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Exam (elaborations)

Fractures and Amputations Exam Questions With Detailed Answers

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  • Fractures and Amputations
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  • 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...

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  • August 20, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Fractures and Amputations
  • Fractures and Amputations
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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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