Fractures
Orthopedics · Topic 2
Source: NMC CBME Curriculum 2024 · Volume III · Orthopedics · Topic 2 · combined PDF page 444
Practice questions
- In children and adolescents, approximately what proportion of all fractures are reported to be fractures of the lower-leg shaft?
- Which pediatric lower-leg shaft fracture pattern is described as significantly less stable and more frequently treated with osteosynthesis than an isolated tibial shaft fracture?
- A child has a non-displaced or tolerably displaced lower-leg shaft fracture selected for conservative treatment. Which casting and imaging plan matches the supplied guideline?
- A child with a lower-leg shaft fracture develops signs concerning for impending compartment syndrome. Which management principle is supported by the supplied guideline?
- When operative stabilization is indicated for a pediatric lower-leg shaft fracture, which technique is described as the standard procedure in the supplied guideline?
- A child has a grade III open lower-leg shaft fracture requiring stabilization. Which statement best reflects the guideline’s description of fixation options?
- Which description best characterizes a toddler’s fracture?
- A toddler has leg pain after a minor fall with a possible rotational component. The initial radiograph does not show a clear fracture, but clinical suspicion for a toddler’s fracture remains. Which interpretation is most appropriate?
- For a typical nondisplaced toddler’s fracture, which approach to immobilization and routine follow-up imaging is described in the guideline?
- Which set of issues is specifically identified as central to primary prevention of osteoporotic fractures in the supplied 2026 guideline?
- A clinician is designing a primary fracture-prevention pathway for older adults at increased fracture risk. Which action best aligns with the supplied prevention guideline?
- Which strategy is explicitly included among the primary-prevention issues in the supplied guideline, alongside osteoporosis assessment and treatment?
- A patient with a painful osteoporotic vertebral compression fracture is being considered for vertebral augmentation. According to the supplied practice recommendations, when are optimal outcomes described?
- A patient with an osteoporotic vertebral compression fracture is being considered for a procedure that can additionally restore vertebral height and reduce kyphotic deformity. Which procedure best fits this description?
- Which statement correctly contrasts vertebroplasty and balloon kyphoplasty in the supplied practice recommendations?
- In the supplied distal femoral fracture guideline summary, which approach has become established as the standard compared with conservative measures?
- A distal femoral fracture is being planned for operative treatment. Which set of factors is emphasized in the supplied guideline summary for individualized decision-making?
- Which option is included among the operative treatment methods listed for distal femoral fractures in the supplied guideline summary?
- In a meta-analysis of photobiomodulation (PBM) for fractures, at what time point was a lower pain score reported for PBM than placebo?
- For patients with upper-limb fractures, which functional outcome showed significantly greater improvement with photobiomodulation than placebo in the supplied meta-analysis?
- A patient asks whether photobiomodulation has been shown to accelerate fracture union. Which response best reflects the supplied systematic review and meta-analysis?
- A meta-analysis of cohort studies reports an odds ratio of 1.56 for osteoporosis among people with atopic dermatitis. Which interpretation is most appropriate?
- Which fracture pattern was reported as having a significantly increased risk in the atopic dermatitis meta-analysis?
- Compared with the pre-pandemic period, what happened to the pooled incidence of all types of osteoporotic fractures during the pandemic in the supplied meta-analysis?
- Which conclusion best summarizes the global findings for hip and vertebral osteoporotic fractures during the pandemic in the supplied meta-analysis?