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:

Johari Window

A model that helps people better understand their relationship with themselves and others, involving self-disclosure and feedback.

Johari Window

A model for understanding and improving self-awareness, interpersonal relationships, and group dynamics through disclosed and hidden information.

Blind Pane

Refers to the quadrant in the Johari Window model that represents information unknown to oneself but known to others.

Personality Traits

Enduring characteristics that describe an individual's behavior, mindset, and emotional patterns.