Paediatric: SCFE treatment: 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.

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Orthopaedics · Paediatric: SCFE treatment

Sample item

What is the standard treatment for a stable slipped capital femoral epiphysis?

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

The answer and the reasoning

B. In situ fixation with a single cannulated screw and no forceful reduction

In situ pinning with one screw across the physis stops further slip, and forceful reduction is avoided because it risks avascular necrosis. Non-weight-bearing is advised until fixation. The contralateral hip is at risk and is often watched or pinned prophylactically in selected cases.

Option by option

  • A. Forceful manipulation and spica cast

    Forceful manipulation risks avascular necrosis.

  • B. In situ fixation with a single cannulated screw and no forceful reduction (correct)

    Correct. Single-screw in situ fixation is standard.

  • C. Total hip arthroplasty

    Arthroplasty is not used in children.

  • D. Observation with partial weight bearing

    Observation allows progression of the slip.

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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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, In situ fixation with a single cannulated screw and no forceful reduction. In situ pinning with one screw across the physis stops further slip, and forceful reduction is avoided because it risks avascular necrosis.

Why is "Forceful manipulation and spica cast" not the answer?

Forceful manipulation risks avascular necrosis.

Why is "Total hip arthroplasty" not the answer?

Arthroplasty is not used in children.

Why is "Observation with partial weight bearing" not the answer?

Observation allows progression of the slip.

What concept does this question test?

It tests Paediatric: SCFE treatment in Orthopaedics. Non-weight-bearing is advised until fixation. The contralateral hip is at risk and is often watched or pinned prophylactically in selected cases.

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 Paediatric: SCFE treatment?

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.