Deck 36: Orthopedic Surgery

Question 1

Which is an aspect of fiberglass casts that plaster casts do not have?

A)Heavier weight
B)Thicker in diameter
C)Deteriorates when wet
D)More porous

Answer 1

D
The fiberglass cast is lighter and thinner,yet stronger,than a plaster cast and is more porous,providing better ventilation.The outside may get wet without deterioration.X-rays penetrate synthetic materials better than they do plaster to evaluate the healing process.A combination of plaster and synthetic resin on a gauze backing produces a thinner,more waterproof cast that weighs less and is as strong as a plaster cast.

Question 2

What method of surgery gives the surgeon visualization of a joint without making a large incision?

A)Endoscopy
B)Laparoscopy
C)Arthroscopy
D)Arthroplasty

Answer 2

C
Arthroscopy is the visualization of the interior of a joint through an arthroscope.Arthroscopy can be used on the shoulder,knee,elbow,wrist,hip,and ankle.

Question 3

If a 3.0 drill bit is used to create a hole for a screw,what might be the size of the screw?

A)2.5 mm
B)3.0 mm
C)3.5 mm
D)2.0 mm

Answer 3

C
The drill bit should be slightly smaller than the screw.Screws secure the plate to the shaft of the bone.

Question 4

What fibrous membrane covers bones?

A)Cortex
B)Epiphysis
C)Periosteum
D)Haversian canals

Question 5

Which type of sterile protective attire is worn by sterile team members in an orthopedic joint replacement procedure?

A)Isolation suits
B)Goggles
C)X-ray gown
D)Long sleeves under scrub top

Question 6

Which is an example of an instrument used for exposure in orthopedic surgery?

A)Kelly clamp
B)Periosteal elevator
C)Osteotome
D)Rasp

Question 7

What piece of equipment is used for a blood free field?

A)Irrigating pan
B)Pneumatic tourniquet
C)Sticky drape
D)Esmarch

Question 8

What does ORIF stand for?

A)Offer surgical treatment
B)Open reduction and internal fixation
C)Close reduction fix later
D)Operating room ready if necessary

Question 9

Which type of laser may be used via an arthroscope?

A)Diode
B)Argon
C)Carbon dioxide
D)Ruby

Question 10

Which is a cause of osteomyelitis?

A)Peripheral vascular disease
B)External fixation devices
C)Advanced age
D)Rheumatoid arthritis

Question 11

A fracture caused by metastatic disease is referred to as a

A)traumatic fracture.
B)greenstone fracture.
C)pathologic fracture.
D)open fracture.

Question 12

Which kinds of tissues are slow healers and join the articular surfaces of bones and cartilage?

A)Joints
B)Muscle
C)Periosteum
D)Ligaments

Question 13

Which procedure is an example of neurolysis?

A)Anterior cruciate ligament repair
B)Arthrodesis
C)Carpal tunnel repair
D)Bunionectomy

Question 14

What assessment for neurovascular impairment should take place after orthopedic surgery?

A)Pulse
B)Pain
C)Bleeding
D)Six Ps

Question 15

List the bone-healing process in the correct order of occurrence.

A)Callus formation; hematoma formation; calcification process; remodeling
B)Calcification process; hematoma formation; callus formation; remodeling
C)Hematoma formation; callus formation; calcification process; remodeling
D)Hematoma formation; calcification process; callus formation; remodeling

Question 16

Which is a component of a total knee replacement?

A)Femoral head component
B)Tibial stem component
C)Patellar component
D)Humeral head component

Question 17

Which is a possible postoperative complication after orthopedic surgery?

A)Pain
B)Hypertension
C)Fat embolism
D)Hypocapnia

Question 18

Which type of fracture is referred to as a simple fracture?

A)Pathologic fracture
B)Bony fracture
C)Metastatic fracture
D)Closed fracture

Question 19

What material cushions the bones and is smooth?

A)Muscles
B)Discs
C)Ligaments
D)Cartilage

Question 20

Which substance is used in orthopedic procedures to provide hemostasis in bone?

A)Mineral oil
B)Thrombin and gelfoam
C)Bone wax
D)Lactated Ringer's

Question 21

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Incision into a joint

Question 22

When treating skeletal injuries to the tibia and femur,external fixation devices apply ________________ and ________________ forces to the bones.

Question 23

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Broken bone protrudes through skin

Question 24

It is acceptable to flash-sterilize a prosthetic implant such as an acetabulum.

Question 25

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Infection of bone

Question 26

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Supportive dressing material

Question 27

Laminar airflow is used to create an ultraclean environment for orthopedic surgery.

Question 28

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Displacement of a joint

Question 29

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Bone fails to heal correctly

Question 30

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Outer layer of bone

Question 31

The epiphysis is the end of a long bone and area of growth in children.

Question 32

Arthritis is a main cause of joint pain and usually results in the patient receiving a total joint replacement.

Question 33

A closed reduction usually involves the use of a K-wire (Kirschner wire)to stabilize a fracture within the cortical bone distal to the fracture site.

Question 34

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Fusion of a joint

Question 35

Cancellous tissue is porous,spongy,and contains bone marrow.

Question 36

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
New bone growth

Question 37

Match each condition with its definition.
a.Osteomyelitis
f.Cast
b.Nonunion
g.Cortex
c.Arthrotomy
h.Arthrodesis
d.Open fracture
i.Dislocation
e.Osteogenesis
j.Compartment syndrome
Swelling between layers of fascia; causes damage or death to tissue