Question Bank #5

1.What is an alternative to a patient with codeine allergy?STUDENT:
Stradol,
Toradol,
Ultram,
Demerol,
Nubim,
Talwin
2.Would you use a tourniquet on a patient with sickle cell anemia?No, the red blood cell is sickle and it will cause slough in vasculature and thromboses. Can lead to ischemia.
3.What are the P’s of compartment syndrome?Paraesthesia,
pallor,
paralysis,
pain out of proportion,
pulselessness.
4.Which goes first?Pain out of proportion
5.How many compartments in the leg?4
6.What are the compartments in the leg?Anterior, Lateral, superficial posterior, deep posterior.
7.What compartment in the leg is most commonly affected by acute compartment syndrome?Anterior compartment
8.What would the first sign of anterior LEG acute compartment syndrome?Hypoesthesia in the 1st interspace, from the affected deep peroneal nerve
9.How many compartments are in the foot?9
10.What are the compartments of the foot?Calcaneal, medial, lateral, superficial, central deep, and 4 interrosseous.
11.What is bohlers normal angle? normal is (20-40 degrees), decreased with calcaneal fracture.
12.What is Angle of Gissane normal valuenormal is 120-140 degrees, increased with calcaneal fracture
13.How do you close reduce a fracture?Increase deformity, distract, realign (reduce), and splint.
14. What is mondor’s sign?plantar ecchymosis called on the plantar aspect of the foot which is pathogneumonic for calcaneal fractures.
15. In shoe anatomy, what is a Shank?Stiff insert between heel and toes.
16.In shoe anatomy, what is the Last?Mold that shoe is built upon
17.In an orthotic, what is the Cookie?Longitudinal pad to offload metatarsal heads
18.In shoe anatomy, what is the Vamp?Forefoot of shoe covering metatarsals
19.What do you need to order before you can do surgery?CBC,
BMP,
pre-albumin, albumin,
PT/PTT,
EKG,
Chest Xray,
cardiac clearance (if needed),
pregnancy test (if needed)
20.What is Virchow’s Triad?Hypercoagulable state,
endothelial damage,
venous stasis
21.What organism are sickle cell patients most likely to acquire in osteomyelitis?Salmonella
22.What are risk factors for DVT?I AM CLOTTED
Immobility,
Atrial fibrillation,
Malignancy,
hyperCoagulation,
longevity (age),
Obesity,
Trauma,
Tumor,
Estrogen,
prior DVT (biggest factor)

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QUESTION BANK #4