Other exam questions Flashcards

1
Q

Best guess antibiotic for septic arthritis and osteomyelitis

A

Flucloxacillin

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2
Q

> 1 joint affected with septic arthritis

A

Septic emboli from endocarditis

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3
Q

Acute osteomyelitis in absence of injury

A

Children or immunosuppressed

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4
Q

Why are children more prone to osteomyelitis

A

Abundant tortuous vessels in the metaphyses of long bones

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5
Q

Brody abscess

A

Walled-off abscess in subacute osteomyelitis in children

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6
Q

Management of chronic osteomyelitis

A

Surgical debridement of seqeustra, infected bone, stabilization of bone, local antibiotic delivery systems, bone grafting, plastic surgery

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7
Q

Early arthroplasty infections

A

Staph aureus

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8
Q

Late arthroplasty infections

A

Staph epidermidis

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9
Q

Causative organism in gas gangrene

A

Clostridium perfringens

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10
Q

Antibiotic in gas gangrene

A

Metronidazole

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11
Q

Neurotransmitter release is caused by…

A

Action potential leads to calcium influx

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12
Q

Depolarizaration in the muscle end plate is caused by…

A

ACh binding and sodium influx

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13
Q

ACh is broken down by…

A

Acetylcholinesterase

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14
Q

Neuromyotonia

A

Autoantibodies against K channels causing repetitive firing

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15
Q

Lambert-Eaton

A

Autoantibodies against calcium channels causing decreased ACh release

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16
Q

Myasthenia gravis

A

Autoantibodies against ACh receptor

17
Q

Curare

A

Competitive antagonist of ACh

18
Q

Botulinum toxin

A

Irreversibly modifies proteins used in ACh vesicle docki ng

19
Q

Botulinum toxin

A

Irreversibly modifies proteins used in ACh vesicle docki ng

20
Q

A-delta nociceptors cause…

A

“First” pain caused by mechanical and thermal stimuli

21
Q

Afferent functions of peptidergic C-fibres

A

Glutamate/substance P/neurokinin A release in the dorsal horn

22
Q

Efferent functions of peptidergic C-fibres

A

Substance P and calcitonin gene-related peptide release from peripheral terminals, contributing to neurogenic inflammation

23
Q

Overall effect of neurogenic inflammation

A

Hyperalgesia and allodynia

24
Q

Role of prostaglandins in neurogenic pain

A

sensitize/activate nociceptors

25
Mechanism of NSAIDs
Block COX, inhibiting prostaglandin synthesis
26
Mechanism of NSAIDs
Block COX, inhibiting prostaglandin synthesis
27
Healing by second intent
Haematoma and inflammation at the fracture gap (immediate) Formation of granulation tissue, followed by soft callus (2-3 weeks) Ossification and calcium mineralization forming hard callus (6-12 weeks) Continuous remodelling over time
28
Antibiotics in the management of open fractures
Flucloxacillin Gentamicin Metronidazole
29
Treatment of compartment syndrome
Immediate fasciectomy
30
Signs of reduced distal circulation
Cold, absent pulses, paraesthesia, pale