Extremity Trauma
1. The most highly recommended form of analgesia in treatment of fractures
is:
a. Non-steroidal anti-inflammatory (NSAID’s) via oral route
b. Intravenous administration of high dose opiates
c. Stabilization of the fracture site
d. Rapid sequence induction and intubation
2. Which of the following statements regarding treatment of open fractures is
most accurate?
a. All patients should receive tetanus prophylaxis
b. All patients should receive intravenous antibiotics
c. All patients should undergo operative debridement and irrigation
d. Each of the above statements is true
3. Adequate debridement in cases of open fractures includes each of the
following elements, except:
a. Removal of all foreign bodies
b. Deliver and curette proximal and distal bone ends
c. Aggressive debridement of non-viable muscle
d. Placement of an external fixation device
4. Compartment syndrome can be associated with low energy injuries.
a. True
b. False
5. The earliest and most reliable symptom of compartment syndrome is:
a. Pain on passive stretch
b. Pulselessness
c. Paresthesias
d. Paralysis
6. Treatment for compartment syndrome is:
a. Elevation of the limb
b. Administration of heparin
c. Immediate surgical release of all compartments involved
d. Adequate analgesia and intravenous sedation
7. Presence of a distal pulse reliably excludes significant vascular injury.
a. True
b. False
8. A patient who presents in shock with an expanding, pulsatile hematoma
should be sent for immediate:
a. Doppler ultrasound
b. CT scan of the affected part
c. Angiography
d. Surgical exploration
9. Arterio-venous fistulas
a. Are a late complication of missed vascular injuries
b. Can result in high output cardiac failure
c. Both a. and b. are true
d. Neither a. nor b. is true
10. Which of the following statements regarding flexor tendon injuries of the
hand is true:
a. Such injuries can be reliably diagnosed by physical exam alone
b. Such injuries require immediate surgical repair
c. Following repair, the tendon must be kept immobilized for 6 weeks
d. Prognosis for full recovery of function improves the more distal the
injury.
