Medical Cases: Trauma & Conditions

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Questions and Answers

A patient involved in a motor vehicle accident (MVA) presents with a right femur fracture. Which of the following considerations is MOST crucial in the initial management?

  • Scheduling immediate physiotherapy sessions to prevent muscle atrophy.
  • Consulting with a dietician for a high-calorie diet plan to promote bone healing.
  • Performing a thorough assessment for associated injuries and hemodynamic stability. (correct)
  • Focusing primarily on pain management with opioid analgesics.

A patient is diagnosed with hip osteoarthritis. What combination of interventions would MOST comprehensively address the multifaceted nature of the condition?

  • Weight management, low-impact exercises, pain management, and assistive devices. (correct)
  • Surgical intervention as the first-line treatment.
  • Ignoring pain signals from the affected hip so that natural healing can occur.
  • Prescription of NSAIDs and recommending complete bed rest.

An MRI confirms an ACL tear and medial/lateral meniscus tears. What is the next appropriate step?

  • Advising the patient to continue normal activities as tolerated to avoid stiffness.
  • Referring the patient for surgical consultation and physical therapy. (correct)
  • Initiating immediate high-intensity weight-bearing exercises to promote healing.
  • Applying a cast for immobilization and prescribing strong opioid analgesics.

A patient with a left femoral neck fracture is being evaluated for surgical management. Which factor is MOST critical in determining the optimal surgical approach?

<p>The fracture displacement, patient's age, and pre-existing medical conditions. (D)</p> Signup and view all the answers

A patient has sustained distal tibia and ulna fractures. What principle is MOST important when planning the rehabilitation program?

<p>Balancing the need for early mobilization with fracture stability and healing. (C)</p> Signup and view all the answers

A patient is diagnosed with a T3 compression fracture. What is the PRIMARY concern regarding their neurological status?

<p>Compromise of respiratory function due to potential intercostal nerve involvement. (C)</p> Signup and view all the answers

A patient presents with upper GI bleeding. What is the MOST appropriate INITIAL intervention?

<p>Initiation of intravenous fluid resuscitation and assessment of hemodynamic stability. (D)</p> Signup and view all the answers

A patient is diagnosed with adrenal adenocarcinoma. Which of the following is a significant concern regarding the endocrine function?

<p>Potential for hormonal imbalances, including cortisol, aldosterone, or androgens. (C)</p> Signup and view all the answers

A patient is diagnosed with choledocholithiasis. What is the MOST likely intervention required to address this condition?

<p>Endoscopic retrograde cholangiopancreatography (ERCP) for stone removal. (B)</p> Signup and view all the answers

A patient is suspected of having meningitis. Which of the following is the MOST critical step in confirming the diagnosis?

<p>Performing a lumbar puncture to analyze the cerebrospinal fluid. (C)</p> Signup and view all the answers

Flashcards

Vehicular Accident with MPI

Damage to a vehicle resulting in injury or death, reported to Manitoba Public Insurance.

Hip Osteoarthritis (right)

Degenerative joint disease affecting the hip, specifically on the right side.

ACL Tear (L) with meniscus tears

Tear of the anterior cruciate ligament in the left knee, accompanied by tears in the medial and lateral menisci.

Fracture Femoral Neck Left

Fracture of the femoral neck on the left side – the area just below the ball of the hip joint.

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Distal tibia and ulna fracture

Fractures occurring in the distal (far end) of the tibia and ulna bones.

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T3 compression

Compression fracture affecting the T3 vertebra (third thoracic vertebra) in the spine.

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Right Femur Fracture Due to MVA

Fracture of the right femur (thigh bone) resulting from a motor vehicle accident.

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Meningitis

Inflammation of the meninges, the membranes surrounding the brain and spinal cord.

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Upper GI bleeding

Bleeding in the upper gastrointestinal tract.

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Adrenal adenocarcinoma

Malignant tumor arising from the adrenal cortex.

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Study Notes

  • Represents a car crash event involving interaction with Manitoba Public Insurance
  • Indicates joint inflammation and damage in the right hip
  • Signifies a rupture of the anterior cruciate ligament in the left knee, accompanied by damage to the inner and outer cartilage
  • Denotes a break in the upper part of the left femur
  • Indicates breaks in the lower part of the tibia and ulna
  • Signifies a compression fracture in the third thoracic vertebra
  • Represents a break in the right femur resulting from a car crash
  • Indicates inflammation of the membranes surrounding the brain and spinal cord
  • Signifies bleeding in the upper part of the gastrointestinal tract
  • Denotes a cancerous tumor in the adrenal gland
  • Indicates the presence of gallstones in the common bile duct

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