Check out today’s Step 2 CK Qmax Question Challenge.
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A 70-year-old woman was walking across her kitchen when she tripped over a throw rug and fell onto her outstretched right hand. She did not hit her head or lose consciousness. She had immediate pain and swelling in her right wrist and was brought to the emergency department by her daughter. The patient’s x-ray in the emergency department is shown. There was no break in the skin. She reports no numbness or tingling and she is able to move her fingers albeit limited by pain. The patient is otherwise healthy, and her past medical history is significant only for a T11 compression fracture 2 years ago.
Which of the following is the most appropriate next step in management?
A. Closed reduction and arm sling
B. Closed reduction and splinting
C. Dual-energy x-ray absorptiometry (DEXA)
D. Ice and compressive bandage
E. Open reduction and internal fixation
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