Surgical Disorders

Question 1

management of anterior ureter injury

Answer 1

surgical repair

Question 2

management of posterior ureter injury

Answer 2

suprapubic drainage and delayed surgical repair

Question 3

topical burn ointment

Answer 3

silver sulfadiazine

Question 4

burn ointment for thick eschar, cartilage when deeper penetration is needed

Answer 4

mafenide acetate

Question 5

spider bite: necrotic center with surrounding halo of erythema

Answer 5

brown recluse spider

Question 6

treatment for brown recluse spider bite

Answer 6

local excision and possible skin grafting

Question 7

spider bite: nausea, vomiting, generalized muscle cramps

Answer 7

black widow spider

Question 8

treatment for black widow spider bite

Answer 8

calcium gluconate and muscle relaxants

Question 9

child with uneven gluteal folds

Answer 9

developmental dysplasia of the hips

Question 10

treatment for developmental dysplasia of the hips

Answer 10

pavlik harness x 6 months

Question 11

treatment for slipped capital femoral epiphysis

Answer 11

surgical pinning

Question 12

diagnosis of septic joint

Answer 12

aspiration of joint

Question 13

diagnosis of osteomyelitis

Answer 13

bone scan

x-ray will not show pathology for a couple weeks

Question 14

treatment for genu varum (bow-legs)

Answer 14

no treatment needed before age 3

after age 3 consider surgery

Question 15

treatment for genu valgus (knock-knees)

Answer 15

normal between ages 4-8

Question 16

osteochondrosis of the tibial tubercle

Answer 16

osgood-schlatter disease

Question 17

feet turned inwards, plantar flexion of the ankle, inversion of the foot, adduction of the forefoot, internal rotation of the tibia

Answer 17

club foot (talipes equinovarus)

Question 18

fracture possible when child falls on outstretched hand with hyperextended elbow

Answer 18

supracondylar fracture of the humerus

Question 19

bone tumor in diaphyses of long bones

Answer 19

ewing sarcoma

Question 20

bone tumor in lower femur or upper tibia with periosteal inflammation

Answer 20

osteosarcoma

Question 21

where do soft tissue sarcomas metastasize

Answer 21

lungs

NOT lymph nodes

Question 22

imaging method of choice for multiple myeloma

Answer 22

xray

NOT bone scan

Question 23

imaging method anterior shoulder dislocation

Answer 23

AP/lateral x-rays

Question 24

imaging method posterior shoulder dislocation

Answer 24

axillary/scapular lateral x-rays

AP/lateral will often miss it

Question 25

treatment of colles fracture

Answer 25

closed reduction and long arm cast

Question 26

diaphyseal fracture of ulna, anterior dislocation of radial head

Answer 26

monteggia’s fracture
open reduction for broken arm
closed reduction for dislocated arm

Question 27

fracture of distal third radius, dorsal dislocation of radio-ulnar joint

Answer 27

galeazzi’s facture
open reduction for radius
closed reduction for ulna

Question 28

tenderness over anatomic snuff box, x-ray shows nothing

Answer 28

undisplaced scaphoid fracture
treatment: thumb spica cast
x-ray will show fracture in 3 weeks

Question 29

tenderness over anatomic snuff box, x-ray shows displaced fracture

Answer 29

displaced scaphoid fracture

treatment: open reduction and internal fixation

Question 30

one left is shorter than the other and externally rotated

Answer 30

hip fracture

Question 31

older, overweight patients with disabling, sharp heel pain when their foot strikes the ground, pain worse in mornings

Answer 31

plantar fasciitis

x-ray may show bony spur but this is not the cause of the problem, treat symptomatically

Question 32

tender space between 3rd and 4th toes caused by pointed shoes and high heels compressing toes together

Answer 32

morton’s neuroma inflammation of the common digital nerve at the third interspace
treatment: analgesics and more sensible shoes