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 value | normal 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) |