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Short Answer Questions for ED Fellowship Study

Case: Trimalleolar ankle fracture-dislocation

A 65-year-old woman presents after slipping on a wet floor and is unable to weight-bear on her left ankle. X-rays are provided.

Trimalleolar ankle fracture-dislocation

1. State four radiological abnormalities present on the X-ray. 4 marks

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2. State the overall impression of these X-rays. 1 mark

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3. List six complications that could be associated with this injury. 3 marks

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The foot is pale and has sluggish capillary return. The patient is not fasted and there is no orthopaedic service at your hospital.

4. How does this impact your immediate management? 1 mark

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5. What would you tell the patient their ongoing management will require? 2 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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Your personal results and updated model answers become available the day after the tutorial.

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.