Final Year Frameworks ©️ Quiz

Which of the following is TRUE of this injury?

The best predictor of infection is time to surgery

Compartment Syndrome can still occur

Antibiotics should be started only after debridement to get good cultures

External fixation is required in all open fractures

Patient sustained an injury with this XR. Four hours after manipulation, reduction and application of an above knee cast, the patient complains of increasing pain in the leg. Passive motion of the toes aggravates the pain. Which of the following is the MOST appropriate immediate management?

X-ray of leg to assess alignment of fracture

Elevate the leg using a Thomas splint

Administer IM analgesic and re-assess in 3 hours

Which specific nerve will you be worried about in this injury?

Musculocutaneous Nerve

How will you evaluate the specific nerve that you are worried is affected in this injury?

Weakness in Thumb extension

Numbness over the radial 3.5 fingers

Numbness over little finger

Failure to do OK sign

How would you temporarily stabilize this injury in Step 5 of the framework?

Below knee back slab

Above knee back slab

You see a patient in a clinic for whom you are suspecting a diagnosis of osteoarthritis of the knee. Which most appropriate imaging would you order before referring to the orthopaedic surgeon?

X-ray AP/Lat weight bearing of both knees

X-ray Rosenberg of both knees

Patient with ankle pain sees you for the FIRST time in the clinic. How will you manage this patient with this XR?

Non operative with pharmacological and non pharmacological interventions

Total Ankle Replacement

Which of these statements are true about neurogenic claudication?

Pain is better when leg is in a dependant position

Pain is better when patients walks uphill

Pain is better when spine is extended

Pain gets better with patient resting while standing

10-year-old boy presents with worsening atraumatic right hip pain associated with fever of 3 days duration. All hip movements were limited by pain. His TW, ESR and CRP are elevated. Which of the following is the most likely diagnosis?

Transient synovitis

Slipped capital femoral epiphysis

What is the main difference between skin grafts and skin flaps?

Skin flaps have its own blood supply

Skin grafts are technically more challenging

Skin grafts are ideal for areas with exposed bone

Skin flaps contract more

What will you indicate in the notes for a patient after a knee aspiration? (Why?)

"Allow diet of choice"

"NBM until fluid cultures results out"

"NBM until Gram stain and cell count results out

What do these slides show and what is the next appropriate management plan?

Gram positive bacteria; Immediate joint washout

Positive Birefringent Crystals; NSAIDs

Negative Birefringent Crystals; NSAIDs and Colchicine

Hemosederine; refer Haematology

Which of these are true of a spinal burst fracture?

It is a stable injury

Involves 2 columns of the spine - posterior and middle

Involves 3 columns

XR shows retropulsion on lateral view

Transient synovitis

Slipped capital femoral epiphysis