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Phase 3 Medicine 2026

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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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Which of the following is NOT an indication for urgent reduction of a fracture in the emergency department? 

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A 60-year-old woman fell in the rain and injured her left upper arm. What is the most common complication of this injury shown on the X-Ray? 

Xray left upper arm

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A 20-year-old man presents with right shoulder pain after being tackled playing rugby. His Xray is below. What would be an absolute indication for operative management?

Xray right shoulder

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A 16-year-old boy came in with right shoulder pain during a rugby game when he was tackled. Which of these is a potential complication of this injury shown on the X-Ray? 

XRay right shoulder

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