ATCN 2020 Chapter 8 Musculoskeletal
Trauma Page 150
____________________________ produces dark amber urine that tests positive for
hemoglobin - ANS-Myoglobin
\____________________________________________ can lead to metabolic acidosis,
hyperkalemia, hypocalcemia, and disseminated intravascular coagulation. -
ANS-Rhabdomyolysis
\________________________________________________ (antibiotics) are necessary for all
patients with open fracture. - ANS-First Generation cephalosporins
\_________________________________________________ is a clinical diagnosis. Pressure
measurements are only an adjunct to aid in its diagnosis. - ANS-Compartment syndrome
\______________________________________________________ of fractures can
significantly decrease bleeding by reducing motion and enhancing tamponade effect of the
muscle and fascia. - ANS-Splinting of fractures
\________________________________________________________________ if left
untreated can lead to renal failure and shock. - ANS-Crush syndrome, or traumatic
rhabdomyolysis
\___________________________________________________________________ can be
prevented with intravascular fluid expansion, alkalinization of the urine by intravenous
administration of bicarbonate, and osmotic diuresis. - ANS-Myoglobin induced renal failure
\_________________________________________, an uncommon but highly lethal
complication of long-bone fractures, can lead to pulmonary failure and impaired cerebral
function. - ANS-Fat embolism
\_________________________________________begins when there is a lack of arterial blood
flow for more than 6 hours. - ANS-Muscle necrosis begins
\A patient with multiple injuries who requires intensive resuscitation and/or emergency surgery
for extremity or other injuries is not a candidate for: - ANS-Replantation
\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. - ANS-a tourniquet
\Amber colored urine in the presence of serum creatinine kinase of 10,000 U/L or more is
indicative of: - ANS-Rhabdomyolysis
\An _________________________________ of less than 0.9 indicates abnormal arterial flow
secondary to injury or peripheral vascular disease. - ANS-An Ankle / brachial index
\Hemorrhage control is best achieved with: - ANS-Direct pressure
\If an open fracture is present, pull the exposed bone back into the wound , because open
fractures require surgical debridement. - ANS-Page 152
\In suspected _________________________________________, tissue pressure of greater
than 30 mm hg suggests decreased capillary blood flow, which can result in muscle and nerve
damage from anoxia. - ANS-Compartment syndrome
Trauma Page 150
____________________________ produces dark amber urine that tests positive for
hemoglobin - ANS-Myoglobin
\____________________________________________ can lead to metabolic acidosis,
hyperkalemia, hypocalcemia, and disseminated intravascular coagulation. -
ANS-Rhabdomyolysis
\________________________________________________ (antibiotics) are necessary for all
patients with open fracture. - ANS-First Generation cephalosporins
\_________________________________________________ is a clinical diagnosis. Pressure
measurements are only an adjunct to aid in its diagnosis. - ANS-Compartment syndrome
\______________________________________________________ of fractures can
significantly decrease bleeding by reducing motion and enhancing tamponade effect of the
muscle and fascia. - ANS-Splinting of fractures
\________________________________________________________________ if left
untreated can lead to renal failure and shock. - ANS-Crush syndrome, or traumatic
rhabdomyolysis
\___________________________________________________________________ can be
prevented with intravascular fluid expansion, alkalinization of the urine by intravenous
administration of bicarbonate, and osmotic diuresis. - ANS-Myoglobin induced renal failure
\_________________________________________, an uncommon but highly lethal
complication of long-bone fractures, can lead to pulmonary failure and impaired cerebral
function. - ANS-Fat embolism
\_________________________________________begins when there is a lack of arterial blood
flow for more than 6 hours. - ANS-Muscle necrosis begins
\A patient with multiple injuries who requires intensive resuscitation and/or emergency surgery
for extremity or other injuries is not a candidate for: - ANS-Replantation
\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. - ANS-a tourniquet
\Amber colored urine in the presence of serum creatinine kinase of 10,000 U/L or more is
indicative of: - ANS-Rhabdomyolysis
\An _________________________________ of less than 0.9 indicates abnormal arterial flow
secondary to injury or peripheral vascular disease. - ANS-An Ankle / brachial index
\Hemorrhage control is best achieved with: - ANS-Direct pressure
\If an open fracture is present, pull the exposed bone back into the wound , because open
fractures require surgical debridement. - ANS-Page 152
\In suspected _________________________________________, tissue pressure of greater
than 30 mm hg suggests decreased capillary blood flow, which can result in muscle and nerve
damage from anoxia. - ANS-Compartment syndrome
