Fracture Healing Quiz

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56 Questions

Which one of the following factors can affect the healing time of fractures?

Nutrition

Which stage of fracture healing involves the formation of new blood vessels and connective tissue at the fracture site?

Granulation tissue

When does callus formation begin during fracture healing?

At the end of the second week

Which stage of fracture healing involves the gradual replacement of soft callus with hard callus made up of new bone tissue?

Bony callus formation

Which term refers to a fracture that does not heal at all?

Nonunion

Which factor can affect the healing time of fractures?

Age

Which one of the following is a direct complication of fractures?

Bone infection

Which one of the following is an indirect complication of fractures?

Compartment syndrome

Which one of the following is a direct complication of fractures?

Bone infection

Which one of the following factors can influence fracture healing?

Presence of complications

Which type of procedure is nonsurgical closed reduction?

A procedure that manually realigns bone fragments

What is typically used during nonsurgical closed reduction?

Traction and counter-traction

What is the purpose of applying a cast after nonsurgical closed reduction?

To maintain alignment of the bones

Which of the following is a disadvantage of skin traction?

It makes repositioning the patient difficult

What is the range of traction weights used for skin traction?

2.3-4.5 kg

Which type of traction is commonly used for hip and femur fractures?

Buck's traction

Which one of the following is a possible consequence of applying too much weight during skeletal traction?

Delayed union

What can happen if a fracture does not heal at all?

Nonunion

Which of the following is a disadvantage of skeletal traction?

Increased risk of infection at the pin sites

What is the weight range for skeletal traction?

2 to 20 kg

What can happen if too much weight is applied during skeletal traction?

Delayed union or nonunion

Which of the following factors can increase compartment pressure from outside, potentially leading to compartment syndrome?

Restrictive dressing

Which of the following factors can increase compartment pressure from inside, further contributing to the development of compartment syndrome?

Bleeding

What are the internal factors that can increase compartment pressure from inside?

Bleeding

Which of the following actions should be avoided when compartment syndrome is suspected?

Elevating the affected extremity above heart level and Applying cold compresses to the affected area

What is the potential consequence of delayed or inaccurate diagnosis of compartment syndrome?

Muscle and nerve damage

In severe cases of compartment syndrome, what surgical procedure may be necessary?

Fasciotomy

Which of the following is a common symptom of avascular necrosis?

Pain and stiffness in the affected joint

What is the cause of avascular necrosis?

Disruption of the blood supply to the bone

Which of the following is a direct complication of fractures?

Avascular necrosis

Which of the following is a symptom of fat embolism syndrome?

Fever

When does fat embolism syndrome typically occur after an injury?

1-3 days

What is the mechanism of fat embolism syndrome?

Blockage of blood vessels by fat globules

Which of the following is the best prevention for fat embolism syndrome?

Proper immobilization of fractures

What is the primary cause of fat embolism syndrome?

Fat droplets entering the bloodstream

Which of the following is a common symptom of fat embolism syndrome?

Difficulty breathing and chest pain

What is a common symptom of fat embolism syndrome?

Increased respiratory rate

Which of the following can be a sign of fat embolism syndrome?

Increased heart rate

What is the main reason for an increased heart rate in fat embolism syndrome?

Decrease in oxygen levels

Which of the following is a potential consequence of fat embolism syndrome?

Pulmonary embolism

What is the main cause of respiratory distress in fat embolism syndrome?

Decreased oxygen levels

Why can an increased work of breathing occur in fat embolism syndrome?

Due to decreased oxygen levels

Which of the following is a potential consequence of rhabdomyolysis?

Kidney failure

Why should urine output be monitored in patients at risk of muscle damage?

To detect rhabdomyolysis

What is the main reason for monitoring urine output in patients at risk of muscle damage?

due to a possible muscle damage

Which substance is released into the bloodstream when muscle tissue breaks down in rhabdomyolysis?

Myoglobin

What is a common cause of muscle damage that can lead to rhabdomyolysis?

Fracture

What is rhabdomyolysis?

A condition where muscle tissue breaks down and releases its contents into the bloodstream

Which of the following interventions is aimed at diluting myoglobin in the urine?

Increasing fluid intake

What are the potential complications associated with myoglobinuria?

Acute tubular necrosis and acute renal failure

How does diluting myoglobin through increased IV fluids support renal function?

By promoting the elimination of myoglobin from the body

Which of the following tests is useful for ruling out a blood clot in the context of vascular assessment?

D-Dimer blood test

Which of the following is the purpose of using an abductor pillow, blanket, or regular pillow between the legs after total hip arthroplasty or hip fracture repair?

To prevent dislocation of the prosthetic joint

Why is it important to ensure that the operative leg does not cross over the non-operative leg after total hip arthroplasty or hip fracture repair?

To prevent potential complications or dislocation of the prosthetic joint

When should a pillow be placed between the knees of a patient lying on their side after total hip arthroplasty or hip fracture repair?

Always

What is the maximum degree of hip flexion that should be avoided during operative hip procedures?

90 degrees

Test your knowledge on fracture healing with this quiz! Learn about delayed union, nonunion, malunion, and the impact of age on healing time.

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