ORTHO - SKIN - TRAUMA

Question 1

This is permanent staining/discoloration due to debris, good wound care is essential to avoid

Answer 1

“tattooing effect”

Question 2

What do we do with an amputated body part?

Answer 2

cover in dry/sterile gauze, place in bag, place bag in ice. Do not have part touch ice directly

Question 3

How do we treat carpal tunnel?

Answer 3

Splint in extension

Question 4

What is a normal compartment pressure? When would we do a fasciotomy?

Answer 4

Normal <10, fasciotomy 30-40

Question 5

Interventions for compartment syndrome

Answer 5

-elevate slightly
-do not ice
-measure compartment pressure with striker needle

Question 6

What must be considered before making a diagnosis of costrochrondirits?

Answer 6

-CAD/AMI risk factors
-PE
-pneumothorax
-PNA

Question 7

Injury to ligament

Injury to muscle + tendon

Answer 7

SPRAIN

STRIAN

Question 8

This is indicated to stabilize a mid-femur fracture along the long axis using counter-traction.

Answer 8

Traction splint

Question 9

Why is a traction splint contraindicated?

Answer 9

hip/knee/ankle fracture

Question 10

How do we apply a traction splint?

Answer 10

Apply until mechanical device is taking up more tension than manual, so mechanical > manual, then reassess distal CMS

Question 11

Why are dislocations emergent?

Answer 11

possible nerve/blood vessel damage and tissue ischemia

Question 12

This type of dislocation is very rare - should question if person had a seizure

Answer 12

Posterior shoulder

Question 13

Most common type of tendonitis involving humerus and radial tendon, used when you rotate wrist

Answer 13

Lateral epicondylitis AKA tennis elbow

Question 14

What may lead to a gout flare?

Answer 14

-Purines (dark wines, cheese, organ meat)
-Dehydration
-Diuretics

Question 15

What may a plantar surface through shoe cause? How do we treat?

Answer 15

Pseudomonas infection
Fluoroquinelones

Question 16

How do we treat puncture wounds?

Answer 16

-Remove FB if present
-Do not soak if wood/thorn embedded
-Wound re-check very important

Question 17

What must be used for 6 months after sutures to prevent scarring?

Answer 17

Sunblock

Question 18

How do we grade deep tendon reflexes? What should they be?

Answer 18

0 = none
2+ = average
4+ = intense

Should be equal/symmetrical

Question 19

What activity is recommended for LBP?

Answer 19

Rapid return to normal activity

Question 20

What fractures are commonly associated with compartment synd?

Answer 20

Tib/fib, radius/ulna

Question 21

What is a late sign of compartment syndrome?

Answer 21

NO pulse, NO sensation, NO movement

Question 22

What is the initial intervention for open wound near a fracture?

Answer 22

Cover with sterile/moist dressing

Question 23

What is bursitis?

Answer 23

Inflammation of synoval cavity surrounding joint

Question 24

What is gouts onset?

Answer 24

Rapid

Question 25

Carpal tunnel sign: tapping, extension, better

Carpal tunnel sign: flexion, worse

Answer 25

Tinels

Phalens

Question 26

AKA passive vaccine, causes immediate protection

Answer 26

IG

Question 27

Who needs tetanus IG?

Answer 27

Those with no primary series

Question 28

How is costrochondiritis diagnosed?

Answer 28

By exclusion

Question 29

Possible labs to r/o compartment syndrome

Answer 29

-UA
-myoglobin
-CK
-K+ (damaged muscles give off K+)

Question 30

What are the “red flag” ages for LBP?

Answer 30

<20, >50

Question 31

What is the purpose of traction splinting?

Answer 31

Stabilize fracture