Chapter·SurgeryOrthopedic Surgery Basics

External fixation principlesDownloads

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Sample Questions

1

A 36-year-old male is taken to the emergency room after jumping from a building. Bilateral fractures to the femur were stabilized at the scene by emergency medical technicians. The patient is lucid upon questioning and his vitals are stable. Pain only at his hips was elicited. Cervical exam was not performed. What is the best imaging study for this patient?

AAP and lateral radiographs of hips

BLateral radiograph (x-ray) of hips

CMagnetic resonance imaging (MRI) of hips, knees, lumbar, and cervical area

DAnterior-posterior (AP) and lateral radiographs of hips, knees, lumbar, and cervical area

EComputed tomography (CT) scan of cervical spine, hips, and lumbar area

2

A 16-year-old boy presents to the emergency department after a skateboarding accident. He fell on a broken bottle and received a 4 cm wound on the dorsal aspect of his left hand. His vitals are stable and he was evaluated by the surgeon on call who determined that suturing was not required. After several weeks the wound has almost completely healed (see image). Which of the following is the correct description of this patient's wound before healing?

AIncised wound

BAbrasion

CLaceration

DAvulsion

EPuncture

3

A 54-year-old male carpenter accidentally amputated his right thumb while working in his workshop 30 minutes ago. He reports that he was cutting a piece of wood, and his hand became caught up in the machinery. He is calling the emergency physician for advice on how to transport his thumb and if it is necessary. Which of the following is the best information for this patient?

APlace thumb in cup of cold milk

BWrap thumb in saline-moistened, sterile gauze and place in sterile bag

CWrap thumb in sterile gauze and submerge in a cup of saline

DThere is no need to save the thumb

EPlace thumb directly into cooler of ice

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