Upper-limb trauma: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Upper-limb trauma

Sample item

A child has an elbow injury with a displaced supracondylar humerus fracture. Which neurovascular examination is especially important?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Radial pulse and median nerve function

Supracondylar humeral fractures can compromise the brachial artery and median nerve, so distal perfusion and hand function need urgent documentation.

Option by option

  • A. Visual fields

    Visual fields are unrelated to elbow trauma.

  • B. Facial nerve function

    Facial nerve testing does not assess this injury.

  • C. Achilles reflex only

    Ankle reflexes do not establish hand perfusion.

  • D. Radial pulse and median nerve function (correct)

    Correct: these structures are at risk around the elbow.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is D, Radial pulse and median nerve function. Supracondylar humeral fractures can compromise the brachial artery and median nerve, so distal perfusion and hand function need urgent documentation.

Why is "Visual fields" not the answer?

Visual fields are unrelated to elbow trauma.

Why is "Facial nerve function" not the answer?

Facial nerve testing does not assess this injury.

Why is "Achilles reflex only" not the answer?

Ankle reflexes do not establish hand perfusion.

What concept does this question test?

It tests Upper-limb trauma in Orthopaedics. The correct option holds because: Correct: these structures are at risk around the elbow.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Upper-limb trauma?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.