ortho 1

Question 1

Anterior shoulder dislocation complication?

Answer 1

Axillary artery and nerve at risk

Question 2

Most common hip dislocation and mechanism?

Answer 2

Posterior and in a car accident where it is forced back on flexed adducted hip

Question 3

Clah hand?

Answer 3

Ulnar nerve

Question 4

Ape hadn? **

Answer 4

Median

Question 5

Scapular wing?

Answer 5

LTN

Question 6

Can’t wipe bottom? **

Answer 6

Thoracodorsal nerve injury

Question 7

Abduct and adduct fingers?

Answer 7

Ulnar nerve

Question 8

Nerve injury if can’t initiate shoulder abduction?

Answer 8

Suprascapular nerve

Question 9

CAn’t lift arm above horizontal?

Answer 9

Long thoracic (can’t do it if winged scapula) and spinal accessory (traps)

Question 10

Supracondylar humerus fracture risk of injuring what nerve?

Answer 10

Median nerve

Radial is shaft, ulnar is medial epicondyle

Question 11

Casting rule about joints to immobilize?

Answer 11

above and below!

Question 12

Tx of open wound from teeth?

Answer 12

Surgery to explore and R/O tendon involvment

Question 13

Montegia fracture treatment?

Answer 13

surgery. Dislocation of radial head and ulnar diaphyseal fracture from falling on pronated arm

Question 14

Galeazzi fracture is what? Tx?

Answer 14

Galezzi is DRUJ dislocation and radial diaphyseal fracture

needs surgery

Question 15

Mnemonic for galeazzi and monteggia?

Answer 15

Alphabetical for fracture.

Galezzzi is first, so that is radial fracture b/c r is first alphabetically

Montega is second, so it is ulnar fracture

both have radial head dislocations

Question 16

Unhappy triad?

Answer 16

ACL, MCL, Lateral meniscus tear

Question 17

Not commonly injured knee ligament?

Answer 17

MCL

Question 18

Dx of compartment syndrome?

Answer 18

Compartment pain with passive stretch

Definitive: Manometry needle

> 30 mmHg is pressure

Question 19

6 p’s of compartment syndrome is late

Answer 19

SO DONT RULE IT OUT TOO EARLY just b/c no pulse

Question 20

Spine with abnormal gait where knee and hips flexed?

Answer 20

Spondylolisthesis (anterior slip of vertebrae)

Question 21

Back ain radiating that is worse walking or standing?

Answer 21

spinal stenosis

Question 22

Back pain worse with exertion?

Answer 22

Disc hernia

Question 23

Back pain worst at rest and better with movement?

Answer 23

ankylosing spondylitis (it is stiff!)

they might get up in morning and go for a run

Question 24

Night pain or rest pain of the back?

Answer 24

think cancer

Question 25

Antidepressant that works for neuropathy as well?

Answer 25

Duloxetine: SNRI

Question 26

Urinary retention? Perineal anesthesia (saddle), decreased rectal tone?

Answer 26

Cauda equina syndrome

Question 27

Tx of caudal equine?

Answer 27

Immediate decompression
IV steroids to get inflame down

Radiation if tumor to shrink it too

Question 28

Erb duchenne palsy?

Answer 28

Superior trunk with birth distocia or similar angle

Waiter’s tip

Question 29

Claw hand injury?

Answer 29

Ulnar nerve: Injury to medial epicondyle of humerus

Question 30

What is Klumpke palsy?

Answer 30

Injury to posterior or medial cords

Hyperabduction of arm (like trying to catch a tree when you fall)

Claw hand, dropped wrist

Associated with horner syndrome