Certified Electronic Health Records Specialist (CEHRS) Practice Exam

What is a Colles fracture specifically associated with?

1. A break of the distal end of the femur

2. A break of the distal end of the radius from a fall

3. A fracture in the vertebrae

4. A fractured wrist from direct impact

The correct answer is: A break of the distal end of the radius from a fall

A Colles fracture is specifically associated with a break of the distal end of the radius, typically resulting from a fall onto an outstretched hand. This type of fracture is characterized by a specific displacement of the fractured bone, where the distal fragment is often driven dorsal (toward the back of the hand) which is a distinguishing feature. It's commonly seen in elderly patients with osteoporosis or in individuals who experience falls. In this context, the other options reflect different types of fractures or injuries. A break of the distal end of the femur pertains to fractures around the knee or hip area, which is not related to a Colles fracture. A fracture in the vertebrae is an entirely different injury, often resulting from high-impact trauma or conditions like osteoporosis but does not correspond to the mechanism of a Colles fracture. Lastly, a fractured wrist from direct impact may involve the scapoid bone or other carpal bones but does not depict the specific mechanism of injury related to a Colles fracture, which is linked to falling onto an outstretched hand. Understanding these distinctions aids in better recognition and understanding of fracture types and their common causes in clinical practice.