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 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 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.
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