APMLE 3: Surgery/Anesthesia Questions With Complete
Solutions
Medical clearance does what
Estimate level of cardiac risk for given procedure
Renal hypoperfusion be weary when taking hwat drug
Metformin
What is a potential complication of lateral release with Austin
AVN of capital fragment
FDL tendon transfer contraindicated in what patient
T10 paraplegic
Zones of gastroc release
QT prolong
Hypocalcemia
,Metformin witheld how long after surgery
72 hours - prevent renal hypoperfusion
Volkmans fracture should be fixated if
20-30% of articular surface
Scoop suture
Needle point design
Hallux rigidus deformity Coughlin and Shurnas
0 - 40-60 deg
1 - 30-40 deg
2 - 10-30 deg
3 - 10 or less
Held morning of surgery
Diuretics
Ace
Arbs
Risk of hypotension
Should you shave biopsy melanoma
NO - punch - need depth
Host biiologic response to implanted biomaterials by implant
encapsulation, bone resorption, and sclerosis
Tissue remodeling pahse
Foot and ankle ortho surgeries are
, Intermed Risk
When using calcium sulfate as antibiotic delivery which
statement is correct
Pre made beads have 120 days shelf life
Most common incision of 1st MTPJ
Dorsomedial of MTPJ medial to EHL
Most ideal implant for screws, plates, pins
Stainless steel
Least amount of pain nail
Phenol procedure
Protocol for hypothyroidism patient on levothyrox
Not imperative because levothyrox has a 1 week half life so no
need to take morning of surgery - not necissary
CP patient
You can also do a split PT
Glucocorticoid long term
Stop 1 week preop and not restart until 1 week after
ECG
Men over 40 women >45
Plantar interossei
3 of them
Most common risk HAV
Solutions
Medical clearance does what
Estimate level of cardiac risk for given procedure
Renal hypoperfusion be weary when taking hwat drug
Metformin
What is a potential complication of lateral release with Austin
AVN of capital fragment
FDL tendon transfer contraindicated in what patient
T10 paraplegic
Zones of gastroc release
QT prolong
Hypocalcemia
,Metformin witheld how long after surgery
72 hours - prevent renal hypoperfusion
Volkmans fracture should be fixated if
20-30% of articular surface
Scoop suture
Needle point design
Hallux rigidus deformity Coughlin and Shurnas
0 - 40-60 deg
1 - 30-40 deg
2 - 10-30 deg
3 - 10 or less
Held morning of surgery
Diuretics
Ace
Arbs
Risk of hypotension
Should you shave biopsy melanoma
NO - punch - need depth
Host biiologic response to implanted biomaterials by implant
encapsulation, bone resorption, and sclerosis
Tissue remodeling pahse
Foot and ankle ortho surgeries are
, Intermed Risk
When using calcium sulfate as antibiotic delivery which
statement is correct
Pre made beads have 120 days shelf life
Most common incision of 1st MTPJ
Dorsomedial of MTPJ medial to EHL
Most ideal implant for screws, plates, pins
Stainless steel
Least amount of pain nail
Phenol procedure
Protocol for hypothyroidism patient on levothyrox
Not imperative because levothyrox has a 1 week half life so no
need to take morning of surgery - not necissary
CP patient
You can also do a split PT
Glucocorticoid long term
Stop 1 week preop and not restart until 1 week after
ECG
Men over 40 women >45
Plantar interossei
3 of them
Most common risk HAV
