OEC Musculoskeletal Injuries & Splinting 3

Question 1

A patroller finds a skier with point tenderness over the mid-clavicle and the arm held adducted against the body. What is the most likely injury?

Accepted Answer

Clavicle fracture

Answer

Acromioclavicular (AC) joint separation

Answer

Anterior shoulder dislocation

Answer

Sternoclavicular joint dislocation

Question 2

Which of the following is considered a LATE sign of compartment syndrome?

Accepted Answer

Paralysis of the affected muscle group

Answer

Pain with passive stretch

Answer

Paresthesia (pins and needles) in the affected limb

Answer

Tense, woody feeling of the affected compartment

Question 3

When splinting an ankle injury, the foot should ideally be immobilized in what position?

Accepted Answer

Neutral position (90 degrees to the leg)

Answer

Plantar flexion (toes pointing down)

Answer

Full dorsiflexion (toes pointing toward shin)

Answer

External rotation with the heel elevated

Question 4

How should an impaled object in an extremity be managed in the OEC field setting?

Accepted Answer

Leave it in place and stabilize it with bulky dressings to prevent movement

Answer

Remove it rapidly to control bleeding and apply direct pressure

Answer

Shorten it to less than 2 inches to facilitate patient transport

Answer

Cover it with an occlusive dressing to prevent air exposure

Question 5

After applying a traction splint for a suspected femur fracture, when must CSM be rechecked?

Accepted Answer

Before application, immediately after application, and then every 15 minutes during transport

Answer

Only upon arrival at the medical facility

Answer

Once, immediately after application, then never again

Answer

Every hour throughout transport

Question 6

A patient has a suspected fracture of the radius and ulna (forearm). Which type of splint is most appropriate?

Accepted Answer

Rigid splint extending from the hand to above the elbow

Answer

Traction splint from wrist to axilla

Answer

Anatomic splint binding the arm to the torso

Answer

Soft wrap applied only around the forearm

Question 7

Which mechanism of injury is most commonly associated with a posterior hip dislocation in ski patrol scenarios?

Accepted Answer

Axial load through the femur with the hip and knee flexed (dashboard-type mechanism)

Answer

Direct lateral blow to the greater trochanter

Answer

Fall on an outstretched hand transmitting force up the arm to the hip

Answer

Hyperextension of the hip joint during a backward fall