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ATLS Module 8 - Musculoskeletal Trauma Questions and Answers 2025

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ATLS Module 8 - Musculoskeletal Trauma Questions and Answers 2025

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Institution: ATLS
Course: ATLS

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Uploaded on: May 11, 2025
Number of pages: 5
Written in: 2024/2025
Type: Exam (elaborations)
Contains: Questions & answers

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atls module 8 musculoskeletal trauma questions a

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ATLS Module 8 - Musculoskeletal
Trauma Questions and Answers 2025
Whataareapotentiallyalifeathreateningaextremityainjuries?A-ACORRECTAANSWERSA-
majoraarterialahemorrhage,abilateralafemoralafractures,acrushasyndrome
Whatalongaboneafracturesacanabeasignificant?A-ACORRECTAANSWERSA-
hemorrhageafromaallalongaboneafracturesacanabeasignificant,aandafemoralafracturesaoftena
resultainasignificantabloodalossaintoatheathigh

Redatext
Aaproperlyaappliedatourniquetamustaincludeaarterialainflow...awhatahappensaifayouaonlyaocclu
deavenousasystem?A-ACORRECTAANSWERSA-
increaseahemorrhageaandaresultainaaaswollenacyanoticaextremity
Thearisksaofatourniquetauseaincreaseaoveratime...aifaitamustaremainainaplaceaforaaaprolongeda
periodatoasaveaaalife,awhatachoiceaisamade?A-ACORRECTAANSWERSA-
choiceaofalifeaoveralimbaisamade
Whatadoayouadoaifaaafractureaisaassociatedawithaanaopenahemorrhagingawound?A-
ACORRECTAANSWERSA-

realignaandasplintaitawhileaaasecondapersonaappliesadirectapressureatoatheaopenawound
Inapatientsawithaamputatedaextremities...awhoaisanotaaacandidateaforareplantation?A-
ACORRECTAANSWERSA-

ptawithamultipleainjuriesawhoarequireaintensivearesuscitationaandaoraemergencyasurgeryafora
extremityaoraotherainjuries

Redatext
Inapatientsawhoamayabeaaapotentialaforareplantationaofaamputatedaextremity,ahowadoayouaini
tiallyamanageatheawound?A-ACORRECTAANSWERSA-
thoroughlyawashatheaamputatedapartawithaisotonicasolutiona(ringersalactate)aandawrapaitaina
moist,asterileagauze...athenawrapaitainamoistenedasterilatowel,aplaceainaplasticabagaandatrans
portawithaptainaanainsulatedacoolingachestawithacrushedaice
*beacarefulanotatoafreezeaitathough
Peopleawithabilateralafemurafracturesavsaunilateralafemurafracturesa-
ACORRECTAANSWERSA-

theyaareaatasignificantlyagreaterariskaforasignificantabloodaloss,asevereaassociatedainjuries,ap
ulmonaryacomplications,amultipleaorganafailure,aandadeath
Whatacanacrushasyndromealeadato?A-ACORRECTAANSWERSA-
akaatraumaticarhabdomyolysis
*ifaleftauntreated,acanaleadatoaacutearenalafailureaandashock
*muscularainsultaisaaacomboaofadirectamuscleainjury,amuscleaischemia,aandacelladeathawithar
eleaseaofamyoglobin
Whataisaindicativeaofarhabdomyolysisawhenamyoglobinalevelsaarentaavailable?A-
ACORRECTAANSWERSA-

darkaamberacoloredaurinea+aserumacreatineakinaseaofa10,000AU/L

, Whatacanarhabdomyolysisaleadato?A-ACORRECTAANSWERSA-metabolicaacidosis
Hyperkalemia
Hypocalcemia
DIC
Whataisatheamanagementaofarhabdomyolysis?A-ACORRECTAANSWERSA-
earlya&aaggressiveaivafluidsaduringaresuscitationaisacriticalatoaprotectingakidneysaandapreve
ntarenalafailure
Whataisatheagoalaofainitialafractureaimmobilization?A-ACORRECTAANSWERSA-
realignainjuredaextremityainaasacloseatoaanatomicapositionaasapossibleaandapreventaexcessi
veamotionaatafractureasite
Whataareathea3agoalsawhenaassessingatheaextremities?A-ACORRECTAANSWERSA-
1.aidalifeathreateningainjuriesa(primaryasurvey)
2.aidalimbathreateningainjuriesa(secondaryasurvey)
3.aconductasystematicareviewatoaavoidamissingaotheramskainjuries
Whatadoayouaalwaysaconsideraanyaopenawoundawithaanaassociatedafxaonaaalimbauntilaprove
naotherwise?A-ACORRECTAANSWERSA-openafracture
Whataisaabnormalamotionathroughaaajointasegmentaindicativeaof?A-
ACORRECTAANSWERSA-tendonaoraligamentousarupture

Foratheacirculatoryaevaluation,apalpateatheadistalapulsesainaeachaextremityaandaassessacapi
llaryarefillaofatheadigits...awhatadoayouadoaifahypotensionalimitsadigitalaexamaofapulse?A-
ACORRECTAANSWERSA-useadoppleraprobeatoadetectabloodaflow

Whatajointamayadislocatedaandareduceaspontaneouslyaandanotapresentawithaanyagrossaexte
rnalaoraradiographicaanomaliesauntilaphysicalaexamaofatheajointashowsainstability?A-
ACORRECTAANSWERSA-kneeadislocations

*ankleabrachialaindexaofa<0.9aindicatesaabnormalaarterialaflowasecondaryatoainjuryaoraperiph
eralavascularadz

*redatext
Whataisatheaonlyareasonatoaforgoax-rayabeforeatreatingadislocationaorafracture?A-
ACORRECTAANSWERSA-

presenceaofavascularacompromiseaoraimpendingaskinabreakdown
*commonlyaseenawithafractureadislocationsaofatheaankle
Whatadoayouadoaifadelayainaobtainingax-raysaisaunavoidableawithaaafracture/dislocation?A-
ACORRECTAANSWERSA-

immediatelyareduceaorarealignatheaextremityatoareestablishaarterialabloodaflowaandareduceap
ressureaonaskin
Whatactafindingaisahighlyaspecificaandasensitiveaforaidentifyingaanaopenajointainjury?A-
ACORRECTAANSWERSA-presenceaofaintraarticularagasaonatheaaffectedaextremity

Howadoayouatreataallapatientsawithaopenafractures?A-ACORRECTAANSWERSA-
startaivaantibioticsausingaweightabasedadosingaasap
*firstagenerationacephalosporins
*delayaofatxa>3ahoursaisarelatedatoaincreasedariskaofainfectino
Whenadoesamuscleanecrosisabegin?A-ACORRECTAANSWERSA-
whenathereaisaaalackaofaarterialabloodaflowaforamoreathana6ahours

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ATLS Module 8 - Musculoskeletal Trauma Questions and Answers 2025

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