Deck 7: Orthopaedic Trauma

Question 1

A sprain in the dynamic stabilizers of the shoulder, known as a ____, leads to destabilization of the shoulder joint and pain.

A) sternoclavicular sprain
B) shoulder impingement syndrome
C) rotator cuff tear
D) patellofemoral joint syndrome

Answer 1

rotator cuff tear

Question 2

All long-bone fractures, including fractures of the femur shaft, can be spiral\transverse, comminuted, or open.

Answer 2

True

Question 3

The ankle is a(n) ____ joint that provides approximately 100 degrees of flexion.

A) saddle
B) hinged synovial
C) ellipsoid
D) pivot

Answer 3

hinged synovial

Question 4

____ is the study of the forces muscles exert upon the skeleton.

A) Ergonomics
B) Biomechanics
C) Orthotics
D) Kinesiology

Question 5

Pediatric patients are prone to rotator cuff injury and associated bicep tendon degeneration.

Question 6

The shoulder is a loose ball-in-socket joint.

Question 7

The medial collateral ligament connects the femur and tibia.

Question 8

A ____ is an injury to the ligaments that connect bone to bone.

A) hernia
B) sprain
C) strain
D) fracture

Question 9

____ is the study of human movement.

A) Orthotics
B) Kinesiology
C) Biomechanics
D) Ecology

Question 10

The ankle cannot become dislocated superiorly.

Question 11

A ____ is an injury to a tendon.

A) fracture
B) strain
C) sprain
D) hematoma

Question 12

Orthopaedics is the study of musculoskeletal system injuries.

Question 13

When a patient has ____, the patient experiences severe pain whenever the humerus is internally rotated or elevated because the motion compresses the acromion against the tendons and bursa.

A) medial collateral impingement syndrome
B) shoulder impingement syndrome
C) anterior cruciate herniation
D) sternoclavicular dislocation

Question 14

If force is applied against a tissue and the tissue is changed or permanently deformed, an injury called ____ deformation occurs.

A) neoplastic
B) spastic
C) plastic
D) elastic

Question 15

Pain, out of proportion to the injury, is characteristic of compartment syndrome.

Question 16

Any musculoskeletal injury should be assumed to be a fracture until proven otherwise.

Question 17

The ____ consists of four main ligaments- the anterior cruciate, posterior cruciate, lateral collateral ligaments, and the medial collateral ligament.

A) ankle
B) knee
C) shoulder
D) neck

Question 18

Force applied laterally to the ____ can injure the ulnar collateral ligament (UCL), which leads to instability of the metacarpophalangeal (MCP) joint.

A) neck
B) thumb
C) shoulder
D) knee

Question 19

The best indicators of fracture risk are age and history of previous fractures.

Question 20

Breech birth is thought to account for 25% to 45% of infants born with developmental dislocation of the hip.

Question 21

Monteggia's fracture features an ulna fracture with dislocation of the radioulnar joint; ____ fracture features a fracture of the radius with a dislocation of the radioulnar joint.

A) Salter-Harris's
B) Anderson's
C) Galeazzi's
D) Gustilo's

Question 22

Although a ____ is simply a broken bone, there is nothing simple about it.

A) rupture
B) fracture
C) dislocation
D) luxation

Question 23

The result of a tendon reaching its breaking point is called a ____.

A) sprain
B) strain
C) dislocation
D) rupture

Question 24

In sports, about 90% of hip dislocations are ____ hip dislocations.

A) posterior
B) horizontal
C) frontal
D) vertical

Question 25

During the original method of shoulder reduction, the ____ method, the patient is supine, the Paramedic grasps the wrist of the extended arm, then places a foot into the axilla and applies steady countertraction.

A) Manes
B) Hippocratic
C) Kocher's
D) Stimson

Question 26

During the ____ method of hip reduction the patient is supine, one Paramedic provides posterior traction along the anterior superior iliac, and another grasps the lower leg at the bent knee and applies steady longitudinal traction.

A) Colles
B) Bigelow
C) Boxer
D) Stimson

Question 27

The ____ tendon, the largest tendon in the body, is found at the end of the gastrocnemius muscle in the calf and inserts into the calcaneus.

A) extensor retinaculum
B) calcaneal (i.e., Achilles)
C) flexor hallucis longus
D) gluteus

Question 28

One form of fracture, called a ____ fracture, is the result of repetitive loading of the musculoskeletal interface, which is an overuse injury.

A) complex
B) stress
C) compression
D) blunt

Question 29

Who is most likely to suffer from a quadriceps tendon rupture?

A) Women under the age of 30
B) Women over the age of 40
C) Men under the age of 30
D) Men over the age of 40

Question 30

A ____ is the complete movement of the bone out of the joint.

A) sprain
B) dislocation
C) subluxation
D) fracture

Question 31

The shoulder is a ____ joint formed by the humerus where it inserts in the glenoid fossa of the scapula.

A) saddle
B) ball-and-socket
C) fibrous
D) hinge

Question 32

A ____ is a misalignment of bones in a joint that results in the joint's instability.

A) subluxation
B) sprain
C) strain
D) impingement

Question 33

Perineal numbness and saddle paresthesia are symptoms associated with a neurological disorder called ____ syndrome, which is the result of associated lower lumbar fractures and nerve compression.

A) cauda equina
B) osteomalacia
C) Paget's
D) osteogenesis imperfecta

Question 34

The ____ syndrome is characterized by knee pain that often involves athleticism, such as sports, hiking, or even repetitive deep knee bends.

A) rotator cuff
B) patellofemoral joint
C) biceps brachii
D) synovial joint

Question 35

A classification system called the ____ system, based on the amount of soft-tissue injury, is used for prognosis of fracture healing, risk of infection, and probability of amputation.

A) Colles
B) Volkmann's classification
C) Gustilo-Anderson
D) Bigelow classification