Fractures and Amputations Exam Questions With Detailed Answers
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Fractures and Amputations
Institution
Fractures And Amputations
Fractures and Amputations Exam Questions With Detailed Answers
Pseudoarthrosis ANSWER Type of nonunion occurring at fracture site in which a false joint
is formed with abnormal movement at site.
refracture ANSWER New fracture occurs at original fracture site.
myositis ossificans ANSWER De...
Fractures and Amputations Exam Questions With Detailed Answers
Pseudoarthrosis ✔ ANSWER✔ Type of nonunion occurring at fracture site in which a false joint
is formed with abnormal movement at site.
refracture ✔ ANSWER✔ New fracture occurs at original fracture site.
myositis ossificans ✔ ANSWER✔ Deposition of calcium in muscle tissue at site of significant
blunt muscle trauma or repeated muscle injury.
clinical manifestations of fracture ✔ ANSWER✔ •Localized pain
•Decreased function
•Inability to bear weight or use
•Guard against movement
•May or may not have deformity
if you suspect a fracture what should you do? ✔ ANSWER✔ immobilize
overall goals of fracture treatment ✔ ANSWER✔ •Anatomic realignment (reduction)
•Immobilization
•Restoration of normal or near-normal function
closed reduction ✔ ANSWER✔ Nonsurgical, manual realignment of bone fragments usually
done under local or general anesthesia and is immobilized afterwards
open reduction ✔ ANSWER✔ correction of bone alignment through a surgical incision.
ORIF ✔ ANSWER✔ open reduction internal fixation
ORIF facilitates ✔ ANSWER✔ early ambulation that decreases the risk of complications related
to prolonged immobility
fractures ✔ ANSWER✔ A disruption or break in the continuity of the structure of bone
delayed union ✔ ANSWER✔ fracture healing process more slowly than expected, healing
eventually occurs
nonunion ✔ ANSWER✔ Fracture fails to heal despite treatment. No x-ray evidence of callus
formation.
malunion ✔ ANSWER✔ Fracture heals in expected time but in unsatisfactory position, possibly
resulting in deformity or dysfunction.
angulation ✔ ANSWER✔ Fracture heals in abnormal position in relation to midline of structure
(type of malunion).
when do we put on a cast ✔ ANSWER✔ AFTER the swelling has gone down
, what is the purpose of traction ✔ ANSWER✔ •Prevent or ↓ pain and muscle spasm
•Immobilize joint or part of body
•Reduce fracture or dislocation
•Treat a pathologic joint condition
what is traction ✔ ANSWER✔ a device that applies a pulling force on a fractured extremity to
attain realignment while counter traction pulls in the opposite direction
skin traction ✔ ANSWER✔ •Short-term (48-72 hours)
•Tape, boots, or splints applied directly to skin
•Traction weights 5 to 10 pounds
what assessment should be done for skin traction ✔ ANSWER✔ regular assessment of the
skin, pedal pulses and cap refill
buck's traction ✔ ANSWER✔ a type of skin traction that is used to immobilize a fracture,
prevent hip flexion contractures, and reduce muscle spasms.
skeletal traction ✔ ANSWER✔ •Long-term pull to maintain alignment
•Pin or wire inserted into bone
•Weights 5 to 45 lbs
what are the major complications of skeletal traction ✔ ANSWER✔ -infection at the pin
insertion site
-effects of prolonged immobility
what is the most important thing to remember about skeletal traction? ✔ ANSWER✔ -KEEP
THE WEIGHTS OFF THE FLOOR
-maintain continuous traction
-elevate the end of the bed
What is a body jacket brace used for? ✔ ANSWER✔ immobilization and support for stable
spine injuries of the thoracic or lumbar spine injuries
when does superior mesenteric artery syndrome (cast syndrome) occur ✔ ANSWER✔ •occurs
if the brace is applied too tightly, which results in compression of the superior mesenteric artery
against the duodenum.
clinical manifestations of superior mesenteric artery syndrome (cast syndrome) ✔ ANSWER✔
•Abd pain, pressure, N/V
assessment for patients in a body jacket brace and superior mesenteric artery syndrome ✔
ANSWER✔ •monitoring respiratory status, bowel and bladder function, and areas of pressure
over the bony prominences, especially the iliac crest.
-The brace may need to be adjusted or removed if any complications occur.
what is the treatment for superior mesenteric artery syndrome ✔ ANSWER✔ includes gastric
decompression with a nasogastric (NG) tube and suction
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