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SCS PREP > Practice Exam 2 > Flashcards

Practice Exam 2 Flashcards

1
Q

Stress fracture imaging preference

A

1) X-ray

2) bone scan

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2
Q

Following normal xrays, which imaging technique is appropriate for suspected labral tear or bankart lesson?

A

MR arthrogram

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3
Q

Tietze syndrome

A

Common in younger athletes and may be caused by chest impact
Typically will have swimming and tenderness in costochondral junctions

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4
Q

Rib fracture symptoms

A

Pain with breathing

Tenderness and crepitus

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5
Q

Contraindication for spinal manipulation

A

Active infection
Bone cancer
Severe osteoporosis

Pregnant females is just a precaution, not contraindication

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6
Q

What is the most definitive test for measuring femoral anteversion/retroversion?

A

Craig’s test (outside of imaging)

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7
Q

Anteversion

A

Angle greater than 15 deg

Compensations: lateral tibial rotation, lateral rotation at knee, compensatory lumbar rotation to same side

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8
Q

Normal alpha angle of hip

A

45 degrees

>50 may be consistent with csm impingement

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9
Q

Crossover in hip imaging

A

Anterior rim lies lateral to posterior rim means acetabular retroversion
Pincer impingement

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10
Q

Plyometric activity parameters

A

2 sessions per week
200 contacts per session
Work:rest ratio of 1:5 to 1:10 for high-intensity

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11
Q

Time for RTP following SLAP repair

A

12 months

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12
Q

Best tests for SLAP tear

A

Crank test

Resisted supination external rotation test

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13
Q

Stage I lisfranc

A

Minimal to no diastasis or arch height loss

Does have increased bony uptake

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14
Q

Stage II Lisfranc sprain

A

2-5 mm diastasis between 1st and 2nd metatarsals

No loss of arch height

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15
Q

Stage III Lisfranc sprain

A

> 5 mm diastasis

Loss of arch height

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16
Q

Mallet dinger conservative approach

A

Splint DIP in hyper extension

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17
Q

Splint game keeper’s thumb

A

Plastic with the thumb in FLEXION and lunar deviation

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18
Q

TFCC sprain conservative approach

A

Splint with plastic to restrict elbow and wrist region

PROM begins at 6 weeks

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19
Q

Wingate test

A

Widely used protocol for muscle power and indirectly aerobic capacity.
Max cycle for 30 seconds

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20
Q

Best imaging for OCD lesion

A

MRI

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21
Q

Normal healing times for liver

A

3-6 months

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22
Q

Freiberg’s test

A

Forceful IR of extended hip which elicits butt pain by stretching piriformis muscle

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23
Q

Micro fracture precautions

A

8 weeks of no more than 30 pounds WB’ing

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24
Q

When are ACL re ruptures highest?

A

Returning to play within first 12 months.
After 12 months, graft rupture rTes were not significantly greater than sustaining C/L injury
(Indicates that graft strength and muscle function are achieved a year post-op)

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25
Q

ROM restrictions for grade 3 MCL 3 weeks from injury?

A

0-110 knee FLEXION

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26
Q

Jumping risk factors for increased ACL injury?

A

Knee abduction at initial contact
Shorter stance time on involved side
Greater peak external hip flexion

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27
Q

What phase of throwing are the most forces imparted to the shoulder?

A

Deceleration

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28
Q

What changes structurally occur in pitchers that make their ROM different in throwing arm?

A

Osseous adaptation of humeral head.

Retro version associated with greater ER

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29
Q

How long to RTP for little league shoulder?

A

3 months of rest followed by return to throwing program.

RTP is based on time

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30
Q

Where is pain located in Little League Shoulder?

A

Lateral aspect of proximal humerus

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31
Q

What type of bracing is best to prevent ankle sprains?

A

Semi-rigid

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32
Q

RTP following UCL surgery

A

Plyometric at 3-4 months
Return to throwing at 4 months
Return to hitting 5 months
Throwing off mound at 9 months

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33
Q

Lateral epicondylitis muscles likely involved in order

A

ECRB
EDC
ECRL
ECU

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34
Q

Which phase of throwing disrupts the ulnar nerve?

A

Late cocking

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35
Q

What phase of throwing disrupt the radial nerve?

A

Acceleration to deceleration

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36
Q

Appropriate pre-activity hydration in humidity

A

17-20 oz 3 hours prior to event and 7-10 oz every 10-20 min during event

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37
Q

Concurrent training

A

Training of endurance and strength capacities at the same time or within a 24-hr recovery period.
Development of one trait may interfere with the development of the other

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38
Q

Conjugate training

A

Training of several complementary qualities in one mesocycle

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39
Q

Optimal dietary percentages in athletes

A

20% protein
30% fat
50% carbs

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40
Q

Meniscus repair surgery uses what procedure?

A

Stacked sutures

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41
Q

Downfall of allograft

A

Expensive
Incorporate less completely and more slowly
Require sterilization
Do not do well with young females

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42
Q

Mitral valve prolapse

A

Relatively common
Can create a new-onset murmur
Athletes can resume activity

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43
Q

Exercise-induced asthma triggers

A

Cooler and dryer air in lungs

Decrease in FEV1

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44
Q

Testicular torsion signs and symptoms

A

Swelling in testicle without known trauma
Diffuse and unilateral pain
Delayed pain is common

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45
Q

What’s considered a good total score on FMS?

A

14

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46
Q

OCD lesion imaging order

A

X-ray
MRI
CT scan

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47
Q

Imaging for high risk head injury

A

Straight to CT scan

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48
Q

Schuermann’s Disease

A

Thoracic kyphosis due to wedge compression
Often seen compensated lumbar lordosis
Common in scoliosis

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49
Q

Preferred imaging for stress fracture

A

CT scan

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50
Q

Severe OA vs mod OA

A

Severe=<1-2 mM

Mid= 1-2 mm

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51
Q

Osgood Schlatter

A

Pain at tibial tuberosity
May have normal but painful Patellar mobility
Stretch quads!

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52
Q

What vascular structure is commonly injured with clavicle injury?

A

Subclavian artery

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53
Q

RTS for non-op clavicle fracture

A

10-12 weeks

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54
Q

BESS tesst is best used for

A

Concussion

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55
Q

RTS after fasciotomy for compartment syndrome

A

12-16 weeks

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56
Q

What part of throwing us UCL stressed

A

Late cocking and early acceleration

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57
Q

Wrist pain commonly found in back swing of golfer’s

A

De Quervain’s

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58
Q

Most commonly injured wrist ligament

A

Scspholunate
NO swelling/clicking
DOES have limitations in wrist extension

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59
Q

Scaphoid rotary instability

A

Worse than scapholigament injury

Swelling Dorsally, tenderness, and positive scaphoid shift test

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60
Q

Lunotriquetral Ligament injury

A

Least likely injured ligament
MOI: fall on extended and radially deviated wrist
Does NOT limit wrist extension

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61
Q

If someone is down and not conscious…

A

ABCs and then do 1 round of CPR before calling 911

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62
Q

Pregnant women should exercise at

A

Talk test or RPE Borg at 12-14

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63
Q

If athlete has triceps tendinitis with overhead serves, tx should include

A

Triceps and pronator concentric training

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64
Q

Precautions for activity following MCL sprain

A

Activities to tolerance

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65
Q

What % of health individuals carry MRSA?

A

30%

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66
Q

Type I error

A

“False alarm”

False +

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67
Q

Type II error

A

False -

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68
Q

Positive predictive value

A

Proportion of positive tests that are true positives

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69
Q

Negative prediction value

A

Proportion of negative tests that are true negative

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70
Q

Face validity

A

Is it testing what it’s supposed to

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71
Q

Content validity

A

Adequacy that sample measurement represents whole

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72
Q

Criterion-related

A

Relationship to “gold standard”

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73
Q

Longitudinal study

A

Over time.

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74
Q

Quasi-experimental design

A

Unable to randomly assign or no control group

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75
Q

Alpha level

A

Level of statistical significance

Risk of type I error

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76
Q

ANOVA

A

comparison of 3 or more groups

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77
Q

Hawthorne effect

A

Subjects knowledge of being part of a stud effects performance

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78
Q

Rib fx symptoms

A

Pain with breathing, crepitus, + tuning fork

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79
Q

RTP rib fx

A

4-8 weeks

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80
Q

Tension pneumothorax symptoms

A

SOB, absence of breath sound, cyanosis, dissension of neck veins

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81
Q

Hemothorax symptoms

A

Pain, cyanosis, coughing frothy blood

Immediate ER

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82
Q

Solar plexus injury

A

Wind knocked out

Tx: short inspiration, long expiration to normalize diaphragm

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83
Q

Most common hernia in men

A

Inuginal

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84
Q

Most common hernia in females

A

Femoral

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85
Q

Tx for kidney contusion

A

24 hr hospital, urinate 2-3x and look for blood

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86
Q

Kidney contusion referral pain

A

Costovertebral angle around trunk/abdominal area

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87
Q

Symptom of bladder rupture

A

Will not be able to urinate

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88
Q

Bladder contusion referral pain

A

Lower trunk and upper anterior thigh

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89
Q

Liver contusion referral pain

A

R scapula, R shoulder, sub sternal area

Immediate Medical attention!

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90
Q

Kehr sign

A

Radiating pain down L shoulder into 1/3 down arm

Indicative of spleen rupture

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91
Q

Splenic rupture tx

A

About 1 week monitoring in hospital

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92
Q

Skull fx sxs

A

Unequal pupils, discoloration of eyes, LOC, loss of smell/sight, Battle sign, raccoon eyes

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93
Q

Battle sign

A

Bleeding, bruising, swelling behind ear

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94
Q

Raccoon eyes

A

Basal skull fx

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95
Q

Acclimatization occurs in how long

A

5-10 days

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96
Q

What does wet bulb globe temperature measure

A

Temp, humidity, wind, sunlight

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97
Q

WBGT measures

A 
Low <65
mod 65-73
High 73-82
Very high >82
*cancel practice if >82.4
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98
Q

Heat exhaustion sxs

A

CBT 104 deg, weak and rapid pulse, clammy skin

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99
Q

Heat stroke sxs

A

Core temp >104 deg, pulse +160, collapse

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100
Q

Superficial frostbite (2nd)

A

Firm, waxy feel, tissue underneath is soft and painful, affected area may turn purple and blister

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101
Q

Frostnip

A

Superficial cooling without cellular damage

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102
Q

Chilblains

A

Superficial ulcers of skin when repeatedly exposed to cold and wet

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103
Q

Hypothermia

A

CBT <95

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104
Q

How much water loss compromises physiologic function

A

1-2%

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105
Q

How much water loss can lead to EHI

A

3%

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106
Q

Proper hydration for activity

A

17-20 oz 3 hr prior
17-20 oz 20 min prior
7-10 oz every 10-20 min

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107
Q

NCAA football pre-season practice

A

Days 1-5 only 1 practice per day
(1-2 helmets only, 3-4 helmets and shoulder pads, 5 full pads)
>5: 2 practices a day every other day

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108
Q

Acute exertional rhabdo sxs

A

Darkened urine
More common in SCT
refer immediately

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109
Q

Adjustment period for high altitude

A

2-3 weeks

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110
Q

High altitude pulmonary edema

A

Lungs will accumulate small amounts of fluid at higher altitudes

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111
Q

Properly fitted helmet

A 
CC between head and liner 
Helmet covers base of skull 
2 finger width above eyes 
Ear holes line up 
3 finger widths from mask 
Chin strap should be secured
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112
Q

What determines size of shoulder pads

A

Shoulder width

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113
Q

Dorsal scapular nerve

A

C4/5
Rhomboids
Levator scap

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114
Q

Suprascapular Herve

A

C5/6
Infraspinatus
Supraspinatus

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115
Q

Lateral pectoral

A

C5/6
Pec Major
Pec minor

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116
Q

Axillary nerve

A

C5/6
Delt
Teres minor

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117
Q

Musculocutaneous nerve

A

C5-7
Brachioradialis
Biceps
Coracobrachialis

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118
Q

Long thoracic nerve

A

C5-7

Serratus anterior

119
Q

Radial nerve

A 
C5-T1
Tricep 
Supinator 
Extensors 
Brachioradialis
120
Q

Thoracodorsal nerve

A

C6-8

Lats

121
Q

Odontoid view

A

C1/2 relationship

122
Q

Swimmer’s view

A

C7/T1

123
Q

Atlantodental interval

A

3.5 mm instability
7 mm disruption of transverse ligament
>9-10 mm risk of neurologic injury

124
Q

Jefferson fx

A

Burst of C1

125
Q

Odontoid fx

A

C2

126
Q

Hangman’s fx

A

C2

127
Q

Clay shoveler’s fx

A

Hyper FLEXION

C6-T2

128
Q

Cervical myelopathy tests

A 
Hoffman’s
Hyper reflex of brachioradialis 
Gait disturbance 
Babinski 
Age >45
129
Q

Cervical radiculopathy test cluster

A

Distraction
Spurlings
ULTT median
<60 rotation to affected side

130
Q

Murphy’s sign

A

Gall bladder

131
Q

Kernig’s sign

A

Inability to extend knee with hip flexed

Indicative of nerve root irritation

132
Q

Brudzinski’s sign

A

Involuntary hip and knee FLEXION when neck is flexed

Indicative of nerve root irritation

133
Q

Kernig’s and Brudzinski signs for what

A

Meningitis

134
Q

Which ligaments are most commonly injured with syndesmotic injury

A

Inferior anterior and posterior tibiofibular ligaments

135
Q

Common imaging views for ankle pathology

A

Internal oblique/mortise view
Lateral
A/P

136
Q

Maisonnuerve fx

A

Proximally fib fx from ER force

137
Q

Tillaux fx

A

Salter Harris III fx of ant lat tibial epiphysis

138
Q

Jones fx

A

Base of 5th met
Risk for mal-union
6-8 weeks cast

139
Q

Sever’s disease

A

Calcaneal apophysitis
8-14 years
RTS 2-8 weeks

140
Q

Turf toe

A

Forced DF of MTP

141
Q

Haglund’s deformity

A

Exotosis at calcaneus

142
Q

Hammer toe

A

Flexion contracture of PIP

143
Q

Mallet toe

A

Flexion contracture of DIP

144
Q

Claw toe

A

Flexion contracture of DIP and hyper extension of MP

145
Q

Jogger’s foot

A

Local nerve entrapment of Medial plantar nerve at tunnel of abductor hallucis and navicular tuberosity

146
Q

Morton’s neuroma

A

3rd and 4th met heads

Associated with excessive pronation

147
Q

Diagnostic pressures for compartment Syndrome

A

Pre-exercise >15
1 min post >30
5 min post >20

148
Q

Role of teres ligament

A

Intrinsic stabilizer that resists hip flexion, adduction, external rotation

149
Q

Values of angle of inclination

A

Normal 125
Coxa Valga >140
Coxa Vara <120

150
Q

Angle of torsion

A

Norm 12-15 deg
Anteversion is increased angle and leads to toe in
Retro version decrease angle and toe out

151
Q

Log roll test

A

Intra articular hip pathology.
Pain denotes intra-articular
Clicking means labral tear
Increased ROM means laxity

152
Q

Heterotrophic ossification

A

Myositis ossificans

Inflammation in muscle following hemorrhage that may become calcified

153
Q

How much rest for femoral stress fx

A

2-5 months

154
Q

SCFE

A

Common in adolescent boys

Groin pain, limits in abduction, Flexion , IR, limp

155
Q

Legg calve perthes

A

AVN if femoral head
4-10 years
Groin pain refers to knee, no MOI
A/P and frog leg views but MRI is best

156
Q

Snapping hip

A

Iliopsoas over iliopectineal eminence or ITB over greater trochanter
-iliopsoas is loud

157
Q

Labral repair guidelines

A

Limit hip flexion for 4 weeks, WBAT, no running before 12 weeks

158
Q

Hip debridement guidelines

A

WBAT

No time dependent restrictions, progress as tolerated

159
Q

Osteoplasty guidelines

A

Limit hip flexion for 4 weeks, initially 20# PWB
WBAT 4-6weeks
No running until 12 weeks

160
Q

Capsular modification guidelines

A

a WBAT

Limit ER and extension for 4 weeks

161
Q

Micro fracture

A

Limit hip flexion 4 weeks, initially 20# PWB

a WBAT 4-6 weeks

162
Q

Effect of exercise on BP

A

BP drops below pre-exercise levels 2-3 hours after exercise

163
Q

Linear sprint

A

5 m overcome inertia
10 m acceleration
10-20 m transition
40 m max speed

164
Q

Type of exercise during prep/off season

A

Low intensity weights
High volume, hypertrophy
Endurance

165
Q

Type of exercise at pre-season (1st transition)

A

Power
More sport-specific
80-85% 1RM

166
Q

Type of exercise during competition season

A

80-85% 1RM

Maintain strength and power

167
Q

Limiting factor for prolonged human performance

A

Glycogen depletion

168
Q

How long of exercise requires electrolyte s

A

Longer than 60-90 min

169
Q

Pregnancy BP changes

A

Decrease until 28 weeks then normal by 36 weeks

170
Q

Participation with atlantoaxial instability

A

Contact contraindicated

171
Q

Mitral valve prolapse participation

A

Non-symptomatic May participate

172
Q

Active myocarditis participation

A

Cannot play

173
Q

Diabetes participation

A

Can play but activities >30 min require increased monitoring

174
Q

Fever participation

A

Cannot play due to increased risk for EHI

175
Q

Spear tackler’s spine

A

Cannot play

176
Q

Post-concussive Syndrome participation

A

No contact sport s

177
Q

Long QT syndrome participation

A

Cannot play

178
Q

Uncontrolled hypertension participation

A

Weightlifting and static resistance contraindicated

179
Q

HCM participation

A

Requires frequent monitoring and status may change

180
Q

ACL injury reduction programs

A

Sports metrics
FIFA II+
PEP

181
Q

Post Meniscal horn repair precaution

A

No resisted hamstring exercises for 6 weeks

182
Q

Segond fx

A

Avulsion fx at insertion of LCL due to excessive IR and valgus

183
Q

Basset sign

A

TTP over Medial epicondyle of femur

184
Q

Normal Q angle

A

13 deg men

18 deg women

185
Q

What is the most important part of PPE

A

History

186
Q

Meniscal composite exam

A 
Hx of catching or locking 
Pain with forced hyperextension 
Pain with maximal flexion 
\+ McMurrays 
Joint line tenderness
187
Q

Os trigonum

A

Bony soft tissue compression in post tibiocalcaneal interval
From repetitive PF
Decreased PF strength and ROM, TTP between achilles and peroneals, posterior ankle pain, seen with flexor Hallucis longus tenosynovitis

188
Q

Freibergs disease

A

AVN in the metatarsal (usually 2nd)
Swelling beneath met head, crepitus, loose bodies
Similar to stress fx and metatarsalgia so rule out with imaging

189
Q

Kohler’s disease

A

AVN of navicular

Pain on dorsal and Medial surface of foot

190
Q

Medial Elbow alophysitis

A

9-12 year old throwers
Decreased speed and accuracy
Swelling, decreased ROM, and med Elbow TTP

191
Q

Total rotation motion deficits bilaterally in pitchers put pitchers at risk for injury… How much

A

5 deg

192
Q

Panner’s disease

A

Osteochondrosis of capitellum
<10 years
Pain with valgus stretch (pitching)
And relieved with rest

193
Q

Wilson’s Test

A

OCD of knee

194
Q

Steinman Test

A

Meniscal pathology

195
Q

Ege’s Test

A

Meniscus testing

Squat with feet ER and IR

196
Q

Dial test

A

Posterolateral knee instability

Prone with knees bent and ER feet

197
Q

Concussion 6 stage protocol

A

1) no activity
2) light aerobic exercise
3) sport-specific exercise
4) non-contact training drills
5) full contact practice
6) RTP
* must be asymptomatic and 24hr between each phase

198
Q

Which portion of scaphoid is most prone to AVN

A

Proximal

199
Q

What should ER/IR strength ratio be at

A

66-75%

200
Q

Return to throwing timeline following UCLR

A

4 months return to throwing
Mound at 9
Competition at 12 months

201
Q

Increase in what % of cadence to get decreased energy absorption

A

10%

202
Q

What % will suffer 2nd ACL injury within 2 years following ACLR

A

30%
20% in contralateral
10% on ipsilateral

203
Q

How many more times likely is an allograft failure vs autograft

A

4x more likely

204
Q

What should knee Flexion angle be at for down stroke of biking

A

20-25 deg Flexion

205
Q

Subscapularis precautions following surgery

A

No passive ER beyond 30-45 dev of abd
No ER stretching
No active resisted IR

206
Q

Isometric loading for quad if more than minimal pain with functional activities

A

5x45” 2-3x/day at 70% max

207
Q

What % is minimum for strength gAins

A

50-60% max

208
Q

What percentage of concussions report persistent symptoms

A

10-15%

209
Q

Child SCAT is most appropriate for which ages

A

5-12 yrs

210
Q

NCAA wrestling rules for competition regarding wounds

A

72 hour antibiotic treatment.

No moist, educative, or draining lesions at meet/tournament time

211
Q

Tongue deviation of hypoglossal nerve with LMN lesion

A

Deviation toward injured side

May be accompanied by atrophy or fasciculation

212
Q

Lisfranc MOI

A

Forced hyper plantarflexion with a fixed mid foot

WB’ing on forefoot with axial load through heel

213
Q

Ghent criteria for Marfan Syndrome

A

Family history + 2 cardinal features
No family history + 2 cardinal features + systemic feature
Genetic testing

214
Q

Mountain sickness symptoms

A

Loss of appetite, nausea, vomiting, fatigue and weakness, lightheaded, dizzy, difficultly sleeping

215
Q

Later jet surgery involves what bone

A

Transfer of coracoid process to anterior glenoid to prevent anterior dislocation

216
Q

Oligomenorhea

A

<9 cycles per year

217
Q

What type of nerve palsy is coming following cervical surgery

A

Recurrent laryngeal nerve palsy

Hoarseness and weakness of voice

218
Q

Hip adductor to abductor strength ratio

A

Should be <80%

219
Q

Maximum of how many hours of vigorous physical activity to prevent injury

A

16-20

220
Q

Single most important prevention strategy for MRSA

A

Hand washing

Warm water and soap or alcohol based hand sanitizer

221
Q

Earliest age to throw curve balls

A

14 years

222
Q

Initiating plyometrics how many foot contacts

A

80-100

223
Q

Max carb concentration in sports drinks

A

8%

Higher will cause decrease in gastric emptying and may cause nausea

224
Q

Recommended amount if someone wants to lose weight

A

1-2 lbs a week

Should not exceed or greater risk of dehydration

225
Q

What environments can EHC occur in?

A

Both hot and cold

Not caused by internal heat

226
Q

Primary risk factor for exertional heat conditions

A

Dehydration then sodium then fatigue

227
Q

Tx for EAMC

A

Remove from activity
Stretch muscles involved
Give beverage containing sodium

228
Q

Quinine

A

Don’t take because serious cardiac side effects

229
Q

RTP following EAMC

A

Isolated EAMC: same day

Full body EAMC: next day

230
Q

Exertional heat exhaustion tx

A

Remove from situation and lay down + elevate feet

Should resolve in 15’

231
Q

RTP following heat exhaustion

A

Mild 1-2 days, most all after 3 days

232
Q

What is the most influential factor impacting evaporation

A

Relative humidity

233
Q

Critical threshold body temp

A

105 deg

234
Q

Inability to continue exercising is due to

A

Exertional heat exhaustion

235
Q

Dehydration and core body temp relationships

A

Every 1% dehydration there is a0.5% increase in CBT

236
Q

Sickle cell trait

A

“Intensity syndrome”
Too much, too fast, too soon
Can lead to rhabdo, cardiac arrhythmia, acute renal failure

237
Q

SCT vs EAMC cramps

A

SCT: no prodromal, milder pain, slump to stop
EAMC: prodromal, increase and sustained, hobble to halt

238
Q

Reasons to spine board

A

LOC or altered
Bilateral neuro findings
C spine pain with or without palpation
Obvious spinal deformity

239
Q

Palpation and percussion of organs

A

Start away initially from pain

240
Q

Appendix tests

A

Rebound tenderness

McBurney’s point

241
Q

Athletic heart syndrome

A

LV hypertrophy

Refer for further testing

242
Q

Collapse differences

A

Sickle: very rapidly and early in practice
Heat: CBT needs to get high enough
Cardiac: buildup where they get worse and worse

243
Q

Splinting fracture

A

Immobilize joints above and below fracture

244
Q

Splinting dislocation

A

Immobilize bones above and below injury

245
Q

Ligamentous sprain healing

A

Grade I: 10-14 days
Grade II: 4-6 weeks
Grade iii: complete rupture

246
Q

Where to apply tourniquet

A

2-3 inches above injury

247
Q

Dehiscence

A

Wound has been closed then opens up again

248
Q

What temp does shivering stop at

A

85-90 deg

249
Q

Death is imminent at what CBT

A

77-85

250
Q

Mild hypothermia

A

CBT 95-98.6

Lethargy, amnesia, shivering, impaired fine motor, pale, runny nose

251
Q

Moderate hypothermia

A

CBT 90-94

No shivering, decreased respiration and pulse, impaired gross motor, impaired mental function

252
Q

Severe hypothermia

A

CBT <90

Bradycardia, hypotension, cardiac arrest

253
Q

After drop

A

When extremities are warmed first which causes peripheral dilation and cold blood to core which then decreases CBT
Can lead to cardiac arrhythmias or death

254
Q

Imaging oblique/mortise view

A

Foot and leg are IR 15-30 deg to see mortise and distal tib-fib joint

255
Q

Weber classification for Fibular fracture

A

A: below ankle joint
B: fx at joint with tib fib lig intact
C: fx above jt level with syndesmotic tears

256
Q

Tillaux fx

A

SH III fx involving avulsion of anterolateral tibial epiphysis

257
Q

Hallmark sign of lisfranc injury

A

Medial plantar bruising

258
Q

Best imaging for Lisfranc injury

A

MRI

259
Q

MTSS imaging order

A

X-rays
Bone scan
MRI

260
Q

Best imaging for pelvis

A

CT scan is best view of posterior ring

261
Q

Pelvic fx

A

Usually occurs in more than 1 area because it is a ring

262
Q

Most common hip fx location

A

Femoral neck

263
Q

Best imaging for non-displace hip fx

A

MRI

264
Q

Legg calve perthes imaging

A

MRI (bc AVN)

265
Q

Pittsburgh knee rules

A

Blunt trauma
Age <12 or >50
Inability to WB 4 steps

266
Q

Fabella

A

Bone formation behind knee that is a normal variant

267
Q

Segond fx

A

Avulsion fx off prox lat tibia (LCL insertion)

268
Q

Best imaging view for foraminal narrowing

A

Oblique

269
Q

Neck issues that should not RTP

A

Cervical stenosis

Multiple episodes of burners and stingers

270
Q

Elbow ossification sequence

A 
Capitellum 
Radial head 
Internal (med) epicondyle 
Trochlea 
Olecranon 
External (lat) epicondyle
271
Q

Nightstick fx

A

Mid ulna

272
Q

Monteggia fx

A

Fx of prox ulna with radial head dislocation (MUR)

273
Q

Galeazzi fx

A

Fx of distal head of radius and dislocation of ulnar head

GRU

274
Q

Subacute and chronic brain injury imaging

A

MRI is very sensitive

275
Q

When is CT scan required in regard to head injury

A 
Glasgow score of 15 +1 of the following:
HA
Vomit
>60 
Drugs/alcohol 
Persistent anterograde amnesia 
Visible trauma 
Seizure
276
Q

Shoulder impingement imaging

A

X-ray

US or MRI

277
Q

Best imaging technique for full thickness RTC tear

A

Ultrasound (also good for LHBT)

278
Q

Which imaging technique is best for partial thickness RTC tear?

A

MRa

279
Q

Which imaging technique is gold standard for labral pathology?

A

MRA

280
Q

Which imaging view is best to see direction of dislocation

A

Axillary view

281
Q

What does West Point imaging view show

A

Anterior inferior glenoid

Bank hart and Hill Sachs lesions

282
Q

What does Stryker Notch imaging view show?

A

Posterolateral HH

Can also see Hill Sachs

283
Q

Normal joint space GH jt

A

Norm=7-10 mM

<3 mm =full RTC tear

284
Q

Which imaging view is best for AC jt

A

Zanca view

285
Q

Which nerve to be aware of with humeral fx?

A

Radial n.

286
Q

MRA imaging best for?

A 
Labral (SLAP, Bankhart)
Capsular disruption 
Cartilage 
Partial thickness RTC tear 
Prox biceps tears
287
Q

Imaging view for hamate fx

A

Carpal tunnel view

288
Q

Colles fx

A

Distal radius with dorsal angulation

289
Q

Smith fx

A

Distal radius fx with palmar angulation

290
Q

Imaging technique that’s most accurate for scaphoid fx

A

MRI

291
Q

Kienbock’s disease

A

AVN of lunate

X-ray then MRI

292
Q

Bennett and Rolando fx

A

Bennet is 2 piece fx of thumb

Rolando is 3 piece fx of thumb

293
Q

Gamekeeper’s thumb

A

Avulsion fx of thumb at MCP jt

Rupture of UCL = Stener lesion

SCS PREP (4 decks)

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