Fracture management (open and closed) MCQs

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 28, 2024

What is the primary goal of fracture management?
A) To relieve pain
B) To restore function
C) To promote healing
D) All of the above
Answer: D) All of the above

Which of the following describes an open fracture?
A) The bone is broken but does not penetrate the skin.
B) The bone is broken and protrudes through the skin.
C) The fracture is incomplete.
D) The fracture is stable and does not require surgery.
Answer: B) The bone is broken and protrudes through the skin.

What is the first step in managing a closed fracture?
A) Immobilization
B) Surgery
C) Assessment and diagnosis
D) Pain management
Answer: C) Assessment and diagnosis

Which of the following is a common treatment method for open fractures?
A) Casting
B) Surgical intervention
C) RICE therapy
D) Bed rest
Answer: B) Surgical intervention

What is the primary function of immobilization in fracture management?
A) To allow the patient to move freely
B) To prevent further injury and stabilize the fracture
C) To enhance blood flow to the area
D) To promote muscle atrophy
Answer: B) To prevent further injury and stabilize the fracture

Which imaging technique is often used to assess fractures?
A) MRI
B) CT scan
C) X-ray
D) Ultrasound
Answer: C) X-ray

What is the typical duration for immobilization of a simple closed fracture?
A) 1-2 days
B) 2-4 weeks
C) 6-8 weeks
D) 10-12 weeks
Answer: C) 6-8 weeks

What is the recommended first aid for an open fracture?
A) Clean the wound
B) Apply a tourniquet
C) Cover the wound with a sterile dressing
D) Move the bone back into place
Answer: C) Cover the wound with a sterile dressing

Which of the following is a complication of open fractures?
A) Infection
B) Non-union
C) Malunion
D) All of the above
Answer: D) All of the above

What is the term for the process of realigning broken bone ends?
A) Reduction
B) Stabilization
C) Immobilization
D) Fixation
Answer: A) Reduction

Which method is often used to stabilize an open fracture?
A) External fixation
B) Casting
C) Compression
D) Massage
Answer: A) External fixation

What is the main purpose of surgical intervention in fracture management?
A) To enhance cosmetic appearance
B) To prevent complications and promote healing
C) To reduce pain
D) To expedite recovery time
Answer: B) To prevent complications and promote healing

What type of fracture requires immediate surgical intervention?
A) Closed fracture
B) Open fracture
C) Stress fracture
D) Greenstick fracture
Answer: B) Open fracture

Which type of fracture is typically treated with a cast?
A) Open fracture
B) Closed fracture
C) Comminuted fracture
D) Avulsion fracture
Answer: B) Closed fracture

What is a common method for managing pain in fracture patients?
A) Antidepressants
B) Ice therapy
C) Analgesics
D) Corticosteroids
Answer: C) Analgesics

Which of the following is NOT a method of fracture stabilization?
A) Bracing
B) Casting
C) Surgery
D) Heat application
Answer: D) Heat application

What is the first aid technique used to reduce swelling in fractures?
A) Compression
B) Elevation
C) Ice application
D) All of the above
Answer: D) All of the above

Which factor is important in determining the type of fracture management?
A) Patient’s age
B) Fracture location and severity
C) Patient’s overall health
D) All of the above
Answer: D) All of the above

What is the term for the soft tissue and blood vessels that can be damaged during a fracture?
A) Hematoma
B) Callus
C) Cartilage
D) Ligament
Answer: A) Hematoma

Which of the following is a common sign of fracture healing?
A) Decreased swelling
B) Increased pain
C) Limited mobility
D) Persistent deformity
Answer: A) Decreased swelling

What is the term for the hard tissue formed during fracture healing?
A) Fibrocartilage
B) Callus
C) Granulation tissue
D) Hematoma
Answer: B) Callus

Which type of immobilization is used for fractures of the upper limb?
A) Plaster cast
B) Sling
C) External fixation
D) All of the above
Answer: D) All of the above

What is a potential complication of improper fracture management?
A) Enhanced healing
B) Improved mobility
C) Chronic pain
D) Increased strength
Answer: C) Chronic pain

Which type of fracture may require an orthopedic consultation for management?
A) Stress fracture
B) Closed fracture
C) Open fracture
D) Simple fracture
Answer: C) Open fracture

What is the role of physiotherapy in fracture management?
A) To immobilize the fracture
B) To promote healing and restore function
C) To prevent infections
D) To provide pain relief
Answer: B) To promote healing and restore function

What is the term for the repositioning of bone fragments after a fracture?
A) Reduction
B) Fixation
C) Stabilization
D) Restoration
Answer: A) Reduction

Which of the following is a key component of post-fracture rehabilitation?
A) Strength training
B) Pain management
C) Range of motion exercises
D) All of the above
Answer: D) All of the above

What is a common method for treating a simple closed fracture?
A) Surgery
B) Immobilization with a cast
C) Pain medication only
D) Heat therapy
Answer: B) Immobilization with a cast

What is an essential step before casting a fracture?
A) Assessing for allergies
B) Taking a complete medical history
C) Ensuring the fracture is aligned
D) Administering anesthesia
Answer: C) Ensuring the fracture is aligned

Which of the following factors can delay fracture healing?
A) Smoking
B) Adequate nutrition
C) Age
D) All of the above
Answer: A) Smoking

What is the purpose of using a splint in fracture management?
A) To allow full range of motion
B) To stabilize the fracture temporarily
C) To promote swelling
D) To enhance circulation
Answer: B) To stabilize the fracture temporarily

Which type of fracture is characterized by a break in the bone due to a high-impact force?
A) Stress fracture
B) Pathological fracture
C) Traumatic fracture
D) Greenstick fracture
Answer: C) Traumatic fracture

What is the preferred position for a patient with an open fracture before surgical intervention?
A) Sitting upright
B) Lying flat
C) Lying on the affected side
D) Elevating the affected limb
Answer: D) Elevating the affected limb

Which of the following best describes the recovery process after fracture management?
A) It requires no follow-up care.
B) It includes gradual return to activities.
C) It is the same for every type of fracture.
D) It is solely focused on pain relief.
Answer: B) It includes gradual return to activities.

What is the role of nutrition in fracture healing?
A) It has no impact on healing.
B) It helps reduce inflammation only.
C) It supports the bone healing process.
D) It is only important before surgery.
Answer: C) It supports the bone healing process.

What is a common postoperative care measure for open fracture management?
A) Immediate weight-bearing
B) Close monitoring for signs of infection
C) Rapid rehabilitation
D) Use of heating pads
Answer: B) Close monitoring for signs of infection.