Musculoskeletal Trauma Flashcards
6 cards from real ATLS practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 6 Musculoskeletal Trauma flashcards as text
Which injury has the highest risk of associated vascular injury requiring evaluation?
Answer: Posterior knee dislocation
Posterior knee dislocation carries a 20-40% risk of popliteal artery injury.
A patient with left rib fractures 9-12 should be evaluated for injury to which organ?
Answer: Spleen
Lower left rib fractures are associated with a 20% incidence of splenic injury.
What is the maximum acceptable time from injury to surgery for an open fracture with vascular compromise?
Answer: 6 hours
Warm ischemia time for an extremity is approximately 6 hours, after which amputation risk rises dramatically.
A patient has an unstable pelvis on manual compression. What is the correct immediate action?
Answer: Apply a pelvic binder and avoid further manipulation
Once instability is identified, apply a pelvic binder immediately. Never repeat the test.
Which finding differentiates vascular injury from neurological injury in a fractured extremity?
Answer: Absent distal pulses with pale, cool extremity
Absent pulses with a pale, cool extremity indicates vascular compromise; neurological injury causes sensory/motor deficits without perfusion changes.
A crush injury victim trapped for 4 hours. What complication should be anticipated upon extrication?
Answer: Hyperkalemia from rhabdomyolysis
Crushed muscle releases potassium, myoglobin, and phosphate upon reperfusion. Hyperkalemia can cause cardiac arrest.