Urgent Care Urgent Care for Fractures and Sprains

Question 1

Which Ottawa Ankle Rule finding indicates the need for an ankle X-ray?

Accepted Answer

Point tenderness over the posterior edge or tip of the lateral malleolus

Answer

Diffuse ankle swelling without point tenderness

Answer

Mild bruising without bony tenderness

Answer

Pain only with full weight bearing

Question 2

A patient with a suspected scaphoid fracture has a normal wrist X-ray. What is the appropriate next step?

Accepted Answer

Immobilize in a thumb spica splint and arrange follow-up or MRI

Answer

Discharge without restriction since X-ray is negative

Answer

Apply a compression bandage and prescribe NSAIDs

Answer

Order a CT scan immediately in urgent care

Question 3

What is the primary concern with a Salter-Harris Type II fracture in a child?

Accepted Answer

Growth plate disruption potentially affecting bone growth

Answer

Immediate arterial injury

Answer

Infection of adjacent soft tissue

Answer

Complete physeal arrest in all cases

Question 4

Which splint position is correct for an acute ankle sprain in urgent care?

Accepted Answer

Neutral (90-degree) position

Answer

Plantar flexion at 45 degrees

Answer

Dorsiflexion at 20 degrees

Answer

Maximum inversion

Question 5

A patient presents after a fall with 'snuffbox' tenderness. Which bone is most likely fractured?

Accepted Answer

Scaphoid

Answer

Lunate

Answer

Trapezium

Answer

Capitate

Question 6

Which physical exam finding is most concerning for a compartment syndrome following a forearm fracture?

Accepted Answer

Pain with passive stretch of the fingers

Answer

Mild edema at the fracture site

Answer

Bruising extending to the elbow

Answer

Tenderness directly over the fracture line