skip to main content

Open fracture — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

EasyTraumaOpen fractureABEM Board

A 51-year-old man arrives after a farm equipment injury to the leg. Triage acuity is ESI 2; BP 136/84 mm Hg, HR 96/min. The tibia is exposed through a contaminated wound, distal pulses are present, and sensation is intact. Tetanus status is uncertain. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Give IV antibiotics, tetanus prophylaxis, sterile dressing, and urgent orthopedic consultation

Open fractures require early IV antibiotics, tetanus update, sterile coverage, immobilization, and operative orthopedic management.

Reference: ATLS extremity trauma guidance