SOLUTION SET
◉ What % of non-tramautic amputations in the United States are in
diabetic patients?. Answer: 66%
◉ treatment of out of date tetanus status after trauma. Answer:
administer toxoid and immunoglobulin
◉ What muscle decelerates pronation of STJ during contact phase?.
Answer: Posterior tibialis tendon
◉ effects of RA on STJ. Answer: 30-40% of RA patients affected
Creates Stiffness
Unsteady gate
◉ What causes the increased temperature in malignant
hyperthermia. Answer: Excessive use of ATP to sequester the
calcium that was released
◉ minimal ABI threshold for ampuation?. Answer: 0.5
,◉ What type of orthotic is made to evenly distribute plantar foot
weight in pes planus?. Answer: shaffer plate
◉ effect of middle facet coalition on ankle joint. Answer: may
develop ball in socket type ankle joint
◉ least painful chemical mastrixectomy?. Answer: phenol
◉ What type of suture should be used to ligate vessels?. Answer:
monofilament (PDS, Monocryl, Prolene)
-Board vitals suggests PDS
◉ When is a second dose of perioperative antibiotics warranted?.
Answer: Surgery over 2 hours
Significant blood loss
immunocompromised patient
◉ At what point in the gait cycle is maximum dorsiflexion needed?.
Answer: midstance
◉ most common factor in HAV deformity?. Answer: age >65
,◉ After revascularization, how long before blood flow is optimized
around a wound?. Answer: 4-10 days
◉ What is a Koutsogiannis (nickname "Kouts") procedure and its
indications?
What is a dwyer osteotomy?. Answer: medial calc slide
lateral calc slide
◉ 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)
◉ What suture has a similar tension strength to that of a skin graft
max tension?. Answer: 4-0
A skin graft should not have more tension on it then a 4-0 suture can
hold.
◉ peak effect of morphine timeframe. Answer: 30-60 minutes
, ◉ define pigmented villonodular synovitis (PVNS). Answer: benign
tumor of joints, tendon sheaths and bursa.
◉ symptoms of PVNS. Answer: boggy feel
loss of ROM
aspiration of bloody fluid
◉ zones of the gastrosoleus complex. Answer: Zone 1: Gastroc
muscle belly
Zone 2: myotendinous junction
Zone 3: Achilles tendon
◉ Surgeries done in zone 1 of the gastrosoleus complex?. Answer:
baumann
strayer (this is the "gastroc recession we usually do)
◉ Surgeries done ins zone 2 of the gastrosoleus complex?. Answer:
vulpius/baker
◉ surgeries done in zone 3 of gastrosoleus complex?. Answer:
double/triple hemisection TAL
Z-lengthening tal