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 A
Explanation
An oblique fracture involves a break in the bone that is at an angle to the long axis of the bone. It is often the result of a diagonal force applied to the bone.
b. Spiral fracture: A spiral fracture occurs when the bone is twisted, causing a spiral-shaped fracture line. It often results from a twisting force applied to the bone and is not specifically at an angle to the long axis of the bone.
c. Transverse fracture: A transverse fracture is a type of fracture where the fracture line is perpendicular to the long axis of the bone and is not at an angle.
d. Greenstick fracture: A greenstick fracture is an incomplete fracture seen in children, where the bone bends and partially breaks on one side but remains intact on the other side. It is not specifically at an angle to the long axis of the bone.
Correct Answer is D
Explanation
: Educating the patient about signs of neurovascular compromise, such as changes in sensation, color, or temperature of the limb, is essential to ensure early detection of potential complications and timely intervention.
a. Encouraging the patient to bear full weight on the cast immediately is not recommended, as weight-bearing should follow the healthcare provider's instructions, which may involve partial weight-bearing initially.
b. Instructing the patient to elevate the casted limb above the heart can help reduce swelling but may not be the primary focus of discharge teaching for a newly applied cast.
c. Advising the patient to use a heating pad on the cast to relieve discomfort is not recommended, as excessive heat can damage the cast and increase the risk of skin irritation.
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