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35) Your patient is an 11-year-old male who has a swollen, painful, and angulated right lower
arm after falling from his bicycle onto his hands. Which of the following should be considered in
the immobilization of his injured extremity?
A) Check pulse, movement, and sensation distal to the injury before and after splinting.
B) Immobilize from the shoulder to the wrist.
C) Use an upper extremity traction splint.
D) Do not attempt to realign the extremity before splinting.
Objective: 28.7
36) A new EMT who is treating a suspected femur injury asks his partner, "How much traction
should I pull?" The partner's BEST reply is which of the following?
A) No traction splint applied in the field pulls true traction; they must pull 20 pounds of
countertraction.
B) Pull enough traction to give the patient some relief from the pain.
C) The amount of traction applied should be roughly 10% of the patient's body weight and not
exceed 15 pounds.
D) The amount of traction applied should be 15 pounds.
Objective: 28.7
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37) You are treating a 16-year-old skateboarder who has fallen at the skate park. She has an
angulated left forearm that she has in a guarded position. When do you splint this injury?
A) En route to the hospital
B) Immediately
C) During the primary exam
D) During the secondary exam
Objective: 28.7
38) Which of the following complications may arise from properly splinting an injured
extremity?
A) Converting a closed fracture to an open one
B) Compromising circulation to the extremity
C) Ignoring life-threatening problems while focusing on an extremity injury
D) All of the above
Objective: 28.7
39) Your patient is a 3-year-old girl who is unable to move her elbow after her mother picked her
up by the forearm. Proper splinting of this injury would be to immobilize from the ________ to
the ________.
A) wrist; elbow
B) wrist; shoulder
C) forearm; humerus
D) fingertips; shoulder
Objective: 28.7
18
40) A suspected musculoskeletal injury of the shoulder is BEST managed by which of the
following techniques?
A) Placing the arm in a sling and using a triangular bandage to secure it to the body
B) Using an upper extremity traction splint
C) Placing two long padded board splints on either side of the extremity, extending from the
shoulder to the wrist
D) Using a long-arm air splint
Objective: 28.8
41) The PASG may be used as a splinting device for patients with which of the following
suspected injuries?
A) Hip dislocation
B) Compression fracture of the lumbar or sacral spine
C) Fractured pelvis
D) None of the above
Objective: 28.8
42) Blood at the meatus of the penis (opening of the urethra) is a sign of:
A) spinal fracture or injury.
B) pelvic trauma/fracture.
C) pelvic dislocation syndrome.
D) priapism.
Objective: 28.8
19
43) Which of the following statements is NOT true concerning a pelvic wrap?
A) It can be used if the pelvis shows deformity.
B) It can be used if the pelvis shows instability.
C) It should not be used unless the patient shows signs of shock.
D) You can consider its use based on mechanism of injury (MOI).
Objective: 28.8
44) Your patient is a 37-year-old man who tripped while walking down a hill and now has a
painful, deformed right leg. Your assessment reveals that the foot is cold and mottled in
appearance. You cannot detect a pulse in the foot or ankle. Which of the following is the BEST
course of action?
A) Explain to the patient that, because you cannot detect circulation in his foot, his leg will most
likely have to be amputated above the site of the injury.
B) Gently attempt to straighten the leg to regain a pulse before splinting.
C) Splint the leg in the position in which it was found and transport without delay.
D) Transport rapidly to the nearest trauma center.
Objective: 28.8
20
45) A pillow is frequently used to splint an ankle or foot injury. It is effective, rapid, and can be
used for most patients. Its main weakness is:
A) it requires three people to apply.
B) you might not have a pillow on your ambulance.
C) you are not immobilizing the knee and the joint adjacent to the ankle.
D) it is hard to access distal pulses after application.
Objective: 28.8
21
