Question 1

When caring for an amputated part, which of the following principles apply?
1) Place the unwrapped part in a dry plastic bag, and seal it.
2) Place the part in a plastic bag with the part wrapped in gauze moistened with lactated Ringer's solution or normal saline, and seal it.
3) Always transport the part with the patient.
4) Keep the part moist, and place it in a container of cold water.
5) Keep the part dry, and place it in an ice-filled container.

Accepted Answer

A)  2, 4 
B)  2, 3, 4 
C)  1, 3, 5 
D)  2, 5

Question 2

For most open soft tissue wounds managed by the paramedic in the prehospital setting, which of the following is a desirable characteristic of the dressing applied?

Accepted Answer

A)  Occlusive 
B)  Dry 
C)  Adherent 
D)  Nonabsorbent

Question 3

Which of the following statements about crush injuries is most accurate?

Accepted Answer

A)  Only closed injuries can be classified as crush injuries. 
B)  The actual source of bleeding in crush injuries may be hard to identify. 
C)  A spongy sensation on palpation of the injured area indicates crush injury. 
D)  Crush injuries are easily identifiable because they invariably result in deformity.

Question 4

The layer of skin that contains adipose tissue is the ________ layer.

Accepted Answer

A)  dermal 
B)  connective 
C)  epidermal 
D)  subcutaneous

Question 5

Which of the following is best described as the accumulation of a pocket of blood in the tissues?

Accepted Answer

A)  Hematoma 
B)  Abrasion 
C)  Compartment syndrome 
D)  Contusion

Question 6

Your patient is a three-year-old boy who has struck his head on a concrete patio. He has a linear wound that penetrates the dermis and is approximately 2 cm long. This wound would be best described as a(n):

Accepted Answer

A)  contusion. 
B)  puncture. 
C)  avulsion. 
D)  laceration.

Question 7

Your patient is a 19-year-old man who received a penetrating knife wound to his chest. On your arrival, he is lying supine with a visible chest wound that is bleeding slightly. You can hear the sucking sound of air moving in and out of the wound. This wound is best managed with:

Accepted Answer

A)  a bulky dressing held in place with adhesive strips. 
B)  an occlusive bandage sealed on three sides and open on the fourth side. 
C)  a dry dressing covered by an adherent bandage. 
D)  a sterile, wet dressing held in place with an elastic bandage.

Question 8

The tough, fibrous sheaths that bundle skeletal muscle are called:

Accepted Answer

A)  tendons. 
B)  fibers. 
C)  sarcolemma. 
D)  fascia.

Question 9

You arrive on the scene of a patient with severe blunt trauma to the face. You hear gurgling as you approach the patient. After opening the airway with a manual maneuver, what should your next action be?

Accepted Answer

A)  Ventilate 
B)  Apply a cervical collar 
C)  Control the source of hemorrhage 
D)  Suction

Question 10

A nonpenetrating injury caused by blunt trauma that damages blood vessels, causing pain and discoloration, is a(n):

Accepted Answer

A)  ecchymosis. 
B)  strain. 
C)  abrasion. 
D)  contusion.

Exam 4: Soft Tissue Trauma