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QUESTION 1 OF 2

You are starting night shift and received a call from a ward nurse about a 9-year-old boy who had open reduction of a Grade 3 Gartland supracondylar elbow fracture earlier than day. The nurse tells you the boy appears anxious and would like you to prescribe stronger and regular morphine.
Your next course of action will be to:

 

QUESTION ID: 1044

1. Arrange theatre for urgent surgical decompression of compartment syndrome
2. Ask your junior member to review and prescribe
3. Prescribe the requested analgesia electronically to avoid delay
4. Reassure that pain is expected and add muscle relaxant to calm the child
5. Review the child urgently and remove splint and dressing

QUESTION 2 OF 2

A 7-year-old child sustains a lateral mass fracture of the right elbow.
What is the most likely late onset functional deficit?

QUESTION ID: 1068

1. A. Inability to abduct the thumb
2. B. Inability to adduct the thumb
3. C. Loss of forearm supination
4. D. Loss of thumb IPJ flexion
5. E. Weakness of wrist extension