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100
Large fiber neuropathy can be tested via what clinical test on the foot? (At least 3 tests)
Large fiber neuropathy - light touch, reflex, vibratory sensation, and prioprioception Small fiber neuropathy - pain or burning pain
100
What organism is MC in causing onychomycosis?
T. Rubrum
100
What is the sequence for a standard/original/traditional screw insertion? And the pilot hole is equivalent to what structure of the screw?
After an anatomic reduction is obtained and a temporary fixation with a pin achieved: 1) Drill a pilot hole (the pilot hole is the original hole which usually corresponds to the core diameter of the screw) 2) Countersink (two reasons- to have the contour on the proximal or near cortex to geometrically correspond to the bottom of the screw head. Hides the head and dissipates the forces) 3) Measure the length of the screw 4) Tap (to create the channel for the screw insertion) 5) Overdrill (glide hole) - corresponds to the size of the thread diameter so the threads in the near portion don't engage 6) Insert screw
100
What structure of the screw provides a lot of holding power within the bone? How do you calculate it?
Thread surface area. Thread diameter minus core diameter
200
What tendon is activated during double raise test and during single raise test?
Achilles tendon - activated during double raise test Posterior tibial tendon - activated during single raise test
200
Green nail syndrome is caused by what organism?
Psuedomonas
200
List 3 malignant periosteal reaction
Onion-Skinning, sunbrust, hair on end, codman's triangle
200
What is the most common complication of using external fixation?
Pin tract infection
300
What is ledderhose's disease?
Plantar fascial fibromatosis
300
Ausptiz sign is associated with what disease?
Psoriasis
300
What is McKeever's procedure?
1st MPJ fusion
300
Pink torso with blue extremities Heart rate of 90 beats per minute (bpm) Shallow respirations A grimace Active motion How would you grade using APGAR score?
6
400
A 42-year-old gentleman presents to the ED after a week of a worsening sensation of heavy lower extremities. The patient describes a few episodes of intense nausea, vomiting, and diarrhea a few days ago. Physical examination elicits bilateral 2-out-of-5 lower and upper extremity strength and absent ankle and patellar reflexes. He has most recently been complaining of shortness of breath if he attempts to have conversations with others. Routine labs, chest radiograph, and head CT are all unremarkable. What condition?
Gullain-Barre Syndrome
400
What the staging/depth classification system is used to describe melanomas?
Clark-Breslow
400
Long-term use of Voriconazole leads to what condition?
Bone fluorosis and periostitis. Bone fluorosis is a bone disease caused by excessive accumulation of fluoride in the bones. In advanced cases, skeletal fluorosis causes painful damage to bones and joints. Voriconazole is an antifungal medication used to treat a number of fungal infections. This includes aspergillosis, candidiasis, coccidioidomycosis, histoplasmosis, penicilliosis, and infections by Scedosporium or Fusarium.
400
What proteins are associated with multiple myeloma?
Bence jones protein
500
Identify the condition shown in the Figure 1. The culture shows growth of Nocardia species. What is the name of the foot condition and what medication to prescribe it?
Madura foot. amphotericin B
500
List 3 findings on xray that gives you an information that there might be hypermobile 1st ray
500
The new pin designs of the external fixator which allows one step power insertion to minimize what 2 complications?
Reduce thermal necrosis and wobble effect.
500
Morton's syndrome involves what 3 symptom/signs/structures?
Dudley Joy Morton (1884–1960), who originally described it as part of Morton's triad (a.k.a. Morton's syndrome or Morton's foot syndrome): a congenital short first metatarsal bone, a hypermobile first metatarsal segment, and calluses under the second and third metatarsals.