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Orthopaedics · Fractures
Sample itemWhich finding makes an open fracture an urgent surgical problem?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Communication between fracture and external environment
Open fractures risk deep contamination and osteomyelitis, requiring urgent antibiotics, tetanus assessment, debridement planning, and fracture stabilization.
Option by option
A. A closed minimally displaced fracture with intact skin
An intact skin envelope defines a closed fracture.
B. Swelling around a fracture without any skin wound
Soft-tissue swelling alone does not create external contamination.
C. A fracture blister over intact unbroken skin
A fracture blister may complicate care but does not establish open fracture communication.
D. Communication between fracture and external environment (correct)
Correct: external communication exposes bone and deep tissues to contamination.
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.