Which clinical manifestation is most concerning in a patient with a fracture?
Swelling and bruising at the fracture site
Numbness and tingling distal to the fracture
Mild localized pain with movement
Warmth and redness at the fracture site
The Correct Answer is B
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate compromised blood flow or nerve injury. It is a concerning sign that requires immediate medical attention.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site, but they are not as concerning as neurovascular compromise.
c. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture, and it does not raise immediate concerns.
d. Warmth and redness at the fracture site: Warmth and redness are signs of inflammation and increased blood flow to the injured area, which is normal during the healing process.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate compromised blood flow or nerve injury. It is a concerning sign that requires immediate medical attention.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site, but they are not as concerning as neurovascular compromise.
c. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture, and it does not raise immediate concerns.
d. Warmth and redness at the fracture site: Warmth and redness are signs of inflammation and increased blood flow to the injured area, which is normal during the healing process.
Correct Answer is C
Explanation
A spiral fracture occurs due to twisting or rotational forces on the bone, resulting in a twisting break along the bone's length.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, usually seen in children. It is not caused by twisting forces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not due to twisting.
d. Comminuted fracture: In a comminuted fracture, the bone breaks into multiple pieces, which is not associated with twisting forces.
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