OEC Musculoskeletal Injuries & Splinting 2

Question 1

A traction splint is most specifically indicated for which injury?

Accepted Answer

Closed mid-shaft femur fracture

Answer

Displaced mid-shaft clavicle fracture

Answer

Posterior hip dislocation

Answer

Open tibia-fibula fracture with vascular compromise

Question 2

A patient twisted their ankle and immediately heard a 'pop,' followed by rapid swelling and inability to bear weight. The most likely injury is:

Accepted Answer

Grade III ankle sprain or ligament rupture

Answer

Grade I ankle sprain

Answer

Talar stress fracture

Answer

Achilles tendon contusion

Question 3

Compartment syndrome should be suspected when a patient reports pain that is:

Accepted Answer

Out of proportion to the injury and worsened with passive stretch

Answer

Relieved by elevating the extremity above heart level

Answer

Proportionate to the visible injury and improves with ice

Answer

Located only at the fracture site and reproducible with palpation

Question 4

After reducing a suspected anterior shoulder dislocation is beyond OEC scope, how should OEC Technicians manage the injury in the field?

Accepted Answer

Immobilize in the position of comfort using a sling and swathe

Answer

Attempt a Cunningham technique reduction immediately

Answer

Strap the arm behind the back to prevent further dislocation

Answer

Apply a rigid posterior splint with the elbow extended

Question 5

Which finding after splint application requires the OEC Technician to immediately loosen or reapply the splint?

Accepted Answer

Absent distal pulse or numbness distal to the splint

Answer

Mild discomfort at the injury site

Answer

Patient reporting the splint feels 'a little tight'

Answer

Mild swelling above the splint margin

Question 6

What is the recommended field management for a suspected pelvic fracture in an outdoor emergency setting?

Accepted Answer

Apply a pelvic binder or improvised circumferential wrap and minimize movement

Answer

Apply a femur traction splint bilaterally

Answer

Log-roll the patient frequently to assess the pelvis

Answer

Elevate both legs to 45 degrees to reduce internal hemorrhage

Question 7

The 'RICE' acronym used for managing soft tissue and musculoskeletal injuries stands for:

Accepted Answer

Rest, Ice, Compression, Elevation

Answer

Realign, Immobilize, Cover, Evaluate

Answer

Reduce, Immobilize, Circulation-check, Elevate

Answer

Rest, Irrigate, Cover, Evaluate