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Free practice question 8 of 20 · Trauma

Trauma principles, polytrauma & open fractures (question 8): a free FRCS (Tr & Orth) Section 1 question

An original single best answer question in the style of the FRCS (Tr & Orth) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.

08Trauma·Trauma principles, polytrauma & open fractures
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A 29-year-old cyclist is brought to the emergency department with an open fracture of the tibial shaft and a 6 cm wound over the anteromedial leg.

Within what time from injury should prophylactic intravenous antibiotics be administered, according to the BOAST standard?

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Trauma: what the exam tests

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Open fractures: the BOAST standard, timings and the Gustilo–Anderson classification

The BOAST open fracture standard for FRCS (Tr & Orth): antibiotics within an hour, debridement at 12 or 24 hours, cover within 72 hours, and Gustilo–Anderson grading.

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