WBR288
| Author | [[PageAuthor::Gonzalo A. Romero, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Surgery |
| Sub Category | SubCategory::Musculoskeletal/Rheumatology |
| Prompt | [[Prompt::A 72-year-old male falls at home and hits his right chest wall against the bed frame. He is brought to the ER after his wife called 911. His vitals are T 37C, 86 bpm, 21 respirations/min, BP: 126/80 mmHg. His head, eyes, ears, nose and throat are unremarkable. His carotid pulse is 2+ without bruits. His chest is symmetric with decreased expansion on the right side. Upon palpation he has exquisite tenderness over the eight right rib at the anterior axillary line level. His lungs are clear to auscultation and percussion bilaterally. The rest of the physical exam is unremarkable. A chest x-ray reveals a rib fracture and no other abnormal findings. Which of the following is the most appropriate management in this patient?]] |
| Answer A | AnswerA::Oral NSAIDs |
| Answer A Explanation | [[AnswerAExp::Incorrect.]] |
| Answer B | AnswerB::Positive airway pressure |
| Answer B Explanation | [[AnswerBExp::Incorrect.]] |
| Answer C | AnswerC::Observation |
| Answer C Explanation | [[AnswerCExp::Incorrect.]] |
| Answer D | AnswerD::Intercostal nerve block |
| Answer D Explanation | [[AnswerDExp::Correct.]] |
| Answer E | AnswerE::Oral narcotic therapy |
| Answer E Explanation | [[AnswerEExp::Incorrect.]] |
| Right Answer | RightAnswer::D |
| Explanation | [[Explanation::Educational Objective:
Educational Objective: |
| Approved | Approved::No |
| Keyword | WBRKeyword::Rib fracture, WBRKeyword::chest trauma, WBRKeyword::narcotics, WBRKeyword::intercostal nerve block |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |