som
Forum Guru
Topics: 59
Posts: 308
|
que 1)
A 65-year-old Caucasian female is brought to the emergency department after she slipped in the bathroom and injured her hip. On examination, her right hip is shortened and externally rotated. X-ray of the hip joint shows an intertrochanteric fracture of the right femur. Which of the following is the most appropriate management for this patient?
A.
Closed treatment with hip spica.
B.
Internal fixation with sliding screw and plate, and early mobilization.
C.
Primary arthroplasty with early mobilization.
D.
Lower limb skeletal traction.
E.
Internal fixation with sliding screw and plate, and bed rest for 6 -12 weeks.
que 2)
A 75-year-old Caucasian female patient is brought to the emergency department after she had a fall early in the morning. She is unable to move her right leg and has severe pain in right hip. Her vital signs: BP is 90/50 mm Hg, PR is 100/min, RR is 16/min and temperature is 36.9C (98.6F). Her right lower extremity is shortened and is externally rotated with marked limitation of hip movement on the right side. X-ray of hip joint shows markedly displaced fracture of neck of the right femur. After hemodynamically stabilizing the patient, which of the following is the most appropriate management?
A.
Closed treatment with hip spica.
B.
Internal fixation of the fracture.
C.
Closed reduction and external fixation.
D.
Lower limb skeletal traction.
E.
Perform a primary arthroplasty.
|
| foco
Forum Elite
Topics: 9
Posts: 66
|
B and E? not sure.
|
| som
Forum Guru
Topics: 59
Posts: 308
|
correct
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
1. B. early immobilisation neccessary to prevent DVT
2. E. fracture does not usually heal due to avascular necrosis of head of femur and also early mobilisation to prevent pnemonia and DVT.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| webjeee
Forum Guru
Topics: 99
Posts: 349
|
1. B. rigid internal fixation allows early mobilization, not immobilisation, which reduces the complications caused by prolonged bedrest, especially for the elder.
|
|
| |
| | | | | |
