WKU Med Surg Exam 3 Questions With Correct Answers

WKU Med Surg Exam 3 Questions With Correct
// // // // // // //




Answers
//




what //are //the //priority //concepts //for //the //musculoskeletal //system //- //CORRECT
ANSWERS(S)✔✔mobility //and //perfusion
//




what //are //the //interrelated //concepts //for //the //musculoskeletal //system //- //CORRECT
ANSWERS(S)✔✔- //pain: //especially //with //ischemia
//




- //tissue //integrity

- //sensory //perception

- //infection



what //is //a //fracture //- //CORRECT //ANSWERS(S)✔✔a //break //or //disruption //in //continuity //of //a
//bone //that //affects //mobility //and //comfort




how //are //fractures //classified //by //- //CORRECT //ANSWERS(S)✔✔1. //the //extent //of //the //break:
//complete //or //incomplete



2. //the //extent //of //soft //tissue //damage: //open/ //compound //or //closed/ //simple

3. //the //cause: //fragility/ //patho/ //spont, //stress/ //fatigue, //compression



what //is //a //complete //fracture //- //CORRECT //ANSWERS(S)✔✔bone //is //broken //into //2 //or //more
//separate //pieces




what //are //the //different //kinds //of //complete //fractures //- //CORRECT //ANSWERS(S)✔✔-
//nondisplaced/ //aligned



- //displaced/ //misaligned

,what //is //the //tx //option //for //a //nondisplaced/ //aligned //complete //fracture //- //CORRECT
ANSWERS(S)✔✔splint //or //cast
//




what //is //the //tx //option //for //a //displaced/ //misaligned //complete //fracture //- //CORRECT
ANSWERS(S)✔✔surgery //(needs //to //be //stabilized)
//




what //is //an //incomplete //fracture //- //CORRECT //ANSWERS(S)✔✔bone //is //partially //cracked //but
//not //completely //broken




what //is //an //open/ //compound //fracture //- //CORRECT //ANSWERS(S)✔✔when //a //broke //breaks
//and //the //bone //fragments //protrude //through //the //skin //or //the //skin //is //open //and //you //can


//see //the //bone




what //is //a //closed/ //simple //fracture //- //CORRECT //ANSWERS(S)✔✔broken //but //no //wound



what //is //a //fragility/ //pathological/ //spontaneous //fracture //- //CORRECT //ANSWERS(S)✔✔occurs
//when //bone //breaks //very //easily //due //to //weakened //structure //(ex: //osteoporosis,


//osteogenesis, //cancerous //conditions)




what //is //a //fatigue/ //stress //fracture //- //CORRECT //ANSWERS(S)✔✔repetitive //motion/ //stress
//that //tire //muscles //and //place //more //pressure //on //the //bones //causing //them //to //break




what //is //a //compression //fracture //- //CORRECT //ANSWERS(S)✔✔bone //is //crushed //or //flattened
//in //appearance //due //to //a //significant //force //or //pressure




how //long //is //the //typical //healing //process //of //fractures //depending //on //the //pt //- //CORRECT
ANSWERS(S)✔✔6-8 //wks
//

,what //are //the //stages //of //bone //healing //- //CORRECT //ANSWERS(S)✔✔1. //hematoma

2. //hematoma //to //granulation //tissue

3. //soft //callus //formation

4. //osteoblastic //proliferation

5. //bone //remodeling



what //occurs //in //the //first //stage //of //bone //healing //when //a //hematoma //forms //- //CORRECT
//ANSWERS(S)✔✔happens //immediately //after //a //fracture //to //serve //as //a //foundation //for
//healing //and //provider //of //nutrients //for //healing




what //occurs //in //the //second //stage //of //bone //healing //when //a //hematoma //turns //into
//granulation //tissue //- //CORRECT //ANSWERS(S)✔✔happens //after //a //few //days //post //injury //and
//is //rich //in //collagen //and //supplies //the //injured //site //with //new //blood //vessels




what //occurs //in //the //third //stage //of //bone //healing //when //a //soft //callus //forms //- //CORRECT
//ANSWERS(S)✔✔happens //a //couple //wks //post //injury //and //acts //as //a //soft //structure //that
//allows //mobility //and //a //foundation //for //healing //and //stabilization




what //occurs //in //the //fourth //stage //of //bone //healing //when //osteoblastic //proliferation //occurs
- CORRECT //ANSWERS(S)✔✔osteoblasts //begin //to //replace //soft //callouses //starting //around //a
// //


//couple //of //wks-mths //post //injury




what //occurs //in //the //fifth //stage //of //bone //healing //when //bone //remodeling //occurs //-
//CORRECT //ANSWERS(S)✔✔the //structure //of //the //bone //is //more //refined //and //strengthened
//through //mobility




what //are //some //acute //complications //of //fractures //- //CORRECT //ANSWERS(S)✔✔- //venous
//thromboembolism

, - //infection

- //acute //compartment //syndrome //(ACS)

- //fat //embolism //syndrome //(FES)



what //is //ACS //- //CORRECT //ANSWERS(S)✔✔occurs //when //too //much //pressure //is //exerted
//within //the //muscle //compartments //found //within //the //fascia //(often //due //to //swelling //or


//bleeding) //compromises //blood //flow //and //can //lead //to //muscle //and //nerve //damage //if //not


//taken //care //of //quickly




what //causes //the //s/s //of //ACS //- //CORRECT //ANSWERS(S)✔✔arise //from //reduce //blood //flow
//and //sensory //deficits




what //are //the //s/s //of //ACS //- //CORRECT //ANSWERS(S)✔✔- //extreme //pain //(especially //during
//passive //muscle //stretching) //that //is //disproportionate //to //injury //and //is //not //relieved //by


//normal //analgesics //that //intensifies //the //longer //the //injury //is //prolonged



- //paresthesia, //paralysis

- //pale //skin

- //diminished //pulses

- //feeling //of //the //affected //area //is //very //tense



what //are //the //most //common //causes //of //ACS //- //CORRECT //ANSWERS(S)✔✔crush //injuries



how //do //you //tx //ACS //- //CORRECT //ANSWERS(S)✔✔fasciotomy: //using //general //anesthesia,
//cuts //only //through //the //fascia //are //made //over //affected //area //to //reduce //pressure //and //are


//left //as //open //wounds //to //help //decrease //pressure




what //is //a //FES //- //CORRECT //ANSWERS(S)✔✔fat //globule //from //yellow //bone //marrow //that
//travels //and //lodges //within //a //blood //vessel