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Short Answer Questions for ED Fellowship Study

Case: Non-accidental injury – metaphyseal fracture

A 3-month-old boy presents as unsettled. On examination he appears to have a painful leg and an X-ray is performed.

Non-accidental injury – metaphyseal fracture

1. State the main abnormality on this X-ray and the mechanism of this type of injury. 2 marks

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2. In addition to the above injury, list five fracture types which are deemed highly specific for non-accidental injury in children. 5 marks

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3. State five management priorities for this child. 5 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.