EMT Chapter 27 Soft Tissue Injuries

A teenage boy who was involved in a bicycle accident has a puncture wound where the bicycle kickstand impaled his leg. The most appropriate method for treating this injury is to:

A. leave the kickstand attached to the bike until the physician can remove it safely.

B. unbolt the kickstand from the bike frame and stabilize it with bulky dressings.

C. cut the kickstand off just above the skin, and stabilize it with sterile dressings.

D. remove the kickstand in a circular motion and apply a dry, sterile dressing.

B. unbolt the kickstand from the bike frame and stabilize it with bulky dressings

Which of the following statements regarding electrical burns is correct?

A. Entrance wounds are small relative to the amount of internal tissue damage.

B. The size of the entry and exit wounds is a reliable indicator of internal damage.

C. Respiratory or cardiac arrest following an electrical burn is very uncommon.

D. The exit wound caused by electrical burns is smaller than the entrance wound.

A. entrance wounds are small relative to the amount of internal tissue damage

All of the following body structures are lined with mucous membranes, except for the:

A. nose.

B. anus.

C. mouth.

D. lips.

D. lips

Burns to pediatric patients are generally considered more serious than burns to adults because:

A. most burns in children are the result of child abuse.

B. pediatric patients have a proportionately larger volume of blood.

C. pediatric patients are more prone to hyperthermia.

D. pediatric patients have more surface area relative to total body mass.

D. pediatric patients have more surface area relative to total body mass

A 30-year-old male experienced a crushing injury when his forearm was trapped between the back of a truck and a loading dock. Upon your arrival, the man's arm has been freed. Your assessment reveals that his arm is obviously deformed and swollen and is cold and pale. Further assessment reveals an absent radial pulse. You should be most concerned that this patient has:

A. damage to the radial nerve.

B. internal hemorrhage.

C. compartment syndrome.

D. a severe closed fracture.

C. compartment syndrome

Which of the following is a severe burn in a 2-year-old child?

A. Any burn that involves the arms, legs, or posterior part of the body

B. Any full-thickness burn, regardless of its location on the body

C. Partial-thickness burn that covers 10% of the BSA

D. Superficial burn that covers 25% of the BSA

B. any full-thickness burn, regardless of its location on the body

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:

A. assess his pulse for rate, regularity, and quality.

B. open his airway and assess his breathing status.

C. apply high-flow oxygen and assess his injuries.

D. perform an immediate head-to-toe assessment.

B. open his airway and assess his breathing status

According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand is equal to _____ of his or her total body surface area.

A. 1%

B. 2%

C. 6%

D. 4%

A. 1%

Which of the following open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss?

A. Incision

B. Avulsion

C. Abrasion

D. Laceration

C. abrasion

In addition to external bleeding, the most significant risk that an open soft-tissue injury exposes a patient to is:

A. nerve damage.

B. hypothermia.

C. vessel damage.

D. infection.

D. infection

For electricity to flow through the body and cause damage:

A. the person must make direct physical contact with the source of electricity.

B. a complete circuit must exist between the electrical source and the ground.

C. an insulator must exist between the electrical source and the patient.

D. the part of the body that is in contact with the electrical source must be dry.

B. a complete circuit must exist between the electrical source and the ground

Which of the following would be the least likely cause of an altered level of consciousness in a patient with a burn?

A. Hypoglycemia

B. Hypertension

C. Head injury

D. Hypoperfusion

B. hypertension

When caring for a patient whose arm is covered with a dry chemical, you should:

A. brush away the chemical before flushing with water.

B. deactivate the chemical with a 5% vinegar solution.

C. quickly irrigate the arm with large amounts of water.

D. use forceful streams of water to remove the chemica

A. brush away the chemical before flushing with water

In addition to severe bleeding, the most life-threatening complication associated with an open neck injury is:

A. an air embolism.

B. a spinal fracture.

C. an ischemic stroke.

D. nerve fiber damage.

A. an air embolism

Which of the following areas of the body has the thinnest skin?

A. Soles of the feet

B. Ears

C. Scalp

D. Back

B. ears

A partial-thickness burn involves the outer layer of skin and a portion of the:

A. fatty layer.

B. dermal layer.

C. muscle fascia.

D. epidermis.

B. dermal layer

Which of the following is a sign of compartment syndrome?

A. A bounding pulse distal to the injury site

B. Absence of pain at the injury site

C. Extreme redness to the injury site

D. Pain upon passive movement of the injury site

D. pain upon passive movement of the injury site

Which of the following statements regarding the dermis is correct?

A. The dermis produces a substance that provides color to the skin.

B. The cells of the dermis are worn away and are constantly replaced.

C. The dermis contains hair follicles, sweat glands, and nerve endings.

D. The dermis lies above the germinal layer and provides protection.

C. the dermis contains hair follicles, sweat glands, and nerve endings

A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should:

A. carefully probe the wound to determine if the bleeding is venous or arterial.

B. replace the avulsed flap to its original position and cover it with a sterile dressing.

C. thoroughly irrigate the wound with sterile water and cover it with a sterile dressing.

D. carefully remove the avulsed flap and wrap it in a moist, sterile trauma dressing.

B. replace the avulsed flap to its original position and cover it with a sterile dressing

An abdominal evisceration:

A. should be covered with bulky dry, sterile dressings.

B. often causes severe hypothermia because of heat loss.

C. occurs when organs protrude through an open wound.

D. is most commonly the result of blunt force trauma.

C. occurs when organs protrude through an open wound