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Trauma Quiz

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1 / 50

A 72-year-old female presents to your office with a 24-month old painful nonunion of a 3-part fracture of the proximal humerus. She has been treated conservatively with range of motion exercises but continues to complain of debilitating pain and dysfunction. Operative management should include:

2 / 50

All of the following are true statements regarding compartment syndrome in the pediatric patient EXCEPT:

3 / 50

When placing a percutaneous retrograde pubic rami screw for fixation of an acetabular fracture, which of the following radiographic views can best ensure that the screw does not exit the posterior aspect of the superior pubic ramus?

4 / 50

Which of the following is the earliest laboratory finding in a case of fat embolism:

5 / 50

A patient presenting with scapulothoracic dissocation and ipsilateral extremity neurologic injury is most likely to have which of the following outcomes?

6 / 50

Poor pre-injury cognitive function has been proven to increase mortality for which of the following injuries?

7 / 50

A 19 year old snowboarder complains of pain in the lateral ankle after an awkward landing. He had 2 weeks of bracing followed by 6 weeks of physiotherapy for a suspected lateral ligament complex sprain. His persistent pain is most likely due to

8 / 50

When performing a Kocher approach to the radial head for open reduction internal fixation the forearm is held in pronation. What structure is this maneuver attempting to protect?

9 / 50

The talocrural angle of an ankle mortise x-ray is formed between a line perpendicular to the tibial plafond and a line drawn:

10 / 50

Compared to patients with unilateral femoral fracture, patients with bilateral femoral fractures are at greater risk for which complication?

11 / 50

What is the earliest sign of Volkmann’s ischaemia:

12 / 50

What percentage of normal circulating blood loss is needed for a patient to become tachycardic with a narrowed pulse pressure?

13 / 50

A patient sustains a comminuted calcaneus fracture. Three months after the injury the patient complains of shoewear problems secondary to clawing of the lesser toes. What is the most likely explanation for this deformity?

14 / 50

A 70-year-old woman with known osteoporosis sustains a distal radius fracture of her dominant arm with some metaphyseal comminution. Adequate maintenance of reduction by non-operative treatment is unsuccesful. Which plating option provides the most appropriate treatment of this fracture?

15 / 50

Anterior penetration of an iliosacral screw through the sacral ala would most likely lead to weakness of which of the following movements?

16 / 50

During an open reduction internal fixation of a humerus fracture using the posterior approach, a surgeon can identify the posterior antebrachial cutaneous nerve and trace it proximally to which of the following nerves?

17 / 50

A 59 year old man is found 7 hours after sustaining a comminuted fracture of his left tibia secondary to a high velocity gun shot wound. He is hypotensive on site ( syst BP <90) but responds well to IV fluids. He has a weak DP pulse but good Cap Refill. What is the patient’s MESS value?

18 / 50

A 68-year-old woman undergoes hemiarthroplasty for a proximal humerus fracture. What post-operative motion should be limited as it puts the most stress on the lesser tuberosity fragment fixation?

19 / 50

Which of the following is incorrect about dislocation of sternoclavicular joint:

20 / 50

Which of the following is true regarding embolisation in the management of pelvic fractures with associated bleeding?

21 / 50

Which of the following methods accurately describes the measurement of tip-apex-distance as it relates to placement of a lag screw in the femoral head?

22 / 50

Open reduction and internal fixation for fracture clavicle is indicated in all of the following except:

23 / 50

Residual end-organ hypoperfusion in a polytraumatized patient is shown by which of the following?

24 / 50

Which of the following treatments of an oligotrophic supracondylar femoral nonunion has been shown to have the best outcome?

25 / 50

A patient who has sustained open wound on leg is bleeding profusely.   Before patient arrives in hospital thesafest method to stop bleeding is:

26 / 50

Transeverse fracture of humeral shaft in adults:

27 / 50

Following operative repair of lower extremity long bone and periarticular fractures, what is the time frame for patients to return to normal automobile braking time?

28 / 50

Which of the following is an advantage of computer-assisted navigation used to place medullary nail interlocking screws compared to a freehand techinque?

29 / 50

The flexor hallucis longus tendon is at greatest risk of injury with a lateralto-medial drill or screw during fixation of what structure?

30 / 50

Your 25-year-old patient complains of anterior knee pain after retrograde femoral nailing for a diaphyseal fracture and asks you why you didn’t perform antegrade nailing as he has seen on the internet. You tell him that retrograde nailing is your preferred technique over antergrade nailing for diaphyseal femoral fractures because it has been shown to have?

31 / 50

A 29-year-old male sustained a mid-shaft femur fracture in a motor cycle accident. Even if asymptomatic, what additional radiographs must be obtained either preoperatively or intraoperatively before performing intramedullary nailing of the femoral shaft fracture?

32 / 50

An 18-year-old athlete is now 3 months out from anterior cruciate ligament reconstruction. He has been unable to obtain full extension of the knee. His range of motion is from 12° to 125° compared to 0° to 140° on the contralateral knee. He has no effusion, no pain at rest, and a stable Lachman’s test. He is having difficulty ambulating without crutches. What is the most common technical error which can account for these findings?

33 / 50

The anterolateral branch of the anterior circumflex artery supplies blood to what aspect of the proximal humerus?

34 / 50

A 28-year-old male sustains a midshaft fibula fracture after being kicked during a karate tournament and develops compartment syndrome isolated to the lateral compartment of his leg. If left untreated, which of the following sensory or motor deficits would be expected?

35 / 50

When evaluating patients that needed revision surgery, what is the most common cause of a failed primary ACL reconstruction?

36 / 50

A 30-year-old patient underwent open reduction internal fixation of a talar neck fracture 8 weeks ago. His current radiographs demonstrate a subchondral radiolucency of the dome of the talus. What is the next most appropriate course of action?

37 / 50

With comparison to a below the knee amputation, each of the following are disadvantages of a through the knee amputation EXCEPT:

38 / 50

Based on the Young and Burgess classification of pelvic ring injuries, an anterior-posterior compression type II injury does not result in disruption of which of the following?

39 / 50

What MESS value has been associated with a 100% amputation rate?

40 / 50

When treating a stable 2-part intertrochanteric hip fracture with a sliding hip screw construct, what is the minimum amount of screw holes that are needed in the side plate for successful fixation?

41 / 50

The greatest increase in compartment pressure during reamed intramedullary nailing of tibial shaft fracture occurs with the use of:

42 / 50

The mangled extremity severity score (MESS) utilizes all of the following variables EXCEPT:

43 / 50

In patients with ipsilateral femoral neck and shaft fractures, what percent of femoral neck fractures are diagnosed on a delayed basis?

44 / 50

All of the following indicators of resuscitation may be within normal limits for a trauma patient that is in “compensated” shock EXCEPT:

45 / 50

A butcher sustains a traumatic amputation of the ring finger through the distal interphalangeal joint. He is brought to the operating room where the flexor digitorum tendon is retrieved and advanced to the distal stump. Three months after surgery the patient notes that when he makes a fist, only his ring finger tip reaches the palm. What is this patient’s clinical problem?

46 / 50

All of the following have been shown to negatively affect clinical outcomes in treating displaced acetabular fractures, EXCEPT:

47 / 50

Antegrade femoral nailing in polytrauma patients with chest injuries should be:

48 / 50

A 48-year-old male is involved in a motorycycle accident and arrives in the trauma bay in hypovolemic shock. He receives 6 units of packed red blood cells during his resuscitation. Which of the following viral microbes is he most at risk of exposure from the transfusions?

49 / 50

In addition to lengthening the achilles, transfer of which tendon is important for functional ambulation after performing a Chopart amputation of the foot?

50 / 50

Longitudinal radioulnar dissociation, including Essex Lopresti fractures, requires disruption of the interosseous membrane (IOM). The interosseous membrane (IOM) consists of all of the following ligaments EXCEPT?

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