Musc/Skeletal

Question 1

cast care

Answer 1

handle with palms of hands
Q2 turns to dry
Air dry
Pedal edges
Use two fingers to test tightness

Question 2

what can be done to relieve hotspots in casts

Answer 2

Windows
Cast cutter – vibration

Question 3

what is the priority of the assessment with casts?

Answer 3

Pulses
Paralysis
Paresthesias
pallor
Pain

Question 4

Developmental dysplasia of the hip

Answer 4

abnormal hip development
Dysplasia
Subluxation
Complete dislocation

Question 5

sx infant DDH

Answer 5

Asymmetry of gluteal fold
Positive Galleazzi and Ortolani sign

Question 6

sx older child DDH

Answer 6

Positive Trendelenburg sign

Question 7

tx infant DDH

Answer 7

0-6 m

Pavlik harness

Question 8

tx 6-18m DDH

Answer 8

Bucks/Russell
Surgery
Hip spica cast

Question 9

how often should you check underneath the harness with infants?

Answer 9

2 to 3 times a day
Avoid lotions/powders
Always have under shirt underneath harness

Question 10

talipes equinovarus

Answer 10

clubfeet
Feet turned inward

Question 11

tx clubfeet

Answer 11

Serial casting one week
New cast every one to two weeks
Splint/brace post surgery

Question 12

Osteo genesis imperfecta

Answer 12

Unexplained, brittle bone disease
Abnormal pre-collagen

Question 13

tx brittle bone disease

Answer 13

Lightweight brace and splints
simple exercises/PT
Pamindronate disodium IV
No contact activity

Question 14

what is the priority of management with brittle bone disease?

Answer 14

Careful handling

Question 15

leg calf perthes

Answer 15

necrosis of femoral head
Leads to flattened regrowth

Question 16

Scoliosis sx

Answer 16

asymmetrical, hip/shoulders
Abnormal folds
unequal scapula, ribs

Question 17

Mild treatment for scoliosis

Answer 17

less than 20°
Observation

Question 18

moderate treatment for scoliosis

Answer 18

20 to 40°
Bracing - Milwaukee, Boston

Question 19

how often do scoliosis patients have to wear the brace?

Answer 19

Until they stop growing
23 hours a day

Question 20

severe treatment for scoliosis

Answer 20

Spinal fusion

Question 21

pre-operative care for spinal fusion

Answer 21

PCA pump teaching
Logroll, x-rays

Question 22

If the patient has back acne, will the spinal fusion be entered there?

Answer 22

No, risk for infection

Question 23

Postop care for spinal fusion

Answer 23

Five P’s
Monitor vital signs
Wound assessment
Incentive spirometer Q2 hours
Keep flat, log roll

Question 24

for paliclavicular arthritis, how often do they need to receive regular eye exams?

Answer 24

Every six months

Question 25

treatment for arthritis

Answer 25

Lots of range of motion
Warm baths in the morning
Swimming

Around the clock dosing pain meds

Question 26

osteomyelitis

Answer 26

Infected bone

Question 27

treatment for osteomyelitis

Answer 27

IV antibiotics 3 to 4 weeks
PICC line