Ortho #🦴 Flashcards
What is the nerve that make hand fingers adduct?
A.Ulnar
B.Radial
C.Median
D.musculocutaneous
A.Ulnar ✅💛
Patient with drop foot, he lost the sensation in the webspace between 1st & 2nd
metatarsal joints. What is the damaged nerve?
A. common peroneal nerve
B. Deep Peroneal nerve
C. Tibial nerve
D. Femoral nerve
B. Deep Peroneal nerve ✅ 💛
female patient came complaining of swelling of the dorsum of the hand with redness, she said she had knife prick prior to the swelling, what’s the diagnosis:
A) cellulitis
B) gas gangrene
C) necrotizing fasciitis
A) cellulitis ✅ 💛mostly
5 days post-orthopedic surgery had sudden dyspnea and confusion, on examination shows rash on neck and bilateral lower lobe infiltration on CXR, cause?
Fat embolism
PE
Pneumonia
Fat embolism ✅💛
Fat embolism
(CNS, SOB, rash)
Outstrached hand injury ?
Sacphoid # ✅💛
Q: pt fall down from 3 m,has open fracture in his rt foot , looks dirty wound. What first thing to do ??
A:
1. Antibiotics
2. External fixation
3. Debridement !
Antibiotics | 1st. ✅💛
Q: Pt after trauma with ribs fractures what is the best initial mx: no vitals ?
A:
1. A-Analgesics
2. B-Thoracotomy
3. C-Chest tube
4. D-Exploratory laparotomy
Analgesics ✅💛
Q: female Patient complaining of back pain after cough, x ray showed compression fracture; what is the initial step in management ?
A:
1. Intranasal calcitonin
2. Paracetamol
3. Admit for surgery
4. Iv bisphosphonate
Paracetamol ✅💛
1st line
Q: adult Fell from hight complaining of severe heel pain, vitals stable concious oriented , Next step:
A:
1. A-Pain control
2. B-Lower limb xray
3. C-Pulse palpation
Pulse palpation ✅💛
Q: old male RTA with medshaft fracture feumer management?
A:
1. skin retraction
2. surgery
3. Cast
4. Conservative
The defenitive > surgery ✅💛
Q: pt came with his shoulder flat, his arm adducted and internally rotated, what is the diagnosis?
A:
1. Anterior dislocation
2. Inferior dislocation
3. Posterior dislocation
Posterior dislocation ✅💛
Q: Patient had loss of sensation on the snuff box and dorsum of the
medial hand he had wrist drop. At which level is the radial nerve injured?
A:
1. Axilla
2. Humerus groove .
3. Olecranon
4. Carpal tunnel
Humerus groove - mid arm. ✅💛
Q: 57 old male with opened back fracture unstable with urethral injury BP 90/50 PR 130Rr 25 o2 95. Management ?
A:
1. laprotomy ?
2. intramedalray nail
3. CT
4. iv fluid
IV fluid ✅💛
Q: knee trauma on the lateral side and swelling on medial side. McMurray and Lachman test are both negative. which ligament is injured?
A:
1. A. medial meniscus.
2. B. lateral meniscus
3. C. medial collateral
4. D. lateral collateral
medial collateral ✅💛
Note
medial meniscus = Mcmurry neg
Shoulder dislocation imp thing before reduction?
1. A Analgia ✅💛
2. B Chic prephral pulse
3. C Antibiotic
- A Analgia ✅
Injury presented with pain and swelling and compartment pressure was 35 mmHg Management?
A. Fasciotomy
B. Compartment pressure measurement
A. Fasciotomy ✅💛
Note :
Compartment syndrome is clinical diagnosis and management with fasciotomy should be done urgently.
Falling on outstretched hands cause which fracture
Colles fracture ✅💛
Pt case of epilepsy came with arm adduction and medial rotation what type of shoulder dislocation
1. A-Posterior
2. B-Anterior
Posterior ✅💛
Femur fracture with deformity
What is important thing to take care of?
A. Bleeding
B. Pain
C. save the joint
Bleeding ✅💛
Pt with pelvic # can bleeds heavily
Open book pelvic fracture case, what is the best fluid type to give?
A. Normal Saline
B. Ringer Lactate
C. D5 10%
RL ✅💛
Inferior lateral Injury to the knee causing fracture of head of fibula, Which nerve could be injured?
A. Tibial nerve
B. Common peroneal nerve
C. Deep peroneal nerve
D. Femoral nerve
Common peroneal nerve ✅💛
Pt admitted to hospital due to truama and multiple fractures, cuturle result indicate growth of candida, she denied any symptoms what to do ?
- flucnazole
- no treatment
Note :
Blood culture no sx = need Tx
Ruin culture with no Sx = no need
Elderly female patient developed hypoxia 3 days after major pelvic surgery (about ovaries) what the Dx ? Vitals no fever
Atelectasis
PE
Pneumonia
PE until proven otherwise 💛✅
Battle sign :
A-Fracture base of skull
B- Fructure middle cranial fossa
Fracture base of skull ✅💛
Open pelvic fracture
Initial rustication
A. Albumin
B. Dextrose
C. Ringer lactate
D. Hypertonic saline
Ringer lactate ✅💛
