Trauma Fractures Quiz
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Questions and Answers

What substance is injected into the vertebral body to prevent further collapse?

  • Surgical glue
  • Hydroxyapatite
  • Calcium carbonate
  • Cement (Polymethylmethacrylate) (correct)
  • Which part of the eye socket is most commonly affected by a blow-out fracture?

  • Orbital Floor (correct)
  • Orbital Wall
  • Optic Canal
  • Orbital Roof
  • What is the main cause of a Colles' fracture?

  • Falling backwards onto a hard surface (correct)
  • Falling forward onto an outstretched hand
  • Direct hit to the wrist
  • Twisting motion at the wrist
  • What type of fracture occurs when the height of the vertebral body is compromised?

    <p>Compression Fracture</p> Signup and view all the answers

    Which type of fracture is often the result of a high energy impact and can involve dislocation?

    <p>Femoral Head Fracture</p> Signup and view all the answers

    In which population are hip fractures most commonly seen?

    <p>Elderly individuals with osteoporosis</p> Signup and view all the answers

    What surgical intervention is often performed to stabilize compression fractures?

    <p>Vertebroplasty with Cage and Rods</p> Signup and view all the answers

    What is a common consequence of a femoral neck or transcervical fracture regarding blood supply?

    <p>It is often disrupted</p> Signup and view all the answers

    What is the best position to visualize an elbow fracture?

    <p>Lateral view</p> Signup and view all the answers

    What does a positive Fat Pad Sign indicate?

    <p>Presence of a fracture</p> Signup and view all the answers

    What type of fracture occurs just below the Intertrochanteric Crest?

    <p>Subtrochanteric Fracture</p> Signup and view all the answers

    Which hip fracture type usually does not damage the blood supply to the hip?

    <p>Intertrochanteric Fracture</p> Signup and view all the answers

    What is indicated when the Posterior Fat Pad is displaced?

    <p>Fracture in the distal humerus</p> Signup and view all the answers

    What is the risk associated with a fractured femoral neck?

    <p>Disruption of blood supply to the femoral head</p> Signup and view all the answers

    What surgical method is often used to reduce an Intertrochanteric Hip Fracture?

    <p>Metal Plate and Screws</p> Signup and view all the answers

    What is commonly observed in a Galeazzi Fracture?

    <p>Fracture of the radial shaft</p> Signup and view all the answers

    What is the treatment approach for Salter-Harris Type I fractures?

    <p>Usually requires a cast for treatment.</p> Signup and view all the answers

    Which type of Salter-Harris fracture involves a combination of a fracture of the proximal ulna and dislocation of the radial head?

    <p>Type II</p> Signup and view all the answers

    What characterizes a Salter-Harris Type III fracture?

    <p>Fracture of the epiphysis combined with partial dislocation.</p> Signup and view all the answers

    Which of the following statements about Salter-Harris Type IV fractures is true?

    <p>They involve fractures of both the epiphysis and the metaphysis.</p> Signup and view all the answers

    What is the typical prognosis for Salter-Harris Type III fractures?

    <p>They have a good prognosis.</p> Signup and view all the answers

    How are Salter-Harris Type II fractures characterized?

    <p>Involves partial dislocation of the epiphysis and a fracture of the metaphysis.</p> Signup and view all the answers

    What is the expected outcome for a Monteggia fracture?

    <p>Usually includes surgical repair due to instability.</p> Signup and view all the answers

    What distinguishing feature is observed in the Monteggia fracture?

    <p>Dislocation of the radial head within the elbow joint.</p> Signup and view all the answers

    What type of fracture involves the impaction of the Epiphysis into the Metaphysis?

    <p>Type V</p> Signup and view all the answers

    What is a common sign of a fracture?

    <p>Pain in the affected area</p> Signup and view all the answers

    What is a defining characteristic of a Tripod Fracture?

    <p>Three articulations of the zygomatic bone are fractured</p> Signup and view all the answers

    What kind of surgery is typically used to stabilize and heal a broken bone in the case of a Tripod Fracture?

    <p>Surgical reduction</p> Signup and view all the answers

    What characterizes an open or compound fracture?

    <p>Bone penetrates the skin</p> Signup and view all the answers

    Which of the following is the primary risk factor associated with an open fracture?

    <p>High risk of infection</p> Signup and view all the answers

    Which bones articulate with the zygomatic bone in a Tripod Fracture?

    <p>Frontal, Temporal, Maxillary</p> Signup and view all the answers

    What is the term for a fracture where the skin is not penetrated?

    <p>Closed fracture</p> Signup and view all the answers

    What is the primary classification of a maxillary fracture that involves horizontal separation from the base of the skull?

    <p>LeFort I (Horizontal Fracture)</p> Signup and view all the answers

    Which type of fracture forms a triangular separation of the maxilla involving vertical fractures of the nasal and malar bones?

    <p>LeFort II (Pyramidal Fracture)</p> Signup and view all the answers

    What classification would best describe a major type of maxillary fracture that extends across the orbits?

    <p>LeFort III (Transverse Fracture)</p> Signup and view all the answers

    Which of the following best describes a partial dislocation often occurring with fractures?

    <p>Subluxation</p> Signup and view all the answers

    A blow-out fracture is primarily caused by which type of impact?

    <p>Direct blow to the front of the orbit</p> Signup and view all the answers

    What is commonly associated with battered child syndrome, often involving reminders of physical abuse?

    <p>Fractures in various stages of healing</p> Signup and view all the answers

    Which classification of dislocation refers to a complete loss of contact in a joint?

    <p>Joint Dislocation</p> Signup and view all the answers

    Which type of injury is indicated by a physical form of child abuse that involves nonaccidental trauma?

    <p>Battered Child Syndrome</p> Signup and view all the answers

    What factor does the lung produce in response to silica exposure?

    <p>Fibroblast-stimulating factor</p> Signup and view all the answers

    What is the classic imaging appearance of Silicosis?

    <p>Multiple nodular shadows</p> Signup and view all the answers

    In younger individuals, what is a solitary pulmonary nodule likely to be associated with?

    <p>Minimal risk of cancer</p> Signup and view all the answers

    What type of calcification is diagnostic of a benign process in a solitary pulmonary nodule?

    <p>Central dense or popcorn calcification</p> Signup and view all the answers

    What is a potential incidental finding on a screening chest radiograph?

    <p>Asymptomatic solitary pulmonary nodule</p> Signup and view all the answers

    What distinguishes benign solitary pulmonary nodules such as a tuberculoma?

    <p>Central calcification with smooth surface</p> Signup and view all the answers

    What profession is at risk for developing asbestosis?

    <p>Improperly protected construction workers</p> Signup and view all the answers

    What imaging technique might be necessary to demonstrate calcification effectively in benign nodules?

    <p>Low-kVp technique</p> Signup and view all the answers

    Study Notes

    Trauma/Fracture

    • Fracture is a break in a bone caused by force
    • Treatment choices depend on fracture severity and type
    • Closed/Nondisplaced fractures often treated with splinting or casting
    • Closed reduction requires local or general anesthetic and application of a splint or cast.
    • Open reduction is needed for fractures piercing the skin or when orthopedic hardware is required
    • Open/Compound fractures always require internal fixation devices
    • Spiral fractures result from twisting force, resembling a spiral staircase
    • Spiral fractures in children may be a sign of abuse
    • Oblique fractures have a slanted break
    • Transverse fractures are horizontal breaks relative to the long axis of the bone

    Types of Fractures

    • Transverse: The fracture line is perpendicular to the long axis of the bone.
    • Oblique: The fracture line is diagonal to the long axis of the bone.
    • Spiral: The fracture line spirals around the long axis of the bone.
    • Comminuted: The bone is broken into many fragments.
    • Greenstick: A partial fracture in which one side of the bone breaks while the other side bends. Common in children.
    • Torus: A partial fracture, often in the distal forearm of young children, where one side of the bone buckles without complete break.
    • Avulsion: A fragment of bone is separated from the main bone where a tendon or ligament attaches.
    • Compression: A vertebral body is crushed due to trauma, osteoporosis, or a tumor.
    • Butterfly: A comminuted fracture with one or more wedge-shaped fragments.
    • Stellate: A fracture with multiple fracture lines radiating from a central point (star-like).
    • Longitudinal: A fracture runs along the length of the bone.
    • Impacted: One bone fragment is driven into another.
    • Double: A fracture in two separate areas of the bone.

    Specific Fractures

    • Jones fracture: Fracture of the fifth metatarsal bone, more difficult to heal compared to avulsion.
    • Boxer's fracture: Fracture of the metacarpal bone, usually resulting from a fist-based impact.
    • Colle's fracture: Fracture of the distal radius, commonly from falling backwards on an outstretched hand.
    • Monteggia fracture: Fracture of the proximal ulna, often accompanied by dislocation of the radial head in the elbow.
    • Hip fractures: Occur at the proximal end of the femur, often associated with falls in elderly patients with osteoporosis (e.g., femoral neck, intertrochanteric, subtrochanteric).

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    Description

    Test your knowledge on various types of fractures and their treatments. This quiz covers essential concepts about bone injuries, including closed and open fractures, treatment options, and specific fracture types. Perfect for medical students or anyone interested in trauma care.

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