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OMS Frameworks ©️ Arthritis and Infection Quiz
Which of these are key features in the acute management of this patients (Step 5)? (Choose 2)
A
Empirical Antibiotics
B
Rinse the wound with normal saline in the ward
C
Prophylactic Antibiotics
D
Anlagesia
E
Stop all diabetic medications
Patient just underwent this procedure. What are the key features of post-operative management? (You can choose more than 1 option)
A
Empirical Antibiotics
B
Wheel chair mobilization
C
Prophylactic Antibiotics
D
DVT Prophylaxis
E
Knee aspiration
What does "mechanical pain" mean?
A
Pain that is worse after prolonged rest
B
Pain that gets better after warming up
C
Pain that resolves with analgesia
D
Pain that is better with stair climbing
E
Pain that is worse on movement
Which of these conditions should NOT present with inflammatory type pain?
A
Patella tendonintis
B
Plantar Fasciitis
C
Ankle Osteoarthritis
D
Rheumatoid Arthritis
E
Ankylosing Spondylitis
Which of these statements are true about neurogenic claudication?
A
Pain is better when spine is extended
B
Pulses should be well felt
C
Pain is better when leg is in a dependant position
D
Pain gets better with patient resting while standing
E
Pain is better when patients walks uphill
What is the utility of a knee aspiration (knee tap) in a patient with an acutely swollen knee with fever?
A
Diagnostic and Therapeutic
B
For better imaging as the fluid can cast a shadow
C
Prevent infection
D
Reduces swelling only
E
Inject antibiotics at the same time
What is the main difference between skin grafts and skin flaps?
A
Skin grafts are ideal over joints as they contract less
B
Skin grafts are technically more challenging
C
Skin flaps contract more
D
Skin flaps have its own blood supply
E
Skin grafts are ideal for areas with exposed bone
Patient with knee pain sees you for the FIRST time in the clinic. How will you manage this patient with this XR?
A
Non operative with pharmacological and non pharmacological interventions
B
High tibial Osteotomy
C
Uni-compartmental Knee Replacement
D
Intra-articular injection
E
Total Knee Replacement
Patient has been referred to you for severe pain in the right lower limb with fever. What will you do next?
A
Inform them that you will review tomorrow
B
Stabilize and refer senior immediately, consideration for immediate fasiectomy
C
Withhold antibitoics to increase culture yield
D
Request for MRI scan
E
Discharge patient as this is common bruising
What will you indicate in the notes for a patient after a knee aspiration?
A
"NBM until Gram stain and cell count results out"
B
"Soft Diet"
C
"NBM until crystals results out"
D
"Allow diet of choice"
E
"NBM until fluid cultures results out"
What is the role of "negative pressure dressings" or "vacuum dressing" in orthopaedics?
A
Negative pressure provides a low oxygen environment
B
Aids in secondary wound healing or for temporary wound dressing
C
Prevent keloid formation
D
Helps in fracture healing
E
Useful for patients living in high altitude
Patient underwent incision and drainage of an abscess. What kind of antibiotics may you potentially change to after the surgery?
A
Empirical Antibiotics
B
Prophylactic Antibiotics
C
Culture directed Antibiotics
D
Nosocomial Antibiotics
E
Iatrogenic Antibiotics
Which is the most common causative organism for septic arthritis?
A
Neisseria gonorrhea
B
Salmonella
C
Fungus
D
Streptococcus
E
Staphylococcus Aureus
How will you prevent deep vein thrombosis in a patient after this surgery? (Choose 3)
A
Pharmacological methods - Aspirin, Clexane
B
Vein Stripping
C
Incentive Spirometry
D
Calf pumps
E
Straight Leg Raises
F
Early mobilization
❌ Wrong Answer. Try again.