Wounds
Randoms that even Dr. Estes had to look up again
Physician First, Podiatrist Second
Anesthesia Made Easy
Surgize This!
100
this level in a TCPO2 study confirms good healing potential in a patient.
What is greater than 30 mmHg
100
A 8 year old child presents to your clinic for "crooked leg." Patient has a history of 6 fractures. You obtain an xray of the leg and note anterior tibial bowing, osteopenia and popcorn calcifications near the growth plate, this bone disease is called what?
What is Osteogenesis Imperfecta (brittle bone disease)
100
Proximal onychomycosis is associated with what type of immunodeficiency disease?
What is AIDS
100
Local anesthetics affect nerve function in what following order temperature touch pain proprioception
What is pain > temp > touch > proprioception
100
Patient presents with a 1st IM angle of 12, what type of bunion procedure is likely the best? Proximal Phalanx, distal metatarsal, base of metatarsal
What is distal metatarsal
200
Hydrogel, Mepilex, Carragauze are wound dressing agents to keep a wound moist or to dry it out.
What is to keep a wound moist
200
This acute, self-limited, and sometimes recurring skin condition is considered to be a type IV hypersensitivity reaction associated with certain infections, medications, and other various triggers. Often can look like a "Bulls-Eye" like lesion
What is Erythema Multiforme
200
Regular Insulin is a type of short, intermediate or long acting insulin?
What is short
200
This antidote is given for benzodiazepine overdose (sedative)
What is Flumazenil
200
Some surgeons prefer to overdrill then underdrill or vise versa. When you drill the thread hole first and then drill the glide hole second, what is the order?
What is underdrill (thread hole) and then overdrill (glide hole)
300
A patient has a human bite wound on their foot, this bacteria is isolated in up to 30% of infected human bite wounds and is associated with some of the most severe infections.
What is Staphylococcus aureus
300
At what level is the spinal anesthesia placed?
What is L3-4, L4-L5 (below the distal termination of the spinal cord)
300
A 26 year-old woman presents to her primary care physician with 4 months of fatigue. She reports feeling tired throughout the day and exercise intolerance. On exam, she is mildly tachycardic with pale skin and conjunctiva. You declare she has likely iron deficiency anemia. What MCV level would she likely have?
What is < 80
300
This addition to local anesthetic creates vasoconstriction, reduces the absorption of the anesthetic therefore causing a longer duration of the anesthetic.
What is epinephrine
300
iatrogenic, resection of fibular sesamoid, trauma and congenital are all causes for what type of 1st ray deformity?
What is Hallux Varus
400
A patient with RA presents with a sub 1st metatarsal ulceration with a plantarflexed 1st ray noted, surgical intervention is decided upon however the patient is currently on methotrexate. The use of methotrexate has a increased risk in surgery for what complication given they are immuno-suppressed.
What is Infection (immunosuppression by MTX)
400
This bone tumor covers the distal tibia, 70% of epiphyseal articular coverage that spreads from the metaphysis to the epiphysis.
What is Giant Cell Tumor.
400
What is the gold standard to diagnose a pulmonary embolism?
What is CTA
400
This non-narcotic pain medication is indicated for a short term use (5-7 days) because of its high risk for internal bleeding with long term use.
What is toradol (ketoralac Tromethamine)
400
The Stone, Keller, and McKeever are all 1st ray procedures. Are these are joint preserving or joint destructive procedures?
What is joint destructive
500
These are strict contraindications for MRIs.
What is Implanted electric and electronic devices Examples: heart pacemakers (especially older types) insulin pumps. implanted hearing aids. neurostimulators. intracranial metal clips. metallic bodies in the eye
500
8 year old presents with syncope and signs fo CHF, what cardiomegaly does he likely have?
What is dilated cardiomegaly
500
You plan to operate on a 1 year old child. You instruct the mother there are strict guidelines to follow on having an empty stomach. How long up to the point of surgery can the patient have breast milk?
What is 4 hours. (formula feeding is same as cow's milk plan with a 6 hour fastng recommendation)
500
Name 6 principles of tendon transfers
- Total rehabilitation (select proper patient) - Correct fixed deformity first - Proper timing (age is important for bone stock) - Strength and adaptability (be at least 4/5 grade muscle strength) - local tissues for suppleness - gait analysis preoperatively - Direct line of pull - Maintain function (gliding) - Adequate tension - Direct bone fixation. - Phasic transfer - atraumatic technique/preserve blood supply - Post-operative care
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