Fractures: pelvic fracture resuscitation: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Orthopaedics · Fractures: pelvic fracture resuscitation

Sample item

A road traffic accident victim with a suspected unstable pelvic ring injury is hypotensive. Which immediate measure best reduces pelvic bleeding?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Application of a pelvic binder at the level of the greater trochanters

Unstable pelvic fractures bleed mainly from venous plexuses and fracture surfaces into a large retroperitoneal space. A binder centred over the greater trochanters reduces pelvic volume and tamponades bleeding while resuscitation continues.

Option by option

  • A. Delay for CT before any intervention

    Delay for CT in a haemodynamically unstable patient is dangerous.

  • B. Springing the iliac wings to test stability

    Springing the pelvis should be avoided because it can dislodge clots.

  • C. Application of a pelvic binder at the level of the greater trochanters (correct)

    Correct. A binder at trochanteric level reduces pelvic volume.

  • D. Log-rolling repeatedly to examine the back

    Repeated log-rolling can dislodge clots and worsen bleeding.

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.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is C, Application of a pelvic binder at the level of the greater trochanters. Unstable pelvic fractures bleed mainly from venous plexuses and fracture surfaces into a large retroperitoneal space.

Why is "Delay for CT before any intervention" not the answer?

Delay for CT in a haemodynamically unstable patient is dangerous.

Why is "Springing the iliac wings to test stability" not the answer?

Springing the pelvis should be avoided because it can dislodge clots.

Why is "Log-rolling repeatedly to examine the back" not the answer?

Repeated log-rolling can dislodge clots and worsen bleeding.

What concept does this question test?

It tests Fractures: pelvic fracture resuscitation in Orthopaedics. A binder centred over the greater trochanters reduces pelvic volume and tamponades bleeding while resuscitation continues.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Fractures: pelvic fracture resuscitation?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.