Situation: An ambulance brought a patient, an 85-year-old woman, to the Emergency Department, who slipped in the bath, fell and injured her right hip area. The patient suffers from pain in the right hip joint area. The patient is stable and immobilized on the right leg with a splint.
1. Mark a correct clinical diagnosis: Choose one (2p)
No pathology
Subluxation of lumbar spine 5 vertebra
Intestinal obstruction
Fracture of the right femoral neck
Mark which of the clinical signs is not characteristic of this pathology: Select one (1p)
The foot of the injured leg is rotated outward
The injured leg is shorter compared to the healthy one
Cannot lift extended injured leg
Lachman's symptom
Mark which of the following statements is incorrect for the treatment of this pathology: Select one (1p)
Conservative treatment is usually used in elderly patients
Dislocations, infection, and fractures are main complications of surgical treatment
This pathology is often accompanied by decreased mobility, independence, quality of life, and high mortality
Early mobilization is necessary to avoid thromboembolic complications
A 25-year-old man was walking through a pedestrian crossing and was hit by a car. Ambulance brought the patient to ER. The patient is conscious, complains of the right calf pain. Observed 10 cm dirty wound in the right calf area, deformity of the limb, palpation is painful and with crepitation. Stable hemodynamics of the patient, no other pathologies observed.
Make a correct clinical diagnosis: (2p)
Fracture of the left tibia and fibula
Right femoral fracture
Fracture of the right tibia and femur
Fracture of the right tibia and fibula
No other pathologies were identified, an open (high openness-grade III) fracture was diagnosed. Mark which of the pictures represents the correct method of treatment:
Mark the name of the chosen treatment method: Select one(1p)
External fixation apparatus
Antiseptic bandage
Intramedullary nail
Pirogov apparatus
Orthopedic shoe
The 54-year-old woman fell on her outstretched right arm. Appointed to the ER, complains of right shoulder pain, dysfunction. The forced position of the right arm ("carrying the hand"), deformed shoulder, empty cavitas glenoidalis, passive "springing" hand movements through the shoulder joint are observed.
Mark a correct clinical diagnosis: Select one (2p)
Right chest pneumothorax
Dislocation of the right humerus
Dislocation of the left shoulder joint
Dislocation of the left clavicle
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