A 33-year-old man fell while jogging and twisted his ankle. He has a painful, swollen ankle with obvious deformity. X-ray shows a dislocated ankle with bimalleolar fracture. What is the best immediate management?

Post Tutorial 3 - LL # Datin Vasanthie

Quiz
•
Other
•
University
•
Hard
Kassandra Lianna Mak
FREE Resource
10 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Closed reduction under sedation
Apply a walking boot and refer
ORIF within 24 hours
Ankle brace and outpatient review
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 60-year-old woman slips in her bathroom and lands on her left side. She is unable to stand. Pelvic X-ray shows a displaced intracapsular neck of femur fracture. She was previously fit and independent. What is the most appropriate treatment?
Hemiarthroplasty
Total hip replacement
ORIF with dynamic hip screw
Conservative management
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 24-year-old man is brought to the ED after a motorcycle collision. His right leg is shortened, internally rotated, flexed and adducted. What is the most likely diagnosis?
Neck of femur fracture
Posterior hip dislocation
Intertrochanteric fracture
Anterior hip dislocation
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 35-year-old man sustains an open tibial fracture after a road traffic accident. The wound is 12 cm long with periosteal stripping and moderate contamination. According to the Gustilo-Anderson classification, what is the type?
II
IIIA
IIIB
IIIC
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 45-year-old woman twisted her foot while stepping down from a curb. She has pain and swelling over the middle of the foot. X-ray shows widening between the first and second metatarsal bases. What is the most likely diagnosis?
Lisfranc injury
Navicular fracture
Metatarsal stress fracture
Ankle sprain
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 29-year-old construction worker falls and sustains a comminuted intra-articular fracture of the distal tibia with axial compression. X-ray confirms involvement of the plafond. What is the fracture?
Jones
Pilon
Tibial shaft
Tibial plateau
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 26-year-old army trainee presents with a gradual onset of pain over the top of the foot after long marches. There is point tenderness over the shaft of the third metatarsal. X-ray shows a subtle, nondisplaced hairline fracture. What is the fracture?
Jones
March
Greenstick
Avulsion
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