Tuesday, October 04, 2005

N4 test hip fractures

http://www.nursingcenter.com/prodev/ce_article.asp?tid=596395

There are a lot of pictures and x-rays to look at in this article and others. I hope that you are clicking on the links to at least look at the pictures in these articles.
1.
Of all patients sustaining hip fractures, about how many are over 50 years of age?
a. 74%
b. 82%
c. 89%
d. 97%

2.
Besides preventing additional injury, the rationale for immobilizing extremities before transport when a fracture is suspected is to
a. facilitate the transfer of the patient to the stretcher.
b. minimize the amount of bleeding at the site of fracture.
c. discourage attempts by the patient to assist with transport.
d. allow better visualization of the extent of injuries.

3.
The primary goal of treatment for a patient with a fractured hip is to
a. teach prevention of future hip injuries.
b. prevent complications like fat embolism.
c. successfully manage the patient's pain.
d. return the patient to preinjury activity levels.

4.
Patients with two or fewer comorbidities tend to have optimal outcomes when internal fixation of a hip fracture is done within how many days of the initial injury?
a. 2
b. 3
c. 4
d. 5

5.
X-rays taken of a fractured hip should
a. include at least one view at a right angle to the site.
b. focus just on the injury site and not adjacent joints.
c. provide a two-dimensional view of the injured area.
d. avoid oblique views because they are usually unnecessary.

6.
The complication of most concern with a femoral neck fracture is
a. malalignment.
b. avascular necrosis.
c. postoperative hematoma.
d. inaccurate reduction.

7.
The recommended method for stabilizing a displaced femoral neck fracture is
a. cannulated screws.
b. Buck's traction.
c. total hip replacement.
d. Ender nail fixation.

8.
An intertrochanteric fracture in which the fracture line follows the intertrochanteric line but is rotated and may be comminuted is considered Type
a. I.
b. II.
c. III.
d. IV.

9.
An intertrochanteric fracture that is comminuted and requires strict angulation to reduce the fracture is considered Type
a. I.
b. II.
c. III.
d. IV.

10.
Of the following, the most difficult type of hip fracture to manage is
a. a femoral neck fracture.
b. a subtrochanteric fracture.
c. a femoral head fracture.
d. an intertrochanteric fracture.

11.
Most patients who develop an infection in a hip fracture site
a. are between the ages of 60 and 70.
b. show signs of infection soon after surgery.
c. recover without impairment of hip function.
d. have other multi-system illnesses.

12.
With a subtrochanteric fracture, the proximal fragment is
a. abducted.
b. internally rotated.
c. extended.
d. unaffected.

13.
Surgical repair of a subtrochanteric fracture is indicated unless
a. there are associated vascular injuries.
b. the fracture is displaced.
c. there is severe comminution of bone.
d. multiple injuries are involved.

14.
One of the primary symptoms of infection in the hip is
a. fever.
b. persistent pain.
c. edema.
d. purulent drainage.

15.
Internal fixators are usually removed and the hip area drained of all fluid when which type of fracture becomes infected?
a. femoral neck fracture
b. subtrochanteric fracture
c. intertrochanteric fracture
d. any internally fixated hip fracture

16.
Surgical repair for nonunion fractures
a. tends to be unsuccessful in most patients.
b. requires extensive bone grafting.
c. usually reveals bone infection.
d. is not the initial choice of treatment.

1 comment:

Bonnie Boss said...

1d, 2b, 3d, 4a, 5c, 6b, 7a, 8b, 9c, 10b, 11d, 12a, 13c, 14b, 15a, 16d