ATCN- Musculoskeletal Trauma Exam Preparation Questions and Answers

_________________________________________, an uncommon but highly lethal complication of long-bone fractures, can lead to pulmonary failure and impaired cerebral function. Fat embolism Hemorrhage control is best achieved with: Direct pressure ______________________________________________________ of fractures can significantly decrease bleeding by reducing motion and enhancing tamponade effect of the muscle and fascia. Splinting of fractures The _________________________________________ is determined by taking the systolic blood pressure value at the ankle of the injured leg and dividing it by the systolic blood pressure of the uninjured arm. Ankle / Brachial Index After application of _______________________________________, if time to operative intervention is longer than 1 hour, a single attempt to deflate the tourniquet may be considered in an otherwise stable patient. a tourniquet A patient with multiple injuries who requires intensive resuscitation and/or emergency surgery for extremity or other injuries is not a candidate for: Replantation Patients who have sustained ______________________________________________________ are at significantly greater risk of complications and death. Bilateral femur fractures ________________________________________________________________ if left untreated can lead to renal failure and shock. Crush syndrome, or traumatic rhabdomyolysis The muscle insult (from a crush injury) is a combination of: Direct muscle injury, muscle ischemia, and cell death with release of myoglobin ____________________________ produces dark amber urine that tests positive for hemoglobin Myoglobin Amber colored urine in the presence of serum creatinine kinase of 10,000 U/L or more is indicative of: Rhabdomyolysis