Trauma- OSCE June 2021

Question 1

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)

Accepted Answer

Fracture of the right femoral neck

Answer

No pathology

Answer

Subluxation of lumbar spine 5 vertebra

Answer

Intestinal obstruction

Question 2

Mark which of the clinical signs is not characteristic of this
pathology:
Select one (1p)

Accepted Answer

Lachman's symptom

Answer

The foot of the injured leg is rotated outward

Answer

The injured leg is shorter compared to the healthy one

Answer

Cannot lift extended injured leg

Question 3

Mark which of the following statements is incorrect for the
treatment of this pathology:
Select one (1p)

Accepted Answer

Conservative treatment is usually used in elderly patients

Answer

Dislocations, infection, and fractures are main complications of surgical treatment

Answer

This pathology is often accompanied by decreased mobility, independence, quality of life, and high mortality

Answer

Early mobilization is necessary to avoid thromboembolic complications

Question 4

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)

Accepted Answer

Fracture of the right tibia and fibula

Answer

Fracture of the left tibia and fibula

Answer

Right femoral fracture

Answer

Fracture of the right tibia and femur

Question 5

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:

Question 6

Mark the name of the chosen treatment method:
Select one(1p)

Accepted Answer

External fixation apparatus

Answer

Antiseptic bandage

Answer

Intramedullary nail

Answer

Pirogov apparatus

Answer

Orthopedic shoe

Question 7

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)

Accepted Answer

Dislocation of the right humerus

Answer

Right chest pneumothorax

Answer

Dislocation of the left shoulder joint

Answer

Dislocation of the left clavicle

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Trauma- OSCE June 2021

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