Approach to extremity injury Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 20-year-old man presents to the emergency department after sustaining a gunshot wound to the right upper extremity. He describes severe right upper extremity pain. The patient has no significant past medical history and takes no medication. Temperature is 37.0°C (98.6°F), heart rate is 96/min, respiratory rate is 18/min, blood pressure is 110/74 mmHg, and oxygen saturation is 99% on room air. On primary survey, the patient speaks in clear, full sentences, has bilateral breath sounds, and shows no evidence of significant bleeding. Glasgow coma score (GCS) is 15. On exposure, there is a deformity to the right mid-upper extremity with two bullet wounds. There is a pulsatile hematoma over the right humerus, and the right radial pulse is absent. A plain radiograph demonstrates a displaced mid-humeral shaft fracture with retained bullet fragments. Which of the following is the best next step in diagnosis?

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