T3 L7: Principles of fracture management (BR)

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50 Questions

Which of the following is a key factor in contributing to the loss of a limb in a trauma patient?

Vessels

What is the recommended treatment for compartment syndrome?

Fasciotomy

What can occur if compartment syndrome is missed?

Volkman's ischaemic contracture

Which part of a bone is commonly affected in a fracture?

Diaphysis

What term is used to describe a fracture that involves the joint?

Intra-articular

What is the primary goal of fracture management?

Reduce

Which type of fracture is characterized by multiple fragments?

Comminuted

What is the term for the process of restoring a fractured bone to its normal position?

Reduction

Which type of fracture management involves the use of external devices like slings or casts?

External fixation

What are the physiological parameters to consider in polytrauma care?

Acidosis

Which of the following is a potential complication of surgery?

Infection

What is the ATLS approach?

Airway, Breathing, Circulation, Disability, Exposure

How do you control the cervical spine?

With cervical immobilization

How do you assess the patency of an airway?

By checking for air movement

What is the difference between breathing and ventilation?

Breathing is the process of inhaling and exhaling air, while ventilation is the exchange of gases in the lungs

What might interfere with breathing?

Fracture

What is the immediate life-threatening A & B problems in trauma management?

Air Obstruction, Tension pneumothorax

How do you assess circulation in trauma management?

By checking capillary refill

What are the classes of shock?

Hypovolemic, Cardiogenic, Distributive, Obstructive

Where can you bleed from enough to die quickly in trauma?

Arteries

What is the immediate life-threatening airway issue mentioned in the text?

Fight with a sneaker

What can cause death in trauma patients according to the text?

ISIS injury

Which type of fracture can be significant for a pianist or a surgeon?

Distal tough fracture

What is the significance of small injuries in trauma management according to the text?

They can be just as significant for the patient

Which of the following is a potential specific complication of orthopaedic surgery?

Nerve damage

What is the acronym used for the handover of a trauma patient's vital information?

ABCDE

What is the primary goal of fracture management?

To restore the fractured bone to its normal position

What is the main reason people fail their HLS course?

Non-uniform treatment approach

Which of the following is a key indicator of shock?

Decreased diastolic blood pressure

Which parameter is the best marker of shock?

Urine output

Which is a common misconception about blood pressure in shock?

Blood pressure is maintained in class one and class two shock

What is the recommended treatment for hemorrhagic shock?

Blood transfusion

What is the main reason for not getting sidetracked by traumatic injuries in trauma management?

To avoid missing life-threatening injuries

Which component of the limb is considered most important for its function?

Blood vessels

What is a common acute hemorrhaging site in vascular injuries?

Veins

What is the primary concern when repairing an arterial injury in a limb?

Restoring blood supply to the soft tissues

What is the purpose of immobilizing the spine in trauma management?

To prevent further injury

What is the purpose of a scoop stretcher in trauma management?

To extract the patient from a trapped car

What is the recommended airway management technique for a patient with severe airway obstruction due to swelling?

Using a surgical airway

What is the difference between breathing and ventilation in trauma management?

Breathing is gas exchange, while ventilation is the act of inhaling and exhaling

What is the acronym Atom FC used for in trauma management?

Identifying immediate life-threatening airway and breathing issues

What is the treatment for tension pneumothorax in trauma management?

Administering a needle decompression in the second intercostal space

What is the term used to describe a condition where two or more ribs are broken in two or more places, causing a patch of the rib cage to become detached?

Flail chest

What is the primary goal of circulation management in trauma care?

Assessing shock and managing hemorrhage

What is compartment syndrome characterized by?

Pain and increased pressure in the compartment

What can cause compartment syndrome?

All of the above

What happens as the pressure in the compartment increases?

The veins get squeezed and the outflow gets obstructed

What are the symptoms of compartment syndrome?

Pain and clinical manifestations

What is the main problem in compartment syndrome?

Increased pressure in the compartment

How is compartment syndrome treated?

By releasing the pressure

Test your knowledge on the principles of fracture management with this quiz by Prof Benedict Rogers. Learn about trauma and fractures, complications of surgery, and specific/local issues such as infection, dislocation, and neurovascular concerns. Perfect for medical professionals and orthopaedic enthusiasts.

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