Orthopedic Pearls Card Exam Questions and Answers 100% Pass | Graded A+

Orthopedic Pearls Card Exam Questions and Answers 100% Pass | Graded A+ Which bone cancer is most likely to start in the spine or pelvis of children? Ewing's Sarcoma (5-25 y/0 ) Lytic lesion with layered periosteal reaction "onion peel" on X-Ray What age group is osteosarcoma most likely to affect? Second decade of life What is the Dx? Patient in his 20s with progressive bone pain worse at night and a sunburst appearance on X-ray. Osteosarcoma (Osteosarcoma = sun) What is the most common bone location for metastasis of other (non-ortho) cancers? Spine Which type of bone cancer is usually seen in patients over 50 years of age? Chondrosarcoma Name 3 types of Bone cancer. Osteosarcoma - Chondrosarcoma - Ewings sarcoma What pathogen can cause septic arthritis in healthy sexually active young adults? Neisseria gonorrhoeae Treatment for osteomyelitis? Debridement - Blood and wound cultures - Antibiotics based on culture for 6 + weeks - Remove hardware if present What type of fracture places patient at risk for fat embolism? Long bone fracture What exam finding is pathognomonic for fat embolism? Petechial rash after long bone fracture Treatment for compartment syndrome with high compartment pressure of 35-40 mmHg? Fasciotomy What is the name for a 5th metatarsal diaphysis fracture? Jones Fracture 5 Ps to look for if compartment syndrome is suspected? Pain - Pallor - Pulselessness - Paresthesia - Paralysis Treatment for Achilles tendon rupture? Surgical repair What is the Dx? + Thompson test of the ankle patient can't stand on toes. Achilles tendon rupture Most common type of ankle sprain? Lateral sprain from inversion of the foot (Anterior talofibular ligament) What is the most likely injury with a + posterior draw and posterior sag sign? PCL injury/tear What is the most likely injury with a + anterior draw test of the knee? ACL injury/tear What is the most likely injury after a varus stress trauma to the knee? LCL injury What is the most likely injury with a + McMurray's test of the knee? Meniscal tear/injury What is the most likely injury with a + Lachman s test of the knee? ACL injury Treatment for Osgood-Schlatter? Conservative: Ice - NSAIDs - Protective pad over area Where is pain and swelling located with Osgood-Schlatter disease? Tibial tubercle/tuberosity (the point of insertion of patellar tendon) Should DVT prophylaxis be provided to all hip FX patients (unless contraindicated) after ORIF of the hip? Yes What is the Dx? Elderly patient after a fall with an externally rotated and shortened left leg. Left hip fracture Name 2 common risk factors for developing a hip fracture. Osteoporosis - Elderly