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Orthopaedics · Upper-limb trauma
Sample itemWhich finding after an elbow fracture should raise immediate concern for compartment syndrome?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Pain increasing despite analgesia and passive stretch
Severe escalating pain, particularly with passive stretch, is an early warning sign of compartment syndrome requiring urgent assessment.
Option by option
A. Bruising that is not tender
Simple nontender bruising is not the classic early pattern.
B. Pain increasing despite analgesia and passive stretch (correct)
Correct: disproportionate stretch pain is a key warning sign.
C. A painless full range of motion
Normal painless movement argues against acute compartment syndrome.
D. A warm hand with normal sensation
Normal warmth and sensation are reassuring but still require context.
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.
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