Tintinalli Board Review Ratio

Question 1

Examination findings of posterior sternoclavicular dislocation

Answer 1

Dysphagia
Stridor when supine
Decreased ROM of ipsilateral arm
Venous congestion
Decreased pulses

Question 2

Imaging of choice for sternoclavicular dislocation

Answer 2

CT scan

Question 3

Indications for Thumb Spica

Answer 3

Scaphpoid fractures
Thumb metacarpal fracture
Proximal phalanx fracture

Question 4

The higher the water temperature, the _____ plaster and fiberglass materials harden

Answer 4

Faster

Water + plaster = exothermic reaction

Question 5

Type of splint applied to stable ankle sprains or stable lateral malleolus fractures

Answer 5

Medial / Lateral Splint
Ankle stirrup

Question 6

When is a posterior ankle splint used?

Answer 6

Non-weight bearing ankle fracture

Question 7

Most frequent site of compartment syndrome

Answer 7

Anterior lower leg

Question 8

Surgical emergencies needing urgent orthopedic surgery consult

Answer 8

Compartment syndrome
Septic joints
Open fractures
Circulatory compromise due to MSK injury
Irreducible dislocations
Flexor Tenosynovitis

Question 9

Ulnar Nerve Injury

Answer 9

Claw Hand

Question 10

Radial Nerve Injury

Answer 10

Wrist Drop

Question 11

Ok Sign

Answer 11

Median Nerve

Thumb, Hypothenar, 1st and 2nd digit, flexor and pronator muscles of forearm

Question 12

Jones fracture

Answer 12

Fracture at the base of the fifth metatarsal

Acute pain on lateral foot due to a sudden change in directio with the heel off the ground

sx: edema, ecchymosis, inability to bear weight

Question 13

Lisfranc injury

Answer 13

Midfoot injury
2nd metatarsal and LIsfranc ligament

Plantar flexion with an axial load
Car accident
Sports injury

Question 14

Barton’s fracture

Answer 14

Facture of the dorsal or volar rim of distal radius

Question 15

Management of Barton’s fracture

Answer 15

Sugar Tong Splint
Ortho referral

Also for distal radius and ulnar fractures

Question 16

Mechanism of sugar tong splint

Answer 16

Prevents:
pronation/supination
wrist flexion and extenion
Immobilizes elbow

Question 17

Splint for humeral fracture

Answer 17

Coaptation splint

Question 18

Forearm volar splint

Answer 18

Soft tissue hand or wrist injury
2nd to 5th metacarpal fractures

does not restrict supination or pronation

Question 19

Most common carpal bone fractured

Answer 19

Scaphoid

Pain elicited on supination or pronation of the hand
Axial pressure directed along the thumb’s metacarpal
Risk for avascular necrosis

Question 20

Distal radial metaphysis fracture that is dorsally angulated and displaced proximally and distally

Answer 20

Colles’ fracture

FOSH
Dinner fork deformity

Question 21

Galeazzi Fracture

Answer 21

Fracture of the distal third of the radius in association with a dislocation of the distal radioulnar joint

Reverse Monteggia’s fracture

Question 22

Monteggia’s fracture

Answer 22

Fracture of the proximal ulna with dislocation of the radial head