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Chapter 38: Orthopaedic Trauma Practice Questions

About this Chapter 38 practice test

Part of the Trauma practice questions exam area.

This page holds 200 free practice questions for Chapter 38, Orthopaedic Trauma, covering musculoskeletal anatomy, fracture and dislocation types, extremity assessment and distal PMS, splinting and traction splints, pelvic binders and femur fractures, specific joint injuries, compartment syndrome and fat embolism, and pain management, geriatric hip fractures, and pediatric fractures. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.

Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.

Topics covered in Chapter 38

Sample questions from this chapter

A patient asks why his badly sprained ankle may take longer to heal than a simple fracture. The best explanation is that ligaments:

  1. A. Contain no living cells
  2. B. Are replaced by bone
  3. C. Have poor blood supply
  4. D. Heal only in a hard cast

Answer: C. Have poor blood supply
Ligaments and tendons have relatively little blood flow compared with bone, so severe sprains can heal slowly and sometimes incompletely. They are living tissue, they are not replaced by bone, and many heal without casting.

A pedestrian's tibia is broken at the exact spot where a car bumper struck it. This is an example of injury by:

  1. A. Direct force
  2. B. Indirect force
  3. C. Twisting force
  4. D. Repetitive stress

Answer: A. Direct force
Direct force breaks the bone at the point of impact. Indirect force travels along the limb and injures a distant site, such as a hip fracture from a knee striking the dashboard.

A 28-year-old motorcyclist has an obviously angulated open femur fracture, snoring respirations, and cool, clammy skin. Your first priority is to:

  1. A. Open and manage the airway
  2. B. Splint the femur in a traction splint
  3. C. Cover the open wound with sterile gauze
  4. D. Check distal pulses in the injured leg

Answer: A. Open and manage the airway
Dramatic extremity injuries must not distract from the primary survey; an obstructed airway kills in minutes. Splinting the femur matters, but only after airway, breathing, and circulation are addressed.

How students use this page

Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.

Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.

Other chapters

Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 Ch. 6 Ch. 7 Ch. 8 Ch. 9 Ch. 10 Ch. 11 Ch. 12 Ch. 13 Ch. 14 Ch. 15 Ch. 16 Ch. 17 Ch. 18 Ch. 19 Ch. 20 Ch. 21 Ch. 22 Ch. 23 Ch. 24 Ch. 25 Ch. 26 Ch. 27 Ch. 28 Ch. 29 Ch. 30 Ch. 31 Ch. 32 Ch. 33 Ch. 34 Ch. 35 Ch. 36 Ch. 37 Ch. 38 Ch. 39 Ch. 40 Ch. 41 Ch. 42 Ch. 43 Ch. 44 Ch. 45 Ch. 46 Ch. 47 Ch. 48 Ch. 49 Ch. 50 Ch. 51 Ch. 52 Ch. 53

These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.