IOT Prep Answers
General Onboarding Module One
True or False: Proximal refers to being closer to the main mass of the body.
Answer: a. True
Question: Which plane divides the body into right and left halves?
Options:
a. Coronal Plane
b. Transverse Plane
c. Sagittal Plane
d. None of the aboveCorrect Answer: c. Sagittal Plane
True or False: The labrum is a fibrocartilaginous ring that provides stability to the glenohumeral joint.
Answer: a. True
Question: The primary function of the Subscapularis muscle is to move the arm in this motion:
Options:
a. Abduction
b. Adduction
c. Internal Rotation
d. External RotationCorrect Answer: c. Internal Rotation
Question: A SpeedBridge Rotator Cuff Repair consists of ___ anchors medial and ___ anchors lateral.
Options:
a. 2,3
b. 1,2
c. 0,1
d. 2,2Correct Answer: d. 2,2
Question: All of the following are muscles/tendons of the rotator cuff, EXCEPT:
Options:
a. Infraspinatus
b. Supraspinatus
c. Teres Major
d. SubscapularisCorrect Answer: c. Teres Major
Question: The Supraspinatus Tendon attaches to what structure?
Options:
a. Lesser Tuberosity of the humerus
b. Greater Tuberosity of the humerus
c. Coracoid
d. Humeral NeckCorrect Answer: b. Greater Tuberosity of the humerus
Question: The primary function of the Supraspinatus muscles is to move the arm in this motion:
Options:
a. Abduction
b. Adduction
c. Internal rotation
d. External RotationCorrect Answer: a. Abduction
True or False: An advantage of the Knotless Ankle TightRope implant is earlier weight bearing compared to screw fixation.
Answer: a. True
General Onboarding Module Two
Question: What three bones make up the ankle joint?
Options:
a. Tibia, Fibula, and Talus
b. Calcaneus, Talus, and Cuboid
c. Tibia, Talus, and Calcaneus
d. Fibula, Tibia, and CalcaneusCorrect Answer: a. Tibia, Fibula, and Talus
Question: Which of the following are complications of screw fixation for syndesmosis injury?
Options:
a. Loosening
b. Breakage
c. Need for second operation
d. All of the aboveCorrect Answer: d. All of the above
Question: What is the strongest ligament in the ankle syndesmosic ligament complex?
Options:
a. AiTFL
b. ATFL
c. CFL
d. PiTFLCorrect Answer: a. AiTFL
Question: Which of the following is NOT one of the three ligaments that supports the ankle syndesmosis joint?
Options:
a. Anterior Talofibular Ligament (ATFL)
b. Posterior Inferior Tibiofibular Ligament (PiTFL)
c. Anterior Inferior Tibiofibular Ligament (AiTFL)
d. Tibiofibular Interosseous LigamentCorrect Answer: a. Anterior Talofibular Ligament (ATFL)
Question: What two nerves are most at risk when surgeons perform a lateral ankle ligament operation?
Options:
a. Anterior tibial nerve & posterior tibial nerve
b. Anterior tibial nerve & posterior tibial nerve
c. Saphenous nerve and sural nerve
d. Sural nerve and superficial peroneal nerveCorrect Answer: d. Sural nerve and superficial peroneal nerve
Question: What is the most common motion responsible for lateral ankle sprains?
Options:
a. Inversion, dorsi-flexion
b. Eversion, plantar-flexion
c. Inversion, planter-flexion
d. Eversion, dorsi-flexionCorrect Answer: a. Inversion, dorsi-flexion
Question: What is the most common ligament disruption involved in lateral ankle sprains?
Options:
a. ATFL
b. CFL
c. PTFL
d. PiTFLCorrect Answer: a. ATFL
Question: The Quadriceps Femoris refers to which of the following?
Options:
a. Rectus Femoris
b. Vastus Lateralis
c. Vastus Medialis
d. Vastus Intermedius
e. All of the aboveCorrect Answer: e. All of the above
Question: Of the major knee ligaments, which one below is NOT intra-articular?
Options:
a. Anterior Cruciate Ligament
b. Posterior Cruciate Ligament
c. Lateral Collateral Ligament
d. None of the aboveCorrect Answer: c. Lateral Collateral Ligament
Question: The femoral footprint of the ACL is located on the:
Options:
a. Lateral Femoral Condyle
b. Medial Femoral Condyle
c. Trochlea Groove
d. Gerdy’s TubercleCorrect Answer: a. Lateral Femoral Condyle
True or False: Females are 4-5 times more prone to ACL injury.
Answer: a. True
True or False: In the ACL deficient knee, the tibia can abnormally translate anteriorly.
Answer: a. True
Question: Which of the following are common causes of ACL injury?
Options:
a. Changing direction rapidly
b. Stopping suddenly
c. Landing from a jump
d. All of the aboveCorrect Answer: d. All of the above
Question: Which word describes red blood cells?
Options:
a. Leukocytes
b. Erythrocytes
c. Thrombocytes
d. ElectrolytesCorrect Answer: b. Erythrocytes
True or False: Plasma makes up 55% of whole blood.
Answer: a. True
True or False: Platelets (thrombocytes) are a component of whole blood that do not contain a nucleus. Therefore, platelets are not truly cells.
Answer: a. True
True or False: The DualWave arthroscopy pump is designed to operate as either an inflow/outflow or an inflow-only pump.
Answer: a. True
Question: One major advantage of the DualWave Pump over traditional Inflow-Only Pumps is:
Options:
a. Inflow-Only pumps allow for regulation of fluid pressure automatically by controlling outflow
b. DualWave Pumps require constant manual adjustment of outflow to maintain fluid pressure in the joint
c. DualWave Pumps automatically regulate inflow and outflow to maintain a constant fluid pressure in the joint
d. DualWave Pumps only feature active outflow, making the technology much more efficient and simple to useCorrect Answer: c. DualWave Pumps automatically regulate inflow and outflow to maintain a constant fluid pressure in the joint
General Onboarding Module Three
Question: This type of shoulder dislocation is the most common, occurring 95% of the time.
Options:
a. Anterior
b. Posterior
c. MultidirectionalCorrect Answer: a. Anterior
Question: A simple stitch for shoulder instability repair is also referred to as a:
Options:
a. Cinch Stitch
b. Cerclage Stitch
c. Racking Stitch
d. Mattress StitchCorrect Answer: a. Cinch Stitch
Question: In identifying tears causing instability of the glenohumeral joint, ALPSA stands for?
Options:
a. Anterior Large Partial Subscapularis Avulsion
b. Anterior Large Partial Supraspinatus Avulsion
c. Anterior Labrum Periosteal Sleeve Avulsion
d. Always Leave Piles of Sales AdsCorrect Answer: c. Anterior Labrum Periosteal Sleeve Avulsion
Question: The treatment for an engaging Hill-Sach lesion is known as:
Options:
a. Latarjet
b. Remplissage
c. SCR
d. None of the aboveCorrect Answer: b. Remplissage
Question: What does SLAP stand for?
Options:
a. Single Labral Anchor Percutaneous
b. Superior Labrum Anterior to Posterior
c. Shoulder Labrum Anterior Punch
d. Superior Lateral Anterior PosteriorCorrect Answer: b. Superior Labrum Anterior to Posterior
Question: A patient experiencing pain with shoe wear and swelling for several months located at the posterior aspect of their heel is more likely to have what type of Achilles tendon disorder?
Options:
a. Midsubstance Achilles tendon rupture
b. Plantar Fasciitis
c. Insertional Achilles Tendinitis
d. Gastroc StrainCorrect Answer: c. Insertional Achilles Tendinitis
Question: What two muscles make up your calf muscles and come together to form the Achilles tendon?
Options:
a. Flexor hallucis longus and plantaris
b. Flexor digitorum longus and brevis
c. Gastrocnemius and soleus
d. Gastrocnemius and flexor hallucis longusCorrect Answer: c. Gastrocnemius and soleus
Question: The Distal Biceps has what type of attachment to which corresponding forearm bone?
Options:
a. Round/Ulnar Tuberosity
b. Oval/Radial Tuberosity
c. Ribbon-Like/Radial Tuberosity
d. Oval/Ulnar Tuberosity
e. Ribbon-Like/Sublime TubercleCorrect Answer: c. Ribbon-Like/Radial Tuberosity
True or False: The biceps muscle is the primary flexor of the elbow.
Answer: a. True
True or False: The Coracoclavicular (CC) Ligaments are composed of the Conoid and Trapezoid Ligaments.
Answer: a. True
Question: When using the offset guide for AC InternalBrace Technique as described by Dr. Mackay, what is the distance built into the guide to ensure proper bone socket placement in the acromion?
Options:
a. 3mm
b. 4mm
c. 5mm
d. 6mmCorrect Answer: c. 5mm
Question: Which of the following is a goal of meniscus resection?
Options:
a. Remove degenerative tissue
b. Spare as much meniscus as possible
c. Reproduce meniscus contour
d. All of the aboveCorrect Answer: d. All of the above
Question: The zones of the meniscus are determined by:
Options:
a. Size
b. Tear Pattern
c. Blood Supply
d. None of the aboveCorrect Answer: c. Blood Supply
Question: This is the more “c-shaped” meniscus that has connections with the ACL and the capsule/MCL.
Options:
a. Medial
b. LateralCorrect Answer: a. Medial
Question: What condyle of the knee is 4 times greater risk to have an osteochondral defect?
Options:
a. Anterior
b. Posterior
c. Medial
d. LateralCorrect Answer: c. Medial
Question: Using the Outer bridge classification, advanced Bone-on-Bone arthritis would be classified as?
Options:
a. Grade 1
b. Grade 2
c. Grade 3
d. Grade 4Correct Answer: d. Grade 4
True or False: Biocartilage allograft contains living chondrocytes.
Answer: b. False
True or False: The Jumpstart bandage generates electricity to kill pathogens including many drug-resistant bacteria.
Answer: a. True
Question: What type of carrier is within AlloSync DBM, putty, gel, and paste that allows it to become more viscous and harden at body temperature?
Options:
a. Calcium Sulfate
b. Glycerol
c. Reverse Phase Medium
d. Sodium hyaluronateCorrect Answer: c. Reverse Phase Medium
Question: What types of tissue can the GraftNet Autologous Tissue Collector collect?
Options:
a. Bone
b. Cartilage
c. Soft Tissue
d. Hair follicle
e. A, B, & C
f. All of the aboveCorrect Answer: f. All of the above
Question: In Standard (STD) oscillation mode, how often will the handpiece change direction at an RPM of 1,000 or more?
Options:
a. Every 0.2 seconds
b. Every 0.3 seconds
c. Every 0.5 secondsCorrect Answer: c. Every 0.5 seconds
True or False: The Synergy Resection Console can control two handpieces independently as well as simultaneously.
Answer: a. True
Question: The metal detection feature on the SynergyRF Bipolar Ablation System performs what function?
Options:
a. Increases fluid flow in the system when metal is detected in the joint
b. Suspends power to probe when the tip is in close proximity to scope or metal instruments
c. Shuts down the system when an error message is shown on the console screen
d. Prevents the surgeon from using the product on patients with metal implantsCorrect Answer: b. Suspends power to probe when the tip is in close proximity to scope or metal instruments
Question: The bipolar ablation breaks down tissue by the following process?
Options:
a. Pyrolysis - decomposition brought about by high temperatures
b. Ultrasound - high density waves to destroy tissue
c. Chemical reaction - gently breaks down tissue at the molecular level
d. Radioactive iodine - radioactive iodine is injected to destroy tissueCorrect Answer: a. Pyrolysis - decomposition brought about by high temperatures
Sports Onboarding Module
Question: In the beach chair position, when viewing from the posterior portal looking anterior on a right shoulder, which structure will be on the left side of the screen?
Options:
a. Glenoid
b. Humeral Head
c. Biceps Tendon
d. Subscapularis TendonCorrect Answer: a. Glenoid
True or False: The glenoid labrum is continuous with the long head of the biceps, the glenohumeral ligaments, and the joint capsule.
Answer: a. True
True or False: The Shoulder Joint has the most movement of all of the joints in the body.
Answer: a. True
Question: What type of suture should you suggest to create a broader and a more secure footprint? (i.e. for SpeedBridge or InternalBrace™ implant)
Options:
a. FiberLoop
b. FiberSnare
c. FiberTape
d. FiberStickCorrect Answer: c. FiberTape
Question: During a case, all of the following can help improve exposure of a subscapularis tear, EXCEPT:
Options:
a. Use of a 70 Degree Arthroscope
b. Flexion of the arm
c. Internal Rotation of the arm
d. External Rotation of the armCorrect Answer: d. External Rotation of the arm
Question: Which portion of the humerus serves as the attachment site for the subscapularis tendon?
Options:
a. Humeral Head
b. Greater Tuberosity
c. Lesser Tuberosity
d. Anatomic NeckCorrect Answer: c. Lesser Tuberosity
True or False: The Suture Snare passer can penetrate tissue, pass, and retrieve suture for soft tissue repair.
Answer: a. True
Question: Which is NOT an advantage of SutureTape over standard round suture?
Options:
a. Increased tissue pull-through resistance
b. Stronger knotted fixation
c. Tighter, smaller knot stacks
d. Less likely to hurt fingers while tying
e. All of the above are advantagesCorrect Answer: e. All of the above are advantages
True or False: LabralTape should NOT be used with the 2.4mm PushLock® anchor.
Answer: a. True
Question: Which type of shoulder dislocation is often associated with seizures or electrical shock?
Options:
a. Anterior
b. Posterior
c. MultidirectionalCorrect Answer: b. Posterior
Question: The Knotless SutureTak includes what type of suture?
Options:
a. 0 FiberLink
b. #2 TigerWire
c. #2 Coreless FiberWire Suture
d. #5 Coreless FiberWire SutureCorrect Answer: c. #2 Coreless FiberWire Suture
Question: What size FiberWire® suture is found in the 2mm SutureTaks?
Options:
a. 0 FiberWire
b. #1 FiberWire
c. #2 FiberWire
d. #5 FiberWireCorrect Answer: a. 0 FiberWire
True or False: Retrodrilling in the knee during ACL reconstruction is advantageous because it creates a clean hole inside the joint where the graft will contact the bone.
Answer: a. True
In the ACL deficient knee:
a. The tibia will abnormally translate posteriorly
b. The tibia will abnormally translate anteriorly
c. The tibia will abnormally translate medially
d. The tibia will abnormally translate laterally
e. All of the above
Correct Answer: b. The tibia will abnormally translate anteriorly
Question: What is the benefit of the FastThread™ having 22% less material than previous BioComposite Screws?
Options:
a. Preserve bone-stock
b. Greater interface for healing
c. Biologic delivery
d. All of the aboveCorrect Answer: d. All of the above
Question: When performing an ACLR using a BTB graft, the femoral bone block should be no greater than what length?
Options:
a. 15mm
b. 20mm
c. 25mm
d. 30mmCorrect Answer: b. 20mm
Question: The ACL is made up of how many bundles?
Options:
a. 1
b. 2
c. 3
d. 4Correct Answer: b. 2
Question: Which of the following features and benefits applies to the ACL flexible reamers?
Options:
a. Flexible link design provides increased strength and flexibility versus "puzzle-piece" designs
b. Low-profile head facilitates atraumatic passage through the portal and past the condyle
c. Provided sterile for a sharp, clean reamer for every patient
d. All of the aboveCorrect Answer: d. All of the above
Question: The ridge of bone that separates the anteromedial (AM) and posterolateral (PL) bundles of the ACL on the FEMUR is?
Options:
a. Residents Ridge
b. Bifurcate Ridge
c. Soleal Ridge
d. Gerdy’s Tubercle
e. Medial EpicondyleCorrect Answer: b. Bifurcate Ridge
Question: When performing a pediatric ACL reconstruction the potential complication from drilling across the physis is?
Options:
a. Post-op stiffness of the knee
b. Fractures
c. Nerve injury
d. Arterial injury
e. Premature bone growth arrestCorrect Answer: e. Premature bone growth arrest
True or False: The bundles of the ACL are named for their insertion sites on the tibia.
Answer: a. True
True or False: ACD-A can be added to the ACP syringe after the fact if you realize you need more time before the application.
Answer: a. True
Question: Which blood component is lightest in weight?
Options:
a. Red Blood Cells
b. White Blood Cells
c. PlateletsCorrect Answer: c. Platelets
Question: The "RINSE" feature of the DualWave Pump increases the suction rate of which suction structure?
Options:
a. Waste
b. Shaver
c. Cannula
d. InflowCorrect Answer: d. Inflow
General Onboarding Module Four
Question: Which of the following is NOT an indication for SCR?
Options:
a. Symptomatic Rotator Cuff Tear
b. Significant bone loss
c. Large, Irreparable Supraspinatus, or Supraspinatus/Infraspinatus Tear
d. Minimal to No Glenohumeral arthritisCorrect Answer: d. Minimal to No Glenohumeral arthritis
Question: Which of the following is NOT one of the traditional treatment options for irreparable rotator cuff tears?
Options:
a. Debridement of Rotator Cuff
b. Partial Repair
c. Primary Total Shoulder Arthroplasty
d. Latissimus dorsi transferCorrect Answer: c. Primary Total Shoulder Arthroplasty
Question: Which zone of the meniscus has the LEAST chance of healing?
Options:
a. Red-Red
b. Red-White
c. White-White
d. Meniscal Root
e. None of the aboveCorrect Answer: c. White-White
Question: The zones of the meniscus are determined by:
Options:
a. Size
b. Tear Pattern
c. Blood Supply
d. None of the aboveCorrect Answer: c. Blood Supply
Question: Which surgeon initially described a remarkably constant avulsion fracture pattern at the proximal-lateral tibia as a result of forced internal rotation?
Options:
a. Sonnery-Cottet
b. Hughston
c. Segond
d. ClaesCorrect Answer: a. Sonnery-Cottet
True or False: The pull-out strength of the 3 mm Knotless SutureTak is better than the 3 mm SutureTak?
Answer: a. True
Question: What are the dimensions of the Knotless SutureTak?
Options:
a. 3.0 mm x 14 mm
b. 2.6 mm x 12.4 mm
c. 3.0 mm x 17.2 mm
d. 3.0 mm x 12.7 mmCorrect Answer: a. 3.0 mm x 14 mm
True or False: When using the Forked Tip SwiveLock® anchor, the surgeon should drill 0.5mm - 1.0mm larger than the size of the intended screw.
Answer: a. True
True or False: The Superior Capsule of the shoulder is a distinct structure from the Rotator Cuff.
Answer: b. False
Sports Onboarding Module Five
Question: All of the following are hip flexor muscles, EXCEPT:
Options:
a. Rectus Femoris
b. Gluteus Medius
c. Sartorius
d. All of the aboveCorrect Answer: b. Gluteus Medius
Question: All of the following pathologies can be addressed in the Peritrochanteric space, EXCEPT:
Options:
Correct Answer: a. Ligamentum Teres Tear
True or False: The most commonly damaged nerve during hip arthroscopy is the:
Answer: a. Femoral Nerve
Question: The three bones that make up the acetabulum are the:
Options:
a. Ilium, Ischium, Femur
b. Pubis, Ilium, Ischium
c. Femur, Tibia, Fibula
d. Ilium, Pubis, FemurCorrect Answer: b. Pubis, Ilium, Ischium
Question: The two main portals used in hip arthroscopy are the:
Options:
a. posterolateral and midanterior
b. anteromedial and anterior
c. anterolateral and midanterior
d. posterolateral and anteromedialCorrect Answer: a. posterolateral and midanterior
True or False: All hip arthroscopy portals should be made lateral to the Anterior Superior Iliac Spine to avoid damage to the Femoral Artery, Vein, and Nerve.
Answer: a. True
Question: Which of the following is a benefit of the TRIM-IT™ Custom Hip Cannula?
Options:
Correct Answer: d. All of the above
Question: Capsular closure in all settings is still a controversial topic but most surgeons agree that closure should be performed in which of the following surgical scenarios.
Options:
Correct Answer: a. T capsulotomy
Question: All of the following are functions of the Acetabular Labrum, EXCEPT:
Options:
a. Adds stability to the hip by deepening the “socket”
b. Provides a suction seal to the hip
c. Serves as an attachment for the Ligamentum Teres
d. Acts as a shock absorber, with its most thick portion superiorlyCorrect Answer: c. Serves as an attachment for the Ligamentum Teres
True or False: The articular cartilage of the acetabulum has a horseshoe shape.
Answer: a. True
Question: Cam impingement can be defined as:
Options:
a. An osteophyte on the top of the femoral head
b. Gluteus Medius Tear
c. External Snapping Hip
d. Trochanteric BursitisCorrect Answer: a. An osteophyte on the top of the femoral head
Question: In which compartment of the hip should you address a CAM lesion?
Options:
a. Central
b. Peripheral
c. PeritrochantericCorrect Answer: a. Central
True or False: A CAM deformity is a bony overgrowth of the femoral neck and is associated with chondral defects on the acetabular transitional zone cartilage, while a Pincer deformity is an overgrowth of the acetabulum and is associated with "pinching" of the labrum and labral tears.
Answer: a. True
True or False: FAI can be defined as the repetitive abutment between the femoral neck and acetabular rim that occurs within ranges of motion which cause symptoms.
Answer: a. True
True/False: Most Femoracetabular Impingement (FAI) contains mixed Pincer/Cam Lesion:
Answer: a. True
Question: Which ligament is connected to the femoral head and aids in stabilizing the femoral head to the hip socket?
Options:
a. Inguinal Ligament
b. Sacrospinous Ligament
c. Ligamentum Teres
d. Transverse Acetabular LigamentCorrect Answer: c. Ligamentum Teres
True or False: The acetabular labrum extends around the entirety of the hip socket.
Answer: b. False
Question: Which muscle/tendon causes internal snapping of the hip?
Options:
a. Gluteus Medius
b. Iliotibial Band
c. Iliopsoas
d. Tensor Fascia LataeCorrect Answer: c. Iliopsoas
Question: Identify Structure 8
Options:
a. Vastus Medialis Muscle
b. Quadriceps Tendon
c. Medial Retinaculum
d. Lateral Retinaculum
e. Patellar TendonCorrect Answer: b. Quadriceps Tendon
Question: When referring to knee lower limb alignment, what is the normal Q angle for a female?
Options:
a. 10 degrees
b. 14 degrees
c. 18 degrees
d. 20 degreesCorrect Answer: c. 18 degrees
Question: TT-TG distance is considered abnormal if?
Options:
a. < 12mm b. >20mm
c. There is no malalignment of the PF joint
d. There is no trochlear dysplasia
e. >15mmCorrect Answer: e. >15mm
Question: The allograft GraftLink® technique construct can be made from all of the following tendons, EXCEPT:
Options:
a. Semitendinosus
b. Gracilis
c. Anterior Tibialis
d. Palmaris LongusCorrect Answer: c. Anterior Tibialis
Question: What is the shelf life of Arthrex Amnion™ Matrix?
Options:
a. 1-year
b. 2-years
c. 3-years
d. 4-years
e. 5-yearsCorrect Answer: c. 3-years
General Onboarding Module Six
Question: The distal locking screws in the Clavicle Plate and Screw System are what size?
Options:
a. 2.7 mm
b. 1.7 mm
c. 4.0 mm
d. 1.7 mmCorrect Answer: a. 2.7 mm
Question: Which of the following is an advantage of our clavicle fracture plate?
Options:
a. Low profile
b. Integration of the Dog Bone™ button technique for AC joint repair
c. Stainless Steel
d. All of the aboveCorrect Answer: d. All of the above
Question: When performing a Dog Bone AC joint repair, the case is done?
Options:
a. Open
b. Arthroscopic
c. Mini open
d. All of the aboveCorrect Answer: d. All of the above
True or False: The AC Dog Bone™ button technique can be used for both acute and chronic AC repairs.
Answer: a. True
True or False: The Coracoclavicular (CC) Ligaments are composed of the Conoid and Trapezoid Ligaments.
Answer: a. True
Question: What nerve lies close to the inferior aspect of the Glenoid?
Options:
a. Axillary nerve
b. Suprascapular nerve
c. Ulnar nerve
d. Radial nerveCorrect Answer: a. Axillary nerve
Question: Which of the following are benefits of the Humeral SuturePlate for proximal humeral fractures?
Options:
Correct Answer: d. All of the above
Question: What is the most common site for a proximal humerus fracture?