Pelvic fractures 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 33-year-old woman presents to the emergency department after a fall from twelve feet while rock climbing. The patient has bilateral hip discomfort and was non-ambulatory at the scene. She states that she fell directly onto her bottom. Temperature is 37°C (98.6°F), blood pressure is 153/85 mm Hg, heart rate is 98/min, respiratory rate is 16/min, and oxygen saturation is 98% on room air. The patient's Glasgow Coma Scale is 15. Physical examination demonstrates tenderness over the pelvic rim and a shortened right lower extremity. Significant laxity is noted when pressure is applied to the iliac crests. Neurologic and genitourinary examinations are within normal limits. Pulses are 2+ and symmetric in the lower extremities. Laboratory results are detailed below. Pelvic x-ray shows a pelvic ring fracture with two sites of fractures. Which of the following is the best next step in management?

 Laboratory test  Result 
 Hemoglobin  13.6 g/dL 
 White blood cell count  7,900/mm3 
 Platelet count  350,000/mm3 
 Lactic acid  < 2 mmol/L 

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