Situation: An ambulance brought a patient to the Emergency Department, an 85- year-old woman who slipped in a bath 2 weeks ago, fell and broke her right hip. The patient suffers from pain in the right hip joint area. The patient is stable, right leg is immobilized with a splint. X-RAY: photo
1. Mark a correct clinical diagnosis (select one – 2p.)
Subluxation of lumbar spine 5 vertebra
Fracture of the right femur
Pelvic bone fracture
No pathology
Mark which of the pictures represents the correct method of treatment: (select one- 1p)
Mark the name of the chosen treatment method: (select one – 1p.)
Hemiarthroplasty
Intramedullar femoral nail
Total femur arthroplasty
Dynamic hip screw system (DHS)
Total hip arthroplasty
Situation: The patient underwent right knee replacement surgery 1 year ago. 2 weeks ago the patient felt knee pain, the wound opened, and began to secrete, but the patient did not have a fever. Picture of the right knee:
1. You are a doctor (family doctor, cardiologist, etc.), but not an orthopaedic surgeon. What is your next step: (select one -2p.)
Because the infected implant is associated with biofilm formation, you immediately prescribe broad-spectrum antibacterial therapy
Because the patient does not have a fever, you order dressings and monitoring
You refer the patient to an orthopaedic surgeon
You appoint a bone scintigraphy to assess the spread of the infection
Which statement is specific to the diagnosis and treatment of implant-related infection: (select one – 2p)
All answers are correct
Treatment consists of surgery and long-term antibiotic therapy
Although the complication is rare, it is associated with a marked deterioration in the health status of patients, complications, long hospitalization, increased treatment costs
Accurate microbial identification is essential in the diagnosis and treatment of implant-related infection
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