ABOS Surgery Of The Hand Practice Questions - ABOS Surgery Of The Hand Subspecialty Certification Examination Exam

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A 28-year-old falls on an outstretched hand and has anatomic snuffbox tenderness. Radiographs appear normal. What is the BEST next step?

Discharge with activity as tolerated Thumb spica splint/cast and repeat imaging (X-ray in 10-14 days OR MRI/CT for earlier diagnosis) to rule out occult scaphoid fracture NSAIDs only with immediate return to activity Ulnar nerve release

Correct Answer:

Thumb spica splint/cast and repeat imaging (X-ray in 10-14 days OR MRI/CT for earlier diagnosis) to rule out occult scaphoid fracture

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