Orthopedics/wound Flashcards

1
Q
Which statement is correct 
o	Vulnus ruptum is an incised wound 
o	The vulnus ruptum is usually a lobed wound 
o	Both 
o	None
A

o None

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2
Q

Which statement is correct

o It is preferable to suture the edges of a bite wound
o The bite wounds usually heal by primary intention
o Both
o None

A

o None

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3
Q

Which of the following categories is correct according to the wound edge approximation

o Skin-intradermal-subcutaneus-muscular-fascial
o Interrupted vs continuous
o Appositional-inverting-tension relieving
o Simple-matress-cruciate

A

o Appositional-inverting-tension relieving?

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4
Q

Phases of wound healing are

A

o Acute inflammation, resorption, proliferation, remodeling

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5
Q

Which statement is correct

o The fast healing is typical of contused wounds
o The tissue damage is extensive in contused wounds
o The traumatic shock is not common in contused wounds
o The anerobic wound infection is rare in contused wounds

A

o The tissue damage is extensive in contused wounds

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6
Q

Which statement is correct

o The tissue damage is minimal associated with incised wounds
o The movement of the edges of the incised wound can help the healing
o Both
o None

A

o The tissue damage is minimal associated with incised wounds (true)

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7
Q

Which of the following categories is correct according to the wound edge approximation

o Skin-intradermal-subcutaneus-muscular-fascial
o Interrupted vs continuous
o Appositional-inverting-tension relieving
o Simple-matress-cruciate

A

o Appositional-inverting-tension relieving?

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8
Q

In which case the conservative fracture treatment is not contraindicated

o Intraarticular fracture
o Salter-harris fracture
o Oblique fracture
o Fracture with massive dislocation

A

o Oblique fracture

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9
Q

The intramedullary pinning technique is not good to fix midshaft fracture of the

o Radius
o Tibia
o Humerus
o Metacarpus

A

o Radius

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10
Q

In which case the conservative fracture treatment is not contraindicated

o Intraarticular fracture
o Salter-harris fracture
o Oblique fracture
o Fracture with massive dislocation

A

o Oblique fracture

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11
Q

Intramedullary pinning is food for

o Transverse and short oblique fractures of the middle third of long bones
o Multiply fractures
o SH fractures
o Treatment of mandibular fractures

A

o Transverse and short oblique fractures of the middle third of long bones

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12
Q

Which is not correct regarding pelvic fractures?

o It is an absolute indication for surgical treatment
o It can be resulted by major trauma
o Commonly combined with urinary tract injury
o It could be associated with pneumothorax

A

o It is an absolute indication for surgical treatment

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13
Q

Which statement is correct regarding screw osteosynthesis

o Good for humeral condyle fractures
o Good for tibial oblique fractures
o Good for antebracial fractures
o Never good as a sole method

A

o Good for tibial oblique fractures

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14
Q

External fixation is good for

o septic fractures
o temporary joint immobilisation
o both
o none

A

o both

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15
Q

Which fixation method does not have a remodeling phase

o plate osteosynthesis
o external fixator frame
o internal fixator frame
o intramedullary pinning

A

o external fixator frame

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16
Q

Which statement is correct regarding plate fixation

o Its good for SH fracture treatment
o It’s a dynamic fixation method
o Can do temporary joint fixation with it
o It is a rigid fixation method

A

o It is a rigid fixation method

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17
Q

Which statement is correct concerning tendon injuries

o One or two % overextension of the tendons causes partial rupture
o Three or four % overextension of the tendons causes total rupture
o More than 5-6% overextension of the tendons causes total rupture
o None

A

o More than 5-6% overextension of the tendons causes total rupture

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18
Q

Which of the following diseases cannot cause hindlimb lameness in skeletally immature dogs

o Panosteitis
o Perthes disease
o Biceps tendon insertion tendineopathy
o Achilles tendineopathy

A

o Biceps tendon insertion tendineopathy

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19
Q

Intramedullary pinning is not good for

o Treatment of Achilles tendon fracture
o Femoral fracture treatment in cats
o Fixing calcaneal fractures
o Treatment of avulsion fractures

A

o Treatment of Achilles tendon fracture

20
Q

Which diagnostic step/sign is pathognomonic in case of cranial cruciate ligament rupture

o Radiology
o Cranial drawer test
o Gait analysis
o Historical date

A

o Cranial drawer test

21
Q

Which ligament repair is required in case of patellar luxation

o Cranial cruciate ligament
o Patellar straight ligament
o Both of them
o None of them

A

o Patellar straight ligament?

22
Q

Which statement is correct regarding extracapsular fixation method in cranial cruciate ligament repair

o The suture material is non-absorbable
o The fixation of Vesalius bones is essential
o Precise tibial osteotomy is done
o The suture material is placed outside the joint

A

o The suture material is non-absorbable

23
Q

Which step is absolutely necessary in cranial cruciate ligament surgery?

o Ligament suture
o Ligament replacement
o Cleaning up
o Osteotomy

A

o Ligament suture

24
Q

Which statement is correct regarding patellar luxation in dogs

o The anatomical and functional axis of the leg is not in the same line
o It is always lateral in large breeds
o It is always traumatic
o It is mostly caudal

A

o The anatomical and functional axis of the leg is not in the same line

25
Which location is not typical of OCD in dogs o Tarsus o Carpus o Shoulder o Stifle
o Carpus (elbow that is typically affected)
26
According to Shamir et al (JSAP, 2002), which of the following features is incorrect concerning the typical canine population usually suffering from thoracic trauma o Male o Bite wound o Bodyweight is less than 10kg o Bodyweight is less than 20kg
o Bodyweight is less than 20kg
27
What is the sequester o Connective tissue surrounded cavity filled with pus o Natural body cavity filled with pus o Necrotized, demarcated area in the bone o Vital, demarcated area in the bone
o Necrotized, demarcated area in the bone
28
Which is necessary for bone healing o Antibiotic treatment o NSAID treatment o Good bloody supply o Fluid therapy
o Good bloody supply
29
``` Which is the last step of bone healing? o Formation of primary callus o Remodellatio o Cellular proliferation o A haemotoma is formed ```
o Remodellatio?
30
Which of the following diagnostic methods is the most reliable one to assess bone involvement of oral tumors o Radiography o Fine needle aspiration biopsy o Computed tomography o Ultrasonography
o Radiography
31
Which statement is correct o The puncture site of the shoulder joint is between the cranial and caudal part of the major tubercle of the humerus, behind the infraspinatus muscle insertion o The puncture site of the shoulder joint is between the cranial and caudal part of the major tubercle of the humerus, in front of infraspinatus muscle insertion o Intraarticular analgesia of the shoulder needs min 40 ml anesthesia solution o A and C are correct
o The puncture site of the shoulder joint is between the cranial and caudal part of the major tubercle of the humerus, in front of infraspinatus muscle insertion
32
Which one is not a postural reaction o Hopping o Placing o Wheelbarrowing o Panniculus reflex
o Panniculus reflex
33
The columnar periosteal reaction is typical of which disorder o Hypertrophic osteopathy o Hypertrophic osteodystrophy o Nonunion o Osteochondrosis dissecans
o Hypertrophic osteopathy
34
Which therapy has of primary importance in case of cranial injury o Analgesia o Anti-convulsion therapy o Intracranial pressure decrease o Artificial hypothermia
o Intracranial pressure decrease
35
What is the normal value of the Norberg angle in healthy dogs
o Higher than 105 degrees
36
Which statement is correct o Acids can cause coagulation necrosis o Alkalines can cause colliquation necrosis o Both o None
o Both
37
Which of the followings mostly contributes to the successful revision of post- operative ligature-fistulation o Drainage o Curettage o Removal of the suture material o Disinfecting lavage of the wound base
o Disinfecting lavage of the wound base?
38
Which is not a type of periosteal reaction o Lamellar o Columnar o Sunburst-like o Medullar
o Medullar
39
Advantages of the light cast are o quick application possible - fluid impregnation , not heavy o quick application possible-no fluid impregnation, light o quick application possible - fluid impregnation , cheap o slow application , no fluid impregnation
o quick application possible-no fluid impregnation, light
40
Which disorder resembles the malignant bone tumours in a dog o Osteochondrosis dissecans o Osteomyelitis o Osteoporosis o Osteomalacia
o Osteomyelitis
41
Which of the following radiographic densities look the same o Bone and metal opacity o Fat and soft tissue opacity o Fluid and soft tissue opacity o Fluid and fat opacity
o Fluid and soft tissue opacity
42
Which one of the followings does not contraindicate the use of NSAIDs o Shock o Prolonged mucous membrane bleeding time o Immaturity of the musculoskeletal system o Active gastro-intestinal ulceration
o Immaturity of the musculoskeletal system
43
Which tissue is least sensitive to ionizing radiation o Adrenal gland o Skin o Brain o Bone marrow
o Brain
44
Locking compression plate is good for o Minimizing the stress concentration at the plate hole o Septic fractures o Temporary joint immobilisation o Supporting tendon repair
o Minimizing the stress concentration at the plate hole
45
Characteristics of iatrogenic osteoporosis/dog o After long-term mineralocorticoid therapy  ↓Vitamin D production o After long-term mineralocorticoid therapy  ↑Vitamin D production o After long-term thyroxin (T4) therapy, because of secondary hypoparathyroidism  ↓ protein metabolism o After long-term glucocorticoid therapy  ↓ osteoblast activity and ↓ Ca-utilisation
o After long-term glucocorticoid therapy ; ↓ osteoblast activity and ↓ Ca-utilisation