Urgent Care Urgent Care for Fractures and Sprains 2

Question 1

What is the first-line management for a Grade II lateral ankle sprain in an otherwise healthy adult?

Accepted Answer

RICE protocol (rest, ice, compression, elevation) and early mobilization

Answer

Surgical repair within 24 hours

Answer

Strict non-weight-bearing cast for 6 weeks

Answer

Corticosteroid injection into the joint

Question 2

A child presents with elbow pain after a pulled arm. X-ray is normal. What is the most likely diagnosis?

Accepted Answer

Nursemaid's elbow (radial head subluxation)

Answer

Lateral epicondyle fracture

Answer

Olecranon fracture

Answer

Medial epicondyle avulsion

Question 3

Which fracture pattern in the distal radius is associated with dorsal angulation and is most common in elderly patients after a fall?

Accepted Answer

Colles fracture

Answer

Barton fracture

Answer

Smith fracture

Answer

Chauffeur fracture

Question 4

When is urgent orthopedic consultation required for a long bone fracture in urgent care?

Accepted Answer

Open fracture with skin disruption

Answer

Any closed fracture without displacement

Answer

Minimally displaced distal radius fracture

Answer

Non-displaced fifth metatarsal base fracture

Question 5

Which of the following is the most appropriate initial imaging for a suspected stress fracture of the tibia?

Accepted Answer

Plain X-ray (AP and lateral)

Answer

Ultrasound of the tibia

Answer

CT scan of the leg

Answer

Bone scan or MRI

Question 6

A patient has a non-displaced fifth metatarsal avulsion fracture. What is the appropriate treatment?

Accepted Answer

Hard-soled shoe or walking boot and weight-bearing as tolerated

Answer

Immediate surgical pinning

Answer

Short leg cast non-weight-bearing for 8 weeks

Answer

Buddy taping to the fourth toe only