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Acetabular Fractures
A) caused usually from severe trauma
B) may be initially treated with skeletal traction
C)Fixation may be delayed until patient stable
D) all answers are correct
D
Acetabular Fractures
A) are done lateral on regular OR table
B) are done supine on regular OR table
C) are done lateral on a fracture table
A
Acetabular fractures are fixed with wire mesh, plates and screws
Yes or No
Yes
Acetabular fractures
A) may require a bone graft
B) may require a cell saver during surgical procedures
C) if bone is needed may use a femoral head allograft
D)all answers are correct
D
Hip fractures are
femoral neck, subtrochanteric and intertrochanteric
hip fractures may be fixed
A) fixed with plate and screws
B) fixed with TFN
C) fixed with IM rods or nails
D) all answers are correct
D
Hip fractures are fixed ASAP, to prevent avascular necrosis
true or false
true
avascular necrosis is a
A) risk of femoral shaft fractures
B) never a concern with femoral neck fractures
C) risk with a femoral neck fracture
D) all answers are correct
C
Austin Moore Prosthesis-Unipolar prosthesis
A) used with femoral neck fracture for patients with limited mobility
B) is modular for patients with limited mobility
C) best for active person with femoral neck fracture
A
Subtrochanteric fracture may be fixed with IM rod or nail
true or false
true
skin breakdown, pneumonia, DVT and avascular necrosis are complications of
A) delayed fixation
B) hip fracture
C) immobility
D) all answers are correct
D
tamponade pressure
A) is caused by intracapsular blood
B) is a complication of hip fractures
C) contributes to avascular necrosis
D) all answers are correct
D
Muscle spasms from hip fractures may be treated with
bucks traction
with a bipolar hip replacement
A) only femur is reamed
B) the most cost effective treatment for femoral neck fracture is utilized
C) the acetabulum and femoral head are replaced
A
the best choice for fracture management of a femoral shaft fracture is
IM rod- increases load sharing
IM nail steps are
A) guide pins, ream canal, rod placement, screw placement
B) guide pin, ream canal, screw placement, rod placement
C) ream canal, guide pin, rod placement, screw placement
A
repair of patella fracture may be accomplished with mesh plates and screws
true or false
true
patellectomy will not decrease the power and function of the knee
true or false
false
popliteal cyst is
A) a bakers cyst and may return after surgical removal
B) repaired in prone position
C) a cyst that develops with other joint disease
D) all answers are correct
D
Tibial fractures heal quickly, tibia has good blood supply and great deal protective tissue
true or false
false
treatment of choice for tibial shaft fracture is
IM rod
prone is surgical position for a tibial fracture repair
true or false
false
with all fracture management
A) presence of gross contamination increases infection risk
B) removal of visible contamination essential before fixation
C) compromised of sterile technique may cause serious bone infection
D) all answers are correct
D
ankle fractures include the following bones
medial, lateral and posterior malleolus
achilles tendon tears are complete or partial and
A) weakened athletes are most at risk
B) may be repaired with #5 Ticron or Ethibond sutures
C) should be repaired ASAP before tendon atrophies
D) all answers are correct
D
Triple arthrodesis includes what bones of the ankle
talocalcaneal, talonavicular and calcaneocuboid
triple arthrodesis utilized staplers, pins and screws to achieve fixation
true or false
true
limb and digit reattachments
require multiple set ups
the first procedure step in limb/digit reattachment is remove foreign matter and damaged tissue
true or false
true
which mineral is stored in the bones and constantly being removed to maintain blood levels
calcium
long bone, largest in the human body
femur
which bone is the largest found in the foot and is commonly called the heel
calcaneus
what is a serious bone infection called
osteomyelitis
what is the hard dense bone of diaphysis
cortical
where is the area of active bone growth
epiphyseal plate
what is teh name of the non pathological small sac that contains synovial fluid
bursa
what type of bone is the patella
sesamoid or round
what is the medical term for spongy bone
cancellous
what is eh outside covering of bones that provides nourishment and protection
periosteum
carpal and tarsal bones are classified as what
short
red bone marrow that produces red blood cells in adults in mainly found in which type of bones
flat bones
the elbow is what type of joint
diarthrosis
the skull is what type of joint
syntharosis
which joint is an example of a ball and socket
A) atlantoaxial
B) patellofemoral
C) femoroacetabular
D) temporomandibular
C
Which hormone stimulates osteoclasts to break down bone and increase reabsorption of calcium
parathyroid
in which joint would a bucket handle tear be found
knee
which condition is known as “bowlegged”
valgus or varus
varus
which of the following means partial separation and dislocation of a joint
subluxation
what is the most common cause of bone fracture
trauma
which type of fracture is characterized as partial and often occurs in children
greenstick
which term mean smoving a body part away from the midline
abduction
what pathology is an autoimmune response that attacks the joints
rheumatoid arthritis
what is the term for a bony prominence projecting- example a bunion
exostosis
what is the term for the softening of bone in children commonly called rickets
osteomalacia
chondroma, giant cells, adn osteoma are
benign neoplasms
how many stages are involved in normal osteogensis
5
what is the acute, emergent condition of compression of neural & vascular structures following trauma
compartmental syndrome
the term C-arm refers to
fluoroscopic machine
What is the type of cast that is applied often to children & immobilizes hips & femurs
spica
which of the following does not use ionizing radiation
A) arthrography
B) CT scan
C) bone scan
D) MRI scan
D
which ortho instrument has the appearance of a turkey foot or eagle claw
lowman bone holder
which device is sometimes used for achieving & monitoring lateral position
bean bag
what may be used for femoral nailing procedures
fracture table
what is achieved in the limb by wrapping an esmarch bandage around the elevated limb prior to inflation of tourniquet
exsanguination
which component is specifically for arthroscopy and not laparoscopy
powered shaver
which agency requires the documentation and tracking of implants
FDA
what is PMMA used for in an orthopedic procedure
bone cement
which bone is commonly referred to as the collarbone
clavicle
which of the following joints has the greatest range of motion
A) acromioclavicular
B) glenohumeral
C) coracoclavicular
D) sternoclavicular
B
longest bone in the upper extremity
humerus
name of a small protuberance of a bone that is an attachment for muscles or tendons
tubercle
which piece of equipment is NOT attached to the arthoscope
A) camera head
B) light cord
C) inflow/outflow tubing
D) power shaver
D
what instrument is used frequently in arthroscopies to examine & manipulate internal structures
blunt probe
what should the ST do while the surgeon is using the oscillating saw
drip small amounts of saline
all of the following are indications for total shoulder arthroplasty except
A) chronic arthritis pain
B) osteonecrosis of humeral head
C) glenohumeral joint fracture
D) moderate impingement syndrome
D
which instrument is used to remove marrow from the canal of long bones
intramedullary reamer
which bone is involved in a colles fracture
radius
what is a common surgical approach for colles fracture
external fixation
which of the following is not a bone in the pelvis
A) ilium
B) femur
C) pubis
D) ischium
B
what is the name of the deep, round fossa of the hip joint
acetabulum
which portion of the femur articulates with the acetabulum
head
what additional PPE is worn during a total joint procedure
space suit
what tissue does the acetabular reamer remove
cartilage and bone
what should the ST have ready to remove bone from a rongeur
lap sponges
cannulated screws and nails are designed to follow the path created by
guide pin
what is the purpose of the medial & lateral menisci of the knee
cushioning
which bone of the lower extremity is commonly known as the shin bone
tibia
patellar tendon, iliotibial band, and semitendinosus tendon are examples of
autografts for ACL repair
liston knife, gigli saw, and oscillating saw are examples of instruments for what
above the knee amputation
which tendon is the thickest and strongest in the body
achilles
the broken ends of a fractured bone are forced into one another
impacted
the ends of a long bone are called
epiphysis
implantable devices made of different alloys can cause the metal to breakdown
true or false
true
double gloving should be done as routine in orthopedics cases due to exposure to sharps
true or false
true
compartment syndrome is a surgical emergency due to neurovascular compromise
true or false
true
a nonunion of a bone is when a fracture does not show evidence of healing
true or false
true
when placing a cast on patient, hot water should always be used when dipping plaster
true or false
false