Domain 3 pt 2

100 termsStudBud Administration10 plays

Imported from external platform

Flashcards100 cardsFPractice quizPHost liveL

Questions 100

Answers

1
Which of these are clinical indicators warrants the activation spine-injury management protocol?
All of the above
Significant c-spine px with or without palpation
Bilateral neurologic findings or complaints,obvious spinal column deformity
Unconsciousness or altered level of consciousness
2
Reduction attempts should be deferred until radiograph confirm exact diagnosis with dislocation ITP joints of the finger
False
True
3
Comprehensive musculoskeletal & neurovascular assessment must be completed prior to the decision to reduce the joint
False
True
4
Early changes in the injured spinal cord take place within the first 2 hours after trauma
False
True
5
An ambulance does not need to be on site at high-risk events
True
False
6
Why should the AT or team physician accompany the injured athlete to the hospital?
Allows for accurate delivery of clinical info to ED staff
All of the above
Allows sports med professionals to assist ED staff during equipment removal
Provides continuity of care
7
Documentation of the emergency plan should include which of the following?
All of the above
Documentation of regular rehearsal of the emergency plan
Outline of person &/or group responsible for documenting emergency events
Follow-up documentation on eval of response to emergency situation
8
Rehearsal of the emergency plan with all trained individuals listed on the plan is imperative
False
True
9
The face mask should be removed with the tool & technique that perform the task quickly & minimal movement & difficulty
False
True
10
Sensory, motor, & vascular status should be repeated after each reduction attempt as well as documentation of the result
False
True
11
If reduction of an anterior dislocation is not possible, the shoulder should be immobilized & referred for treatment
False
True
12
An acute dislocation or subluxation refers to the first occurence of the injury
False
True
13
Every emergency situation & every patient is the same & individual circumstances do not dictate appropriate actions
False
True
14
How many rescuers does the log-roll technique require?
1-2
2-3
3-4
4-5
15
Any reduction attempt may decrease the pt's px & discomfort since onsite reductions are typically performed w/o sedation
False
True
16
Refers to the realignment of the joint to its anatomical position or congruency
Subluxation
Addition
Reduction
Dislocation
17
Majority of all c-spine injuries have occurred in individuals between what age group?
10-15
16-30
15-20
20-30
18
Face-mask removal should be initiated once the decision to immobilize & transport has been made
False
True
19
A history should be obtained from the pt to identify previous joint injuries, details of current injury & any medication
False
True
20
Avascular necrosis can develop if the reduction of a disclocated hip is delayed
False
True
21
Which sport in the US is associate with the greatest number of catastrophic spinal injuries for all US sports
Soccer
American football
Basketball
Gymnastics
22
The plan for each venue should encompass accessibility to what?
Equipment, transportation
Communication system
All of the above
Emergency personnel
23
Onsite reduction of humeroulnar & proximal radioulnar joint dislocations should not be attempted
True
False
24
At away or neutral sites, the coach & AT should identify which of the following before the event?
Name & location of nearest emergency care facility & ambulance availability
All of the above
Availability of communication with emergency medical services
Verify service and reception
25
A listing of appropriate emergency numbers should be readily available with street address & specific directions
False
True
26
A plan also must ensure that the activity areas are supervised if the emergency care provider leaves the site
True
False
27
Sport participation is the second most cause of spinal injuries in those younger than 30 years of age
True
False
28
Equipment should be in good operating condition, & personnel must be trained in advance to properly use it
False
True
29
If an airway is compromised, airway management is not the treatment priority
True
False
30
The host medical providers should orient the visiting medical personnel regarding what part of the emergency plan?
Emergency personnel
Procedures
Equipment available
All of the above
31
EMS response time should be factored in when determining on-site ambulance coverage
True
False
32
The incidence of nonfatal, direct catastrophic injuries in which of these sports are higher than American football?
All of the above
Gymnastics
Lacrosse
Men's ice hockey
33
An At can perform an onsite reduction of a first-time or recurrent anterior shoulder dislocation
True
False
34
Delayed reduction reduces px & discomfort experienced by patients requiring transport & treatment at medical facilities
True
False
35
This should be obtained prior to any attempted reduction of a dislocated joint
None of the above
Parental consent & patient assent, in the case of minors
Patient consent
All of the above
36
ATs should render any service or treatment for which they are not properly trained, educated, & authorized
False
True
37
If the rescuer is alone it may be appropriate to use the knees to maintain spine stabilization to free the hands for?
Conduct further tests
To assist with ventilation
All of the above
38
Physician should limit delegation to AT with verifiable education, training, experience & competency in such procedures
False
True
39
All joints that are reduced onsite do not require immobilization
False
True
40
Any revisions or modifications should be reviewed & approved by the personnel involved at all levels
True
False
41
If the face-mask cant be removed in a reasonable time, the helmet should not be removed from the athlete safely
False
True
42
This term refers to the complete displacement of a bone from its normal joint position
Fracture
Sublaxtion
All of the above
Dislocation
43
How many rescuers does the straddle lift-and-slide technique require?
2
3
4
1
44
The jaw-thrust maneuver is recommended over the head-tilt technique as it can create unnecessary c-spine motion
True
False
45
Physician should educate AT on details of selected reduction techniques & when they can attempt onsite reduction
True
False
46
The location for the ambulance should have rapid access to the site & a cleared route for entering and exiting the venue
False
True
47
AT should collaborate & consult w/ their supervising physician to agree on specific criteria for which joints to reduce
False
True
48
Removal of the athlete's face guard is necessary if it impedes access to the airway
True
False
49
Manual cervical immobilization should be implemented as soon as possible once a c-spine injury is suspected
True
False
50
The designated emergency facility & emergency medical services should be notified in advance of athletic events
False
True
51
The incidence of spinal cord injury in the US is estimated to include 11,000 new cases each year
False
True
52
Which of these are contraindications for moving the cervical spine to neutral?
All of the above
Compromises the airway, it is physically difficult to perform the movement
Pt apprehension, resistance is met during the attempt to realign c-spine
Movement causes or increases px, neurologic symptoms, or muscle spasm
53
Guidelines do not emphasize use of emergency oxygen & advanced airways in emergency care
True
False
54
Aside from patellar dislocations, joint dislocations in children should only be reduced after radiographs are obtained
True
False
55
Onsite reduction of joint dislocations resulting fro generalized tonic-clonic seizures is recommended
False
True
56
Many hip dislocations have associated fractures, referral for radiographic evaluation is always recommended
True
False
57
The team physician is ideally with the AT while reducing a hip dislocation, although it is not absolutely necessary
False
True
58
For the supine athlete a lift-&-slide technique to transfer the athlete to an immobilization device produces less motion
False
True
59
A log roll method has historically been used to transfer the patient to a long spine board for full body immobilization
True
False
60
The rescuer can elect to transfer the athlete with appropriately fitting equipment in place w/ airway access established
True
False
61
Which of the following are head-mobilization options that are available for securing the athlete to a spine board?
Foam blocks
Contoured helmet blocks
All of the above
Commercial devices
62
The rescuer may apply traction forces to the head of the spine-injured athlete during stabilization
True
False
63
Incidence of vascular & neural damage is high with tibiofemoral joint dislocation
True
False
64
The most common injury mechanism is axial loading which creates a buckling effect in the cervical spine
False
True
65
The partial or transient displacement of a bone from its normal position in a joint
Fracture
All of the above
Subluxation
Dislocation
66
A rigid cervical immobilization collar should be placed on the athlete before transfer to a spine board
True
False
67
All personnel associated with athletics should have training in what?
First aid, prevention of disease transmission
All of the above
AED
Cardiopulmonary resuscitation
68
Multiple attempts at patellofemoral joint reduction is recommended
True
False
69
ATs should use caution when attempting metatarsophalangeal joint dislocations due to fx's or interposed soft tissue
False
True
70
The patient should be treated for px & spasm & referred for further treatment including radiographs
True
False
71
Ensuring ATCs, coaches, officials & athletes understand injury mechanisms can reduce catastrophic injury risk
True
False
72
Joints that repeatedly dislocate or sublxate are considered
All of the above
Chronically unstable
Chronic dislocation
Chronic subluxation
73
If the patient presents with any signs or symptoms consistent w/ a fx of 1 or more bones of the involved articulation
Reduction should be undertaken
Reduction should not be undertaken
74
Most common criteria leading to immobilization in the prehospital setting includes which of the following?
Unconsciousness, evidence of intoxication
Long-bone extremity fx, cervical, thoracic, or lumbar spine px
Altered mental status, neurologic deficit
All of the above
75
Onsite reduction of acute dislocations in ahtletes with diabetes mellitus is recommended
True
False
76
If the pt is young enough that the epiphyseal plates may still be open onsite reduction should not be attempted
True
False
77
Supervising physician specifically which joint dislocation & reduction techniques the AT can attempt & use
None of the above
No orders are required
Written standing order
Verbal order
78
All necessary supplemental equipment should be at the site and quickly accessible
True
False
79
Improvements in technology & emergency training require personnel to become familiar with the use of which equipment?
Oxygen
Automatic external defibrillator
All of the above
Advanced airways
80
MCP injuries involve complex entrapment of the phalanx in soft tissue which can make case closed reduction not possible
True
False
81
The head should be manually stabilized y grasping the mastoid processes bilaterally with the fingertips while cupping?
The mandible in the hands
The occiput in the hands
All of the above
The nose in the hands
82
The American Heart Association guidelines call for the availability & use of AEDs & defibrillation is a component of BLS
True
False
83
Each emergency plan does not need to be venue specific, based on the site of practice or game & the activity involved
False
True
84
Onsite reduction of dislocations in senior athletes should not be attempted for the simplest of dislocations
False
True
85
Avoid neurovascular complications & reduce joint as atraumatically as possible are priorities of dislocation treatment
True
False
86
American football helmets must be designed & constructed to meet specific certification standards imposed by NOCSAE
False
True
87
The sciatic nerve can be injured with a posterior hip dislocation due to its proximity to the femoral head
True
False
88
Removal of the helmet & shoulder pads in American football & hockey should be considered an all-or-nothing endeavor
False
True
89
This mechanism of injury in the c-spine is responsible for most quadriplegic cervical injuries in football & hockey
Sliding
Diving
All of the above
Axial loading
90
In any sport, if helmet & shoulder pads must be removed to create neutral alignment, a cervical collar is applied
True
False
91
Which of the following are principles that guide management of equipment-laden athlete with potential c-spine injury
Neutral c-spine alignment should be maintained
All of the above
Exposure & access to vital life functions must be established
92
The access to a working telephone or other telecommunications device is an unimportant part of the emergency plan
False
True
93
The National Operating Committee on Standards in Athletic Equipment is the authority in equipment standards
True
False
94
The deformity for which the joint reduction is attempted may reflect a concomitant fx, not an isolated joint dislocation
False
True
95
This position facilitates airway management procedures and application of immobilization devices
Neutral position
Extension position
All of the above
Flexion position
96
Regular maintenance & inspection of helmets during a season can reduce the likelihood of unsuccessful face mask removal
True
False
97
A spine board kit should contain what necessary packaging supplies
Wrist straps to secure athlete's hands together, various sizes of padding
All of the above
Head-immobilization device, cervical collar, tape, various sizes of towels
Face-mask-removal tool, straps to secure athlete to the board
98
MCP joint dislocations may often have associated fx's or interposed soft tissue which can prevent complete reduction
False
True
99
ATCs should be familiar with equipment standards for the sport(s) with which they can recognize & correct safety issues
False
True
100
What are potential benefits of early reduction?
Restoration of vascular flow to the limb
All of the above
Less articular cartilage injury
Decreased skin compromise

Domain 3 pt 2 Flashcards | StudBud

Domain 3 pt 2

100 termsStudBud Administration10 plays

Imported from external platform

Flashcards100 cardsFPractice quizPHost liveL

Questions 100

Answers

1
Which of these are clinical indicators warrants the activation spine-injury management protocol?
All of the above
Significant c-spine px with or without palpation
Bilateral neurologic findings or complaints,obvious spinal column deformity
Unconsciousness or altered level of consciousness
2
Reduction attempts should be deferred until radiograph confirm exact diagnosis with dislocation ITP joints of the finger
False
True
3
Comprehensive musculoskeletal & neurovascular assessment must be completed prior to the decision to reduce the joint
False
True
4
Early changes in the injured spinal cord take place within the first 2 hours after trauma
False
True
5
An ambulance does not need to be on site at high-risk events
True
False
6
Why should the AT or team physician accompany the injured athlete to the hospital?
Allows for accurate delivery of clinical info to ED staff
All of the above
Allows sports med professionals to assist ED staff during equipment removal
Provides continuity of care
7
Documentation of the emergency plan should include which of the following?
All of the above
Documentation of regular rehearsal of the emergency plan
Outline of person &/or group responsible for documenting emergency events
Follow-up documentation on eval of response to emergency situation
8
Rehearsal of the emergency plan with all trained individuals listed on the plan is imperative
False
True
9
The face mask should be removed with the tool & technique that perform the task quickly & minimal movement & difficulty
False
True
10
Sensory, motor, & vascular status should be repeated after each reduction attempt as well as documentation of the result
False
True
11
If reduction of an anterior dislocation is not possible, the shoulder should be immobilized & referred for treatment
False
True
12
An acute dislocation or subluxation refers to the first occurence of the injury
False
True
13
Every emergency situation & every patient is the same & individual circumstances do not dictate appropriate actions
False
True
14
How many rescuers does the log-roll technique require?
1-2
2-3
3-4
4-5
15
Any reduction attempt may decrease the pt's px & discomfort since onsite reductions are typically performed w/o sedation
False
True
16
Refers to the realignment of the joint to its anatomical position or congruency
Subluxation
Addition
Reduction
Dislocation
17
Majority of all c-spine injuries have occurred in individuals between what age group?
10-15
16-30
15-20
20-30
18
Face-mask removal should be initiated once the decision to immobilize & transport has been made
False
True
19
A history should be obtained from the pt to identify previous joint injuries, details of current injury & any medication
False
True
20
Avascular necrosis can develop if the reduction of a disclocated hip is delayed
False
True
21
Which sport in the US is associate with the greatest number of catastrophic spinal injuries for all US sports
Soccer
American football
Basketball
Gymnastics
22
The plan for each venue should encompass accessibility to what?
Equipment, transportation
Communication system
All of the above
Emergency personnel
23
Onsite reduction of humeroulnar & proximal radioulnar joint dislocations should not be attempted
True
False
24
At away or neutral sites, the coach & AT should identify which of the following before the event?
Name & location of nearest emergency care facility & ambulance availability
All of the above
Availability of communication with emergency medical services
Verify service and reception
25
A listing of appropriate emergency numbers should be readily available with street address & specific directions
False
True
26
A plan also must ensure that the activity areas are supervised if the emergency care provider leaves the site
True
False
27
Sport participation is the second most cause of spinal injuries in those younger than 30 years of age
True
False
28
Equipment should be in good operating condition, & personnel must be trained in advance to properly use it
False
True
29
If an airway is compromised, airway management is not the treatment priority
True
False
30
The host medical providers should orient the visiting medical personnel regarding what part of the emergency plan?
Emergency personnel
Procedures
Equipment available
All of the above
31
EMS response time should be factored in when determining on-site ambulance coverage
True
False
32
The incidence of nonfatal, direct catastrophic injuries in which of these sports are higher than American football?
All of the above
Gymnastics
Lacrosse
Men's ice hockey
33
An At can perform an onsite reduction of a first-time or recurrent anterior shoulder dislocation
True
False
34
Delayed reduction reduces px & discomfort experienced by patients requiring transport & treatment at medical facilities
True
False
35
This should be obtained prior to any attempted reduction of a dislocated joint
None of the above
Parental consent & patient assent, in the case of minors
Patient consent
All of the above
36
ATs should render any service or treatment for which they are not properly trained, educated, & authorized
False
True
37
If the rescuer is alone it may be appropriate to use the knees to maintain spine stabilization to free the hands for?
Conduct further tests
To assist with ventilation
All of the above
38
Physician should limit delegation to AT with verifiable education, training, experience & competency in such procedures
False
True
39
All joints that are reduced onsite do not require immobilization
False
True
40
Any revisions or modifications should be reviewed & approved by the personnel involved at all levels
True
False
41
If the face-mask cant be removed in a reasonable time, the helmet should not be removed from the athlete safely
False
True
42
This term refers to the complete displacement of a bone from its normal joint position
Fracture
Sublaxtion
All of the above
Dislocation
43
How many rescuers does the straddle lift-and-slide technique require?
2
3
4
1
44
The jaw-thrust maneuver is recommended over the head-tilt technique as it can create unnecessary c-spine motion
True
False
45
Physician should educate AT on details of selected reduction techniques & when they can attempt onsite reduction
True
False
46
The location for the ambulance should have rapid access to the site & a cleared route for entering and exiting the venue
False
True
47
AT should collaborate & consult w/ their supervising physician to agree on specific criteria for which joints to reduce
False
True
48
Removal of the athlete's face guard is necessary if it impedes access to the airway
True
False
49
Manual cervical immobilization should be implemented as soon as possible once a c-spine injury is suspected
True
False
50
The designated emergency facility & emergency medical services should be notified in advance of athletic events
False
True
51
The incidence of spinal cord injury in the US is estimated to include 11,000 new cases each year
False
True
52
Which of these are contraindications for moving the cervical spine to neutral?
All of the above
Compromises the airway, it is physically difficult to perform the movement
Pt apprehension, resistance is met during the attempt to realign c-spine
Movement causes or increases px, neurologic symptoms, or muscle spasm
53
Guidelines do not emphasize use of emergency oxygen & advanced airways in emergency care
True
False
54
Aside from patellar dislocations, joint dislocations in children should only be reduced after radiographs are obtained
True
False
55
Onsite reduction of joint dislocations resulting fro generalized tonic-clonic seizures is recommended
False
True
56
Many hip dislocations have associated fractures, referral for radiographic evaluation is always recommended
True
False
57
The team physician is ideally with the AT while reducing a hip dislocation, although it is not absolutely necessary
False
True
58
For the supine athlete a lift-&-slide technique to transfer the athlete to an immobilization device produces less motion
False
True
59
A log roll method has historically been used to transfer the patient to a long spine board for full body immobilization
True
False
60
The rescuer can elect to transfer the athlete with appropriately fitting equipment in place w/ airway access established
True
False
61
Which of the following are head-mobilization options that are available for securing the athlete to a spine board?
Foam blocks
Contoured helmet blocks
All of the above
Commercial devices
62
The rescuer may apply traction forces to the head of the spine-injured athlete during stabilization
True
False
63
Incidence of vascular & neural damage is high with tibiofemoral joint dislocation
True
False
64
The most common injury mechanism is axial loading which creates a buckling effect in the cervical spine
False
True
65
The partial or transient displacement of a bone from its normal position in a joint
Fracture
All of the above
Subluxation
Dislocation
66
A rigid cervical immobilization collar should be placed on the athlete before transfer to a spine board
True
False
67
All personnel associated with athletics should have training in what?
First aid, prevention of disease transmission
All of the above
AED
Cardiopulmonary resuscitation
68
Multiple attempts at patellofemoral joint reduction is recommended
True
False
69
ATs should use caution when attempting metatarsophalangeal joint dislocations due to fx's or interposed soft tissue
False
True
70
The patient should be treated for px & spasm & referred for further treatment including radiographs
True
False
71
Ensuring ATCs, coaches, officials & athletes understand injury mechanisms can reduce catastrophic injury risk
True
False
72
Joints that repeatedly dislocate or sublxate are considered
All of the above
Chronically unstable
Chronic dislocation
Chronic subluxation
73
If the patient presents with any signs or symptoms consistent w/ a fx of 1 or more bones of the involved articulation
Reduction should be undertaken
Reduction should not be undertaken
74
Most common criteria leading to immobilization in the prehospital setting includes which of the following?
Unconsciousness, evidence of intoxication
Long-bone extremity fx, cervical, thoracic, or lumbar spine px
Altered mental status, neurologic deficit
All of the above
75
Onsite reduction of acute dislocations in ahtletes with diabetes mellitus is recommended
True
False
76
If the pt is young enough that the epiphyseal plates may still be open onsite reduction should not be attempted
True
False
77
Supervising physician specifically which joint dislocation & reduction techniques the AT can attempt & use
None of the above
No orders are required
Written standing order
Verbal order
78
All necessary supplemental equipment should be at the site and quickly accessible
True
False
79
Improvements in technology & emergency training require personnel to become familiar with the use of which equipment?
Oxygen
Automatic external defibrillator
All of the above
Advanced airways
80
MCP injuries involve complex entrapment of the phalanx in soft tissue which can make case closed reduction not possible
True
False
81
The head should be manually stabilized y grasping the mastoid processes bilaterally with the fingertips while cupping?
The mandible in the hands
The occiput in the hands
All of the above
The nose in the hands
82
The American Heart Association guidelines call for the availability & use of AEDs & defibrillation is a component of BLS
True
False
83
Each emergency plan does not need to be venue specific, based on the site of practice or game & the activity involved
False
True
84
Onsite reduction of dislocations in senior athletes should not be attempted for the simplest of dislocations
False
True
85
Avoid neurovascular complications & reduce joint as atraumatically as possible are priorities of dislocation treatment
True
False
86
American football helmets must be designed & constructed to meet specific certification standards imposed by NOCSAE
False
True
87
The sciatic nerve can be injured with a posterior hip dislocation due to its proximity to the femoral head
True
False
88
Removal of the helmet & shoulder pads in American football & hockey should be considered an all-or-nothing endeavor
False
True
89
This mechanism of injury in the c-spine is responsible for most quadriplegic cervical injuries in football & hockey
Sliding
Diving
All of the above
Axial loading
90
In any sport, if helmet & shoulder pads must be removed to create neutral alignment, a cervical collar is applied
True
False
91
Which of the following are principles that guide management of equipment-laden athlete with potential c-spine injury
Neutral c-spine alignment should be maintained
All of the above
Exposure & access to vital life functions must be established
92
The access to a working telephone or other telecommunications device is an unimportant part of the emergency plan
False
True
93
The National Operating Committee on Standards in Athletic Equipment is the authority in equipment standards
True
False
94
The deformity for which the joint reduction is attempted may reflect a concomitant fx, not an isolated joint dislocation
False
True
95
This position facilitates airway management procedures and application of immobilization devices
Neutral position
Extension position
All of the above
Flexion position
96
Regular maintenance & inspection of helmets during a season can reduce the likelihood of unsuccessful face mask removal
True
False
97
A spine board kit should contain what necessary packaging supplies
Wrist straps to secure athlete's hands together, various sizes of padding
All of the above
Head-immobilization device, cervical collar, tape, various sizes of towels
Face-mask-removal tool, straps to secure athlete to the board
98
MCP joint dislocations may often have associated fx's or interposed soft tissue which can prevent complete reduction
False
True
99
ATCs should be familiar with equipment standards for the sport(s) with which they can recognize & correct safety issues
False
True
100
What are potential benefits of early reduction?
Restoration of vascular flow to the limb
All of the above
Less articular cartilage injury
Decreased skin compromise