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Femoral neck fracture — RCPSC EM MCQ

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EasyMusculoskeletalFemoral neck fractureRCPSC EM

A 72-year-old woman falls and has a shortened externally rotated leg. She is anticoagulated for atrial fibrillation. Radiograph shows displaced femoral neck fracture; haemoglobin is 102 g/L and creatinine is normal. What is the most likely diagnosis?

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

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Correct answer: C — Arrange fascia iliaca block or multimodal analgesia, anticoagulation plan and orthopaedic admission for operative repair

Hip fracture requires early analgesia, delirium prevention, anticoagulant review and orthopaedic admission. Regional analgesia can reduce opioid burden when expertise is available.

Reference: Canadian orthopaedic geriatric fracture principles; CAEP geriatric emergency care