Question Bank #1

Question Answer
1.Where does the “C” in CRP come from? C polysaccharide of pneumococcus
 2.What are the only two drugs FDA approved for painful diabetic neuropathy?  Cymbalta (Duloxetine), Lyrica (Pregabalin)
3.Origin of Warfarin? 1948: Wisconsin Alumni Research Foundation; rat pesticide
4.Author who described the >25% rule for Posterior Malleolar fractures? McDaniel
 5.What concerns does a surgeon have with a prone patient?  Retinal detachment and peri-orbital edema
6.How small are the cuts in a thin cut spiral CTA? 2mm
7.Name 4 drugs that can be used with PMMA beads? Vancomycin, Gentamycin, Tobramycin, Cefazolin
8.What is the tension side of a metatarsal upon weightbearing?  plantar
9.What is the name of the venous plexus deep to the EHB & EDB muscle belly? Ruch’s plexus
10.Incidences of the peroneustertius, plantaris, peroneusquartus? PT 93%, PL 90%, PQ 7%
 11.How do you reverse Lovenox?  Recombinant Factor VII
12.What is the BS of a diabetic with an HBA1c of 8%? 170mg/dl. Coversion: A1c of 6%=110mg/dl, then 30mg/dl for each percent
13.Which Abx is ineffective for pulmonary infections?  Daptomycin (Cubicin)
14.What is critical lab to order for a patient on Linezolid (Zyvox)? CBC for risk of thrombocytopenia
15.Who first described the Triple Arthrodesis? Ryerson 1928
16.What is the constant fragment in a calc fracture?  sustentaculum tali, is held in place by the deltoid ligaments
17.Why doesn’t Apligraf come pre-fenestrated? Because it is living tissue and will heal prior to application
18.What is the purpose of a Ten-ten drape? To keep any betadine or blood from going under the tourniquet and causing blisters or skin necrosis
19.How can you tell antibiotic is in the pulse lavage? It bubbles or foams
20.What other fracture are concerned about with a calcaneal fracture? L1: incidence is 10%
21.What bug do quinolones do not cover? Enterococcus
22.Toxic Dose of Vicryl? 1 or 2 lbs
23.How much STJ motion do you lose with a TN joint fusion? 91% per Astion
24.What drug can be used for anticoagulation in a H.I.T. patient? Argatroban
25.When is a bone anchor indicated for reattachment of the Achilles tendon? >50% insertion resection
26.Who was the first person to describe Charcot? Musgrave 1703; venereal disease
27.Who was the first person to describe Charcot in diabetics? Jordan 1936
28.How does a wound V.A.C. work? A wound vac creates a negative pressure environment, which stimulates mitosis and angiogenesis of granulation tissue
29.Knee arthritis is most commonly going to occur in medial or lateral? Medial: 60% of weight bearing
30.What are absolute contraindications to tourniquet use? Recent revascularization, tumor/mets, Sickle cell disease, Beta-thalassemia
31.Give me 10 diagnosis for heel pain.
  1. Plantar fasciitis
  2. Plantar fascia tear/rupture
  3. Heel spur
  4. Bursitis
  5. Tarsal tunnel syndrome
  6. Stress fracture
  7. Bone tumor
  8. Callus
  9. Haglunds
  10. Achilles tendinitis/rupture
  11. Severed AVN
32.What is in a subchondral cyst? Synovial fluid
33.What is the strongest suture? Stainless steel
34.Why don’t you use Vicryl in a deep wound? capillary beds would be severed
35.What is the tidemark zone? distinction between the vascular and avascular zones of cartilage
36.Why do you not use a tourniquet for a gastrocnemius recession? Rhabdomyalysis complications
37.With a fresh frozen graft, which organism will not be killed? Clostridium (spores)
38.What two drugs can leave a metallic taste in your mouth Lamisil and Metronidazole
39.What structure should one visualize with complete lateral STJ resection? FHL
40.How far away from the lateral calcaneal wall should an arthroresis be? 1 cm