Pimp Questions

Question 1

Who came up with the total contact cast, Where and for what disease

Answer 1

Brand, in India, for Hansen’s disease

Question 2

4 rules for treating pilon fractures

Answer 2

• Fibular reduction
• Tibial plafond reduction
• Fill void with cancellous bone
• Stabilize medial tibia with a buttress plate

Question 3

At what concentration do you consider there to be a bacterial load

Answer 3

10^6

Question 4

What is gout of the first MPJ called

Answer 4

Pedagra

Question 5

What procedures is use of a tourniquet contraindicated (4)

Answer 5

-Revascularization procedures, infection, sickle cell and open fractures

Question 6

What antibiotic results in increased CPK levels

Answer 6

Daptomycin

Question 7

What is the medical term for finding gas in the soft tissue

Answer 7

emphysema

Question 8

What antibiotic is contraindicated in pts with CHF

Answer 8

Timentin

Question 9

Who founded triple arthrodesis

Answer 9

Ryerson

Question 10

Who founded arthroscopy

Answer 10

Tagaki

Question 11

What is Fournier disease

Answer 11

gangrene of the penis

Question 12

What is the origin of protamine sulfate

Answer 12

salmon sperm

Question 13

What is another name for the lateral extensile excision

Answer 13

Berniski and Sangoren

Question 14

What does HMPAO stand for

Answer 14

hexamethylpropylenamine oxime

Question 15

What is May -Thurner syndrome

Answer 15

the left LE is swollen all the way to the thigh due to the left common external iliac artery compressing over the right common external iliac vein.

Question 16

What is a locking plate and when is the best time to use it

Answer 16

A locking plate provides no compression of any sort

-great for osteoporosis, bone deficits and comminution

Question 17

What is Coonrad bugg trapping

Answer 17

When the medial malleolus cannot be brought back into place due to the PTT

Question 18

What are the components of triple antibiotic

Answer 18

• Bacitracin
• Polymyxin
• Neomycin

Question 19

What antibiotics should be used to treat MRSA

Answer 19

• Clindamycin
• Bactrim
• Linezolid
• Tetracycline

Question 20

What antibiotics should be used to treat pseudomonas

Answer 20

• Fortaz
• Aminoglycosides
• Timentin
• Ciprofloxacin
• Imipenem
• Atreonam
• Zosyn

Question 21

What sign is indicative of a unicameral bone cyst

Answer 21

fallen fragment sign

Question 22

What does AO stand for

Answer 22

Arbeitgemeinschaft fur Osteosynthesefragen

Question 23

What does TMP/SMX stand for

Answer 23

Trimethoprim/ Sulfamethoxazole

Question 24

What sign presents to the medial calcaneus in flatfeet

Answer 24

Pizogenic sign which is fat papule herniations

Question 25

What is the ESR value to be expected with osteomyelitis

Answer 25

60-70

Question 26

What are the 3 ways that a wound vac works

Answer 26

1) To get rid of stagnant bacteria 2) Promote new blood flow to the area with growth factors and neutrophils 3) Allows for even growth of the wound bed, and keeps callouses from forming

Question 27

When is the Evans osteotomy contraindicated

Answer 27

with a z-foot, and met adductus

Question 28

Why is the Evans osteotomy cut made where it is

Answer 28

Made 1.5 cm proximal of CC joint because this is the halfway point between the anterior articulating surface and middle articulating surface of the calcaneus

Question 29

What is congential vertical talus known as

Answer 29

Known as Persian slipper

Question 30

What test differentiates between FF and RF cavus foot

Answer 30

Coleman block test

Question 31

What does TLS stand for and who invented it

Answer 31

Tiny little sucker Kalish

Question 32

What is the medical terminology for pain out of proportion

Answer 32

allodynia

Question 33

What is the angle formed by the metatarsal parabola

Answer 33

142 degrees

Question 34

What procedure should be done for a flexible FF driven cavus

Answer 34

Jones Tenosuspension

Question 35

What procedure should be done for a rigid FF driven cavus

Answer 35

DFWO

Question 36

What procedure should be done for a flexible RF driven cavus

Answer 36

Dwyer osteotomy

Question 37

What procedure should be done for a rigid RF driven cavus

Answer 37

Triple arthrodesis

Question 38

What is the blair procedure and what should it be used for

Answer 38

When the body of the talus is removed, the foot is fused in 15 degrees dorsiflexion. This procedure is used for AVN of the talus

Question 39

What oral meds are okay to give during Charcot Neuropathy

Answer 39

bisphosphonates

Question 40

Why do you measure screw size beore tapping

Answer 40

Because you may get a false reading by engaging one of the threads instead of the far cortex

Question 41

How long do you brace with the Ponsetti method?

Answer 41

recommended for 2-4 years

Question 42

What do you do after bracing with the Ponsetti method

Answer 42

brace for 2 additional years with the Dennis-Browne bar

Question 43

Define dive punch piece

Answer 43

- Triangular wedge of tibia that drives the rest of a pilon fracture

Question 44

What does nitinol stand for

Answer 44

Nickel Titanium Naval Ordinance Laboratory

Question 45

Why transect tendons proximally during amputations

Answer 45

- to prevent infection from tracking up tendons

Question 46

What telltale descriptor is used to describe OM bony changes

Answer 46

cortical disruption

Question 47

What is the medical term for seizures that occur with alcohol withdrawal?

Answer 47

delirium tresms

Question 48

In a Senn retractor what is opposite the "rake side"

Answer 48

The vein side -great for holding back veins and other vascular structures

Question 49

What layer of the nerve does a Morton's neuroma usually develop in

Answer 49

in the epineurium

Question 50

What is the medical term for rolled edges along wound bed

Answer 50

epipilee

Question 51

What is the term for congenitally missing fibula

Answer 51

fibular hemimelia

Question 52

What does ABD stand for

Answer 52

Army battle dressings

Question 53

Difference in shapes between medial and lateral OCD's of the talus

Answer 53

medial: cup (PIMP CUP) lateral: wafer

Question 54

What 2 instruments can be used to get a bone biopsy

Answer 54

Jamshidi needle and Keith needle

Question 55

What does the CAM in CAM boot stand for

Answer 55

controlled ankle motion

Question 56

What bacteria is incorporated into Santyl

Answer 56

Chlostridium histolytica

Question 57

What is the Historical name for arthroplasty procedures and when was it founded

Answer 57

"post procedure" founded in 1882

Question 58

What skin sign is seen in calciphylaxis

Answer 58

Tram track sign

Question 59

What is the depth of 1st met-cuneiform joint

Answer 59

3.23 cm

Question 60

What 3 products are used exclusively in the OR to prevent excessive bleeding

Answer 60

Surgicell Gelfoam Arista

Question 61

What is the telltale histological difference between exostosis and tumor

Answer 61

Exostosis contain hyaline cartilage around the periphery Tumor contains fibrocartilage around the periphery

Question 62

What is the difference in PSI versus pulse lavage and bulb lavage

Answer 62

Pulse lavage: 12-15psi Bulb lavage: 3-5 psi

Question 63

What is the MRI classification system for PT tendon pathology

Answer 63

conti

Question 64

What is the intra-op classification system for PT tendon pathology

Answer 64

funk

Question 65

What are the side effects of steroid use

Answer 65

- Leukocytosis - increased wound healing time - hyperglycemia - hypopigmentation

Question 66

What are the names of the 5 neuromas in the foot, and their location

Answer 66

- Joplins neuroma: medial to 1st MPJ - Hooters neuroma: between 1st,2nd MPJ - Hauser's neuroma: between 2nd and 3rd MPJ - Morton's neuroma: between 3rd and 4th MPJ - Iselin's neuroma: between 4th and 5th MPJ

Question 67

What are the most common etiologies for Brachymetatarsia

Answer 67

- Turner's syndrome | - Down's syndrome