Which clinical manifestation may indicate a possible stress fracture?
Severe pain and visible deformity
Sudden onset of swelling and bruising
Gradual onset of localized pain with activity
Inability to bear weight on the affected limb
The Correct Answer is C
Stress fractures are small, hairline cracks in the bone that occur due to repetitive stress or overuse. They typically present with a gradual onset of localized pain that worsens with activity.
a. Severe pain and visible deformity: Severe pain and visible deformity are more commonly seen in acute fractures resulting from trauma or high-impact injuries, not stress fractures.
b. Sudden onset of swelling and bruising: Sudden onset of swelling and bruising is more indicative of acute fractures, not stress fractures.
d. Inability to bear weight on the affected limb: Inability to bear weight may be present in some fractures, but it is not a specific characteristic of stress fractures.
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Related Questions
Correct Answer is C
Explanation
For a stable closed fracture, cast immobilization is a common treatment option. A cast helps support and protect the fractured bone, allowing it to heal properly.
a. Open reduction and internal fixation (ORIF): ORIF is a surgical procedure used for complex or unstable fractures that cannot be treated with a cast alone.
b. Traction: Traction is applied to realign and stabilize fractures, but it is not typically the first-line treatment for stable closed fractures.
d. External fixation: External fixation involves using pins and an external frame to stabilize fractures, and it is typically used for complex or open fractures.
Correct Answer is C
Explanation
X-ray (radiography) is the most common imaging modality used to diagnose fractures in the emergency department. X-rays can visualize the bone's structure and detect fractures, bone displacement, or other abnormalities.
a. Magnetic Resonance Imaging (MRI): MRI is useful for soft tissue evaluation but is not routinely used for initial fracture diagnosis in the emergency department.
b. Computed Tomography (CT): CT scans provide detailed cross-sectional images of bones and soft tissues, but they are not typically the first-line imaging for initial fracture assessment in the emergency department.
d. Ultrasound: Ultrasound is useful for certain soft tissue evaluations but is not commonly used for diagnosing fractures.
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