Which clinical manifestation is concerning for compartment syndrome in a patient with a fracture?
Bruising and discoloration at the fracture site
Mild pain and swelling in the affected limb
Prolonged capillary refill distal to the fracture
Severe pain, pallor, and loss of pulses distal to the fracture
The Correct Answer is D
Severe pain, pallor (pale skin color), and loss of pulses distal to the fracture are concerning signs of compartment syndrome, a serious complication that requires immediate medical intervention.
a. Bruising and discoloration at the fracture site: Bruising and discoloration are common signs of inflammation and injury at the fracture site but are not specific to compartment syndrome.
b. Mild pain and swelling in the affected limb: Mild pain and swelling are expected with a fracture but do not raise immediate concerns for compartment syndrome.
c. Prolonged capillary refill distal to the fracture: Prolonged capillary refill time may indicate reduced blood flow but is not as concerning as the combination of severe pain, pallor, and loss of pulses seen in compartment syndrome.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Adolescents, especially those involved in high-impact sports or activities, are at a higher risk of stress fractures due to their bones still growing and being more susceptible to repetitive stress injuries.
b. Young adults: Young adults may also be at risk of stress fractures, but adolescents are more vulnerable due to their ongoing bone growth and development.
c. Older adults: While older adults are at risk of fractures, stress fractures are more commonly seen in younger individuals engaged in high-impact activities.
d. Middle-aged adults: Middle-aged adults may experience fractures related to osteoporosis, trauma, or other factors, but they are not the primary population at risk for stress fractures.
Correct Answer is A
Explanation
Nonunion occurs when the fractured bone fails to heal and fuse together despite appropriate treatment. It is associated with persistent pain and limited function.
b. Malunion: Malunion refers to a fracture that heals in an incorrect position or alignment, but it may or may not cause persistent pain and limited function.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal but eventually heals properly. It is not specifically associated with persistent pain and limited function.
d. Osteomyelitis: Osteomyelitis is a bone infection that can develop as a complication of fractures, but it may or may not cause persistent pain and limited function, depending on its severity and treatment response.
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