Exam (elaborations)
ABFAS boards Exam (Rearfoot and forefoot)
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ABFAS boards Exam (Rearfoot and forefoot)
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ABFAS boards Exam (Rearfoot and forefoot)3 diseases that cause steppage gait - ANSWER-cerebral palsy
polio
guillain-barre syndrome
a calcaneonavicular coalition is best seen on what X-ray view? - ANSWER-medial
oblique view
-talocalcaneal is best seen on harris beath
ABI needed for a good chance at healing? - ANSWER-0.5
-If ABI is less than 0.5, BKA is likely necessary
absolute contraindication for evan's osteotomy? - ANSWER-metatarsus adductus
abx after TAR for GI/GU or dental procedures - ANSWER-first 2 years-2g amoxicillin 2
hours before surgery or 600 clinda
action of FDB? - ANSWER-plantarflexion of PIPJ and MTPJ
adjustment to X-rays for X-ray through cast? - ANSWER-1.5x normal mA's
After revascularization, how long before blood flow is optimized around a wound? -
ANSWER-4-10 days
ankle arthroscopic portal most likely to damage sural nerve - ANSWER-lateral central
portal
antibiotic for open fracture at a farm? - ANSWER-10-20 million units of penicillin due to
possibility of clostridium contamination.
anticoagulant that is a direct thrombin inhibitor? - ANSWER-dabigatran
apex of deformity in anterior cavus foot with occur at which joint? - ANSWER-1st met
cuneiform joint
Appearance of chondrosarcoma - ANSWER-cortical thickening and destruction
appropriate rigidity of an orthotic for metatarsalgia. - ANSWER-Full length rigid or
semirigid
At what point in the gait cycle is maximum dorsiflexion needed? - ANSWER-midstance
At what stage of gait is the most dorsiflexion needed? - ANSWER-midstance
-As the body moves over the foot.
,avulsion of the anterior process of calc results from pull of which ligament? - ANSWER-
bifurcate ligament
axis of deviation of the STJ? - ANSWER-42 degrees in transverse plane
16 degrees medial in sagittal plane
benefit of ropivicaine over bupivaine - ANSWER-less cardiotoxicity, but much more
expensive.
bernt hardy classifications - ANSWER-Stage 1 • Small area of subchondral
compression
Stage 2 • Partial fragment detachment.
Stage 3 • Complete fragment detachment but not displaced.
Stage 4 • Displaced fragment.
best imaging modality for fibrosseous calcaneonavicular coalition - ANSWER-MRI
-CT scan/radiographs don't do a good job of depicting what type of coalition you have
best modality to diagnose calcaneal or cuboid stress fracture? - ANSWER-MRI
best procedure for treatment of dorsiflexed/inverted foot type due to overpowering of
anterior tibial tendon? - ANSWER-split transfer of TA to cuneiforms
best radiographic view for distal tib fib joint - ANSWER-AP view with 45 degrees of
rotation
best radiographic view to see middle Talocalcaneal coalition - ANSWER-harris-beath
best tendon transfer for CMT - ANSWER-tibialis posterior
brodies abscess is what kind of OM? - ANSWER-subacute OM
buzz words for ewing sarcoma - ANSWER-parallel
spiculated
"hair on end"
causes of fever post-op - ANSWER-12-24hr-atelectasis
24hr-UTI
48hrs- DVT
72hrs- infection
Cedell fracture involves: - ANSWER-posteromedial tubercle of talus
changes to X-ray machine for fiberglass cast - ANSWER-increase mA by 1.5x
, characteristics of a keloid scar - ANSWER-invades surrounding normal skin
usually well demarcated, but may be irregular
shows increased levels of histamine (which may cause itching/numbness/pain)
characteristics of isoflurane - ANSWER-MAC 1.2
minimal cardiac depression
pungent odor
rarely used for induction.
characteristics of ketamine - ANSWER-NMDA antagonist
amnestic
Does not cause paralysis
Characteristics of moderate/conscious sedation - ANSWER-responds purposefully.
Does not require airway intervention
characteristics of orthotics for tarsal tunnel syndrome? - ANSWER-
characteristics of osteosarcoma - ANSWER-sunray appearance
most common bone cancer in children
usually occurs in long bones
characteristics of tissue remodeling - ANSWER-implant encapsulation
bone resorption
sclerosis
characteristis of sevoflurane - ANSWER-excellent induction
non-pungent (good for asthma)
little cardiac depression
expensive
Chracteristics of a keloid - ANSWER-unchecked proliferation of fibrous tissue in the
skin. Remains confined to the site of the original skin injury
clubfoot brace that connects at leg region and can be used for rotational deformities? -
ANSWER-wheaton clubfoot brace
common complication of calcaneucuboid arthroscopy - ANSWER-peroneus brevis
tendinitis
common pain med that may weaken bone/slow bone healing - ANSWER-hydrocodone
common post-op complication of EPF? - ANSWER-calcaneal cuboid joint discomfort
common side effect of IV vitamin K administration - ANSWER-dyspnea, chest tightness
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