Medicine
Trauma
Surgery
Anesthesia
Pot Luck
100
Describe the two etiologies of Charcot
French: Neurotraumatic Germany: Neurovascular
100
What are the 4 principles for AO fixation?
Anataomic Reduction Preservation of Blood Supply Early Range of Motion Stable internal fixation
100
What is the sequence for hammertoe reduction?
HECTAW
100
Toxic dose for lidocaine (mg/kg) What does epinephrine do when added to lidocaine?
4 w/o epi 7 w/ epi Decreases bleeding Reduces absorption of anesthesia Increases duration of block
100
What are the Kager triangle borders? What does the it mean when Kager triangle is blurred on Xray?
Superior surface of calcaneus Achilles tendon FHL Achilles tendon rupture
200
What is used to reverse Heparin and Coumadin?
Heparin - Protamine Sulfate Coumadin - Vitamin K or FFP
200
What is Vassal principle?
200
Describe a locking plate.
Screw locks into plate. by doing this the plate does not compress the periosteum and bone is not stressed. Locking plates reduce the load to failure and the when it fails, it fails as a unit...
200
Treatment for Malignant hyperthermia?
dantrolene
200
What is the most common fusion that happens in foot?
5th PIPJ
300
What is Sjorgen syndrome?
dry eyes, dry mouth (+) ANA
300
Mechanism of injury for talar dome lesions - what would cause a lateral lesion? what would cause a medial lesion?
Dorsiflexion and Inversion - Anterior Lateral PF and Inversion - Posterior Medial
300
Whats the weakest point of the screw? What is the underside of the screw called?
Runout Land
300
What is the order to reduce clubfoot using ponsetti method?
Correct Adduction Correct Varus Correct Equinus
400
Name pseudomonas drugs and MRSA drugs
F: Fortaz A: Aminoglycosides T: Ticarcillin C: Cipro I: Invanz A: Aztreonam Z: Zosyn
400
Describe the all 5 types of salter harris?
S: straight A:above L: lower T: Thru R: crush
400
What are the steps for inserting a 2.7 screw?
Pilot hole Glide hole Overdrill (fully threaded) Countersink Measure Tap Insert screw Pilot hole is drilled at 2.0 while the others are at 2.7
400
What antibiotic causes C diff? Which antibiotic is given for C Diff?
Clindamycin 1. Metronidazole 2. PO vanco
500
What is the mechanism of action for: Metformin, Sulfonylureas , Thiazolidinediones, Alpha glucosidase inhibitors
Metformin - Reduce glucose production in liver Sulfonylureas - Increase insulin secretion from beta cells Thiazolidinediones - Increase insulin sensitivity Alpha glucosidase inhibitors - Decrease starch absorption
500
Classify talar neck fractures? How does this correlate with prognosis and treatments
Hawkins classification: 1 - non displaced (0-13) 2 - Vertical with STJ dislocation (20-50) 3 - Vertical with STJ and MTJ dislocation (60-100) 4 - Vertical with STJ, MTJ and AJ dislocation (100) Avascular necrosis Type 1 - BK cast Type 2 - closed reduction followed by open reduction
500
What is helloma molle?
hyperkeratotic lesion of 4th interspace
500
Describe ASA classification
1: Normal patient 2: Mild systemic disease 3: Severe systemic disease 4: incapcitating /life threatening 5: moribound
500
134/5.7|101/28|19/0.7>110 Patient started ACE inhibitor 2 weeks ago. Whats going ON!
Increase k+. hyperkalemia. how to lower potassium?
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