POD MED EXAM III A (VV/LN & GERONTOLOGY) 256
QUESTIONS WITH ACTUAL SOLUTIONS.
Dellon Triple Nerve Release Answer - 1. Common Peroneal Nerve
2. Tibial Nerve
3. Deep Peroneal Nerve
Not sup peroneal n.
Neuropathy Ddx
Claudication; Morton neruoma; OA, radiculopathy, charcot,
Plan fasc. Answer - Tarsal tunnel, B12 defic, Idiopath distal small fiber
neruopathy, erythromelagia.
Polyneuropathy etiology Answer -
Tetanus flow chart Answer -
Necrotizing fasciitis IDSA Answer -
HOM vertebral involvement in? Answer - Elderly
IVDU
Chronic tinea pedis
No itch or symptoms Answer - Dry flaky skin.
,Moccasin.
Topicals don't work.
Trichophyton rubrum most common.
Definitive dx for AOM? Answer - Bone biopsy.
Digital vv
Each digit has medial & lateral draining into common digital veins.
Except: Answer - Medial hallux & lateral 5th which empty into the dorsal
venous arch.
What connects superficial and deep vv? Answer - Perforators.
Great/Long Saphenous vv is?
Starts:
Continuation of:
Course:
Passes through: Answer - Longest in body.
Top of foot.
Medial marginal vv/Dorsal venous arch.
W saphenous nn, up medial leg post to tib/fem condyles.
Fascia lata --> Femoral vv.
Great/Long Saphenous vv Drains?
Valves? Answer - Superficial foot.
Medial leg.
,Medial Thigh.
Groin.
Many.
Small/ short saphenous vv Continuation of?
Course: Answer - Lateral marginal vv post lat malleolus.
Posterolateral leg w sural nn. Perforates popliteal f, between gastroc heads.
Into Popliteal vv.
Perthes' test:
Pt stand, TQ upper thigh/saphenous vv.
10 calf raises. Answer - Pos: Vericosities distal to TQ.
Deep vv occluded, superficial vv dilate.
Perthes' test
pix Answer -
Trendelenberg's Test
Supine, flex hip so leg above heart.
TQ upper thigh to occlude superficial veins.
Pt stands up. Answer - Phase 1: superficial vv fill (<20 s) = Incompetent valves
in deep or communicating vv.
, Phase 2: TQ off- if fill = communicating vv competent, Superficial vv
incompetent.
Vasospastic Disorders
§ Raynaud's
§ Acrocyanosis
§ Livedo Reticularis Answer - Thermal dependent conditions.
Contraction of bv.
Intermittent, spasmodically, or continuously --> peripheral disturbance &
impairs circulation.
Raynaud's
Affects:
Color progression Answer - ¡ Fingers, toes, ears, nose
WHITE (ischemia)--> BLUE/purple (cyanosis) --> RED (reperfusion)
Raynaud's
Primary:
Secondary: Answer - Disease
Phenomenon
QUESTIONS WITH ACTUAL SOLUTIONS.
Dellon Triple Nerve Release Answer - 1. Common Peroneal Nerve
2. Tibial Nerve
3. Deep Peroneal Nerve
Not sup peroneal n.
Neuropathy Ddx
Claudication; Morton neruoma; OA, radiculopathy, charcot,
Plan fasc. Answer - Tarsal tunnel, B12 defic, Idiopath distal small fiber
neruopathy, erythromelagia.
Polyneuropathy etiology Answer -
Tetanus flow chart Answer -
Necrotizing fasciitis IDSA Answer -
HOM vertebral involvement in? Answer - Elderly
IVDU
Chronic tinea pedis
No itch or symptoms Answer - Dry flaky skin.
,Moccasin.
Topicals don't work.
Trichophyton rubrum most common.
Definitive dx for AOM? Answer - Bone biopsy.
Digital vv
Each digit has medial & lateral draining into common digital veins.
Except: Answer - Medial hallux & lateral 5th which empty into the dorsal
venous arch.
What connects superficial and deep vv? Answer - Perforators.
Great/Long Saphenous vv is?
Starts:
Continuation of:
Course:
Passes through: Answer - Longest in body.
Top of foot.
Medial marginal vv/Dorsal venous arch.
W saphenous nn, up medial leg post to tib/fem condyles.
Fascia lata --> Femoral vv.
Great/Long Saphenous vv Drains?
Valves? Answer - Superficial foot.
Medial leg.
,Medial Thigh.
Groin.
Many.
Small/ short saphenous vv Continuation of?
Course: Answer - Lateral marginal vv post lat malleolus.
Posterolateral leg w sural nn. Perforates popliteal f, between gastroc heads.
Into Popliteal vv.
Perthes' test:
Pt stand, TQ upper thigh/saphenous vv.
10 calf raises. Answer - Pos: Vericosities distal to TQ.
Deep vv occluded, superficial vv dilate.
Perthes' test
pix Answer -
Trendelenberg's Test
Supine, flex hip so leg above heart.
TQ upper thigh to occlude superficial veins.
Pt stands up. Answer - Phase 1: superficial vv fill (<20 s) = Incompetent valves
in deep or communicating vv.
, Phase 2: TQ off- if fill = communicating vv competent, Superficial vv
incompetent.
Vasospastic Disorders
§ Raynaud's
§ Acrocyanosis
§ Livedo Reticularis Answer - Thermal dependent conditions.
Contraction of bv.
Intermittent, spasmodically, or continuously --> peripheral disturbance &
impairs circulation.
Raynaud's
Affects:
Color progression Answer - ¡ Fingers, toes, ears, nose
WHITE (ischemia)--> BLUE/purple (cyanosis) --> RED (reperfusion)
Raynaud's
Primary:
Secondary: Answer - Disease
Phenomenon
