skip to main content

Open tibial fracture — RCPSC EM MCQ

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

ModerateTraumaOpen tibial fractureRCPSC EM

A 30-year-old construction worker has an open mid-shaft tibial fracture contaminated with gravel. Distal pulses are present and capillary refill is normal. He received fentanyl during transport and tetanus status is unknown. What is the most appropriate initial management?

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

Reveal the answer and explanation

Correct answer: B — Give IV antibiotics, update tetanus, irrigate, splint, and call orthopaedics

Give IV antibiotics, update tetanus, irrigate, splint, and call orthopaedics is correct: the clues indicate Open tibial fracture and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: ATLS; Canadian orthopaedic trauma practice