Trauma

Question 1

How patient with a femoral neck fracture will appear

Answer 1

Leg in external rotation and abduction,with shortening

Question 2

What is a Galeazzi fracture

Answer 2

Distal 1/3 radius shaft fracture with DRUJ injury

Question 3

3 types of neck of femur fractures

Answer 3

Intracapsular: From femoral heads to the femoral neck,proximal to trochanters

Extracapsular Intertrochanteric:Between greater and lesser trochanters
Extracapsular Subtrochanteric: From LT to 5cm distal

Question 4

What is a Galeazzi fracture

Answer 4

fracture of the distal radius AND dislocation of the ulnar head at the distal radioulnar joint.

Question 5

What is a Monteggia fracture

Answer 5

fracture of the proximal ulna AND dislocation of the radial head at the proximal radioulnar joint

Question 6

what is Shenton’s line and what is it used for

Answer 6

It is an imaginary line drawn from the inferior edge of the superior pubic ramus to the medial edge of the femoral neck. It is used to help assess for subluxation/dislocation of the hip

Question 7

Basic imaging in trauma

Answer 7

Chest XR
Pelvic XR
CT C spine
CT TAP
FAST scan

Question 8

ABCDE of ATLS primary survery

Answer 8

Airway And cspine
Breathing
Circulation
Disability
Exposure

Question 9

Features of unstable/open book pelvic fx

Answer 9

Vertical ane horizontal instability

Question 10

Main considerations in acute limb injury

Answer 10

Compartment syndrome
Neurovascular compromise
Open Fractures

Question 11

Classification for open fractures

Answer 11

Gustilo Andersen

Question 12

Classification for NOF fx

Answer 12

Gardens

Question 13

Triad of death

Answer 13

Metabolic acidosis
Coagulopathy
Hypothermia

Question 14

Red flag for compartment syndrome

Answer 14

Pain out of proportion not responding to analgesia

Question 15

Triad of fat embolism syndrome(FES)

Answer 15

1. Hypoxemia
2. Petechial rash
3. CNS abnormalities