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100

This specific class of oral anti-diabetic medications must be held 3 to 4 days prior to a major surgical procedure to mitigate the risk of perioperative euglycemic diabetic ketoacidosis (DKA).

What are SLGT2 inhibitors?

100

On a standard mortise ankle radiograph, a tibiofibular clear space measuring greater than this many millimeters—measured 1 cm proximal to the joint line—is indicative of syndesmotic injury and instability.

What is 6 mm?

100

When performing a scarf or chevron osteotomy for hallux valgus correction, this specific mechanical principle describes using a screw solely to compress the bone fragments together without the threads engaging the near cortex, creating a rigid construct through interfragmentary friction.

What is Lag Screw Principle? 

100

On a weight-bearing lateral foot radiograph, this classic structural line—drawn from the center of the talar body through the first metatarsal shaft—normally forms a straight line ($0^\circ$). An intersection breaking plantarly indicates a flatfoot deformity, while a dorsal break indicates cavus.

What is Mearys Angle or talo first met angle? 

100

After scraping into the playoffs as the Eastern Conference's 8th seed, a short-handed Knicks squad shocked the league by marching all the way to the 1999 NBA Finals before falling to this team?

Who are  the San Antonio Spurs? 

200

In a patient presenting with an active gout flare and an acute kidney injury (AKI), colchicine is contraindicated; instead, this alternative first-line option can be administered via intra-articular injection or a short oral course.

What is corticosteroids (prednisone/triamcinolone)?

200

According to the Lauge-Hansen classification system, this specific mechanism of injury accounts for approximately 60% to 70% of all ankle fractures and typically initiates with a rupture of the anterior talofibular ligament (ATFL) or an avulsion of the lateral malleolus.

What is an SER ? 

200

During a Lapidus arthrodesis, a surgeon must resect the cartilage of the first metatarsocuneiform joint and intentionally position the first metatarsal in these two specific planes of deformity correction to successfully reduce the intermetatarsal angle and restore the medial longitudinal arch.

What is a plantarflexion and adduction? or Frontal Plane Rotation/Eversion?

200

When assessing a suspected Lisfranc injury on a non-weightbearing CT scan, this highly subtle but pathognomonic finding—characterized by an isolated osseous avulsion fragment sitting directly between the base of the second metatarsal and the medial cuneiform—confirms a rupture of the interosseous ligament.

What is the fleck sign? 

200

Despite its reputation for sprawling urban areas and dense highways, New Jersey holds this surprising agricultural distinction, boasting more of these domesticated farm animals per square mile than any other state in the nation.

What are horses?

300

When transitioning a postoperative patient from an IV heparin drip to oral warfarin, the two medications must overlap for a minimum of this many days and until the INR is therapeutic for 24 hours, due to the transient hypercoagulable state caused by protein C depletion.

What is 5 days?

300

On an AP foot radiograph of a suspected Lisfranc injury, a diastasis of greater than this many millimeters between the base of the first and second metatarsals indicates significant instability and the need for surgical stabilization.

What is 2 mm?

300

When performing a Kidner procedure to treat a symptomatic accessory navicular or rigid flatfoot, this specific tendon must be detached from the anomalous bone, advanced anteriorly and plantarly, and re-anchored into the body of the navicular to restore its biomechanical leverage.

What is a Posterior Tibial Tendon? 

300

When evaluating a conventional lateral ankle radiograph for potential tarsal coalition, this classic radiographic sign appears as a continuous, dense ring-like silhouette in the hindfoot, representing the overlapping bone of the abnormal middle facet bridge.

What is C Sign?

300

Led by a legendary tournament performance by Lionel Messi, nation claimed its third FIFA World Cup title after defeating France in a dramatic penalty shootout in Qatar.

What is Argentina?

400

To provide appropriate oral coverage for a moderate diabetic foot ulcer growing Pseudomonas aeruginosa and MRSA, this specific pairing of a fluoroquinolone and an oxazolidinone is often utilized, though close monitoring for myelosuppression is required.

What is Ciprofloxacin and Linezolid?

400

When managing a high-energy pilon fracture, the modern AO surgical protocol mandates a staged approach: initial spanning external fixation to allow soft tissue rest, followed days later by open reduction and internal fixation (ORIF), prioritizing the anatomical restoration of this specific bone first to re-establish lower extremity length and alignment.

What is the fibula?

400

For a rigid, severe adult acquired flatfoot deformity (Stage IIB/III), an Evans calcaneal osteotomy is often performed. According to biomechanical studies, lengthening the lateral column by inserting a bone graft greater than this specific threshold (in millimeters) significantly increases pressure at the calcaneocuboid joint, risking early OA and subluxation.

What is 8-10 mm?

400

On a sagittal MRI of the ankle, this distinct anatomic structure—which runs plantarly from the sustentaculum tali to the navicular tuberosity—is best evaluated for thickening, elongation, or intrasubstance tearing when evaluating a patient with severe stage II flatfoot dysfunction.

What is the spring ligament?

400

By defeating the Netherlands 2–0 in the 2019 final in France, the powerhouse USWNT captured its record-extending this many total FIFA Women's World Cup titles.

What is 4?

500

This triad of clinical findings—consisting of unilateral lower extremity edema, calf tenderness, and localized warmth—highly suggests a deep vein thrombosis (DVT) and warrants an immediate venous duplex ultrasound.

What is Virchow's Triad?

500

In a Hawkins Type II talar neck fracture, which consists of a displaced fracture with subluxation or dislocation of the subtalar joint, this is the reported statistical risk percentage range for developing avascular necrosis (AVN) of the talar body.

What is 50% (Classic literatures states anywhere from 30-55)

500

When performing a triple arthrodesis to correct a rigid hindfoot deformity, AO principles dictate a strict, specific sequence of joint resection and subsequent fixation to ensure proper alignment. This specific joint must be resected first to allow structural mobility, but it is always the last of the three joints to be permanently fixated.

What is the talonavicular joint? 

500

Seen on an AP or mortise ankle X-ray, this specific eponym describes an avulsion fracture of the anterior-lateral tibia at the insertion of the anterior inferior tibiofibular ligament (AITFL), signaling a severe syndesmotic injury.

What is Tillaux Chaput Fracture? 

500

How many cities in the US are world cup games being played? 


Bonus: For every city you name you get 50 points. But you must get the original number of host cities right to unlock this. 

What is 11? (NYC, Los Angeles, Dallas, Miami, Boston, San Fransisco, Seattle, Houston, Kansas City, Philadelphia)