Ortho #🦴 Flashcards

1
Q

What is the nerve that make hand fingers adduct?
A.Ulnar
B.Radial
C.Median
D.musculocutaneous

A

A.Ulnar βœ…πŸ’›

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

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

A

B. Deep Peroneal nerve βœ… πŸ’›

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

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

A) cellulitis βœ… πŸ’›mostly

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

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

A

Fat embolism βœ…πŸ’›

Fat embolism
(CNS, SOB, rash)

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

Outstrached hand injury ?

A

Sacphoid # βœ…πŸ’›

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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 !

A

Antibiotics | 1st. βœ…πŸ’›

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

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

A

Analgesics βœ…πŸ’›

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

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

A

Paracetamol βœ…πŸ’›

1st line

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

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

A

Pulse palpation βœ…πŸ’›

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

Q: old male RTA with medshaft fracture feumer management?
A:
1. skin retraction
2. surgery
3. Cast
4. Conservative

A

The defenitive > surgery βœ…πŸ’›

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A

Posterior dislocation βœ…πŸ’›

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

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

A

Humerus groove - mid arm. βœ…πŸ’›

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

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

A

IV fluid βœ…πŸ’›

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

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

A

medial collateral βœ…πŸ’›

Note

medial meniscus = Mcmurry neg

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

Shoulder dislocation imp thing before reduction?
1. A Analgia βœ…πŸ’›
2. B Chic prephral pulse
3. C Antibiotic

A
  1. A Analgia βœ…
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Injury presented with pain and swelling and compartment pressure was 35 mmHg Management?

A. Fasciotomy
B. Compartment pressure measurement

A

A. Fasciotomy βœ…πŸ’›

Note :

Compartment syndrome is clinical diagnosis and management with fasciotomy should be done urgently.

17
Q

Falling on outstretched hands cause which fracture

A

Colles fracture βœ…πŸ’›

18
Q

Pt case of epilepsy came with arm adduction and medial rotation what type of shoulder dislocation
1. A-Posterior
2. B-Anterior

A

Posterior βœ…πŸ’›

19
Q

Femur fracture with deformity
What is important thing to take care of?
A. Bleeding
B. Pain
C. save the joint

A

Bleeding βœ…πŸ’›

Pt with pelvic # can bleeds heavily

20
Q

Open book pelvic fracture case, what is the best fluid type to give?
A. Normal Saline
B. Ringer Lactate
C. D5 10%

A

RL βœ…πŸ’›

21
Q

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

A

Common peroneal nerve βœ…πŸ’›

22
Q

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

A

Note :
Blood culture no sx = need Tx
Ruin culture with no Sx = no need

23
Q

Elderly female patient developed hypoxia 3 days after major pelvic surgery (about ovaries) what the Dx ? Vitals no fever

Atelectasis
PE
Pneumonia

A

PE until proven otherwise πŸ’›βœ…

24
Q

Battle sign :
A-Fracture base of skull
B- Fructure middle cranial fossa

A

Fracture base of skull βœ…πŸ’›

25
Q

Open pelvic fracture
Initial rustication
A. Albumin
B. Dextrose
C. Ringer lactate
D. Hypertonic saline

A

Ringer lactate βœ…πŸ’›