Fracture stuff

Question 1

What prophylaxis is given for any open fracture?

Answer 1

Co-amoxiclav and metronidazole

Question 2

Compartment syndrome presentation?

Answer 2

Pressure >30mmHg.

Pain on passive stretch and out of proportion.

Question 3

Management and complication of compartment syndrome?

Answer 3

Fasciotomy

Volkmann’s ischaemia contracture.

Question 4

What fractures are at risk of AVN?

Answer 4

Scaphoid 
Talus
Head of humerus 
Intra-capsular femoral 
Etc

Question 5

Mechanism of injury of olecranon fracture?

Answer 5

Fall onto point of elbow with triceps contracted.

Question 6

Loss of pronation and supination with a fat pad sign on x-ray, what #?

Answer 6

Radial head.

Question 7

Hip fractures classified based on what?

Answer 7

Garden classification

Question 8

Management of extra-capsular hip fractures?

Answer 8

Dynamic hip screw or IM nail.

Question 9

Management of femoral shaft fracture?

Answer 9

Immediate stabilisation with Thomas splint

Closed reduction then IM nail.

Question 10

What is the slowest growing fracture?

Answer 10

Tibial shaft.

Question 11

Management of 5th metatarsal fracture?

Answer 11

Moon boot.

Question 12

Hip dislocation is always in what direction and what nerve is at risk?

Answer 12

Always posterior and sciatic nerve is at risk.

Question 13

Investigation of choice for osteomnyselitis?

Answer 13

MRI

Question 14

High temp and back/groin pain in an IVDU?

Answer 14

Psoas abscess.

Question 15

Sagging of the tibia behind the femur indicates what ligament is damaged?

Answer 15

PCL

Question 16

Bennett’s fracture?

Answer 16

intra-articular fracture of thumb when in a fight.

Question 17

Bimalleolar ankle fracture?

Answer 17

Potts

Question 18

Elderly woman with reduced mobility who has a displaxced intracapsualr hip fracture?

Answer 18

Cement hemi-arthroplasty.

Question 19

Risk factors for DDH?

Answer 19

• Breech
• Family history
• first born
• Female

Question 20

Burning pain in leg, what nerve?

Answer 20

Lateral cutaneous nerve of thigh.

Question 21

What is syringomyelia?

Answer 21

Cystic cavity forms within the spinal cord that only affects the spinothalamic tract.

Question 22

FOOSH and pain over lateral elbow?

Answer 22

Radial head fracture

Pain on pronation and supination

Question 23

Back pain better on walking up hill?

Answer 23

Spinal canal strenosis

Question 24

Investigation and management of spinal canal stenosis?

Answer 24

MRI and laminectomy.

Question 25

Management of a subcapital hip fracture?

Answer 25

Hemi-arthroplasty

Sub-capital hip fracture is the most common intra-casual hip fracture.

Question 26

How do u detect and intracapsual hip # on x ray?

Answer 26

Draw a line from greater to less trochanter, any fracture proximal to this is Intracapsular

Question 27

Sudden onset breathlessness after femoral fracture?

Answer 27

Fat embolism.

Question 28

teenage girl with knee pain that is worse on walking down the stairs?

Answer 28

Chondromalacia patellae.

Occurs often in teenage girls after injury.

Question 29

Foot drop after hip replacement?

Answer 29

Sciatic nerve

Question 30

Foot drop after any other op?

Answer 30

Perineal nerve.

Question 31

Investigation of cauda equina?

Answer 31

Immediated MRI.

Question 32

Triceps reflex?

Answer 32

Radial nerve C7

Question 33

Management of intertrochanteric hip fracture?

Answer 33

Dynamic hip screw.

Question 34

Triad of symptoms in fat embolism?

Answer 34

Breathlessness
Neuro signs
Rash

Question 35

What antibiotic is often to blame for an Achilles’ tendon rupture?

Answer 35

Ciprofloxacin (quinolones)