Delirium — ACEM Fellowship MCQ

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

HardPsychiatric emergenciesDeliriumACEM Fellowship

A 29-year-old has a laceration over the third metacarpophalangeal joint after punching another person’s teeth. Which management is most appropriate?

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Reveal the answer and explanation

Correct answer: C — Hand wound washout with surgical assessment

Explanation lettering: E = shown as B · B = shown as E

C is correct. A clenched-fist injury can inoculate joints and tendon sheaths. It needs operative-capable hand assessment after cleaning and immobilisation. The alternatives do not safely address deep human-bite injury.

Reference: NSW Agency for Clinical Innovation: Human bites clinical tool: https://aci.health.nsw.gov.au/networks/eci/clinical/tools/human-bites