Pimp Questions Flashcards
Who came up with the total contact cast, Where and for what disease
Brand, in India, for Hansen’s disease
4 rules for treating pilon fractures
- Fibular reduction
- Tibial plafond reduction
- Fill void with cancellous bone
- Stabilize medial tibia with a buttress plate
At what concentration do you consider there to be a bacterial load
10^6
What is gout of the first MPJ called
Pedagra
What procedures is use of a tourniquet contraindicated (4)
-Revascularization procedures, infection, sickle cell and open fractures
What antibiotic results in increased CPK levels
Daptomycin
What is the medical term for finding gas in the soft tissue
emphysema
What antibiotic is contraindicated in pts with CHF
Timentin
Who founded triple arthrodesis
Ryerson
Who founded arthroscopy
Tagaki
What is Fournier disease
gangrene of the penis
What is the origin of protamine sulfate
salmon sperm
What is another name for the lateral extensile excision
Berniski and Sangoren
What does HMPAO stand for
hexamethylpropylenamine oxime
What is May -Thurner syndrome
the left LE is swollen all the way to the thigh due to the left common external iliac artery compressing over the right common external iliac vein.
What is a locking plate and when is the best time to use it
A locking plate provides no compression of any sort
-great for osteoporosis, bone deficits and comminution
What is Coonrad bugg trapping
When the medial malleolus cannot be brought back into place due to the PTT
What are the components of triple antibiotic
- Bacitracin
- Polymyxin
- Neomycin
What antibiotics should be used to treat MRSA
- Clindamycin
- Bactrim
- Linezolid
- Tetracycline
What antibiotics should be used to treat pseudomonas
- Fortaz
- Aminoglycosides
- Timentin
- Ciprofloxacin
- Imipenem
- Atreonam
- Zosyn
What sign is indicative of a unicameral bone cyst
fallen fragment sign
What does AO stand for
Arbeitgemeinschaft fur Osteosynthesefragen
What does TMP/SMX stand for
Trimethoprim/ Sulfamethoxazole
What sign presents to the medial calcaneus in flatfeet
Pizogenic sign which is fat papule herniations
What is the ESR value to be expected with osteomyelitis
60-70
What are the 3 ways that a wound vac works
1) To get rid of stagnant bacteria
2) Promote new blood flow to the area with growth factors and neutrophils
3) Allows for even growth of the wound bed, and keeps callouses from forming
When is the Evans osteotomy contraindicated
with a z-foot, and met adductus
Why is the Evans osteotomy cut made where it is
Made 1.5 cm proximal of CC joint because this is the halfway point between the anterior articulating surface and middle articulating surface of the calcaneus
What is congential vertical talus known as
Known as Persian slipper
What test differentiates between FF and RF cavus foot
Coleman block test
What does TLS stand for and who invented it
Tiny little sucker
Kalish
What is the medical terminology for pain out of proportion
allodynia
What is the angle formed by the metatarsal parabola
142 degrees
What procedure should be done for a flexible FF driven cavus
Jones Tenosuspension
What procedure should be done for a rigid FF driven cavus
DFWO
What procedure should be done for a flexible RF driven cavus
Dwyer osteotomy
What procedure should be done for a rigid RF driven cavus
Triple arthrodesis
What is the blair procedure and what should it be used for
When the body of the talus is removed, the foot is fused in 15 degrees dorsiflexion. This procedure is used for AVN of the talus
What oral meds are okay to give during Charcot Neuropathy
bisphosphonates
Why do you measure screw size beore tapping
Because you may get a false reading by engaging one of the threads instead of the far cortex
How long do you brace with the Ponsetti method?
recommended for 2-4 years
What do you do after bracing with the Ponsetti method
brace for 2 additional years with the Dennis-Browne bar
Define dive punch piece
- Triangular wedge of tibia that drives the rest of a pilon fracture
What does nitinol stand for
Nickel Titanium Naval Ordinance Laboratory
Why transect tendons proximally during amputations
- to prevent infection from tracking up tendons
What telltale descriptor is used to describe OM bony changes
cortical disruption
What is the medical term for seizures that occur with alcohol withdrawal?
delirium tresms
In a Senn retractor what is opposite the “rake side”
The vein side
-great for holding back veins and other vascular structures
What layer of the nerve does a Morton’s neuroma usually develop in
in the epineurium
What is the medical term for rolled edges along wound bed
epipilee
What is the term for congenitally missing fibula
fibular hemimelia
What does ABD stand for
Army battle dressings
Difference in shapes between medial and lateral OCD’s of the talus
medial: cup (PIMP CUP)
lateral: wafer
What 2 instruments can be used to get a bone biopsy
Jamshidi needle and Keith needle
What does the CAM in CAM boot stand for
controlled ankle motion
What bacteria is incorporated into Santyl
Chlostridium histolytica
What is the Historical name for arthroplasty procedures and when was it founded
“post procedure” founded in 1882
What skin sign is seen in calciphylaxis
Tram track sign
What is the depth of 1st met-cuneiform joint
3.23 cm
What 3 products are used exclusively in the OR to prevent excessive bleeding
Surgicell
Gelfoam
Arista
What is the telltale histological difference between exostosis and tumor
Exostosis contain hyaline cartilage around the periphery
Tumor contains fibrocartilage around the periphery
What is the difference in PSI versus pulse lavage and bulb lavage
Pulse lavage: 12-15psi
Bulb lavage: 3-5 psi
What is the MRI classification system for PT tendon pathology
conti
What is the intra-op classification system for PT tendon pathology
funk
What are the side effects of steroid use
- Leukocytosis
- increased wound healing time
- hyperglycemia
- hypopigmentation
What are the names of the 5 neuromas in the foot, and their location
- Joplins neuroma: medial to 1st MPJ
- Hooters neuroma: between 1st,2nd MPJ
- Hauser’s neuroma: between 2nd and 3rd MPJ
- Morton’s neuroma: between 3rd and 4th MPJ
- Iselin’s neuroma: between 4th and 5th MPJ
What are the most common etiologies for Brachymetatarsia
- Turner’s syndrome
- Down’s syndrome
