CSTR Exam Study Guide Part 5 (Injury Information) –
Questions & Solutions
Bimalleolar Fracture Right Ans - Lateral Malleoli and Medial Malleoli
(Distal Fibula)
Blood Loss Right Ans - 5 Liters=5000cc
Loss of >1000cc (1 Liter)= AIS cut of for determining a more severe injury.
Skull Base Fractures Right Ans - Orbital Roof,Ethmoid, Basilar process of
occipital, Petrous process of Temporal, Squamous process of Temporal.
Unstable Pelvis Right Ans - Complete loss of posterior osteoligamentous
integrity, pelvic floor disrupted, won't hold body weight, bilateral, complete,
and vertical instability.
Skull Vault Fractures Right Ans - Frontal, Parietal, Occipital, and Temporal
Trimalleolar Fractures Right Ans - Lateral Malleoli Fibula, Medial Malleoli
Fibula and Distal Tibia
Squamous Fracture Right Ans - Code to Vault:Squamous portion of
Temporal Bone
Wrist Fractures Right Ans - Colles, Smith, Barton, Chauffers, and Monteggia
Bone pushed into the brain cavity is considered what type of fracture?
a. closed
b. depressed
c. basilar
d. open Right Ans - d. depressed
LeFort I Right Ans - Transverse Maxillary (above the teeth) fracture
(1 fracture line)
LeFort II Right Ans - Pyramidal (at level of nasal bones) fracture
(2 fracture lines)
, LeFort III Right Ans - Complete separation of midface including
nasoethmoidal complex, zygomas, and the maxilla.
(3 fracture lines)
Subluxation Right Ans - Partial dislocation between two bones
Stable Pelvis Right Ans - Fracture not involving posterior arch, pelvic floor
intact,posterior arch intact, able to withstand normal stresses without
displacement. transverse,sacrum & coccyx
Partially Stable Pelvis Right Ans - Posterior asteoligamentous integrity
partially maintained, pelvic floor intact, disruption of posterior arch,
unilateral "open book" fracture, unilateral, lateral compression fracture.
Brain Hematomas Right Ans - EPH,SAH,SDH,IPH,ICH
Skull base fractures Right Ans - Orbital roof, Ethmoid, Basilar process of
Occipital bone, Petrous and Squamous process of Temporal Bone (Mastoid or
Petrous)
Intracranial Injuries-Focal Injuries Right Ans - Picked up on CT scan.
Contusion, Epidural hematoma, Subdural hematoma, Subarachnoid
hematoma, intracerebral/intraparenchymal hemorrhage
Intracranial Injuries- Nonfocal Head Injuries Right Ans - Concussions,Shear
injury, Diffuse Axonal injury (DAI), Anoxic Brain injury (ABI) - these go down
to the cellular level.
Facial Mechanisms of Injury Right Ans - Deep lacerations, Deformity,
Difficulty speaking, Visual changes, Entrapment of muscles, Rhinorrhea,
Otorrhea, Trismus
Neck Injury Indicators Right Ans - Bleeding, Stridor, Difficulty breathing,
Bruising to the neck, Deviated trachea, Subcutaneous emphysema.
Zones of the Neck: Angle of the mandible to base of the skull, Cricothyroid
Cartilage
Vertebral Column Dislocation Right Ans - Ligamentous injuries:ligaments'
purpose is to keep spine aligned; Dislocations:unilateral facet, bilateral facet;