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

Grade II ankle sprains are managed conservatively with RICE and functional rehabilitation, allowing early return to activity.

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

Nursemaid's elbow occurs after axial traction on an extended arm in young children and typically has a normal X-ray; reduction is curative.

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

Colles fracture involves dorsal displacement and angulation of the distal radius fragment, classic in older adults after a fall on an outstretched hand.

Question 4

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

Accepted Answer

Open fracture with skin disruption

Answer

Open fractures require urgent orthopedic consultation due to the risk of osteomyelitis and need for operative irrigation and debridement.

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

Plain X-ray is the first-line imaging for suspected tibial stress fracture, though it may be negative early; MRI is more sensitive if X-ray is inconclusive.

Urgent Care Practice Test

Urgent Care Practice Test

Urgent Care Urgent Care for Fractures and Sprains 2