A 34-Year-Old Man Is Brought to the Emergency Department After

question 132

Multiple Choice

A 34-year-old man is brought to the emergency department after being involved in a motor vehicle collision.  He was a restrained driver and used his arm to brace the impact.  The patient has severe pain in his right arm.  Vital signs are within normal limits.  Examination shows a deformed right upper arm that appears shorter than the left.  The midportion of the right arm is swollen and tender.  He has limited extension at the wrist joint and decreased sensation over the dorsoradial aspect of the right hand.  Radial pulse is 1+ on the right and 2+ on the left.  An x-ray of the arm shows an oblique fracture of the midshaft of the right humerus.  Which of the following is the best next step in management of this patient?

• A)Application of a neutral wrist splint only
• B)Electromyogram of the right upper extremity
• C)Long arm hanging cast of the right upper extremity
• D)Open reduction and surgical exploration
• E)Placement of an external fixation device

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Definitions:

Sociologists

Professionals who study society and social behavior by examining the groups, cultures, organizations, social institutions, and processes that people develop.

Analyze

Involves examining information or phenomena systematically and critically, breaking them into components to understand their structure, relationships, and implications.

Accounts

Narratives or explanations provided to make sense of events or actions.

Ethnomethodology

The study of how social order is produced in and through processes of social interaction.