1.Describe the 3 hammertoes | 1. Flexor stabilization- pronated foot, late stance most common 2. Flexor substitution- supinated, high arch foot, late stance 3. Extensor substitution- anterior cavus, ankle equinous, swing phase |
2.What are the 3 components of clubfoot? What is the order of correction? | 1)FF adductus, 2)RF varus, 3)equinus. -Take out the supinatus, next correct the FF and RF together, then the ankle equinus. |
3.What are the malignant bone tumors of the foot? | Ewings Osteosarcoma Chondrosarcoma Fibrosarcoma Periosteal Sarcoma |
4.Name the benign bone tumors of the the foot | FOG MACHINEFibrous displasia Osteochondroma Giant Cell tumor Myeloma Aneurysmal bone cyst Chondroblastoma, condromyxoid, fibroma, clear cell Hemangioma Infection Non-ossifying fibroma Eosinophilic granuloma, enchondroma, epidermoid inclusion cyst Solitary bone cyst |
5.What is the danger of rapid correction of hyponatremia? | Central Pontine Myelinolysis; a demyelinating syndrome |
6.What does “ACE” wrap stand for? | All Cotton Elastic |
7.Abx Gram Positive (+) Coverage | 2nd & 4th Gen PCN 1st & 2nd Gen Cephs Carbapenems Tetracyclines 2nd Gen Quinolones Macrolides, Bactrim, Vancomycin, Clindamycin, Zyvox, Synercid, Rifampin |
8.Abx MRSA coverage | Vancomycin Clindamycin Zyvox Synercid Bactrim/Rifampin Cubicin |
9.Abx Gram Negative (-) Coverage | 3rd & 4th Gen PCN Carbapenems Tetracycline Aztreonam Bactrim 2nd-4th Gen Quinolones |
10.Pseudomonas Coverage |
FAT CIAZ Cefobid, Imipenin, Aminoglycosides, Zosyn |
11.What is the resident nerve? | Extensor Capsularis |
12.What is the freshman nerve? | Plantaris |
13.What is Vamp’s disease? | Vamp disease describes an inflammatory swelling on the dorsal (top) aspect of the foot corresponding to the vamp of the shoe. |
14.Name 10 antifungal medications. |
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15.Name 10 causes of a red, hot, swollen foot. |
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16.Weber and Cech classification for non union fractures? | 1) Hypertrophic – elephant foot, horse hoot, oligotorophic
2) Atrophic – torsion wedge, comminuted, defect, atrophic |
17.Rowe Classification for calcaneal fractures? | Type 1 A – Plantar tuberosity fractures B – Sus tali fracture C – Anterior process fractures Type 2 A – Extra-articular “beak” fracture of the posterior-superior calcaneal body B – Intra-articular “tongue-type” Achilles avulsion fracture Type 3 – Extra-articular calcaneal body fx Type 4 – Intra-articular comminuted fx Type 5 – Intra-articular Joint Depression |
18.What are the classifications for (SER) Supination External Rotation ankle fractures? |
Stage 1 – AITFL syndesmotic rupture or avulsion of its insertion Stage 2 – Spiral lateral malleolus fracture (Weber B), long, posterior spike on lateral radiograph Stage 3 – PITFL syndesmotic rupture or avulsion of its insertion Stage 4 – Transverse avulsion fx medial malleolus/ deltoid rupture (Mueller B) |
19.Where is Wagstaff fracture located? | AITFL avulsion from the anteromedial fibula |
20.Antibiotic treatment for open fractures? |
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21.What are the three most popular narcotics used for analgesia during closed reductions? | -fentanyl -dilaudid -morphine |
22.What are some potential causes of drop foot? | Trauma to fibula neck (deep peroneal nerve), Guillain-Barre, Charcot-Marie Tooth disease, compartment syndrome |