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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Related Questions
Correct Answer is D
Explanation
Closed reduction is a non-surgical procedure used to manually realign the fractured bone to its normal position without making an incision. It is often followed by cast immobilization or other forms of stabilization.
a. To surgically realign the fractured bone: Surgical realignment is typically performed through open reduction and internal fixation (ORIF), not closed reduction.
b. To stabilize the fracture with internal fixation: Internal fixation involves the use of screws, plates, or rods to stabilize fractures, and it is not part of the closed reduction procedure.
c. To immobilize the fractured bone with a cast: Immobilization with a cast may follow closed reduction, but it is not the primary goal of the reduction procedure itself.
Correct Answer is C
Explanation
In a comminuted fracture, the bone is broken into multiple pieces, which may require more complex treatment and longer healing time.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, commonly seen in children. It does not result in multiple pieces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, but it does not involve multiple pieces.
d. Spiral fracture: A spiral fracture is characterized by a twisting or spiraling break along the bone, but it does not result in multiple pieces.
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