
Tutorial 2- Upper Limb Fractures ( Datin Vasanthie ) Pre
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Other
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University
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Practice Problem
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Hard
Kassandra Lianna Mak
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10 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 14-year-old football player sustains a direct blow to his forearm. Imaging reveals a distal third fracture of the radius and a dislocated ulna head at the wrist. What is this fracture?
Galeazzi
Greenstick
Chauffeur
Monteggia
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 5-year-old boy falls off a swing and lands on his elbow. X-rays show a Gartland 3 supracondylar fracture of the humerus. Which of the following is the most urgent indication for surgical intervention?
Posterior displacement of the fracture
Median nerve injury
Limited range of motion
Brachial artery injury
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 20-year-old rugby player lands awkwardly on an outstretched hand during a match. On examination, there is tenderness over the distal forearm, and an x-ray reveals a ventrally angulated distal radius fracture approximately 1 cm from the joint surface. What is this fracture ?
Colles'
Smith's
Monteggia
Galeazzi
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 23-year-old construction worker presents with severe pain, swelling, and tightness in the forearm following a crush injury. Despite morphine, the pain is worsening. Passive extension of the fingers causes extreme discomfort. What is the most likely diagnosis?
Compartment syndrome
Brachial artery rupture
Crush syndrome
Radial nerve palsy
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 12-year-old boy presents to ED after tripping and falling. X-ray shows a displaced midshaft humerus fracture. Neurological exam reveals wrist drop. Which nerve is most likely injured?
Ulnar nerve
Musculocutaneous nerve
Median nerve
Radial nerve
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 25-year-old man presents with a painful wrist after a fall on an extended wrist during skateboarding. He has localized tenderness over the anatomical snuffbox. Initial radiographs are inconclusive. What should be the next best step in management?
Immobilise in a thumb spica and repeat x-ray in 10-14 days
Immediate surgical fixation
MRI wrist
Reassure and discharge
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 16-year-old girl has a seizure at school. After the event, she is found holding her left shoulder, which is painful and internally rotated. What is the most likely shoulder injury following a seizure?
Posterior glenohumeral dislocation
Anterior glenohumeral dislocation
Clavicle fracture
Acromioclavicular joint dislocation
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