Which treatment option is commonly used for a stable closed fracture?
Open reduction and internal fixation (ORIF)
Traction
Cast immobilization
External fixation
The Correct Answer is C
For a stable closed fracture, cast immobilization is a common treatment option. A cast helps support and protect the fractured bone, allowing it to heal properly.
a. Open reduction and internal fixation (ORIF): ORIF is a surgical procedure used for complex or unstable fractures that cannot be treated with a cast alone.
b. Traction: Traction is applied to realign and stabilize fractures, but it is not typically the first-line treatment for stable closed fractures.
d. External fixation: External fixation involves using pins and an external frame to stabilize fractures, and it is typically used for complex or open fractures.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A greenstick fracture is an incomplete fracture where the bone breaks incompletely, with one side bending and the other side breaking. It is commonly seen in children due to their more flexible bones.
b. Comminuted fracture: A comminuted fracture occurs when the bone is crushed and shattered into multiple fragments, but it does not involve one side bending and the other side breaking.
c. Spiral fracture: A spiral fracture occurs when the bone is twisted, resulting in a spiral-shaped fracture line. It does not involve one side bending and the other side breaking.
d. Oblique fracture: An oblique fracture occurs when the bone breaks at an angle, but it does not involve one side bending and the other side breaking.
Correct Answer is C
Explanation
Using a lift sheet to reposition the patient is essential to prevent skin breakdown and pressure ulcers in a patient with long-term immobilization. This helps redistribute pressure on bony prominences and reduces the risk of skin damage.
a. Performing passive range of motion exercises regularly is important for preventing joint stiffness and muscle atrophy but may not directly prevent skin breakdown and pressure ulcers.
b. Applying petroleum jelly to the skin under the immobilization device is not recommended, as it can cause skin maceration and compromise the device's fit and function.
d. Providing a soft foam mattress overlay can enhance patient comfort but may not be sufficient to prevent skin breakdown and pressure ulcers in patients with prolonged immobilization.
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