Term
| The MOST significant immediate threat to a patient with a soft-tissue injury is: |
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Definition
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Term
| The skin is also referred to as the |
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Definition
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Term
| All of the following are functions of the skin, EXCEPT: |
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Definition
| providing the immune response for the body |
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Term
| The outermost layer of the epidermis: |
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Definition
| consists of nonliving cells that are continuously being shed. |
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Term
| _________ is a fibrous protein that gives the skin high resistance to breakage under mechanical stress. |
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Definition
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Term
| When the ambient temperature is high: |
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Definition
| blood vessels in the dermis dilate, which increases blood flow to the skin and allows heat to dissipate |
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Term
| Physical injury to the skin |
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Definition
| triggers mast cells to degranulate and synthesize special chemical mediators, which causes the injured area to become warm and red. |
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Term
| The skin helps regulate body temperature through: |
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Definition
| the production of sweat, which is evaporated from the surface of the skin |
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Term
| Which of the following substances is produced in the dermis and keeps the skin supple so that it doesn't crack? |
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Definition
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Term
| The subcutaneous tissue is: |
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Definition
| also called the superficial fascia and consists mainly of adipose tissue. |
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Term
| A laceration that lies perpendicular to the skin's tension lines: |
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Definition
| often remains open, heals more slowly, and is more likely to result in abnormal scar formation |
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Term
| Which of the following statements regarding soft-tissue injuries is correct? |
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Definition
| They are often the most obvious, but are seldom the most life threatening. |
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Term
| During the process of wound healing, hemostasis: |
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Definition
| temporarily stops bleeding via vasoconstriction and platelet aggregation |
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Term
| During the inflammation phase of the healing process: |
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Definition
| histamine causes vasodilation and increased blood flow to the injury |
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Term
| During the neovascularization phase of the wound healing process: |
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Definition
| new blood vessels form as the body attempts to bring oxygen and nutrients to the injured tissue |
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Term
| Which of the following conditions or factors would MOST likely delay or impair healing of a wound? |
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Definition
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Term
| A patient taking _______________ would MOST likely experience a delay in the healing of a wound. |
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Definition
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Term
| A wound is at HIGHEST risk for infection if: |
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Definition
| it is caused by a human or animal bite. |
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Term
| Which of the following patients is at HIGHEST risk for a pressure injury? |
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Definition
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Term
| Which of the following wounds usually requires substantial irrigation and debridement prior to closure? |
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Definition
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Term
| Which of the following is the MOST common cause of necrotizing fasciitis? |
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Definition
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Term
| Systemic signs of infection secondary to a soft-tissue injury include: |
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Definition
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Term
| Necrosis of tissue caused by an anaerobic, toxin-producing bacterium is called: |
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Definition
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Term
| An infection characterized by painful muscle contractions is called: |
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Definition
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Term
| The swelling that occurs in conjunction with a contusion is caused by: |
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Definition
| leakage of fluid into spaces between the cells |
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Term
| In contrast to a contusion, a hematoma is: |
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Definition
| caused by large vessel damage |
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Term
| Whether the contamination from an open wound produces infection depends MOSTLY on: |
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Definition
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Term
| A patient with nerve compromise following an open injury to the hand: |
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Definition
| requires prompt transport to the hospital |
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Term
| Compared to the bleeding from an open wound, bleeding from a closed wound: |
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Definition
| is limited because the skin is unbroken |
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Term
| Primary treatment in the prehospital setting for an abrasion involves |
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Definition
| covering it lightly with a sterile dressing |
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Term
| Which of the following statements regarding lacerations is correct? |
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Definition
| The seriousness of a laceration depends on its depth and the structures that have been damaged |
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Term
| In addition to bleeding and contamination, the principal danger associated with an avulsion is: |
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Definition
| a loss of blood supply to the avulsed flap. |
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Term
| A crushing or tearing amputation |
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Definition
| can result in excessive blood loss due to hemorrhage if the paramedic does not intervene rapidly |
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Term
| Which of the following statements regarding crush injury is correct? |
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Definition
| Crush syndrome can occur if the body part is entrapped for more than 4 hours |
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Term
| When muscles are crushed beyond repair, tissue necrosis develops and causes the release of harmful products. This process is called: |
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Definition
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Term
| When a patient's leg is entrapped under a crushing object for a prolonged period of time, toxic metabolic waste products are released into the systemic circulation: |
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Definition
| after the patient's leg is freed from entrapment. |
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Term
| Which of the following statements regarding compartment syndrome is correct? |
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Definition
| Compartment syndrome is more likely to occur with closed injuries |
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Term
| Signs and symptoms of compartment syndrome include all of the following, EXCEPT |
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Definition
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Term
| The bite from a ________ poses the greatest risk for serious infection |
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Definition
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Term
| The FIRST aspect to address in any patient with a soft-tissue injury is: |
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Definition
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Term
| Which of the following medications would MOST likely interfere with hemostasis? |
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Definition
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Term
| Which of the following interventions encourages drainage from the site of a closed wound and reduces swelling? |
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Definition
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Term
| After controlling the bleeding from a grossly contaminated open wound to the leg, you should next: |
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Definition
| irrigate with sterile water and apply a sterile dressing |
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Term
| If your patient has an open wound in which there is a risk of air being drawn into the vasculature, you should: |
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Definition
| cover the wound with an occlusive dressing |
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Term
| The use of wet dressings in the field is limited because |
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Definition
| they provide a medium for pathogens to grow |
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Term
| Which of the following bandages is associated with the HIGHEST risk of blood flow compromise? |
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Definition
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Term
| Applying direct pressure to a bleeding wound stops the flow of blood because: |
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Definition
| it allows platelets to seal the vascular walls |
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Term
| Elevation of an extremity that has a venous laceration to it: |
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Definition
| helps control the bleeding when used in conjunction with direct pressure |
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Term
| You should splint an open soft-tissue injury to an extremity because: |
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Definition
| motion of the extremity may disrupt the blood-clotting process |
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Term
| When caring for an amputated body part: |
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Definition
| early notification of the hospital is important |
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Term
| In which of the following patients should the impaled object be removed? |
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Definition
| Cardiac arrest patient with an ice pick impaled in the center of the back |
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Term
| When applying a dressing and bandage to a scalp wound, you should: |
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Definition
| carefully assess the skull for an underlying fracture. |
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Term
| Your MAIN concern when caring for a patient with a soft-tissue injury to the face should be: |
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Definition
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Term
| When caring for a patient with an open chest wound, you should |
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Definition
| frequently assess breath sounds for indications of a pneumothorax |
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Term
| When managing a patient who is entrapped by a crushing object, it is MOST important to |
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Definition
| make every effort to treat the patient before removing the crushing object. |
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Term
| Renal failure, a key complication of crush syndrome, can be prevented by |
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Definition
| aggressively infusing normal saline. |
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Term
| A 63-year-old diabetic woman presents with an open wound to her forearm that she experienced when she fell a week ago. She tells you that the wound has been draining purulent fluid, but has not been bleeding. The wound itself is red, inflamed, and warm to the touch. You should: |
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Definition
| apply a dry, sterile dressing and transport her to the hospital. |
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Term
| A 30-year-old man presents with jaw and neck stiffness and fever. During your assessment, he tells you that he cut his hand on a piece of metal about a week ago. You should be MOST suspicious that this patient has: |
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Definition
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Term
| While hiking, a 24-year-old woman was pinned from the waist down under a rock that collapsed on her. Upon your arrival, the patient is conscious and alert, and states that she can't feel her legs. She further tells you that she thinks she has been pinned for about 5 hours. She is breathing adequately and has stable vital signs. In addition to administering supplemental oxygen, you should: |
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Definition
| start two large-bore IV lines of normal saline, apply a cardiac monitor, and contact medical control before removing the rock from her legs. |
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Term
| You are dispatched to a residence for a man who cut his hand with a chainsaw. Upon arriving at the scene, your FIRST action should be to: |
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Definition
| carefully assess the scene for safety hazards. |
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Term
| A 41-year-old man was assaulted during a robbery attempt. Your primary assessment reveals that the patient is semiconscious. He has massive soft-tissue trauma to the face, inadequate breathing, and oropharyngeal bleeding. You should: |
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Definition
| suction the blood from his mouth and assist ventilations with a bag-mask device. |
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Term
| A 22-year-old man was struck in the forehead by a softball. He is conscious and alert, but complains of a severe headache. Your assessment reveals a large hematoma to his forehead. His vital signs are stable and his breathing is adequate. You should: |
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Definition
| apply an icepack to the hematoma and monitor his level of consciousness. |
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Term
| You have dressed and bandaged a laceration to the arm of a 16-year-old woman and are transporting her to the hospital. En route, the patient complains that her fingers are tingling. You touch her hand and note that it is cool. You should |
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Definition
| readjust the bandage if needed and reassess distal neurovascular function |
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Term
| A young woman attempted to commit suicide by cutting her wrist. Bright red blood is spurting from the injury site. Despite direct pressure and a pressure dressing, the wound continues to bleed heavily. You should: |
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Definition
| apply a tourniquet between her elbow and wrist. |
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Term
| You are the first unit to arrive at the scene of a small building collapse. As you exit the ambulance, you can see a man pinned under a large metal beam. You should: |
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Definition
| immediately request a special rescue team. |
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