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Neonatal sepsis — ACEM Fellowship MCQ

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HardPaediatric emergenciesNeonatal sepsisACEM Fellowship

A 17-year-old has ankle pain after external rotation injury. He has tenderness over the distal tibiofibular syndesmosis and pain with squeeze test. Which next step is most appropriate?

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

Reveal the answer and explanation

Correct answer: E — Obtain imaging for syndesmosis injury

Explanation lettering: D = shown as A · C = shown as B · A = shown as C · E = shown as D · B = shown as E

B is correct. The mechanism, syndesmotic tenderness and squeeze-test pain suggest high ankle injury. Imaging or specialist assessment is required to assess syndesmotic instability. The alternatives are not appropriate before that assessment.

Reference: Royal Children’s Hospital Melbourne: Ankle sprains—emergency department: https://www.rch.org.au/clinicalguide/guideline_index/fractures/Ankle_Sprains_-_Emergency_Department/