136 Questions
What is a sprain?
A twisting, stretching or pulling of a ligament to cause damage, but no dislocation of the joint
What does the acronym RICE stand for in the context of musculoskeletal injury care?
Rest, Ice, Compress, Elevate
What is the purpose of applying compression to a musculoskeletal injury using an elastic bandage?
All of the above
Where should you start wrapping an elastic bandage on an injured extremity?
On the distal (farther from the body) end of the injured site
Which of the following is an example of Durable Medical Equipment (DME)?
Crutches
What is the purpose of icing an injured area?
To reduce swelling and dull pain
What is the difference between a strain and a sprain?
A strain is an injury to a muscle or tendon, while a sprain is an injury to a ligament
What is an example of a common site for a strain injury?
Hamstring
What is the purpose of elevating an injured limb?
To reduce swelling and pain
What is the main cause of fractures?
Trauma to the body
What are two common types of injuries often seen in clinics?
Wounds and musculoskeletal injuries
Which of the following is NOT part of the body structures affected by musculoskeletal injuries?
Skin
What type of therapy is mentioned as a treatment option for musculoskeletal injuries?
Physical therapy
What may be required for an injury with severity and nerve involvement?
Specialized care
In providing care for musculoskeletal injuries, what must a Medical Assistant remember about recommendations on patient treatment?
They must be made by the physician
Besides dressings and bandages, what is another way a Medical Assistant commonly assists with musculoskeletal injuries?
Fitting the patient for DME
What unit is used to document the results of the Mantoux Skin Test?
Millimeters
What do ordering physicians use to interpret the results of the Mantoux Skin Test?
Induration diameter length
What is generally done following a positive result in a Mantoux Skin Test?
CXR to confirm the presence/absence of tubercles in the lungs
What confirms TB infection in individuals who have had the BCG vaccine but no TB exposure?
CXR
According to the CDC, what percentage of the world population is currently infected with TB?
23%
Which factor plays a significant role in ongoing tuberculosis infections according to the text?
Access to healthcare
Where is the preferred site for IM injection in very young children?
Vastus Lateralis
What angle should be used to inject into the Vastus Lateralis in young children?
90 degrees
What should you do after needle removal when performing a Z-Track injection?
Release the skin
When performing a PPD injection, how long should a patient wait before returning to have the area evaluated?
48-72 hours
What is the key indicator of a positive PPD test result?
Wheal diameter of at least 6mm
Which site is commonly used for ID injections in primary care?
Anterior Forearm
What medication is typically injected intradermally for a tuberculosis skin test?
Purified Protein Derivative (PPD)
At what angle should a PPD medication be injected into the skin?
< 15 degrees
What is the main precaution regarding where to inject PPD medication?
Avoid areas with hair or rashes
When using the Z-track method for injections, what should you communicate with the patient before administering the injection?
Inform about the location of the injection site
When communicating with patients, what approach is recommended?
Use very clear, simple, non-medical language
What is a useful technique to confirm a patient's understanding of instructions?
Have the patient summarize the instructions
When prescribing controlled substances (Schedules II-IV), what is important?
Get the prescription to the pharmacy promptly
What does the acronym 'CAM' stand for in medical terminology?
Controlled Ankle Motion
What type of injection was covered in Week 1?
Intramuscular (IM) and Subcutaneous (SQ)
What is the purpose of the Z-Track method for injections?
To prevent medication from leaking back along the needle track
When administering a deep IM injection, which muscle site is recommended for adults?
Ventrogluteal
What is the maximum amount of liquid that can be injected into the ventrogluteal site?
3 mL
Why is the dorsogluteal injection site used less frequently?
It is too close to the sciatic nerve
What is the recommended approach to maintain patient modesty during injections?
Move garments to access injection sites
How should the elastic bandage be wrapped around the injured site?
Snug, but not too tight or too loose
What should you do if a patient is experiencing numbness or tingling while being wrapped?
Communicate with the patient to ensure comfort
Why is it recommended to alternate wrapping distal and proximal ends of an injured site?
To achieve even compression across the area
What should you minimize when wrapping to ensure a professional wrap?
Unnecessary folds
When affixing a wrap, where should it be placed to avoid discomfort or loosening?
Over an area with minimal movement
What does using the spiral method for wrapping provide in addition to comfort?
Additional compression to reduce swelling
What is the purpose of using a walker boot for ankle or foot injuries?
To stabilize and support the ankle or foot
How should a sling be secured around a patient's neck?
"Avoid placing it under hair and ensure it pinches"
"What is essential when providing pediatric care following an injury?"
"Act with warmth and compassion"
"What should be your approach when dealing with a patient's pain tolerance?"
"Be mindful and sensitive to varying pain tolerances"
A Medical Assistant most commonly cares for musculoskeletal injuries by providing dressings, bandages, and fitting the patient for __________ (DME)
durable medical equipment
Musculoskeletal injuries can be defined as suffering damage to body structures such as bones, muscles, tendons, ligaments, cartilage, and other affected ________ tissue
soft
In treating musculoskeletal injuries, the use of conservative therapy, dressings, bandages, physical therapy, and even surgical repair may be recommended depending on the injury's __________
severity
It is important for a Medical Assistant to remember that all recommendations on how to treat patients must be made by the __________
physician
Clinics or individual healthcare providers will have specific protocols for Medical Assistants to follow when providing care for musculoskeletal injuries, ensuring standardized and effective ________
care
A key responsibility of a Medical Assistant in caring for musculoskeletal injuries is to provide patient education on conservative therapies to promote optimal ________
healing
The maximum amount of liquid that can be injected into the ______ site is 3mL.
ventrogluteal
The ______ site is used less because of its proximity to the sciatic nerve.
dorsogluteal
The ______ method is used to keep the bolus of medication from returning up the track made by the needle.
Z-track
The ______ is the most common deep IM injection site for children and adults.
ventrogluteal
When affixing a wrap, it should be placed to avoid ______ or loosening.
discomfort
Garments can be moved to access injection sites without compromising patient ______.
modesty
The ______ method for wrapping provides comfort in addition to support.
spiral
Elevating an injured limb helps with ______.
swelling
The ______ is used to interpret the results of the Mantoux Skin Test.
PPD
The ______ is the medication typically injected intradermally for a tuberculosis skin test.
PPD
While wrapping, ensure the bandage is ______, but not too tight or too loose.
snug
Alternate wrapping ______ and proximal ends of the injured site to achieve even compression across the area.
distal
Affix the wrap with paper or cloth tape, clips, or ______, ensuring it is over an area which has minimal movement.
Velcro
The spiral method is used to cover a wide area with ______ while providing compression.
comfort
Walker boots are used to stabilize an ______ or foot in the event of severe sprain, strain, fracture, ligament or tendon tear.
ankle
Slings are used to stabilize and reduce ______ of an injured arm.
motion
No matter the patient's ______, a Medical Assistant should remain calm, focused and comforting.
demeanor
The patient's ______ and experience should be of paramount concern throughout injury or wound care.
comfort
When wrapping an elastic bandage, be sure to communicate with the patient throughout to ensure the ______ is not applied too loosely or tightly.
compression
Provide ______ education on how to care for their injuries at home.
patient
A ______ is a twisting, stretching or pulling of a muscle or tendon that causes damage.
strain
Common symptoms of a strain include muscle soreness, stiffness, weakness, swelling, and ______.
pain
Tennis elbow is an example of a strain due to prolonged repetitive movement in which the forearm muscle and tendon attached to the elbow become ______ and cause pain.
overused
A sprain is a twisting, stretching or pulling of a ______ to cause damage, but no dislocation of the joint.
ligament
Common sites for sprain injuries include ankle, wrist, knee, ______.
thumb
Fractures: a complete or partial break in a ______.
bone
For initial treatment to reduce swelling and pain, a very common recommendation is given with the acronym RICE, which stands for Rest, Ice, Compression, and ______.
Elevation
Elastic bandages are utilized to provide ______ and compression.
immobilization
Wrapping methods for elastic bandages include 'figure 8' and 'spiral,' as well as ______.
others
Applying light compression in the early stages of wound healing can reduce ______.
swelling
When performing a PPD injection, the patient must return to have the area evaluated within ______ hours.
48-72
The preferred IM injection site for very young children, ages 0-3, is the ______ Lateralis.
Vastus
PPD stands for ______ Protein Derivative, used in a tuberculosis skin test.
Purified
A positive PPD test result indicates the patient has been exposed to ______.
tuberculosis
The PPD injection should be administered at a ______ degree angle to the skin.
10-15
For ID injections like the PPD test, avoid injecting into areas with ______.
hair
The ______ method is used to minimize leakage and discomfort during intramuscular injections.
Z-Track
When measuring the results of a PPD test, the ______ of the induration should be measured.
diameter
For pediatric injections, it is recommended to include the patient's ______ or guardians during the procedure.
parents
The anterior ______ is a common site for intradermal injections like the PPD test.
forearm
If a patient has had the BCG vaccine but has never been exposed to TB, their skin test results will be positive, but their CXR will confirm negative for TB infection. Tuberculosis, while still an ongoing pandemic currently (Per CDC in 2018, 23% of the world population is currently infected), this is a disease which can be cured with antibiotics. Access to healthcare plays a large role in ongoing ________.
infections
Results are documented in mm (millimeters), and not as positive or negative. The measurement is given to the ordering physician, who will interpret the results based on induration diameter length and individual patient risk factors for tuberculosis infection. Positive results will generally be followed by a CXR to confirm the presence/absence of tubercles in the lungs. Here is a picture of lungs affected by tubercles for reference. This patient may have active or latent TB. If a patient has had the BCG vaccine but has never been exposed to TB, their skin test (or Quantiferon Gold TB blood test) results will be positive, but their CXR will confirm negative for TB infection. ________, while still an ongoing pandemic currently (Per CDC in 2018, 23% of the world population is currently infected), this is a disease which can be cured with antibiotics. Access to healthcare plays a large role in ongoing infections.
Tuberculosis
In providing care for musculoskeletal injuries, clinics or individual healthcare providers will have specific protocols for Medical Assistants to follow when providing care for musculoskeletal injuries, ensuring standardized and effective ________.
treatment
Musculoskeletal injuries can be defined as suffering damage to body structures such as bones, muscles, tendons, ligaments, cartilage, and other affected ________ tissue.
soft
According to the CDC, what percentage of the world population is currently infected with TB? Tuberculosis, while still an ongoing pandemic currently (Per CDC in 2018, 23% of the world population is currently infected), this is a disease which can be cured with antibiotics. Access to healthcare plays a large role in ongoing ________.
infections
A key responsibility of a Medical Assistant in caring for musculoskeletal injuries is to provide patient education on conservative therapies to promote optimal ________.
healing
Match the following types of injuries with their descriptions:
Wounds (skin) = Types of injuries often seen in clinics Musculoskeletal injuries = Defined as damage to bones, muscles, tendons, ligaments, etc. Sprain = Causes damage to muscle or tendon Strain = Causes damage to ligaments
Match the following treatments with their description:
Conservative therapy = Treatment for musculoskeletal injuries Dressings and bandages = Used in wound care Physical and/or occupational therapy = Recommended for optimal healing Surgical repair = May be required depending on severity
Match the following responsibilities with their description:
Medical Assistant's role = Provide patient education on conservative therapies Supervising physician's role = Make recommendations on how to treat patients Clinic protocols = Guidelines for Medical Assistants when providing care Patient education = Focus on promoting optimal healing
Match the following methods with their purpose:
Z-Track method = Minimize leakage and discomfort during injections Spiral method = Cover a wide area with compression Elastic bandages = Provide support and compression Slings = Stabilize and reduce movement of an injured arm
Match the following terms with their definitions:
CAM (in medical terminology) = Short for Complementary and Alternative Medicine PPD (in a tuberculosis skin test) = Purified Protein Derivative used for testing DME (durable medical equipment) = Fitting patients for medical devices like braces CDC (regarding TB) = Reports on world population infected with TB
Match the following actions with their purposes:
Elevating an injured limb = Reduce swelling and promote healing Applying light compression = Reduces swelling in early wound stages Communicating with patients throughout wrapping = Ensure proper tightness of bandages Placing a wrap to avoid slippage or loosening = Ensure stability and support for the injury
Match the following injection types with their corresponding site on the body:
Deep IM Injection- Ventrogluteal = Upper iliac crest at trochanter Intradermal (ID) Injections- Anterior Forearm = Anterior forearm Deep IM Injection- Dorsogluteal = Most upper-lateral part of iliac crest Deep IM Injection- Vastus Lateralis = Anterior thigh muscle
Match the following injection methods with their corresponding purpose:
Z-Track Method = Minimize medication leakage and discomfort Deep Intramuscular Injections with Z-Track Method = Prevent medication from returning up the injection track SQ Injection - Posterior arm = Administer medication in a different route or site Intradermal (ID) Injections- Anterior Forearm = Deliver medication just under the skin surface
Match the following terms with their corresponding definitions:
CAM = Controlled Ankle Motion (boots) DME = Durable Medical Equipment IM Injection = Injection into muscle tissue SQ Injection = Injection just under the skin surface
Match the following actions with their corresponding precautions for injections:
Using Z-Track method = Pulling skin to side before injecting Injecting into Vastus Lateralis in young children = Using a specific angle for injection Deep IM Injection- Dorsogluteal = Visualizing two lines to create quadrants on buttock Injecting more than 1mL of IM medication = Selecting a larger muscle than deltoid for injection
Match the following terms with their corresponding descriptions of their usage:
Python = General-purpose programming language JavaScript = Client-side scripting language for web applications SQL = Language for database queries CSS = Language for styling web pages
Match the following musculoskeletal injury types with their definitions:
Strain = Twisting, stretching or pulling of a muscle or tendon that causes damage Sprain = Twisting, stretching or pulling of a ligament to cause damage, but no dislocation of the joint Fracture = A complete or partial break in a bone Tennis Elbow = An example of a strain due to prolonged repetitive movement in the forearm muscle
Match the following musculoskeletal injury symptoms with their descriptions:
Muscle soreness, stiffness, weakness, swelling and pain = Common symptoms of a strain Pain, swelling, bruising, and limited movement = Common symptoms of a sprain Damage to body structures such as bones, muscles, tendons, ligaments = Definition of musculoskeletal injuries Reducing blood flow to the area and swelling reduction = Purpose of applying ice to an injured area
Match the following musculoskeletal injury care techniques with their descriptions:
RICE (Rest, Ice, Compression, Elevation) = Initial treatment recommendation to reduce swelling and pain Durable Medical Equipment (DME) = Reusable equipment ordered by a physician for therapeutic benefits Elastic Bandages = Utilized to provide immobilization and compression for swelling reduction Z-Track Method = Used to minimize leakage and discomfort during intramuscular injections
Match the following elastic bandage wrapping methods with their descriptions:
'Figure 8' method = Involves wrapping around a joint while providing easy flexion for movement 'Spiral' method = Used to cover a wide area with compression while providing flexibility Starting at the distal end and moving proximally = Proper technique to wrap an elastic bandage Creating an anchor on the distal end = Helpful step to avoid loosening when using an elastic bandage
Match the following musculoskeletal injury treatment options with their purposes:
Elevating an injured area above the heart = Assists with venous return, reducing swelling and pain Applying light compression using an elastic bandage = Reduces swelling in the early stages of wound healing Using walker boots for ankle or foot injuries = Provides support and stability for the injured area Administering conservative therapy like RICE for sprains and strains = Initial treatment recommendation to reduce pain and swelling
Match the type of injury with its common symptoms:
Strain = Muscle soreness, stiffness, weakness, swelling Sprain = Pain and swelling around a joint, limited movement Fracture = Sharp pain, deformity, swelling, bruising Tendon tear = Pain, weakness, inability to move affected area
Match the medical device with its correct usage:
Walker Boot = Stabilize ankle or foot in case of severe sprain or fracture Arm Sling = Stabilize and reduce motion of an injured arm Elastic Bandage = Wrap to provide compression for injuries CAM Boot = Universal boot used for left/right foot stabilization
Match the wrapping technique with its description:
Spiral Method = Covers wide area comfortably while providing compression Figure 8 Method = Used for specific joint support like ankles or wrists Alternating distal and proximal wrapping = Ensures even compression across the area Folding minimization technique = Creates a smooth and professional wrap
Match the patient's reaction with the recommended approach:
Children's heightened reaction to injury = Act with warmth, compassion, and reassurance Patient's sensitivity to pain levels = Be mindful, sensitive, and navigate with empathy Patient experiencing sharp pain = Communicate directly and use clear language Patient needing comfort during treatment = Remain calm, focused, and comforting
Match the communication guideline with its related scenario:
Announcing intent prior to moving an injured site = Moving slowly and with great care Communicating throughout the wrapping process = Ensuring compression is neither too tight nor too loose Explaining sling application to a patient = Ensuring comfort without hair pinching or discomfort Speaking clearly during pediatric injections = Including guardians in the procedure
Match the following injection method with its description:
Z-Track method = After injecting, release skin, completing Z-Track Deep IM Injection - Vastus Lateralis = Inject 90 degrees to skin ID Injections - Anterior Forearm = Taut skin around site with free hand Tuberculosis Skin Test PPD = 0.1mL of PPD medication is drawn into a 25-27g x 3/8" - 1/2" needle
Match the following precautions with their respective injection sites:
Avoid palpating near buttock or groin = Deep IM Injection - Vastus Lateralis Avoid distal portion of forearm = ID Injections - Anterior Forearm Avoid area with hair, rash, lesion, burn, or tattoo = Tuberculosis Skin Test PPD Avoid injecting into an area with superficial arteries = ID Injections - Anterior Forearm
Match the following terms with their descriptions:
Tuberculosis = An ongoing pandemic that can be cured with antibiotics BCG vaccine = Given to individuals to prevent tuberculosis infection Induration = The measurement used to interpret Mantoux Skin Test results CXR = Imaging study used to confirm presence/absence of tubercles in lungs
Match the following patient communication practices with the injections:
Communicate about injection location with patient = Z-Track method Include parents or guardians during procedure for comfort = Deep IM Injection - Vastus Lateralis Verify patient can return within 48-72 hours = Tuberculosis Skin Test PPD Give expectation of what the bump may look like = Tuberculosis Skin Test PPD
Match the following musculoskeletal injury terms with their definitions:
Strain = Injury due to overstretching or tearing of muscles or tendons Sprain = Injury to a ligament due to stretching beyond its normal capacity Fracture = A break in a bone, either complete or partial RICE = Acronym for Rest, Ice, Compression, Elevation in injury care
Match the following injection sites with their recommended needle size:
Infant vastus lateralis site = 25g x 5/8" 1mL needle Adult vastus lateralis site = Up to 5mL can be injected Anterior forearm for ID injections = 25-27g x 3/8" - 1/2" needle Mid-anterior forearm for PPD test = 25-27g x 3/8" - 1/2" needle
Match the following post-injection instructions with their respective injection methods:
Don gloves and prepare needle before procedure = Tuberculosis Skin Test PPD Allow wheal to absorb naturally, no dressing applied = Tuberculosis Skin Test PPD No pressure on wound post-procedure = Z-Track method Insert at 10-15 degrees until bevel disappears beneath skin surface = Tuberculosis Skin Test PPD
Match the following injection methods with their purposes:
Z-Track method = Prevents medication from leaking back along the injection track PPD injection = Used for intradermal testing for tuberculosis infection Ventrogluteal site = Preferred site for IM injections due to muscle thickness Lateralis muscle = IM injection site for very young children aged 0-3
Match the following terms with their roles in injury care:
Dressings and bandages = Provided by Medical Assistants for musculoskeletal injuries Elastic bandage = Used to apply compression to a musculoskeletal injury Conservative therapy = Includes physical therapy and non-surgical methods for injury treatment Surgical repair = Recommended based on the severity of a musculoskeletal injury
Match the following actions with their importance in patient care:
Communication with patient = Ensures patient comfort and understanding during procedures Elevation of limb = Reduces swelling and promotes healing in an injured area Access to healthcare = Plays a significant role in managing ongoing infections like tuberculosis Guardians present during pediatric injections = Recommended for pediatric patient safety and comfort
Match the following recommendations with their purposes in injury care:
Rest, Ice, Compression, Elevation (RICE) = To guide initial care for acute musculoskeletal injuries BCG vaccine and TB exposure testing = To differentiate between positive skin test results and actual TB infection status Interpretation of Mantoux Skin Test results = Guides further diagnostic steps after intradermal tuberculosis testing Dressings, bandages, and DME provision = Common tasks performed by Medical Assistants for musculoskeletal injuries
Learn about musculoskeletal injuries commonly seen in clinics and how to provide care for them. This lecture focuses on the types of musculoskeletal injuries and their management.
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