Urgent Care Urgent Care for Fractures and Sprains 3

Question 1

What neurovascular structure is most at risk in a displaced supracondylar humerus fracture in a child?

Accepted Answer

Anterior interosseous nerve and brachial artery

Answer

Ulnar nerve and brachial artery

Answer

Radial nerve and cephalic vein

Answer

Median nerve and cephalic vein

Question 2

Which of the following Ottawa Knee Rules criteria requires X-ray of the knee?

Accepted Answer

Age over 55 years with knee pain

Answer

Soft tissue swelling without bony tenderness

Answer

Mild effusion with full range of motion

Answer

Pain only on resisted quad extension

Question 3

A patient presents with wrist drop after a humeral shaft fracture. Which nerve is most likely injured?

Accepted Answer

Radial nerve

Answer

Median nerve

Answer

Ulnar nerve

Answer

Musculocutaneous nerve

Question 4

What is the most appropriate splint for an acute non-displaced fracture of the second through fourth metacarpal shaft?

Accepted Answer

Radial gutter splint

Answer

Thumb spica splint

Answer

Ulnar gutter splint

Answer

Long arm posterior splint

Question 5

Which clinical sign suggests a complete Achilles tendon rupture rather than a partial tear?

Accepted Answer

Positive Thompson squeeze test (no plantar flexion with calf squeeze)

Answer

Posterior ankle pain with palpation

Answer

Swelling around the heel

Answer

Pain with resisted dorsiflexion

Question 6

A patient with a displaced clavicle fracture of the middle third has no neurovascular deficit. What is the standard treatment in urgent care?

Accepted Answer

Sling for comfort and orthopedic follow-up

Answer

Open reduction and internal fixation in urgent care

Answer

Figure-of-eight bandage and no follow-up needed

Answer

Long arm cast for 6 weeks