Flap Anatomy
This is the blood supply to the latissimus dorsi.
What is the thoracodorsal artery and the posterior intercostal arteries
This phosphodiesterase inhibitor causes vasodilation and is used after coming off ischemia
What is papaverine?
This is the first step in evaluation upon receiving a consult for a traumatic open wound needing soft tissue coverage.
What is ATLS?
This is the vessel of choice to anastomose to fora medial maleolus wound requiring free tissue transfer.
What is the posterior tibial artery?
This is the innervation of the functional gracilis muscle flap
What is the obturator nerve
Towards the end of the case, this vasopressor, and its mechanism of action is the best choice to treat transient hypotension during a free flap procedure.What is phenylephrine, an alpha 1 agonist
What is phenylephrine, an alpha 1 agonist
These are the classical options for soft tissue coverage of the: proximal 1/3, middle 1/3, and distal 1/3 of the lower leg
What are the gastrocnemius for the proximal 1/3, soleus for the middle 1/3, and free tissue transfer of the distal 1/3
This is the most common functional complication of harvesting an anterolateral thigh flap
What is weakness of knee extension from dissection of the vastus lateralis?
The radial artery travels between what two muscles in the proximal forearm
What are the brachioradialis and the flexor carpi radialis
When taking a free flap back for arterial thrombosis, this medication that can be injected into the flap acts via this mechanism of action.
What is activates plasminogen to plasmin, causing fibrinolysis?
These are the Gustillo classifications
I: <1cm
II: 1-10cm
IIIa: >10cm without soft tissue loss
IIIb: >10cm with significant soft tissue loss
IIIc: any injury with vascular injury requiring repair
The source artery for the gastrocnemius muscle passes through this structure proximal to the knee
What is the adductor hiatus?
The blood supply to the parascapular flap passes through this structure, made up of these muscles.
What is the triangular space, made up of the: teres major, teres minor, and the long head of the triceps
When treating vasospasm, lidocaine can be used to cause vasodilation via these 2 mechanisms of action.
What is release of nitric oxide and sodium channel blocker of sympathetic nerves?
What does creating a pedicle width of 4 cm accomplish?
These two muscles must be retracted to expose the anterior tibial artery and vein in the lower leg
What are the flexor hallucis longus and the tibialis anterior muscles?
This is the most common variation of a flow through ALT flap
What is the inflow via the proximal descending branch of the lateral femoral circumflex artery, and outflow via the distal descending branch of the LFCA
My favorite medications mechanism of actionWhat binds to antithrombin III, inhibiting thrombin and factor Xa
What binds to antithrombin III, inhibiting thrombin and factor Xa
This is the optimal timing to initiate dangling protocol according to multiple randomized control trials
What is this is a trick question. There is no optimal timing to initiate dangle protocol as this has not been well studied.
Historically injury to this nerve, located in this lower extremity compartment, and causing this symptom was an indication for amputation.
What is the tibial nerve in the deep posterior compartment causing loss of plantar sensation.