Neurovascular

Question 1

What are the levels of amputation?

Answer 1

Above the knee
Below the knee
Toe, Mid-foot, Syme

Question 2

List common complications of amputation

Answer 2

Hemorrhage, Infection, Phantom pain, Neuroma, Flexion contractures

Question 3

How do you respond to limb pain

Answer 3

Medicate-analgesia and alternative therapies

Question 4

what is a neuroma?

Answer 4

tumor consist of damaged nerve cells formed after amputation

Question 5

how do you help prevent flexion contractures?

Answer 5

proper positioning-prone every 3-4 hours and active range of motion

Question 6

what is the most important assessment in musculoskeletal trauma?

Answer 6

neurovascular assessment

Question 7

In peripheral vascular disease, both sides should be checked.
T/F?

Answer 7

True

Question 8

How do you measure blood flow in patient with bilateral vascular disease?

Answer 8

Doppler

Question 9

where should you assess pulses in musculoskeletal injury or trauma?

Answer 9

Below the level of trauma

Question 10

What does hypercalcemia usually indicate?

Answer 10

Bone cancer

Question 11

What type of assessment should be included for osteoporosis patients?

Answer 11

Fall risk assessment

Question 12

List some interventions for osteoporosis

Answer 12

Increase calcium and vitamin D
Avoid alcohol and caffeine
weight bearing exercise
Avoid tobacco

Question 13

What is a common drug therapy for osteoporosis?

Answer 13

Bisphosphonates- alendronate(Fosamax), ibandronate (Boniva), risedronate (Actonel)

Question 14

When and how should bisphosphonates be taken?

Answer 14

Early morning and wait 30 - 60 min in upright position before eating

Question 15

what is a common complication of BP’s?

Answer 15

esophagitis

Question 16

interventions for osteomyelitis

Answer 16

IV antimicrobial therapy usually for several weeks

Question 17

why is sequestrectomy performed?

Answer 17

Bone cannot heal in presence of necrotic tissue

Question 18

what to look for post surgery for osteomyelitis

Answer 18

pain, pallor, pulseless, paresis, paralysis, parathesia

Question 19

what are the classifications of fractures?

Answer 19

Open, Closed, Impacted, Greenstick, Spiral, Comminuted, Displaced, Oblique

Question 20

Complications of fractures

Answer 20

Infection, immobility, Acute compartment syndrome, hypovolemic shock, fat embolism, venous thromboembolism, delayed union, crush syndrome

Question 21

what is the earliest manifestation of FE?

Answer 21

altered mental status

Question 22

what is the biggest risk for hip fractures?

Answer 22

osteoporosis

Question 23

what drug therapy should not be used for fractures especially in older adults?

Answer 23

Demerol (meperidine)

Question 24

how should patient be positioned after hip surgery

Answer 24

Supine, affected leg abducted, heels propped off the bed

Question 25

Sprain vs Strain

Answer 25

Sprain- ligament tear (worse)

Strain- muscle, tendon tear

Question 26

what medications are contraindicated for Gout?

Answer 26

aspirin and diuretics

Question 27

what is main priority with myasthenia gravis?

Answer 27

promote respiratory support

Question 28

How do you treat mild strains and sprains?

Answer 28

RICE

rest, ice, compression, elevation