Urgent Care Urgent Care for Fractures and Sprains 1

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

The Ottawa Ankle Rules indicate X-ray if there is point tenderness over the posterior 6 cm or tip of either malleolus.

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

Scaphoid fractures are frequently occult on initial X-ray; immobilization and follow-up imaging (MRI or repeat X-ray) are mandatory to prevent avascular necrosis.

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

Salter-Harris fractures involve the growth plate and carry the risk of disrupting normal bone growth, depending on the type and displacement.

Question 4

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

Accepted Answer

Neutral (90-degree) position

Answer

The ankle is splinted in the neutral (90-degree) position to prevent contracture and facilitate functional recovery.

Question 5

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

Accepted Answer

Scaphoid

Answer

Anatomical snuffbox tenderness is the hallmark clinical finding of a scaphoid fracture.

Urgent Care Practice Test

Urgent Care Practice Test

Urgent Care Urgent Care for Fractures and Sprains 1