Master Test Flashcards

1
Q
Which plane divides the body into right and left halves?
•	Coronal plane
•	Transverse plane
•	Sagittal plane
•	None of the above
A

Saggital plane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
A SpeedBridge Rotator Cuff Repair consists of \_\_\_ anchors medial and \_\_\_ anchors lateral.
•	2,3
•	1,2
•	0,1
•	2,2
A

2,2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which of the following statements is an advantage of the Knotless 1.8 FiberTak®?
• It inserts through straight or curved guides.
• The surgeon can dial in their desired level of tension under direct visualization.
• If the suture tails are maintained, the surgeon can sequentially tension multiple anchors to readjust the initial tension.
• Techniques exist for both simple and mattress stitch configurations.
• All the above are advantages

A

All the above are advantages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

FiberTape® Cerclage System is an all-suture alternative used for circumferential fracture fixation. Which of the following statements about FiberTape® Cerclage is NOT true:
• FiberTape Cerclage is a flat construct with low-profile knot stacks to help minimize tissue irritation.
• Clearly visible on x-ray for enhanced visualization of the construct and fracture healing.
• FiberTape Cerclage suture delivers superior mechanical performance with an ultimate load great than 4300N.
• No sharp metal edges or risk of broken wires that can potentially injure patients or the surgical team.
• Low-profile allows for a fixation plate to fit above or below the cerclage suture.

A

Clearly visible on x-ray for enhanced visualization of the construct and fracture healing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
In recent years, there has been an increase of instability anchor conversions from knotted to knotless repairs. In fact, in the last two years (snapshot of June 2019 and June 2020) knotless and tensionable knotless repairs account for \_\_\_\_\_ of instability anchors:
•	24-42%
•	85-87%
•	45-55%
•	55-68%
•	68-75%
A

85-87%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
According to the new SwiveLock® animation, there have been \_\_\_\_\_\_\_ total SwiveLocks implanted since 2006:
•	Over 1,000,000
•	Over 3,000,000
•	Over 5,000,000
•	Over 8,000,000
•	Over 10,000,000
A

Over 8,000,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

True or False: The introduction and utilization of Biologics, such as ArthroFlex® Decellularuzed Dermal Allograft, is the future for rotator cuff repairs.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

True or False: The PushLock Implant System contains a 2.9mm Short BioComposite PushLock® Anchor, FiberLink SutureTape™, and a Percutaneous Instrument Kit that is available at a discounted price.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Arthrex’s “Biceps Tenotomy Versus Tenodesis Scientific Update” summarized several published studies analyzing tenodesis vs tenotomy. Which of the following statements is true:
• Tenodesis outcomes are always equal or better and never worse than tenotomy.
• There are no statistically significant differences noted in the functional outcome of the shoulder based on Constant scores after tenotomy or tenodesis.
• Supination strength decreases after tenotomy and may increase after tenodesis.
• Tenodesis reduces cosmetic “popeye” deformity.
• All the above are True

A

All of the above are true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which of the following statements of about the Self-Punching 2.6 FiberTak® Anchor is true?
• It is currently only available with two sliding 1.3mm SutureTapes.
• It can be used with or without a drill guide.
• The surgeon can still prepare a bone socket with a drill or punch when encountering hard bone.
• Small anchor size can allow for additional anchors in the medial row of a SutureBridge construct, when compared to a Corkscrew.
• All the above are True

A

All of the above are true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
In the U.S., Arthrex currently has a \_\_\_\_ share in the Shoulder Soft Tissue Fixation market with Smith & Nephew as our closest competitor with \_\_\_\_ share of the market:
•	37%, 15%
•	43%, 27%
•	49.5%; 31%
•	55%; 18.1%
•	63%, 23.5%
A

55%; 18.1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The Rotation Lasso is a suture passer that features a rotating and steerable loop for athroscopic and open soft-tissue repair providing key features and benefits which include all EXCEPT:
• Lasso-style passer helps reduce procedural steps.
• Prevents twists and tangles inside cannulas.
• Eliminates the need for outside suture shuttling.
• 90°, 3.5mm tip
• Deployable, rotatable, shrink-wrapped nitinol shuttle loop for ease of suture retrieval and sliding

A

90°, 3.5mm tip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

True or False: The new FiberTak® Button is preloaded with two 2-0 FiberLink shuttle sutures that allow the surgeon to easily load whipstitch sutures through the button in the familiar “tension-slide” configuration.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following statements is NOT an advantage of FiberWire SutureTape™:
• Round suture with ultimate load to failure
• Increased resistance to tissue pull-through
• Stronger knotted and knotless fixations
• Tighter, smaller knot stacks
• Better handling characteristics, less likely to irritate surgeon hands

A

Round suture with ultimate load to failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What two nerves are most at risk when surgeons perform a lateral ankle ligament operation?
• Anterior talofibular nerve & calcaneofibular nerve
• Anterior tibial nerve & posterior tibial nerve
• Saphenous nerve and sural nerve
• Sural nerve and superficial peroneal nerve

A

Sural nerve and superficial peroneal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
What is the most common motion responsible for lateral ankle sprains?
•	Inversion, dorsi-flexion
•	Eversion, plantar-flexion
•	Inversion, plantar-flexion
•	Eversion, dorsi-flexion
A

Inversion, plantar-flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
What is the most common ligament disruption involved in lateral ankle sprains?
•	AFTL
•	CFL
•	PTFL
•	PiTFL
A

ATFL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

True or Fales: Synergy UHD 4K imagining console has 4 times the resolution as standard HD.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

True or False: The Synergy UHD4 console is a 4-1 system which contains a light source, 4K camera, image management port and integration.

A

True

20
Q
Which word describes red blood cells?
•	Leukocytes
•	Erythrocytes
•	Thrombocytes
•	Electrolytes
A

Erythrocytes

21
Q

True or False: Plasma makes up 55% of whole blood

A

True

22
Q

True or false: Platelets (thrombocytes) are a component of whole blood that do not contain a nucleus. Therefore, platelets are not truly cells.

A

True

23
Q
All of the following are muscles/tendons of the rotator cuff, EXCEPT:
•	Infraspinatus
•	Supraspinatus
•	Teres Major
•	Subscapularis
A

Teres Major

24
Q
The Supraspinatus Tendon attaches to what structure?
•	Lesser Tuberosity of the humerus
•	Greater Tuberosity of the humerus
•	Coracoid
•	Humeral Neck
A

Greater Tuberosity of the humerus

25
Q

True or False: Proximal refers to being closer to the main mass of the body.

A

True

26
Q

True or False: The labrum is a fibrocartilaginous ring that provides stability to the glenohumeral joint.

A

True

27
Q

True or False: Females are 4-5 times more prone to ACL injury.

A

True

28
Q

True or False: In the ACL deficient knee, the tibia can abnormally translate anteriorly.

A

True

29
Q
Which of the following are common causes of ACL injury?
•	Changing direction rapidly
•	Stopping suddenly
•	Landing from a jump
•	All of the above
A

All of the above

30
Q

True or False: The DualWave arthroscopy pump is designed to operate as either an inflow/outflow or an inflow only pump.

A

True

31
Q

One major advantage of the DualWave Pump over traditional Inflow-Only Pumps is:
• Inflow-Only Pumps allow for regulation of fluid pressure automatically by controlling outflow
• DualWave Pumps require constant manual adjustment of outflow to maintain fluid pressure in the joint
• DualWave Pumps automatically regulate inflow and outflow to maintain a constant fluid pressure in the joint
• DualWave Pumps only feature active outflow, making the technology much more efficient and simple to use

A

DualWave Pumps automatically regulate inflow and outflow to maintain a constant fluid pressure in the joint

32
Q

Which of the following is NOT one of the three ligaments that supports the ankle syndesmosis joint?
• Anterior Talofibular Ligament (ATFL)
• Posterior Inferior Tibiofibular Ligament (PiTFL)
• Anterior Inferior Tibiofibular Ligament (AiTFL)
• Tibiofibular Interossious Ligament

A

Anterior Talofibular Ligament (ATFL)

33
Q
What is the strongest ligament in the ankle sydesmotic ligament complex?
•	AiTFL
•	ATFL
•	CFL
•	PiTFL
A

PiTFL

34
Q
What three bones make up the ankle joint?
•	Tibia, Fibula and Talus
•	Calcaneus, Talus and Cuboid
•	Tibia, Talus and Calcaneus
•	Fibula, Tibia and Calcaneus
A

Tibia, Fibula and Talus

35
Q
One of the major knee ligaments, which one below is NOT intra-articular?
•	Anterior Cruciate Ligament
•	Posterior Cuciate Ligament
•	Lateral Collateral Ligament
•	None of the above
A

Lateral Collateral Ligament

36
Q

True or False: Labidus fusion is a well-established procedure that was introduced in the 1930’s by Dr. Paul Labidus and involves the fusion of the 1st Metatarsophalangeal joint.

A

False

37
Q

Advantages of Plantar Lipidus include:
• Anatomically pre-contoured left and right plantar plates offer excellent fixation
• 4.0 cancellous compression screw through the plate provides compression over the entire arthrodesis area
• Low profile plates and screw heads reduce soft-tissue irritation and the need for future removal
• Medial incision proves better cosmesis and decreased swelling
• All of the above

A

All of the above

38
Q

According to the values provided in the Plantar Lapidus Playbook which x-ray measurements represent a Moderate Classification of hallux valgus “bunion” deformity:
• HVA<15deg, IMA>9deg, and 0% subluxation of lateral sesamoid on AP
• HVA 20-40deg, IMA 15-20deg, and 50-70% subluxation of lateral sesamoid on AP

A

HVA 20-40deg, IMA 15-20deg, and 50-70% subluxation of lateral sesamoid on AP

39
Q

True or False: The Plantar Lapidus plate as many proven clinical advantages compared to dorsal or medial based plates. It has the ability to convert ground forces during ambulation at the metatarsal head into compression forces in the arthrodesis area and eliminate postoperative plantar gapping. Importantly, an earlier return to weightbearing can be achieved allowing patients to get back to normal activity sooner.

A

True

40
Q
When making the medial incision for a Plantar Lapidus procedure, what anatomic structure must the surgeon be careful to leave intact and use as the “road map” for the plantar plate positioning?
•	Tibialis anterior tendon
•	Deltoid ligament
•	Long saphenous vein
•	Tibialis posterior tendon
•	Sural nerve
A

Tibialis anterior tendon

41
Q

True or False: The main pain generator of hallux valgus “bunion” deformity is due to wearing of the crista and sesamoid bones

A

True

42
Q

Normal values of key x-ray measurements for evaluation of hallux valgus “bunion” deformity include:
• Hallux valgus angle (HVA) of <15
• Intermentatarsal angle (IMA) of <9
• Subluxation of the sesamoid bones distal metatarsal articular angle (DMMA) of <10
• All of the above are correct

A

All of the above are correct

43
Q

Surgical indication for the Lapidus fusion using a plantar plate include:
• Severe hallux valgus “bunion” deformity
• Hypermobile 1st TMT joint
• Hallux valgus “bunion” deformity with associated 1st TMT arthritis
• Hallux valgus “bunion” deformity with associate 1st metatarsal pronation
• All of the above are indications

A

All of the above are indications

44
Q

True or False: A potential cause of failed bunion correction is not appreciating and correcting frontal plane “rotational deformity.

A

True

45
Q

Which statement most accurately summarizes the results of Klos et al. (2011) biomechanical comparison of plantar versus dorsomedial locked planting for Lapidus arthrodesis:
• Plantarly applied plates are superior to dorsomedial plates in initial stiffness, final stiffness, and load to failure
• There were no statistically significant advantages between the plantar or dorsomedial plate
• Dorsomedially applied plates had greater initial stiffness and increased load to failure compared to plantarly applied plates
• Dorsomedial plating is superior to plantar plating and reduces plantar gapping during ambutlation
• None of the Above

A

Plantarly applied plates are superior to dorsomedial plates in initial stiffness, final stiffness, and load to failure

46
Q
The integration of Orthobiologics into Plantar Lapidus fusion plating system can help improve fusion through enhanced cell signaling and can provide oseoconductive and osteoinductive properties, which are necessary for bony ingrowth for successful fusions. Which of the follow biologic solutions is appropriate to integrate into Plantar Lapidus procedures:
•	ArthroCell Matrix
•	AlloSync Pure + Angle Concentrated PRP
•	AlloSync Putty, Gell and Paste
•	A and C are correct
•	All of the above are correct
A

All of the above are correct

47
Q

Which of the following statements is most accurate regarding hallux valgus “bunion” deformities:
• Hallux valgus “bunion” deformities are most common in men
• Bunion deformities (bump) are caused by rubbing of the first metatarsal during improper footwear, such as narrow high heels
• Hallux valgus “bunion” deformity is a result of the varus drift of the 1st metatarsal at the TMT join and the compensatory valgus drift of the proximal phalanx at the MTP joint
• Hallux valgus “bunion” deformity is a result of the valgus drift of the 1st metatarsal at the TMT joint and a compensatory varus drift of the proximal phalanx at the MTP joint
• Hallux valgus “bunion” deformity is a result of decreased intermetatarsal angle (IMA) and increased hallux valgus angle (HVA)

A

Hallux valgus “bunion” deformity is a result of the varus drift of the 1st metatarsal at the TMT join and the compensatory valgus drift of the proximal phalanx at the MTP joint