Medicine
This antibiotic requires renal dosing adjustment and carries risk of tendon rupture
What is a fluoroquinolone
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
Treatment for Malignant Hyperthermia?
Dantrolene
What is used to reverse Heparin and Coumadin?
Heparin - Protamine Sulfate Coumadin - Vitamin K or FFP
Significant Shortening of a lesser metatarsal fracture can lead to what forefoot complication
Transfer Metatarsalgia
Describe the mechanics behind 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...
Describe the ASA Classification
1: Normal patient 2: Mild systemic disease 3: Severe systemic disease 4: incapcitating /life threatening 5: moribound
Functional hallux limitus most commonly results from this first ray abnormality.
First Ray Elevates
This medication class should be held prior to surgery due to risk of euglycemic DKA
SGLT2 Inhibitors
This radiographic angle helps assess calcaneal height after fracture
Bohler's Angle
Failure to correct forefoot varus after calcaneal osteotomy will result in this postoperative deformity.
What is persistent forefoot supinatus
This anesthetic should NOT be used in high concentrations in patients with significant cardiac conduction abnormalities due to cardiotoxicity risk
Bupivicaine
What is the order to reduce clubfoot using ponsetti method?
Correct Adduction Correct Varus Correct Equinus
Name 5 antibiotics that treat pseudomonas infection
Zosyn, Ceftazidime, Cefepime, Meropenem, Cipro
What joint in a triple arthrodesis is most likely to not fuse?
TN Joint
This lipid-based therapy is used to treat severe local anesthetic toxicity.
Lipid Emulsion Therapy (intralipid)
What type of graft and screws are used for a neglected calc fracture?
Structural graft and full threaded screws
What are the only two drugs FDA approved for painful diabetic neuropathy?
Cymbalta (Duloxetine), Lyrica (Pregabalin)
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
A patient has a failed TAR with tibial component loosening, poor bone stock, and severe varus deformity.
TTC fusion with structural bine graft
This metabolite of prilocaine can cause methemoglobinemia.
O-Toluidine
Name the layers of the plantar foot from superficial to deep
Layer 1 - Abductor hallucis, flexor digitorum brevis, and abductor digiti minimi
Layer 2 - Quadratus plantae, lumbricals, and tendons of the flexor digitorum longus and flexor hallucis longus.
Layer 3 - Flexor hallucis brevis, adductor hallucis, and flexor digiti minimi brevis.
Layer 4 - Dorsal and plantar interossei muscles, along with tendons of the tibialis posterior and peroneus longus.