Quiz Radiology 005

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Scenario

A 45 year old man is brought to your emergency department with severe pain in his right hip after a fall from his bicycle an hour earlier. He has no other obvious injuries.

His observations are:

Question

a. Describe and interpret his X-ray (50%)
b. Outline the analgesia options (50%)

 


Answer

FACEM VAQ Exam 2008.2 – Question 2

  • X-ray of complex orthopaedic injury showing comminuted mid shaft femoral fracture, hip dislocation, acetabular fracture and fracture into the pubic symphysis. Air splint in place.
  • The overall pass rate for this question was 62/81 (76.5%).
  • Good answers demonstrated a systematic approach to x-ray interpretation and recognized the high likelihood of significant blood loss and significant analgesia issues.
  • Poor answer missed one or more injuries and/or failed to take into account the haemodynamic instability in suggesting analgesic options.
  • Many candidates failed to answer the question as set.

ACEM Fellowship Visual Aid Questions

About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. Founder of GMEP and HealthEngine. Asynchronous learning and #FOAMed evangelist | @sandnsurf | + Mike Cadogan | Contact