Trauma- OSCE Jan 2021

Question 1

Situation: An ambulance brought a patient to the Emergency Department, an 85- year-old woman who slipped in a bath 2 weeks ago, fell and broke her right hip. The patient suffers from pain in the right hip joint area. The patient is stable, right leg is immobilized with a splint.   
X-RAY: photo

1. Mark a correct clinical diagnosis (select one – 2p.)

Accepted Answer

Fracture of the right femur

Answer

Subluxation of lumbar spine 5 vertebra

Answer

Pelvic bone fracture

Answer

No pathology

Question 2

Mark which of the pictures represents the correct method of treatment: (select one- 1p)

Question 3

Mark the name of the chosen treatment method: (select one – 1p.)

Accepted Answer

Total hip arthroplasty

Answer

Hemiarthroplasty

Answer

Intramedullar femoral nail

Answer

Total femur arthroplasty

Answer

Dynamic hip screw system (DHS)

Question 4

Situation: The patient underwent right knee replacement surgery 1 year ago. 2 weeks ago the patient felt knee pain, the wound opened, and began to secrete, but the patient did not have a fever.
Picture of the right knee:

1. You are a doctor (family doctor, cardiologist, etc.), but not an orthopaedic surgeon. What is your next step: (select one -2p.)

Accepted Answer

You refer the patient to an orthopaedic surgeon

Answer

Because the infected implant is associated with biofilm formation, you immediately prescribe broad-spectrum antibacterial therapy

Answer

Because the patient does not have a fever, you order dressings and monitoring

Answer

You appoint a bone scintigraphy to assess the spread of the infection

Question 5

Which statement is specific to the diagnosis and treatment of implant-related infection: (select one – 2p)

Accepted Answer

All answers are correct

Answer

Treatment consists of surgery and long-term antibiotic therapy

Answer

Although the complication is rare, it is associated with a marked deterioration in the health status of patients, complications, long hospitalization, increased treatment costs

Answer

Accurate microbial identification is essential in the diagnosis and treatment of implant-related
infection

Trauma- OSCE Jan 2021

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