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SAM final > Orthopedics/wound > Flashcards

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
Q

Which location is not typical of OCD in dogs

o Tarsus
o Carpus
o Shoulder
o Stifle

A

o Carpus (elbow that is typically affected)

26
Q

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

A

o Bodyweight is less than 20kg

27
Q

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

A

o Necrotized, demarcated area in the bone

28
Q

Which is necessary for bone healing

o Antibiotic treatment
o NSAID treatment
o Good bloody supply
o Fluid therapy

A

o Good bloody supply

29
Q 
Which is the last step of bone healing?
o	Formation of primary callus
o	Remodellatio
o	Cellular proliferation
o	A haemotoma is formed
A

o Remodellatio?

30
Q

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

A

o Radiography

31
Q

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

A

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
Q

Which one is not a postural reaction

o Hopping
o Placing
o Wheelbarrowing
o Panniculus reflex

A

o Panniculus reflex

33
Q

The columnar periosteal reaction is typical of which disorder

o Hypertrophic osteopathy
o Hypertrophic osteodystrophy
o Nonunion
o Osteochondrosis dissecans

A

o Hypertrophic osteopathy

34
Q

Which therapy has of primary importance in case of cranial injury

o Analgesia
o Anti-convulsion therapy
o Intracranial pressure decrease
o Artificial hypothermia

A

o Intracranial pressure decrease

35
Q

What is the normal value of the Norberg angle in healthy dogs

A

o Higher than 105 degrees

36
Q

Which statement is correct

o Acids can cause coagulation necrosis
o Alkalines can cause colliquation necrosis
o Both
o None

A

o Both

37
Q

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

A

o Disinfecting lavage of the wound base?

38
Q

Which is not a type of periosteal reaction

o Lamellar
o Columnar
o Sunburst-like
o Medullar

A

o Medullar

39
Q

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

A

o quick application possible-no fluid impregnation, light

40
Q

Which disorder resembles the malignant bone tumours in a dog

o Osteochondrosis dissecans
o Osteomyelitis
o Osteoporosis
o Osteomalacia

A

o Osteomyelitis

41
Q

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

A

o Fluid and soft tissue opacity

42
Q

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

A

o Immaturity of the musculoskeletal system

43
Q

Which tissue is least sensitive to ionizing radiation

o Adrenal gland
o Skin
o Brain
o Bone marrow

A

o Brain

44
Q

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

A

o Minimizing the stress concentration at the plate hole

45
Q

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

A

o After long-term glucocorticoid therapy ; ↓ osteoblast activity and ↓ Ca-utilisation

SAM final (19 decks)

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