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Orthopaedics · Fractures
Sample itemWhat is the initial priority in an open fracture?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Protect the wound and give urgent orthopedic care
The key Fractures principle supports Protect the wound and give urgent orthopedic care; this answer most directly accounts for the clinical finding, investigation, or initial management described.
Option by option
A. Protect the wound and give urgent orthopedic care (correct)
Correct. Protect the wound and give urgent orthopedic care is the best response to the defining feature given.
B. Apply a tight circumferential cast immediately
Apply a tight circumferential cast immediately is not supported by the important fractures clue.
C. Start vigorous joint exercises
Start vigorous joint exercises does not explain the condition or address the appropriate priority.
D. Delay assessment until swelling resolves
Delay assessment until swelling resolves may apply in another setting but is not the best answer here.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.