Family Nurse Practitioner Exam

What is the best choice for evaluating possible fractures and joint damage in a car accident patient?

1. Plain radiographs of the right hip and knee

2. Ultrasound with a CT scan of the right leg

3. Plain radiograph of the right hip and leg with an MRI of the knee joint

4. Radiograph of the right hip and knee with a special view of the hip

The correct answer is: Plain radiograph of the right hip and leg with an MRI of the knee joint

The best choice for evaluating possible fractures and joint damage in a car accident patient hinges on the ability to provide a comprehensive assessment of both bony structures and soft tissues. Utilizing a plain radiograph of the right hip and leg alongside an MRI of the knee joint combines both imaging modalities effectively. Plain radiographs are excellent for identifying fractures and assessing bone alignment, while an MRI is superior for visualizing soft tissue, including ligaments, cartilage, and muscles around the knee. This dual approach allows for a thorough examination of potential injuries resulting from the trauma of a car accident. In comparison, relying solely on plain radiographs may miss subtle soft tissue injuries, which can have significant implications for the patient's recovery and management. Similarly, other combinations, such as using just ultrasound with a CT scan or only special views of the hip, may not provide a complete picture of both bony and soft tissue injuries, potentially leading to misdiagnosis or inadequate treatment plans. Therefore, the combination of imaging provided in the correct answer offers the most comprehensive evaluation necessary for effective clinical decision-making in this context.