Arthroscopy

Question 1

What anatomical structures are considered when making a Anteriorlateral port?

Answer 1

Extensor digitorum longus and the superficial peroneal nerve

Question 2

What anatomical structures are considered when making a Anteriormedial port?

Answer 2

Saphenous vein and Tibialis Anterior

Question 3

What is the most common size and angulation of an arthroscope used?

Answer 3

2.7 mm and 30° or 0° of angulation

Question 4

What is the minimum distance an accessory port between the two working ports?

Answer 4

One cm

Question 5

In anterior soft tissue impingement of the ankle, pathology is generally limited to what?

Answer 5

The syndesmosis and the lateral gutter

Question 6

What anatomical structures are considered when making a posterolateral port?

Answer 6

The sural nerve and the short saphenous vein

Question 7

What are the basic joint surveying techniques and ankle arthroscopy?

Answer 7

Scanning, pistoning and rotating

Question 8

Prior to beginning arthroscopy, which portal is developed first?

Answer 8

The medial portal is Developed first and the scope Is placed into survey the joint prior to lateral portal development

Question 9

What type of specific synovitis occurs in three stages

Answer 9

Chronic synovial chondromatosis

Question 10

What is using drilling and OCD of the Taylor dome?

Answer 10

.062K wire

Question 11

What type and size of screw is used in arthroscopic ankle fusion of the ankle?

Answer 11

Cannulated 6.5 mm cancellous screw system

Question 12

What are considered abnormal values in the anterior drawer stress test

Answer 12

Between 5 to 10 mm of anterior displacement of the talus from the distal tibia and over 10 mm of displacement Are considered grossly abnormal. In comparison with the unaffected extremity, The injured ankle should have an anterior drawer test result of 3 mm or more to be considered significant

Question 13

What is the bernt hardy stage 1 Classification?

Answer 13

Compression of the articular cartilage

Question 14

What is the bernt hardy stage 2 Classification?

Answer 14

An incomplete to fracture

Question 15

What is the bernt hardy stage 3 Classification?

Answer 15

nondisplaced complete fracture

Question 16

What is the bernt hardy stage 4 Classification?

Answer 16

Displaced complete fracture

Question 17

Which side of the anterior half of the Taylor Dome usually produces a shallow wafer shaped fracture?

Answer 17

Lateral

Question 18

Which side of the posterior third of the Taylor Dome is subject to deep, cup shaped lesions?

Answer 18

Medial

Question 19

Which instrument has a sharp point and is used to Pierce soft tissue and capsule?

Answer 19

trocar

Question 20

ArthroScopes are available and what sizes?

Answer 20

1.7 mm to 8 mm

Question 21

What radiographic views use to evaluate an anterior drawer test?

Answer 21

Lateral

Question 22

What radiographic views use to evaluate an Inversion stress test?

Answer 22

AP

Question 23

Fibers of what ligament make up the floor of the medial gutter?

Answer 23

Anterior tibiotalar ligament of the deep deltoid

Question 24

Describe the hibbs procedure

Answer 24

The extensor digitorum longus tendons are tenodesed into the midfoot at the level of the third metatarsal base or the lateral cuneiform

Question 25

The intermetatarsal neuroma most often involves which nerve?

Answer 25

Third common digital branch of the medial plantar nerve

Question 26

What is the Lachman test?

Answer 26

With the second metatarsal immobilized and the proximal phalanx held in 20 to 25° of dorsiflexion, the proximal phalanx is translated vertically in a dorsal direction. This is a test for MPJ instability or the inability to resist dorsal subluxation

Question 27

Unconscious proprioception is assessed by?

Answer 27

Romberg test

Question 28

Positioning a joint in the position most likely to compress or stretch the nerves crossing is known as?

Answer 28

phalens sign

Question 29

Fasciculations suggest dysfunction of?

Answer 29

Lower motor neuron disease

Question 30

What anatomical structure is cited as an trapping the intermetatarsal nerve?

Answer 30

Deep transverse intermetatarsal ligament

Question 31

Joplin's neuroma involve which anatomical structure?

Answer 31

Plantar proper digital nerve

Question 32

Which neuroma is in the first interspace and which is in the fourth interspace?

Answer 32

iselins and hueters

Question 33

What is Freiberg's infraction?

Answer 33

Osteochondrosis of the metatarsal head most commonly the second, and appearing most often in the second decade of life

Question 34

How does an exostosis differ from osteochondroma?

Answer 34

Fibrocartilage caps the bone instead of Hayline cap

Question 35

What is the proper sequence of steps used during the sequential reduction of a dorsally subluxed MPJ?

Answer 35

Release of a extensor hood expansion, release of collateral ligaments, release of plantar joint tissues

Question 36

Which an injectable steroids should be reserve for damaged joints?

Answer 36

Acetate's such as Kenalog or triamcinolone

Question 37

What are the steps of Conversion of a percentage solution to mg?

Answer 37

1-Multiply the concentration percentage by 10. 2-Change percentage to mg/cc. 3- Multiply by the number of cc's and injected

Question 38

10 mL of .25% Marcaine is how many milligrams?

Answer 38

.25% x 10 = 2.5 mg/cc x 10 cc = 25 mg

Question 39

What is the maximum amount of milligrams ofLidocaine which may be injected?

Answer 39

300 mg without epi and 500 mg with epi

Question 40

What is the maximum amount of the bupivicain which can be injected

Answer 40

175 mg for 225 mg

Question 41

What is the ratio of epinephrine mixed with local anesthetic?

Answer 41

1: 200,000-400,000

Question 42

Which anestheticIs contraindicated in patients under 12 years of age due to its effects on growth plates?

Answer 42

marcaine

Question 43

What is the primary effect of diuretics to facilitate water loss?

Answer 43

excrete salt

Question 44

What type of diuretics may increase serum uric acid or hypokalemia

Answer 44

Loop diuretics

Question 45

Name the Loop diuretic that is most commonly used

Answer 45

Lasix a.k.a. furosemide

Question 46

What is the action on the heart by beta blockers?

Answer 46

Used to treat tachyarrhythmia's, Text to prolong AV conduction, decrease heart rate, contractility and decrease Blood pressure