Emergency Medicine Test Prep - Question List

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126. All of the following are basic principles of open fractures management in the emergency room except?
  1. Control of bleeding
  2. Dressing
  3. Aggressive debridement and irrigation
  4. Antibiotics
127. A 30 year old patient was brought to the emergency department with history of fall from the roof without stretched limb the left upper limb is fractured you noticed that the humerus was visible and the wound penetrated the skin you classified this as an open fracture you are going to start management of this open fracture which one of the following will you keep in mind while managing open fractures ?
  1. Immobilize the patient upper limb
  2. IV Antibiotics
  3. Control of bleeding
  4. All of these
128. A 20 year old boy was brought to the emergency department with history of fall and he was felling extreme pain in his right forearm was unable to pronate and supinate his forearm on examination you see bulging out of the radius bone you confirmed your diagnosis on
X-ray that this is closed fracture of the radius bone Which one of the following is true regarding the definition of close fracture?
  1. A broken bone that penetrate the skin.
  2. A broken bone that does not penetrate the skin
  3. There is a need for immediate treatment
  4. The risk of infection is greater as compared to open fracture
129. Which one of the following is Contraindications to surgical reconstruction of bone fracture?
  1. Active infection (local or systemic) or osteomyelitis
  2. Displaced intra-articular fractures (>2 mm )
  3. Failed nonoperative (closed) management
  4. Fractures in growth areas in skeletally immature individuals that have increased risk for growth arrest
130. Which one of the following are necessary while managing a patient having close fractures?
  1. Reduction
  2. Stabilization or fixation
  3. Rehabilitation
  4. All of these

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