PMED CH 37 EXAM QUESTIONS
WITH ALL CORRECT ANSWERS
The MOST significant immediate risk associated with an open fracture is:
A) infection.
B) hemorrhage.
C) nerve damage.
D) bone marrow loss. - Answer-B
In a closed femur fracture, blood loss may exceed _______ before enough pressure
develops to tamponade the bleeding.
A) 250 mL
B) 500 mL
C) 750 mL
D) 1,000 mL - Answer-D
The MOST reliable sign of a fracture is:
A) deformity.
B) ecchymosis.
C) localized pain.
D) severe swelling. - Answer-A
Which of the following statements regarding a nondisplaced fracture is correct?
A) Nondisplaced fractures are generally caused by low-energy trauma and are typically
not associated with deformity.
B) Nondisplaced fractures occur when a massive compressive force is applied to the
bone, causing it to become wedged into another bone.
C) In a nondisplaced fracture, muscles pull the distal fracture fragment alongside the
proximal one, causing them to overlap.
D) Nondisplaced fractures are caused by low-energy trauma and occur when the ends
of the fracture move from their normal positions - Answer-A
A patient standing with his or her head cocked toward a knocked-down left shoulder
MOST likely has a fracture of the:
A) right clavicle.
B) left shoulder.
C) left clavicle.
D) right shoulder. - Answer-C
, Eliciting for crepitus during your exam of a deformed extremity:
A) should only be performed if the patient is not in significant pain.
B) may cause further injury to the bone and surrounding soft tissues.
C) should be performed to help confirm the presence of a fracture.
D) is generally not performed, but will likely not cause further injury. - Answer-B
The BEST way to detect deformity or any other abnormality in an injured extremity is to:
A) gently palpate the entire length of the extremity.
B) compare it to the extremity on the opposite side.
C) manipulate the extremity to assess for false motion.
D) reduce any swelling with ice before performing the exam. - Answer-B
A subluxation occurs when:
A) a joint is partially dislocated.
B) a dislocation spontaneously reduces.
C) a fracture occurs through both cortices.
D) dislocated bones are locked in position - Answer-A
A dislocation is considered an urgent injury because of its potential to cause:
A) neurovascular compromise.
B) significant internal bleeding.
C) severe hemodynamic instability.
D) proximal sensory and motor loss. - Answer-A
The sudden twisting of a joint beyond its normal range of motion, causing a temporary
subluxation, is called a:
A) strain.
B) sprain.
C) dislocation.
D) fracture-dislocation. - Answer-B
Immediate pain from the heel to the calf and a sudden inability for plantar flexion of the
foot is MOST indicative of:
A) acute tendonitis.
B) ligament disruption.
C) a dislocated ankle.
D) Achilles tendon rupture. - Answer-D
Signs of bursitis include all of the following, EXCEPT:
A) warmth.
B) swelling.
C) deformity.
D) erythema. - Answer-C
In contrast to osteoarthritis, rheumatoid arthritis:
WITH ALL CORRECT ANSWERS
The MOST significant immediate risk associated with an open fracture is:
A) infection.
B) hemorrhage.
C) nerve damage.
D) bone marrow loss. - Answer-B
In a closed femur fracture, blood loss may exceed _______ before enough pressure
develops to tamponade the bleeding.
A) 250 mL
B) 500 mL
C) 750 mL
D) 1,000 mL - Answer-D
The MOST reliable sign of a fracture is:
A) deformity.
B) ecchymosis.
C) localized pain.
D) severe swelling. - Answer-A
Which of the following statements regarding a nondisplaced fracture is correct?
A) Nondisplaced fractures are generally caused by low-energy trauma and are typically
not associated with deformity.
B) Nondisplaced fractures occur when a massive compressive force is applied to the
bone, causing it to become wedged into another bone.
C) In a nondisplaced fracture, muscles pull the distal fracture fragment alongside the
proximal one, causing them to overlap.
D) Nondisplaced fractures are caused by low-energy trauma and occur when the ends
of the fracture move from their normal positions - Answer-A
A patient standing with his or her head cocked toward a knocked-down left shoulder
MOST likely has a fracture of the:
A) right clavicle.
B) left shoulder.
C) left clavicle.
D) right shoulder. - Answer-C
, Eliciting for crepitus during your exam of a deformed extremity:
A) should only be performed if the patient is not in significant pain.
B) may cause further injury to the bone and surrounding soft tissues.
C) should be performed to help confirm the presence of a fracture.
D) is generally not performed, but will likely not cause further injury. - Answer-B
The BEST way to detect deformity or any other abnormality in an injured extremity is to:
A) gently palpate the entire length of the extremity.
B) compare it to the extremity on the opposite side.
C) manipulate the extremity to assess for false motion.
D) reduce any swelling with ice before performing the exam. - Answer-B
A subluxation occurs when:
A) a joint is partially dislocated.
B) a dislocation spontaneously reduces.
C) a fracture occurs through both cortices.
D) dislocated bones are locked in position - Answer-A
A dislocation is considered an urgent injury because of its potential to cause:
A) neurovascular compromise.
B) significant internal bleeding.
C) severe hemodynamic instability.
D) proximal sensory and motor loss. - Answer-A
The sudden twisting of a joint beyond its normal range of motion, causing a temporary
subluxation, is called a:
A) strain.
B) sprain.
C) dislocation.
D) fracture-dislocation. - Answer-B
Immediate pain from the heel to the calf and a sudden inability for plantar flexion of the
foot is MOST indicative of:
A) acute tendonitis.
B) ligament disruption.
C) a dislocated ankle.
D) Achilles tendon rupture. - Answer-D
Signs of bursitis include all of the following, EXCEPT:
A) warmth.
B) swelling.
C) deformity.
D) erythema. - Answer-C
In contrast to osteoarthritis, rheumatoid arthritis:
