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Orthopaedics · Sports injuries
Sample itemWhich feature suggests a stress fracture rather than acute complete fracture?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Gradually increasing focal pain with repetitive loading
Stress fractures develop from repetitive submaximal loading and produce localized pain that worsens with activity before a complete fracture occurs.
Option by option
A. Immediate open wound over bone
Open wounds imply open traumatic injury.
B. Sudden deformity after major trauma
Sudden deformity suggests acute major fracture.
C. Complete relief during every run
Pain typically worsens rather than fully resolves during loading.
D. Gradually increasing focal pain with repetitive loading (correct)
Correct: gradual load-related focal pain is characteristic.
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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