiogenic shock
Obstructive shock
Septic shock results mainly from
Myocardial infraction
Widespread infection and vasodilation
Severe dehydration
Spinal cord injury
Neurogenic shock is most commonly associated with
Severe hemorrhage
Myocardial failure
Spinal cord injury
Allergic reaction
The FIRST priority in managing a patient with shock is to
Administer antibiotics
Control pain
Measure urine output
Ensure airway and breathing
Which position is commonly used to improve venous return in shock (if not contraindicated)?
Supine with legs elevated
Sitting upright
Prone position
Lateral position
Oxygen therapy in shock is important because it
Lowers blood pressure
Improves tissue oxygenation
Reduced blood loss
Treats the underlying cause
Intravenous fluid administration in hypovolemic shock aims to
Reduce heart rate
Increase body temperature
Replace lost blood volume
Prevent infection
Which of the following should be avoided in a shocked patient?
Keeping the patient warm
Monitoring vital signs
Giving food or oral fluids
Providing oxygen
A key indicator that emergency management of shock is effective is
Increased skin pallor
Decreased level of consciousness
Persistent tachycardia
Improved blood pressure and urine output
Musculoskeletal emergencies primarily involve injuries to the
Cardiovascular system
Nervous system
Bones, muscles, joints, and connective tissues
Respiratory system
Which of the following is considered a musculoskeletal emergency?
Stroke
Myocardial infraction
Asthma attack
Fracture of the femur
The MOST common cause of musculoskeletal injuries is
Trauma
Infection
Congenital abnormality
Metabolic disorder
Which of the following may lead to musculoskeletal injury?
Viral infection
Falls and road traffic accidents
Endocrine disorders
Nutritional deficiency only
A fraction in which the bone breaks through the skin is called
Closed fracture
Greenstick fracture
Open fracture
Pathological fracture
A greenstick fracture is MOST commonly seen in
Elderly patients
Athletes
Pregnant women
Children
A fracture caused by disease that weakens the bone is known as
Pathological fracture
Simple fracture
Comminuted fracture
Impacted fracture
A comminuted fracture refers to
Bone broken into several fragments
Bone bent but not broken
Bone broken into two pieces
Partial fracture of bone
Which of the following is a classic sign of fracture?
Fever
Deformity
Jaundice
Cyanosis
Crepitus felt during assessment indicates
Muscle spasm
Air in soft tissues
Bone ends rubbing together
Joint dislocation
Which assessment should be performed FIRST in a trauma patient with suspected fracture?
Range of motion
Pain scoring
Skin inspection
Neurovascular status
A serious early complication of long bone fracture is
Fat embolism
Osteoarthritis
Joint stiffness
Muscle wasting
Compartment syndrome occurs due to
Infection of bone
Increased pressure within a closed muscle compartment
Loss of bone density
Nerve compression in the spine
A head injury is best described as
Injury limited to the scalp only
Injury to facial bones only
Any trauma to the skull and brain
Injury causing immediate death
Loss of consciousness following head injury suggests
Minor scalp injury
Simple laceration
Muscle strain
Brain involvement
The FIRST priority in head injury management is to
Maintain airway and cervical spine immobilization
Control bleeding
Assess pupil reaction
Administer analgesics
Which position is recommended for an unconscious head injury patient (if no spinal injury suspected)?
Sitting upright
Recovery position
Supine with legs elevated
Prone position
A suspected spinal injury patient should be
Allowed to sit up
Moved immediately without support
Immobilized and handled carefully
Given oral fluids
Which sign suggests possible spinal cord injury?
Numbness or paralysis below injury level
Localized swelling
Increased appetite
Headache
A muscle strain refers to
Inflammation of tendon
Overstretching or tearing of muscle fibers
Dislocation of joint
Fracture of bone
Tendon injury commonly results in
Bone deformity
Fever
Loss of movement of the affected part
Skin discolouration only
A common complication of untreated muscle injury is
Hypertension
Renal failure
Anemia
Chronic pain and stiffness
Which of the following may occur if tendon injuries are not properly managed?
Permanent loss of function
Improved strength
Faster healing
Increased bone density
Myositis ossificans is a complication characterized by
Bone infection
Abnormal bone formation within muscle
Muscle inflammation
Joint dislocation
