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Compartment syndrome — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Compartment syndromeUSMLE Step 3

A 28-year-old man with tibial fracture has escalating leg pain despite opioids. Pain worsens with passive toe extension. The leg is tense; pulses are present. Which of the following is the most appropriate next step in management?

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

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Correct answer: D — Measure compartment pressures and perform urgent fasciotomy if confirmed

Compartment syndrome is a clinical emergency; pulses may remain intact, and urgent fasciotomy prevents irreversible injury.

Reference: American College of Surgeons perioperative care principles