Question Bank #3

 

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
Cephalosporins x3 (Fortaz, Cefobid, Maxipime)
PCN x 2 (Zosyn, Timentin)
Aminoglycosides
Primaxin
Quinolones
Aztreonam
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.
  1. Terbinafine (Lamisil)
  2. Clotrimazole
  3. Fluconazole
  4. Ketoconazole
  5. Griseofulvin
  6. Amphotericin
  7. Flucytosine
  8. Caspofungin
  9. Micafungin
  10. Ciclopirox
15.Name 10 causes of a red, hot, swollen foot.
  1. Charcot
  2. Venous stasis
  3. Trauma
  4. Cellulitis
  5. Infection
  6. Post op
  7. Contact dermatitis
  8. Psoriasis
  9. Raynauds
  10. DVT
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?

 

  • 1st gen cephalosporin: Ancef 1-2 grams q8hrs
  • Aminoglycoside: Gentamycin 80mg q8-12hrs
  • 3rd gen cephalosporin: Rocephin 1-2 grams q24hrs
  • Penicillin (farm exposure) 5 million Units q24hrs
  • Clindamycin (ancef allergy) 600mg q6hrs
  • Ciprofloxacin (water expose) 400mg q12hrs
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

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