DRUGS
ANATOMY
CLASSIFICATIONS
STUFF THAT CAME UP
100
Can a patient with no known GI, cardiac, renal, or liver issues take Acetaminophen along with an NSAID?
Yes
100
What are the three osseous components of the ankle joint?
Tibia, Fibia, and the Talus
100
Would a grade I sprain require internal fixation if there was no fracture?
NO
200
Which medication is least effective in reducing inflammation? Acetaminophen, Ibuprofen, Naproxen
Acetaminophen
200
What type of joint is the ankle? (HINT: 2 possible answers)
Synovial joint, hinge joint
200
Which fracture is the most distal: Weber A, Weber B, or Weber C?
Weber A
300
A patient has kidney damage. Which medication would be contraindicated Ibuprofen or Acetaminophen?
Ibuprofen
300
What is the name of the fibrous component between the tibia an fibula?
Interosseous Membrane
300
If a patient reports bone tenderness at the lateral malleolus or the medial malleolus, but they can bear weight with no pain, would they need imaging under the Ottawa Ankle Rules.
YES
300
When conducting the compression of ankle mortise (squeeze) test, do you apply the squeezing force distally or proximally on the lower leg?
Proximally
400
How does an NSAID reduce inflammation?
Inhibiting cyclooxygenase blocks the amount of prostaglandins in the blood. This prevents the inflammatory pathway.
400
The calcaneofibular ligament is involved in syndesmotic, eversion, or inversion ankle injuries?
Inversion
400
A fibular fracture at the level of the syndesmosis is classified as what?
Weber B
400
A patient comes in with severe pain and swelling after falling off a ladder onto their lower leg. You examine the patient and notice the swelling is so severe that your finger is not able to press into the skin. Does the patient have pitting edema AND justify?
NO, pitting edema would have some give to it when you palpate. This indicates a stiffness generally seen in a high pressure compartment syndrome type of swelling where the fluid has nowhere to go.
500
A regular patient comes in. She has a history of chronic alcohol abuse and liver issues. She is coming in after having a fall down the stairs. You notice that she appears to have no inflammation to complain of but some pain. Imaging confirms a mild sprain. You advice some rest and over the counter pain relief. Reaching into her purse she removes a bottle of Tylenol and asks if she can take them to feel better. What would you say?
You have liver damage! Acetaminophen is contraindicated. Take an NSAID instead.
500
Either explain the mechanism behind or demonstrate physically antalgic gait.
Stance phase of affected side and swing phase of normal side are impacted to prevent the application of weight on the affected limb.
500
Which type of Weber fracture usually requires Open Reduction Internal Fixation (ORIF) AND why?
Weber C. Weber A and B are either at or below the level of the ankle joint. A Weber C is above the ankle joint and would not be stable.