Which clinical manifestation is commonly seen in a Colles' fracture?
Pain and swelling of the ankle
Deformity and shortening of the affected limb
Loss of sensation and motor function distal to the fracture
Angulation and swelling of the distal forearm
The Correct Answer is D
Colles' fracture is a type of distal radius fracture that results in angulation and swelling of the distal forearm near the wrist joint.
a. Pain and swelling of the ankle: Pain and swelling of the ankle are not related to a Colles' fracture, which occurs in the distal forearm, not the ankle.
b. Deformity and shortening of the affected limb: Deformity and shortening of the limb may occur in some fractures but are not specific to a Colles' fracture.
c. Loss of sensation and motor function distal to the fracture: Loss of sensation and motor function may occur in nerve injuries associated with fractures, but it is not a characteristic of Colles' fracture.
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Related Questions
Correct Answer is A
Explanation
X-ray is the most appropriate initial diagnostic study for suspected fractures. It provides clear images of bones and can help identify the presence, location, and extent of the fracture.
b. MRI: MRI is useful for soft tissue imaging, but it may not be the first choice for initial evaluation of fractures. X-rays are more commonly used for immediate assessment.
c. CT scan: CT scan can provide detailed images of bones and soft tissues, but it is not typically the first-line imaging study for fractures. X-rays are more commonly performed first.
d. Ultrasound: Ultrasound is primarily used for imaging soft tissues and may not provide sufficient detail for evaluating fractures. X-rays are more appropriate for initial assessment.
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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