Deck 168: Sprains, Strains, and Fractures

Question 1

A school-age child falls off a swing and fractures the humerus close to the elbow joint. What is the most important assessment for this patient to evaluate possible complications of this injury?

A) Evaluation of pain with extension
B) Palpation for joint laxity
C) Salter-Harris classification
D) The presence of a spiral fracture

Answer 1

C

Question 2

A soccer player is brought to the emergency department after twisting an ankle during a game. An examination of the affected joint reveals ecchymosis and edema of the ankle and limited joint laxity along with pain on weight-bearing, although movement with pain is intact. Which grade sprain is likely?

A) Grade I
B) Grade II
C) Grade III
D) Grade IV

Answer 2

B

Question 3

An emergency department provider is giving instructions for rest, ice, compression, and elevation (RICE) treatment in a patient with a sprain. What is included in teaching about this home care? (Select all that apply.)

A) An elastic bandage is enough for compression.
B) Apply ice packs for 20 minutes three times daily.
C) Proximal joints should be elevated higher than distal joints.
D) The injured extremity should be raised above the level of the heart.
E) Place a cloth between the ice pack and the skin.

Answer 3

A, D, E