Which type of fracture occurs when the bone is crushed and shattered into multiple fragments?
Greenstick fracture
Comminuted fracture
Avulsion fracture
Stress fracture
The Correct Answer is B
A comminuted fracture occurs when the bone is crushed and shattered into multiple fragments, resulting in significant bone displacement and increased difficulty in alignment during the healing process.
a. Greenstick fracture: A greenstick fracture is an incomplete fracture where the bone bends and partially breaks, commonly seen in pediatric patients. It does not involve bone crushing or fragmentation.
c. Avulsion fracture: An avulsion fracture occurs when a small fragment of bone is pulled away from the main bone due to the forceful attachment of a tendon or ligament. It is not characterized by bone crushing or fragmentation.
d. Stress fracture: A stress fracture is a tiny crack in the bone caused by repetitive stress and overuse. It does not involve bone crushing or fragmentation.
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Related Questions
Correct Answer is C
Explanation
X-ray (radiography) is the most common imaging modality used to diagnose fractures in the emergency department. X-rays can visualize the bone's structure and detect fractures, bone displacement, or other abnormalities.
a. Magnetic Resonance Imaging (MRI): MRI is useful for soft tissue evaluation but is not routinely used for initial fracture diagnosis in the emergency department.
b. Computed Tomography (CT): CT scans provide detailed cross-sectional images of bones and soft tissues, but they are not typically the first-line imaging for initial fracture assessment in the emergency department.
d. Ultrasound: Ultrasound is useful for certain soft tissue evaluations but is not commonly used for diagnosing fractures.
Correct Answer is D
Explanation
Regularly monitoring neurovascular status, including assessing pulses, capillary refill, sensation, and motor function, is essential for early detection of compartment syndrome, which can occur after a fracture. Compartment syndrome is a serious condition where increased pressure within the muscle compartment can compromise blood flow and nerve function.
a. Administering analgesics for pain relief is important, but it does not directly prevent compartment syndrome.
b. Elevating the affected limb above the heart can help reduce swelling but does not specifically prevent compartment syndrome.
c. Applying ice packs to the fracture site can help reduce pain and swelling but is not a preventive measure for compartment syndrome.
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