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HSC 4500 FINAL REVIEW EXAM QUESTIONS AND ANSWERS

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August 13, 2025
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Paramedic Care: Principles & Practice, Volume 4
Chapter 9 Exam With Complete Solutions


A dislocated knee is most likely to damage which of the following vascular structures? -
answer Popliteal artery

The pain associated with skeletal fractures is transmitted by nerves in the: - answer
periosteum

One of the earliest indications that compartment syndrome is developing in an injured
extremity is: - answer burning pain

Not considering other injuries, which of the following musculoskeletal findings warrants
immediate transport of your patient? - answer Unstable pelvis

Your patient is a 27-year-old male ice skater whose left skate was planted when he was
struck and knocked down by another skater. He is agitated and complaining of severe
pain in his leg. Your examination reveals an open fracture 6 inches proximal to the ankle
joint. Which of the following describes the most appropriate management of this
patient? - answer Focused exam, cover the open wound, splint from the foot to above
the knee, begin transport, start an IV, and request orders for analgesia

Which of the following is the highest priority when managing a patient with bilateral
closed femur fractures? - answer Anticipating hypovolemia

Which of the following types of fractures occurs in pediatric age groups but not in
adults? - answer Greenstick

Your patient is a seven-year-old boy with a fracture of the proximal tibia. Which of the
following is the MOST likely and serious complication of this injury? - answer Disruption
of the epiphyseal plate

Your patient complains of elbow pain and states his doctor told him he had "the bursitis"
in his elbow. The patient's condition is characterized by inflammation of the: - answer
synovial sacs

Upon assessing a patient with a hip injury, you find that his right lower extremity is
moved away from the midline of the body. You should describe the right lower extremity
as being: - answer abducted

Your patient is a 50-year-old motorcyclist who received a lateral impact from an
automobile as he went through an intersection. He has an open right tibia/fibula
fracture. He also has a fracture of his left forearm and some abrasions. He was wearing
a helmet and suffered no loss of consciousness. He currently has a strong radial pulse
of 100, his skin is warm and moist, and he has adequate respirations at 20 per minute.

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