🏥 USMLE Exam Prep

The Ottawa ankle rules help determine when to order an X-ray for:

A All ankle injuries
B Ankle injuries where there is bone tenderness at specific areas or inability to bear weight
C Only sports injuries
D Only pediatric patients

✓ Correct Answer: Option B

Ottawa rules: X-ray if bone tenderness at posterior edge of distal 6cm of tibia/fibula/malleoli, or navicular/5th metatarsal base, or inability to take 4 steps. High sensitivity, reduces unnecessary imaging.

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