MSK Adult Health 2 Exam 2024/2025 questions and answers

MSK Adult Health 2 Exam
Stage 1 of bone healing - ANS Hematoma formation

24-72 hrs



Stage 2 of bone healing - ANS hematoma to granulation tissue

3 days - 2 weeks



Stage 3 of bone healing - ANS calcium formation

3-6 weeks



Stage 4 of bone healing - ANS osteoblastic proliferation

3-8 weeks



Stage 5 of bone healing - ANS Starts as early as 4 - 6 weeks after fracture and may continue for up to a
year



bone remodeling



Complications of Fractures - ANS Acute compartment syndrome

Crush syndrome

Hemorrhage and hypovolemic shock

Fat embolism syndrome

Venous thromboembolism

Infection

Chronic complications

, Possible chronic complications - ANS Delayed Union

Malunion

Nonunion

Avascular Necrosis of the Bone-see question

Complex regional pain syndrome



the 6 P's - ANS Pain

Pulses

Pallor

Paresthesia

Pressure

Paralysis



Pain - ANS related to edema, bone fragments, and muscle spasms. unrelieved pain is associated with
compartment syndrome



Pulses - ANS diminished or absent pulse distal to the site of the injury indicate poor perfusion



Pallor significance - ANS poor perfusion



Paresthesia significance - ANS possible nerve damage



Pressure significance - ANS related to edema. May result in compartment syndrome



Paralysis significance - ANS significant nerve damage