Which clinical manifestation is often present in a stress fracture?
Severe pain and 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 deformity: Severe pain and 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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Correct Answer is D
Explanation
Osteoporosis is a condition characterized by weakened and porous bones, leading to an increased risk of fractures, especially in the hip, spine, and wrist.
a. Arthritis: Arthritis is a condition that involves joint inflammation and may cause joint pain and stiffness but does not directly weaken bones.
b. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the cartilage and joints, but it does not specifically increase the risk of fractures.
c. Osteomyelitis: Osteomyelitis is a bone infection that can lead to bone destruction and inflammation but does not directly weaken bones to the same extent as osteoporosis.
Correct Answer is B
Explanation
It is crucial for the patient to understand the importance of partial weight-bearing on the affected limb during the healing process. Partial weight-bearing helps promote bone healing and prevents excessive stress on the fracture site, reducing the risk of complications.
a. Encouraging immediate full weight-bearing on the affected limb can lead to further damage to the healing bone and may delay the healing process.
c. Advising the patient to avoid putting any weight on the affected limb can result in muscle atrophy, decreased circulation, and joint stiffness. Some weight-bearing is necessary for proper bone healing.
d. Instructing the patient to use assistive devices only during walking is not enough to ensure appropriate weight-bearing. The patient should follow specific weight-bearing restrictions as advised by the healthcare provider, even when using assistive devices.
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