Deck 36: Orthopedic Surgery

Question 1

Which type of laser may be used via an arthroscope?

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

Answer 1

C
Carbon dioxide laser,holmium:YAG,and neodymium:YAG are examples of lasers that can be used in some orthopedic procedures.Although they are not common in the orthopedic specialty,they can be useful in confined areas such as arthroscopy to minimize bleeding.

Question 2

A fracture caused by metastatic disease is referred to as a:

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

Answer 2

C
Demineralization of bone and primary or metastatic malignant bone disease can spontaneously fracture a bone without stress.Pathologic fractures may require more than a simple fixation of the bone fragments.

Question 3

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

Answer 3

True
Total joint replacements are usually performed to improve mobility and relieve the pain of severe arthritic joints.They are also done to correct a congenital defect,traumatic injury,or degenerative disease.

Question 4

Which type of total joint replacement involves the humeral head and glenoid cavity?

A) Total knee
B) Total ankle
C) Total wrist
D) Total shoulder

Question 5

Some examples of cutting instruments include curettes and reamers.

Question 6

Which is a method of fixation used in total joint arthroplasty procedures?

A) Biofixation
B) Gelfoam
C) Laser
D) Reaming

Question 7

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 8

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

Question 9

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

Question 10

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 11

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 12

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

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

Question 13

The Keller arthroplasty procedure involves resecting the proximal third of the proximal phalanx and placing a silicone implant.

Question 14

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 15

Which is a type of non-sterile protective attire worn by sterile team members in an orthopedic procedure?

A) Warm up jackets
B) Goggles
C) Neck wrap
D) Long sleeves under scrub top

Question 16

Which procedure is an example of neurolysis?

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

Question 17

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

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 is the outer layer of bone called?

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

Question 20

What type of procedure is performed when the sesamoid bone is excised and the abductor tendon is fixed to the lateral portion of the metatarsal neck?

A) Silver bunionectomy
B) McBride operation
C) Metatarsal osteotomy
D) Keller arthroplasty

Question 21

Which is a possible postoperative complication after orthopedic surgery?

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

Question 22

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

Question 23

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

Question 24

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

Question 25

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

Question 26

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

Question 27

MATCHING
Match each condition with its definition.
a.Osteomyelitis
b.Nonunion
c.Arthrotomy
d.Open fracture
e.Osteogenesis
f.Cast
g.Arthrodesis
h.Dislocation
i.Hallux valgus
Lateral deviation of great toe

Question 28

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 29

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

Question 30

MATCHING
Match each condition with its definition.
a.Osteomyelitis
b.Nonunion
c.Arthrotomy
d.Open fracture
e.Osteogenesis
f.Cast
g.Arthrodesis
h.Dislocation
i.Hallux valgus
Surgical fusion of joint

Question 31

Which is a cause of osteomyelitis?

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

Question 32

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

Question 33

What skeletal fixator frame consists of a series of stainless steel rings connected by rods,nuts,and bolts and can be assembled in various configurations and lengths?

A) Kirschner
B) Colles
C) Eggers
D) Ilizarov

Question 34

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

Question 35

MATCHING
Match each condition with its definition.
a.Osteomyelitis
b.Nonunion
c.Arthrotomy
d.Open fracture
e.Osteogenesis
f.Cast
g.Arthrodesis
h.Dislocation
i.Hallux valgus
Separation of joint

Question 36

Which shape is a classification of bones?

A) Thin
B) Flat
C) Thick
D) Round