Which term describes a fracture where the bone penetrates the skin and is exposed to the external environment?
Open fracture
Closed fracture
Impacted fracture
Stress fracture
The Correct Answer is A
An open fracture, also known as a compound fracture, occurs when the bone penetrates the skin and is exposed to the external environment. It carries a higher risk of infection due to the exposure of the bone to external contaminants.
b. Closed fracture: A closed fracture, also known as a simple fracture, does not break the skin, and the bone remains enclosed within the body.
c. Impacted fracture: An impacted fracture occurs when the bone ends are forced into each other, commonly seen in long bones such as the femur. It does not involve the bone penetrating the skin.
d. Stress fracture: A stress fracture is a tiny crack in the bone caused by repetitive stress and overuse. It does not involve the bone penetrating the skin.
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Correct Answer is D
Explanation
Patients with external fixation require close monitoring of the pin sites for signs of infection, as they are at risk of developing pin site infections.
a. Providing passive range of motion exercises: Passive range of motion exercises may be appropriate in some cases, but they are not specific to external fixation management.
b. Changing the dressing daily: Dressing changes for external fixation are typically done as instructed by the healthcare provider, which may not necessarily be daily.
c. Loosening the fixation screws every 4 hours: Fixation screws should not be loosened without proper medical guidance, as this can compromise the stability of the external fixation device.
Correct Answer is B
Explanation
The primary goal of fracture reduction and immobilization is to promote bone realignment and healing. By aligning the fractured bone properly and immobilizing it with casts or splints, the healing process is facilitated, and bone stability is ensured.
a. Reducing pain and discomfort is an important aspect of fracture management but is not the primary goal of fracture reduction and immobilization.
c. Restoring full range of motion is an essential goal of fracture rehabilitation, but it comes after the bone has healed and the immobilization is removed.
d. Minimizing the risk of infection is crucial, particularly in open fractures, but it is not the primary goal of fracture reduction and immobilization.
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