Deck 8: Orthopedic Trauma

Question 1

In a fractured clavicle, what vascular structures are at risk?

A)Subclavian vessels
B)Axillary artery
C)Brachial artery
D)Radial nerve

Answer 1

Subclavian vessels

Question 2

All of the following are life threatening complications of broken bones and crush injuries except?

A)Acute compartment syndrome
B)Rhabdomyolysis
C)Hypertension
D)Fat embolism

Answer 2

Hypertension

Question 3

A 2 year old child was brought to emergency department with history of multiple bone fracture in an accident you are going to resuscitate the patient but it is very difficult to obtain vascular access In Pediatric fractures, why it is extremely difficult to obtain vascular access?

A)Due to the size of the veins in children
B)Due to increase in subcutaneous tissue
C)Both A & B
D)Due to decrease in subcutaneous tissue

Answer 3

Both A & B

Question 4

A Salter-Harris fracture is a?

A)Is the fracture of clavicle
B)Is a fracture which involves the epiphyseal plate or growth plate of a bone.
C)Is the fracture of the humerus
D)Is the fracture of tibia

Question 5

A 4 year old child was brought to the emergency department you examined the patient and see his X-ray Reports you noticed that the tibia was fractured on one side and was bend to the other side of the tibia according to types of fracture what type of fracture is this?

A)Transverse fracture
B)Green stick fracture
C)Spiral fracture
D)Butterfly fracture

Question 6

Tendons are tissues that?

A)Connects bone to bone
B)Connects muscle to bone
C)Connects blood vessels
D)None of the above

Question 7

Which one of the following factor increases the risk to Achilles tendon rupture?

A)A patient with preexisting tendinitis
B)Arthritis
C)Diabetes
D)Use of medications such as corticosteroids and some antibiotics including quinolones
E)All of the above

Question 8

The patellar tendon most commonly ruptures at?

A)Near its proximal end
B)Near its distal end
C)At the posterior pole of patella
D)All of these

Question 9

All of the following are basic principles of open fractures management in the emergency room except?

A)Control of bleeding
B)Dressing
C)Aggressive debridement and irrigation
D)Antibiotics

Question 10

A 30 year old patient was brought to the emergency department with history of fall from the roof without stretched limb the left upper limb is fractured you noticed that the humerus was visible and the wound penetrated the skin you classified this as an open fracture you are going to start management of this open fracture which one of the following will you keep in mind while managing open fractures ?

A)Immobilize the patient upper limb
B)IV Antibiotics
C)Control of bleeding
D)All of these

Question 11

A 20 year old boy was brought to the emergency department with history of fall and he was felling extreme pain in his right forearm was unable to pronate and supinate his forearm on examination you see bulging out of the radius bone you confirmed your diagnosis on X-ray that this is closed fracture of the radius bone Which one of the following is true regarding the definition of close fracture?

A)A broken bone that penetrate the skin.
B)A broken bone that does not penetrate the skin
C)There is a need for immediate treatment
D)The risk of infection is greater as compared to open fracture

Question 12

Which one of the following is Contraindications to surgical reconstruction of bone fracture?

A)Active infection (local or systemic) or osteomyelitis
B)Displaced intra-articular fractures (>2 mm )
C)Failed nonoperative (closed) management
D)Fractures in growth areas in skeletally immature individuals that have increased risk for growth arrest

Question 13

Which one of the following are necessary while managing a patient having close fractures?

A)Reduction
B)Stabilization or fixation
C)Rehabilitation
D)All of these

Question 14

Which one of the following joint is most commonly dislocated in adults?

A)Knee
B)Elbow
C)Shoulder
D)Hip

Question 15

A 30 year old cricket player holding his arm close to the body came to the emergency department with history of severe pain in the right shoulder and arm the pain started when after throwing a ball in cricket match and get worse the patient was unable to move his arm and on examination the arm was externally rotated and abducted what is the most appropriate diagnosis according to this presentation ?

A)Anterior dislocation of humerus
B)Posterior dislocation of humerus
C)Dislocation of elbow
D)Subluxation of shoulder joint

Question 16

Which one of the following is included in the first aid treatment of joint dislocation?

A)Restriction of joint movement
B)Putting ice on injured joint
C)Pain killer
D)All of these

Question 17

All of the following are the signs of compartment syndrome except?

A)Paresthesia
B)Capillary refill time increase
C)Pain which is always relieved by elevation
D)Worsening pain which cannot be controlled by oral analgesics

Question 18

In compartment syndrome pressure is built within ?

A)Bones
B)joint
C)muscle
D)Brain

Question 19

Which one of the following is/are complication/complications of compartment syndrome?

A)Muscle scarring
B)Necrosis of the tissue in that compartment
C)Ischemia
D)All of these