questions 2 Flashcards

1
Q

outline the salter harris fracture classification

A

1 - fracture through the physis only (x ray norma)

2 - fracture through physis (growthplate) & metaphysis

3 - fracture through the physis & epiphysis to include the joint

4 - fracture involving the physis, metaphysis, epiphysis

5 - crush injury involving the physis (x-ray may resemble type 1 and appear normal)

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2
Q

10 year risk of developing fracture score?

A

FRAX

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3
Q

what FRAX score warrants a DEXA scan

A

FRAX score > 10%

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4
Q

where is the most common site of osteomyelitis in a long bone?

A

metaphysis

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5
Q

most common organism for psoas abscess

A

staphylococcus aureus

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6
Q

what blood supply is at risk of being compromised in scaphoid fracture

A

dorsal carpal arch of the radial artery

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7
Q

when is pain worse in compartment syndrome?

A

passive stretching

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8
Q

key risk factor and x ray findings of avascular necrosis of femoral head

A

long term steroid use

osteopenia & microfractures

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9
Q

what is the initial management of open fractures?

A
  • IV abx
  • photography of wound
  • application of sterile soaked gauze
  • impermeable film
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10
Q

triad of symptoms of fat embolism?

A
  • hypoxia
  • neurological: agitation & confusion
  • non blanching petetchial rash
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11
Q

imaging modality of choice fro osteomyelitis?

A

MRi

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12
Q

what is parsonage-turner syndrome?

A

peripheral neuropathy that may complicate viral illnesses and usually resolves spontaneousl;y

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13
Q

1st line for back pain

A

NSAIDs

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14
Q

effective method of analgesia for patients with a neck of femur fracture

A

iliofascial nerve block

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15
Q

orthopaedic side effect of ciiprofloxacin

A
  • tendinitis

- tendon rupture

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16
Q

femoral nerve damage results in:

A
  • weak knee extension
  • loss of patella reflex
  • numb thigh
17
Q

sciatic nerve damage results in

A
  • weak knee flexion
  • week foot movements
  • pain & numbness from gluteal region to ankle
18
Q

obturator nerve damage results in

A
  • weakness in hip adduction

- numbness over the medial thigh