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Phase 3 Medicine 2026

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A 10-year-old boy fell off his scooter and now has right ankle pain. What sort of physeal (Salter Harries) injury does he have?

Xray ankle

Image from Radiopaedia.

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A 70-year-old lady has presented with right wrist pain after falling on an outstretched arm. What is the most common complication of this fracture? 

    Image from www.nickgolinvauxmd.com/distal-radius-fracture

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A 50-year-old woman presents with elbow pain after fall on an outstretched hand. Her Xray is below. What examination feature, if present, would suggest she should be referred for surgery?

Xray elbow

Image from orthobullets

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A 40 year old male presents with right ankle pain swelling after inverting his ankle whilst intoxicated last night. His Xray is below. What is the most appropriate management? 

xray Xray 2

   Images from Radiopaedia

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A 79-year-old lady from a nursing home presents with left hip pain after a fall. She has a shortened left leg. What abnormality is displayed on her Xray below? 

Xray

   Image via Radiopaedia

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A 79-year-old lady from a nursing home presents with left hip pain after a fall. She has a shortened left leg. Her Xray demonstrates a fractured neck of femur What is the next most important step in this patient’s management?
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Which of these injuries is NOT at high risk of developing avascular necrosis (osteonecrosis)? 

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Immediately splinting a fracture reduces pain. What is the most accurate reason as to why?
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 A 25-year-old woman twisted her ankle whilst running for the bus. She has pain in her medial ankle and is unable to weight bear. In addition to examination of her ankle, where else should be examined for tenderness to accurately characterise her injury? 

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A 25-year-old man presents with shoulder pain after diving for a catch playing ultimate frisbee. What is the most important initial management step? An image of his condition is below. 

   Accessed through WikiSM.

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