Ortho Intro

Question 0

Range for reflex testing

Answer 0

0-4+

Question 1

Dimensions of the symptom

Answer 1

Onset
Provocation
Quality
Radiation
Severity
Timing
has this happened to U before

Question 2

question for objective weakness

Answer 2

what specifically can you no longer do?

Question 3

Normal for reflex testing

Answer 3

2

Question 4

DNVS

Answer 4

distal neurovascular status, mothafucka

Question 5

Inspection starts. . .

Answer 5

when the patient doesn’t know you’re looking

Question 6

two types of node found in osteoarthritis

Answer 6

Heberden’s nodes, Bouchard’s nodes

Question 7

Heberden’s nodes

Answer 7

distal interphalangeal joint

Question 8

Bouchard’s nodes

Answer 8

Proximal interphalangeal joint

Question 9

Ottawa ankle rules

Answer 9

Pain in Malleolus and (bone tenderness along the distal 6 cm of either long bone) or (inability to bear weight both immediately and in the ED for four steps)

Question 10

measuring for limb length discrepancy

Answer 10

ASIS to medial malleolus

Question 11

measure leg circumference at

Answer 11

tibial tubercle

Question 12

grades of muscle strength

Answer 12

1-(Trace) Evidence of contraction
2-(Poor) FROM with gravity eliminated
3-(Fair) FROM vs gravity, no resistance
4-(Good)  FROM vs gravity, moderate resistance
5-(Normal)  FROM vs. max resistance

Question 13

Reflex grades

Answer 13

0 - No response
1+ diminished
2+ normal
3+ brisker than normal
4+ extremely brisk, hyperactive

Question 14

When checking patellar reflex. . .

Answer 14

cup the patella

Question 15

two objective tests for DNVS

Answer 15

two-point, pointy or dull

Question 16

Inversion ankle sprain ligaments

Answer 16

ATF, CF

Question 17

eversion ankle sprain ligament

Answer 17

Deltoid Ligament

Question 18

Tendonitis H+P

Answer 18

overuse, trauma

Question 19

bursitis hpe

Answer 19

strenuous activity, heavy lifting

Question 20

first recommendation for tendonitis

Answer 20

Quit doing what you’re doing.

Question 21

fibrous joints

Answer 21

little or no movement, cranial sutures, tooth to mandible, radius to ulna

Question 22

cartilagenous joints

Answer 22

slight movement, pubic symphysis

Question 23

Synarthroses

Answer 23

aka fibrous joints, sutures in skull

Question 24

amphiarthroses

Answer 24

aka cartilagenous, symphysis pubis, ribs to sternum, intervertebral disks

Question 25

Diarthrosis

Answer 25

synovial joints, freely movable, what you think of when you think of joints

Question 26

6 types of synovial joints

Answer 26

``` plane (spine) Saddle (wrist) hinge (elbow) pivot (radioulnar) Ball and socket (shoulder) Ellipsoid (atlas) ```

Question 27

big concern of open fractures

Answer 27

infection or osteomyelitis

Question 28

Simple vs complex fracture

Answer 28

two fragments vs lotsa fragments

Question 29

3 paths of fracture line

Answer 29

transverse, oblique, spiral

Question 30

greenstick

Answer 30

cortex broken on only one side

Question 31

torus fracture

Answer 31

buckled cortex, difficult to see

Question 32

complex fracture aka

Answer 32

comminuted

Question 33

comminuted fracture

Answer 33

aka complex, lots of broken pieces

Question 34

spiral fractures concern you for

Answer 34

child abuse

Question 35

angulation

Answer 35

refers to degree of angular deformity in fx

Question 36

displacement

Answer 36

need multiple views

Question 37

distraction in fx

Answer 37

separation of fragments that have been pulled apart

Question 38

impaction

Answer 38

fragments smooshed together

Question 39

foreshortening

Answer 39

fragments override each other

Question 40

stress fracture

Answer 40

summation of microfractures from repeated trauma, athletes

Question 41

insufficiency fracture

Answer 41

osteoporotic bone fractured by normal stress

Question 42

pathologic fracture

Answer 42

like insufficiency, but think benign or malignant pathology

Question 43

Salter-Harris fracture

Answer 43

involves open growth plate

Question 44

Avulsion fracture

Answer 44

bony fragment produced by the pull of a ligamentous or tendonous attachment

Question 45

Salter-Harris I

Answer 45

Straight across (but near physis)

Question 46

Salter-Harris II

Answer 46

Above physis

Question 47

Salter-Harris III

Answer 47

Lower, or beLow physis

Question 48

Salter-Harris IV

Answer 48

Two or Through

Question 49

Salter-Harris V

Answer 49

ERasure of growth plate, or cRush

Question 50

Peterson classification of physeal fractures

Answer 50

goes to 6, similar-ish to Salter-Harris

Question 51

3 bad types of fracture healing

Answer 51

Delayed union non-union malunion

Question 52

periosteal callus

Answer 52

aka bony callus, a consequence of malunion

Question 53

subluxation

Answer 53

incomplete loss of contact between articular surfaces

Question 54

dislocation

Answer 54

a complete loss of contact between articular surfaces