Exam 2 part 2

Question 1

lower leg compartment syndrome usual location

Answer 1

anterior compartment

Question 2

conditions leading to compartment syndrome

Answer 2

fracture, reperfusion, crush injury, steroid use, constricting bandages

Question 3

ssx of compartment syndrome

Answer 3

pain out of proportion with physical findings, paresthesia, tight/full muscle, numbness/paralysis (late sign)

Question 4

treatment of compartment syndrome

Answer 4

emergent fasciotomy

Question 5

cutoff WBCs for septic joint

Answer 5

75,000

Question 6

inversion injury is associated with what fracture

Answer 6

5th metatarsal base fracture

Question 7

when should ankle fractures be referred

Answer 7

neurovascular compromise, bone tenting skin, open fracture

Question 8

what is the lisfranc joint

Answer 8

the tarsal-metatarsal joint, responsible for midfoot stability

Question 9

treatment for lisfranc injury

Answer 9

splint, NWB, refer to ortho for ORIF

Question 10

treatment for stress fractures of foot

Answer 10

rest, ice, vitamin D, NSAIDs, hard shoe/boot

Question 11

risk factors for shin splints

Answer 11

flat feet, bad shoes, high impact activity

Question 12

treatment for gout flare:

Answer 12

indomethicin or colchicine

Question 13

gout in big toe MTP joint

Answer 13

Podagra

Question 14

prevention of gout

Answer 14

allopurinol

Question 15

pathogen of plantar wart

Answer 15

HPV 1 and 2

Question 16

uric acid testing in acute gout

Answer 16

not very helpful

Question 17

morton’s neuroma presentation

Answer 17

pain in plantar forefoot that feels better without shoes

Question 18

morton’s neuroma mechanism

Answer 18

digital nerve gets squeezed causing pain between 3rd and 4th metatarsal heads

Question 19

morton’s neuroma treatment

Answer 19

steroid injections, metatarsal pads, orthotics, wider shoes

Question 20

achilles rupture risk factors

Answer 20

fluoroquinolones, steroids

Question 21

test for achilles rupture

Answer 21

thompson test

Question 22

achilles rupture findings

Answer 22

thompson test, palpable defect, decreased resting plantar flexion

Question 23

achilles rupture treatment

Answer 23

splint or boot in slight plantar flexion

Question 24

what ligaments usually get ruptured in ankle sprain

Answer 24

ATFL, CFL