ORTHOPEDIC SURGERY PRACTICE EXAM:
(NEW 2025/2026 UPDATE)
MUSCULOSKELETAL SYSTEM & TRAUMA
MANAGEMENT GUIDE | QUESTIONS &
ANSWERS | GRADE A | 100% CORRECT
(VERIFIED SOLUTIONS) – MEDICAL SCHOOL
ORTHOPEDICS
Skeletal muscle is also referred to as __________ muscle. - striated
Which of the following structures is regulated by smooth muscle? - Blood vessels
The pectoral girdle consists of the: - scapulae and clavicles.
A construction worker's arm was severed just above the elbow when a steel girder fell on it. The
stump is covered with a blood-soaked towel. The patient's skin is cool, clammy, and pale. The
EMT should: - apply a tourniquet just below the shoulder.
Which of the following scenarios is an example of a direct injury? - A passenger fractures her
patella after it strikes the dashboard.
A ____________ is a musculoskeletal injury in which there is partial or temporary separation of
the bone ends as well as partial stretching or tearing of the supporting ligaments. - sprain
When assessing a patient with a possible fracture of the leg, the EMT should: - compare it to
the uninjured leg.
The MOST reliable indicator of an underlying fracture is: - point tenderness.
Of the following musculoskeletal injuries, which is considered to be the LEAST severe? -
Nondisplaced pelvic fracture
A 30-year-old man complains of severe pain to his right tibia following an injury that occurred
the day before. The patient's leg is pale and he is unable to move his foot. The EMT should
suspect that: - pressure in the fascial compartment is elevated.
During your secondary assessment of a 19-year-old female with multiple trauma, you note
bilateral humeral deformities and a deformity to the left midshaft femur. Her skin is diaphoretic
, and her pulse is rapid and weak. Your partner has appropriately managed her airway and is
maintaining manual stabilization of her head. The MOST appropriate treatment for this patient
includes: - immobilizing her to a backboard and rapidly transporting.
Applying ice to and elevating an injured extremity are performed in order to: - reduce pain
and swelling.
You have applied a zippered air splint to a patient's left arm. During transport, the patient
complains of increased numbness and tingling in his left hand. You reassess distal circulation and
note that it remains present. Your MOST appropriate action should be to: - assess the amount
of air in the splint and let air out as necessary.
The primary purpose for splinting a musculoskeletal injury is to: - prevent further injury.
A 76-year-old male experienced sudden pain to his left thigh when he was standing in line at the
grocery store. Your assessment reveals ecchymosis and deformity to the distal aspect of his left
femur, just above the knee. Distal circulation and sensory and motor functions are intact. You
should: - apply padded board splints to both sides of the leg.
A 17-year-old football player collided with another player and has pain to his left clavicle. He is
holding his arm against his chest and refuses to move it. Your assessment reveals obvious
deformity to the midshaft clavicle. After assessing distal pulse, sensory, and motor functions, you
should: - immobilize the injury with a sling and swathe.
Which of the following statements regarding shoulder dislocations is correct? - Most shoulder
dislocations occur anteriorly.
A 31-year-old male fell and landed on his left elbow. Your assessment reveals that the elbow is
grossly deformed, his forearm is cool and pale, and the distal pulse is barely palpable. His vital
signs are stable and he denies any other injuries. Your transport time to the closest appropriate
hospital is approximately 12 minutes. You should: - splint the elbow in the position found and
transport.
Which of the following fractures has the greatest potential for internal blood loss and shock? -
Pelvis
When splinting a possible fracture of the foot, it is MOST important for the EMT to: - leave
the toes exposed.
A "hip" fracture is actually a fracture of the: - proximal femur.
A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and she
complains of severe pain. You should: - keep her knee flexed and secure it with padded board
splints.
(NEW 2025/2026 UPDATE)
MUSCULOSKELETAL SYSTEM & TRAUMA
MANAGEMENT GUIDE | QUESTIONS &
ANSWERS | GRADE A | 100% CORRECT
(VERIFIED SOLUTIONS) – MEDICAL SCHOOL
ORTHOPEDICS
Skeletal muscle is also referred to as __________ muscle. - striated
Which of the following structures is regulated by smooth muscle? - Blood vessels
The pectoral girdle consists of the: - scapulae and clavicles.
A construction worker's arm was severed just above the elbow when a steel girder fell on it. The
stump is covered with a blood-soaked towel. The patient's skin is cool, clammy, and pale. The
EMT should: - apply a tourniquet just below the shoulder.
Which of the following scenarios is an example of a direct injury? - A passenger fractures her
patella after it strikes the dashboard.
A ____________ is a musculoskeletal injury in which there is partial or temporary separation of
the bone ends as well as partial stretching or tearing of the supporting ligaments. - sprain
When assessing a patient with a possible fracture of the leg, the EMT should: - compare it to
the uninjured leg.
The MOST reliable indicator of an underlying fracture is: - point tenderness.
Of the following musculoskeletal injuries, which is considered to be the LEAST severe? -
Nondisplaced pelvic fracture
A 30-year-old man complains of severe pain to his right tibia following an injury that occurred
the day before. The patient's leg is pale and he is unable to move his foot. The EMT should
suspect that: - pressure in the fascial compartment is elevated.
During your secondary assessment of a 19-year-old female with multiple trauma, you note
bilateral humeral deformities and a deformity to the left midshaft femur. Her skin is diaphoretic
, and her pulse is rapid and weak. Your partner has appropriately managed her airway and is
maintaining manual stabilization of her head. The MOST appropriate treatment for this patient
includes: - immobilizing her to a backboard and rapidly transporting.
Applying ice to and elevating an injured extremity are performed in order to: - reduce pain
and swelling.
You have applied a zippered air splint to a patient's left arm. During transport, the patient
complains of increased numbness and tingling in his left hand. You reassess distal circulation and
note that it remains present. Your MOST appropriate action should be to: - assess the amount
of air in the splint and let air out as necessary.
The primary purpose for splinting a musculoskeletal injury is to: - prevent further injury.
A 76-year-old male experienced sudden pain to his left thigh when he was standing in line at the
grocery store. Your assessment reveals ecchymosis and deformity to the distal aspect of his left
femur, just above the knee. Distal circulation and sensory and motor functions are intact. You
should: - apply padded board splints to both sides of the leg.
A 17-year-old football player collided with another player and has pain to his left clavicle. He is
holding his arm against his chest and refuses to move it. Your assessment reveals obvious
deformity to the midshaft clavicle. After assessing distal pulse, sensory, and motor functions, you
should: - immobilize the injury with a sling and swathe.
Which of the following statements regarding shoulder dislocations is correct? - Most shoulder
dislocations occur anteriorly.
A 31-year-old male fell and landed on his left elbow. Your assessment reveals that the elbow is
grossly deformed, his forearm is cool and pale, and the distal pulse is barely palpable. His vital
signs are stable and he denies any other injuries. Your transport time to the closest appropriate
hospital is approximately 12 minutes. You should: - splint the elbow in the position found and
transport.
Which of the following fractures has the greatest potential for internal blood loss and shock? -
Pelvis
When splinting a possible fracture of the foot, it is MOST important for the EMT to: - leave
the toes exposed.
A "hip" fracture is actually a fracture of the: - proximal femur.
A 17-year-old female dislocated her patella while playing soccer. Her knee is flexed and she
complains of severe pain. You should: - keep her knee flexed and secure it with padded board
splints.
