| Question | Answer |
| 1.What is the Coleman block test? | In a cavus foot type, to test if the Forefoot drives the Rearfoot varus |
| 2.What is Wolf’s law? | Secondary bone remodeling based on adaptation to stress |
| 3.Difference between chem 6 and chem 7 panel? | chem 7 has added glucose test, chem 6 doesn’t |
| 4.Treatment for C.diff colitis? | Vancomycin (oral), Flagyl, Fecal transplant |
| 5.What is osteodessicans? | separation of bone |
| 6.Most common osteodessicans in the foot? | talar dome |
| 7.Total Ankle Replacement (TAR) complications? | septic arthritis, osteomyelitis, mal-union, hardware colapse, avascular necrosis |
| 8. TAR patient with septic arthritis, what would you do? | aspirate joint, remove hardware, joint debridement |
| 9.What causes ABI to be falsely normal in diabetic patients? | tunica media calcification (Monckeberg’s sclerosis) |
| 10.What is Virchow’s triad? | hypercoagubility, blood vessel damage, stasis of blood flow |
| 11.Causes of atraumatic injury of achilles tendon? | long term steroid injection, fluoroquinolone (DNA gyrase inhibitor) |
| 12.Zofran cardiovascular side effect? | Torsades de pointe (prolonged QT) |
| 13.Post-op nausea medications? | zofran, phenergan, promethazine, scopalamine |
| 14.Extra-capsular ligament in the ankle? | CFL |
| 15.Zook’s rule for subungal hematoma? | If less than 25%, trephinate with hot knife or needle. If greater than 25% remove nail. |
| 16.Common foot type after TMA? | Equino-varus; Gastroc, PT, AT muscles are left intact |
| 17.Name one cephalosporin per each generation? | 1) Keflex, 2)Ceftin, 3)Ceftriaxone, 4)Cefepime, 5)Ceftaroline |
| 18.What is in a small frag set? | 3.5 and 4.0 screws |
| 19.AICT stands for? | Achilles insertional calcification tendonosis |
| 20.DISH stands for? | Diffused idiopathic hypertrhopy |
| 21.Lab values indicated for transfusion? | hematocrit 21, hemaglobin 7 |
| 22.From superficial to deep what are the steps of a lateral release in bunion surgery? | Superficial portion of DTML, Adductor hallucis, Fibular sesamoidal ligament, FHB, Fibular sesamoid |
| 23.What is lag by design? | partially threaded screws are design for self compression when fully tightened |
| 24.Lag by technique? | overdrill, underdrill, countersink, measure, tap, screw |
| 25.Toxic dose of Lidocaine 1% plain? | 300mg or 30cc |
| 26.Lidocaine toxicity side effects | Metallic taste, tinnitus, lips tingling, seizures. It affects the cardiovascular by causing bradycardia, AV block, vasodilation, ventricular arrhythmias |
| 27.Types of atrophic non union? | torsion wedge, comminuted, defect, atrophic. |
| 28.types of plate fixations? | compression, neuralization, anti-glide, buttess, locking plate |
| 29.What is creeping substitution | host cells invade the graft and replace it with viable bone |
| 30.What is Vycryl? | Polyglactin 910 |
| 31.Lateral ankle instability surgical procedures? | Brostrom, Modified Brostrom, Brostrom-Gould, Watson-Jones, Evans, Chrisman-Snook, Lee, Elmslie, Nilsonne |
| 32.Rescue medication for lidocaine toxicity | IV fat emulsions bolus of 1.5ml/kg of 20%. Lipid attracts and adsorbs drug before reaching binding site. |
| 33.Amount of cc’s insufflate Ankle joint? | 15cc |
| 34.Anterior drawer test? | 5-8 mm-> rupture of ATFL 10-15 mm -> rupture of ATFL+CFL >15 mm -> rupture of ATFL, CFL, +PTFL |
| 35.What is Hooke’s law? | For a material under load, strain is proportional to stress |
| 36.What is the Silverskiold test? |
For gastroc equinus, dorsiflex the ankle with knee strait and then with knee bent. Distinguish gastroc equinus vs gastroc-soleus equinus.
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| 37.What is Simon’s rule of 15? | For clubfoot in children: T-C angle is 15 |
| 38.Name 10 causes of neuropathy. |
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| 39.Talar tilt test? | >10 degrees rupture of CFL |
| 40.What are the two layers of periosteum? | Outer Fibrous Layer, Inner Cambium Osteogenic layer connected to outer cortex via Sharpey’s fibers |
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