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Board Studying Notecards > Trauma > Flashcards

Trauma Flashcards

1
Q

SIRS

A
  1. T > 38 or < 36
  2. HR > 90
  3. RR > 20 or PaCO2 < 32
  4. WBC > 12k or < 4k
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2
Q

Absence of plantar sensation in a mangled extremity at the time of injury does…

A

NOT predict function or presence of plantar sensation or function at 2 year follow up.

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3
Q

What is linked to improved patient reported outcome after a mangled limb?

A

ability to return to work (no diff between salvage and amp).

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4
Q

Is function of thru knee or AKA better?

A

AKA

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5
Q

Metabolic change of syme amp

A

15%

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6
Q

Metabolic change of traumatic BKA

A

unilateral 10%

bilateral 40%

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7
Q

Metabolic change of traumatic AKA

A

70%

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8
Q

What is the rate of MRSA in orthopedic trauma patients?

A

3%

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9
Q

Foot compartment syndrome incisions

A

dual dorsal incision (1 medial to 2nd MT and 1 lateral to 4th MT)

*9 compartments

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10
Q

OTA Strong Recommendations re VTE ppx (3)

A
  1. LMWH w/i 24 hours for inpatients with MSK injury
  2. mechanical compression in addition to LMWH
  3. Against routine use of IVC filters unless pt has documented PE or DVT despite appropriate ppx
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11
Q

ASA MOA

A

irreversible blocking of thromboxane, platelet active

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12
Q

Heparin MOA

A

indirect thrombin inhibition by binding to ATIII

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13
Q

Heparin has a faster onset than LMWH bc…

A

it also inhibits Xa and IIa (thrombin)

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14
Q

Apixaban and Rivaroxaban MOA

A

direct Factor Xa inhibitors

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15
Q

Dabigatran MOA

A

direct thrombin inhibitor

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16
Q

Pregnant trauma patients should be positioned…

A

left lateral decubitus (left side down).

Aorta/IVC compression can decrease CO by 25%.

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17
Q

Domestic violence victim risk factors

A

female
19-29 yo
pregnant

18
Q

Most common injury pattern in IPV

A
  1. facial fractures

2. UE injuries

19
Q

Tile Classification

A

A: stable, avulsions
B: rotationally unstable
C: rotationally and vertically unstable

20
Q

LC I and LC II associated injury

A

brain (50%)

21
Q

LC III associated injury

A

bowel (20%)

22
Q

Obturator outlet view is good for…

A

anterior column screws and supra-acetabular screws/pins

23
Q

Obturator inlet view is good for…

A

ensuring screws are between the inner and outer tables.

24
Q

If blood at meatus or mobile prostate with pelvic ring fx, perform….

A

retrograde urethrogram.

25
Q

Women with pelvis fx are at increased risk for…

A

future C-section and dyspareunia.

26
Q

Most common sequelae for males with pelvic injury and genitourinary injury is…

A

urethral stricture.

27
Q

XR view for SC dislocation

A

serendipity view

(40 degree cephalic tilt)

**Posterior dislocations look caudal.

28
Q

Treat symptomatic, chronic AC joint dislocation with…

A

medial clavicle resection and costo-clavicular ligament recon.

29
Q

Indications for ORIF Scapula (5)

A
  1. coracoid/acromion displaced > 1 cm
  2. glenoid displaced > 2-5 mm (or GH instability)
  3. glenopolar angle < 20
  4. body angle > 45
  5. lateral border displacement > 2 cm
30
Q

Treatment of Fracture-Dislocation posterior shoulder

A
  • if 20-40% defect size, transpose LT w/ subscap into defect

- if > 45% (or chronic), tx w/ arthroplasty

31
Q

Acceptable alignment for non-op tx of humeral shaft fractures

A
  • 20 degrees A/P angulation
  • 30 degrees varus/valgus angulation
  • 15 degrees malrotation
  • 3 cm shortening
32
Q

Nerve at risk with distal lateral to medial interlock screws (humeral nail)

A

radial

33
Q

Nerve at risk with distal anterior to posterior interlock screws (humeral nail)

A

musculocutaneous

34
Q

Kocher Approach

A

Between anconeus (radial) and ECU (PIN)

**avoid LUCL injury by opening capsule above the equator

35
Q

Kaplan’s Approach

A

between EDC (PIN) and ECRB (radial)

**Close to PIN anteriorly (pronate to protect)

36
Q

Rehab protocol for terrible triad post-op

A

30-130 degrees active flex/ext in PRONATION 48 hrs post-op

37
Q

Timed Up and Go test

A

time to rise from chair, walk 3m, walk back to chair and sit down
(normal is less than or equal to 12 seconds)

**predictive of need for assistive aid and fall risk

38
Q

What is the malreduction seen in unstable left-sided intertroch fractures?

A

anterior flexion spike of proximal fragment due to screw torque

39
Q

What is a significant predicotr of re-operation in unstabl eintertrochs?

A

integrity of lateral femoral cortex

40
Q

CMN with helical blade (vs lag screw) is associated with…

A

higher incidence of medial migration.

Board Studying Notecards (12 decks)

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