EMR Musculoskeletal Injuries and Splinting

Question 1

What is the PRIMARY purpose of applying a splint to a suspected fracture in the pre-hospital setting?

Accepted Answer

Prevent further injury and reduce pain

Answer

Realign bone fragments to their normal position

Answer

Eliminate the need for X-rays at the hospital

Answer

Restore circulation to the injured limb

Question 2

An open fracture is defined as one in which:

Accepted Answer

Bone or bone ends break through the overlying skin

Answer

The fracture involves more than two bone fragments

Answer

The fracture is not visible on X-ray

Answer

Both bones of a paired limb are fractured

Question 3

When assessing an injured extremity, the abbreviation 'PMS' stands for:

Accepted Answer

Pulse, Motor function, Sensation

Answer

Pain, Movement, Sensation

Answer

Perfusion, Mobility, Swelling

Answer

Pressure, Motion, Stability

Question 4

A traction splint is most appropriately applied to which injury?

Accepted Answer

Mid-shaft femur fracture

Answer

Open fracture of the tibia

Answer

Dislocated knee

Answer

Bilateral lower leg fractures

Question 5

When splinting an injured extremity, the splint should be applied to immobilize:

Accepted Answer

The joint above and the joint below the injury

Answer

Only the fracture site itself

Answer

The entire limb from the shoulder or hip to the foot

Answer

The fracture site and the joint below only

Question 6

Which of the following is the most reliable indicator of a possible bone fracture even when no deformity is visible?

Accepted Answer

Point tenderness directly over the bone

Answer

Bruising appearing 24 hours after injury

Answer

Muscle soreness surrounding the injury

Answer

Decreased range of motion in a nearby joint

Question 7

Before splinting, crepitus is identified when an EMR palpates a suspected fracture site. Crepitus refers to:

Accepted Answer

A grating or grinding sensation caused by broken bone ends rubbing together

Answer

A visible deformity indicating bone displacement

Answer

Increased warmth and redness over the fracture site

Answer

A crackling sensation caused by air under the skin