SOLVED

1) Which of the following is NOT part of the axial skeleton? A) Sacrum B) Pubis C) Sternum D) Mandible 2) Your patient is a 27-year-old male ice skater whose left skate was planted when he was struck and knocked down by another skater. He is agitated and complaining of severe pain in his leg. Your examination reveals an open fracture 6 inches proximal to the ankle joint. Which of the following describes the most appropriate management of this patient? A) Focused exam, oxygen, spinal immobilization, splint from the foot to above the knee, begin transport, start a large-bore IV, and request orders for analgesia B) Focused exam, cover the open wound, apply a lower extremity traction splint, begin transport, start an IV, and request orders for analgesia C) Focused exam, cover the open wound, splint from the foot to above the knee, begin transport, start an IV, and request orders for analgesia D) Rapid trauma exam, high-concentration oxygen, cervical spine immobilization, cover the open wound, use the long backboard for initial splinting, initiate transport, start a large-bore IV, perform a detailed examination, use padded board splints to immobilize from the ankle to above the knee, and reassess the patient every 5 minutes 3) Your patient is a football player who had his right foot planted and was tackled from the left rear, causing his body to rotate around the axis of his right lower extremity. This mechanism is most consistent with which of the following types of fractures? A) Oblique B) Spiral C) Impacted D) Comminuted 4) Which of the following is the highest priority when managing a patient with bilateral closed femur fractures? A) Assessing distal neurovascular function B) Anticipating hypovolemia C) Providing analgesia D) Anticipating pulmonary embolism as a complication 5) Upon assessing a patient with a hip injury, you find that his right lower extremity is moved away from the midline of the body. You should describe the right lower extremity as being: A) Abducted B) Externally rotated C) Angulated D) Adducted 6) Your patient is a 60-year-old female driver of a vehicle involved in a moderate-speed frontal collision. She was unrestrained, but airbags deployed. There is no damage to the windshield, but the bottom of the steering wheel ring is deformed. On your initial approach to the vehicle, you see that an EMT is in the back seat with manual cervical spine stabilization. The patient is anxious and complaining of pain in her legs. She is pale with cool, dry skin. The radial pulse is thready at 116, respirations are 24, and the breath sounds are clear bilaterally and equal. The abdomen is soft and nontender, and there is no pain or instability on assessment of the pelvis. You are 15 minutes from a Level I trauma center. In addition to oxygen, application of a cervical collar, and a large-bore IV of isotonic crystalloids started en route, which of the following is the best management of this patient? A) Seated-spinal immobilization device, extrication onto a long backboard, analgesia B) Rapid extrication onto a long backboard C) Rapid extrication onto a long backboard, bilateral traction splints D) Seated-spinal immobilization device, extrication onto a long backboard, bilateral traction splints, analgesia 7) Your patient is a 20-year-old female complaining of ankle pain after stepping off a curb. She states that she is concerned because she had a grade III sprain a year and a half ago that required extensive treatment and rehabilitation. Which of the following most accurately describes the patient’s previous injury? A) The ankle ligaments were stretched but not torn. B) The ankle ligaments had a minor tear. C) The ankle ligaments were torn but not all the way. D) The ankle ligaments were completely torn. 8) Tendons connect ________ to ________. A) Muscles, bones B) Bones, bones C) Cartilage, bones D) Muscles, fascia 9) The use of PASG is indicated in the treatment of which of the following musculoskeletal injuries? A) Bilateral tibia/fibula fractures B) Knee dislocation C) Lumbar vertebral compression fracture D) Pelvic fracture 10) Which of the following supplies articular cartilage with oxygen and nutrients? A) Bursae B) Capillary beds C) Synovial fluid D) The Haversian system 1