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Orthro Chapter 21
ST Chapter 21: Orthopedic Surgery
| Question | Answer |
|---|---|
| Amputated limbs may be placed in which of the following for transport to pathology | Mayo stand cover |
| Which of the following is the hard, dense bone that surrounds the marrow cavity | Cortical |
| The term c-arm refers to a | fluoroscopic machine |
| Which instrument is used to remove marrow from the canal of long bones for placement of prosthesis | Intra medullary reamer |
| Which type of suture would be contraindicated for attaching tendon to bone | Stainless steel |
| The connections between the large bones of the skull are categorized as which type of joint | Synarthosis |
| What is the term for softening of bone in children that is commonly called rickets | Osteomalacia |
| Which joint is an example of a ball-and-socket joint | Femur acetabular |
| Which of the following statements regarding generally safe continuous tourniquet inflation time is correct | Lower extremity equals 1 & 1/2 hours Upper extremity =1 hour |
| The action of pointing and putting a toe in the water to check the temperature would be an example of which movement | Plantar flexion |
| Patients in which age group are most commonly candidate for total hip arthroplasty | Over 65 years |
| A bankart of version lesion involves which anatomical structure | Labrum (cartilage) |
| what is a common surgical approach for Colles fracture | External fixation |
| What type of cast is applied often to children and immobilizes unilateral or bilateral hips and femurs | Spica |
| Which of the following is the longest bone in the upper extremity | Humerus |
| What is the purpose of the medial and lateral menisci of the knee | Cushioning |
| All of the following are indications for total shoulder shoul all of the following are indications for total shoulder arthroplasty except | Moderate impingement syndrome |
| Chondroma, giant cell, and osteoma are | Benign neoplasms |
| What is a polymethyl methacrylate used for in Orthopedic procedures | Bone cement |
| Which of the following means a partial separation or dislocation of a joint without any break in the skin | Subluxation |
| Which Orthopedic instrument has the appearance of a turkey foot or Eagles Talon | Lowman bone holder |
| How many stages are involved in Normal osteogenesis | 5 |
| All of the following are examples of equipment used postoperatively on the patient for pain reduction or stimulation of healing factors except | Body exhaust suit |
| What is a serious bone infection that may result from a compound fracture and become chronic later | Osteomyelitis |
| Which device is sometimes used for achieving and maintaining the lateral position | Vacuum bean bag |
| Hallus valgus is a condition in which there is a turning outward from the middle found in the | Great toe |
| What is the name of a non-pathological small Sac that contains synovial fluid | Bursa |
| Which of the following is a commonly used self-retaining retractor used in total hip arthroplasty procedures | Charnley |
| Aken, Chevron, McKeever, Keller, and McBride are techniques for which lower extremity procedures | Bunionectomy |
| Which bone is commonly referred to as the collarbone | Clavicle |
| The term Orthopedics means | Straight child |
| What is the outside covering of bones that provide some nourishment protection from infection | Periosteum |
| Surgical repair for recurrent anterior shoulder dislocation include all of the following except | Colles |
| What tissue does the acetabular reamer remove | Cartilage |
| What should a surgical technologist do while the surgeon is using the oscillating saw during an open acromioplasty | Drip small amounts of irrigation on two blade to prevent overheating |
| Which type of fracture is characterized as partial and may result from activities such as jumping or jogging | Green stick |
| In adults red bone marrow that produces red blood cells is mainly found in which type of bone | Flat and irregular |
| Which positioning device will be used for ORIF of intertrochanteric femoral fracture | Fracture table |
| Double gloving should be done as a routine an orthopedic cases due to exposure to various sharp instruments and potentially Jagged bones | True |
| Total knee arthroplasty implant are categorized in all of the following except | Quadricompartmental |
| Which of the following is an acute, emergent condition of compression of neural and vascular structures, usually occurring in the upper and lower extremities following traumatic fractures | Compartmental syndrome |
| Which ligament of the knee keeps the femur from sliding posteriorly on the tibia and prevents hyperextension of the knee | Anterior cruciate |
| Which of the following joints has the greatest range of motion | Glenohumeral |
| Which additional PPE is frequently one by sterile team members during total joint procedures to prevent possible surgical-site infections | Space or body exhaust suits |
| Which joint is an example of a condyloid joint | Temporomandibular |
| Which bone is involved in a Colles fracture | Radius |
| The acromion process involved in the acromioclavicular joint is part of which of the following bones | Scapula |
| Surgeons make all both Bennett and Hohmann retractors by which other names because of their shapes | Cobra |
| Axillary nerve injury or Detachment of the deltoid from the acromion are | Serious post-op complications from open acromioplasty |
| What is achieved by wrapping extremity with an esmarch bandage prior to inflation of pneumatic tourniquet | Exsanguination |
| Which of the following factors related to the bone growth and maintenance is responsible for mineral storage and utilization | Hormonal |
| Autografts for ACL repair | Patellar tendon, iliotibial band, and semitendonosis tendon are examples of |
| Which of the following is a long bone that is the largest in the human body | Femur |
| Which of the following is not a bone of the pelvis | Femur |
| Which condition is commonly known as bow-legged | Genu varum |
| What should the surgical technologist have ready to clean bone or tissue from rongeur | Lap sponges |
| What type of bone is the patella | Sesamoid |
| What is the medical term for a bony preeminence projecting from a bone, as in a bunion | Exostosis |
| Which tendon is the thickest and strongest in the body | Achilles |
| Which instrument is used frequently in arthroscopies to examine and manipulate internal structures | Blunt probe |
| Arthroscopic procedures require only one small incision through which all the instruments are passed | False |
| Which bone of the lower extremity is commonly known as the shin bone | Tibia |
| Carpal and tarsal bones are classified as which type of bone | Short |
| Liston knife, Gigli saw, and Satterlee saw are examples of instruments used for which type of procedure | Amputation |
| Which of the following describes the appearance of a stellate bone fracture | asterisk |
| Which positioning device is frequently used for femoral nailing with leg traction and allows for placement of the c-arm | Fracture table |
| Implantable devices made of different hours can cause breakdown of the device and may cause wound infection | True |
| Which piece of equipment is not attached to the arthroscope | Powered Shaver |
| Which method of reducing a fracture carries the highest potential for surgical site infection | Open reduction, internal fixation or compound comminuted fracture |
| Which medium is frequently used in arthroscopies where the ESU may be used for hemostasis | Lactated ringers |
| Who's instructions for cleaning, lubricating, and sterilizing powered Orthopedic instrumentation must be followed | Manufacturers |
| Which mineral is stored in the bones and constantly being removed to maintain necessary blood levels | Calcium |
| Which of the following pathologies is related to a specific autoimmune process that attacks the joints in the body | Rheumatoid arthritis |
| A common system for instrumentation for open reduction of hip fractures is DHS comma which stands for | Dynamic hip screw |
| What is the name of the deep, round fossa of the hip joint | Acetabulum |
| Which portion of the femur articulates with the acetabulum | Head |
| In which anatomical structure is the patella contained | Quadriceps tendon |
| All of the following are examples of devices used to Anchor both ends of the ACL graft except | Steinman pins |
| Cannulated screws and nails are designed to follow the path created by a | Guide pin |
| Which medical term means moving a body part away from the midline | Abduction |
| In which joint would a bucket handle tear be found | Knee |
| Which component of an arthroscopy system is specific to Orthopedics and differs from most laparoscopy/MIS systems | Powered shaving system |
| The infraspinatus, teres minor, subscapularis, and supraspinatus muscles collectively comprise the | Rotator cuff |
| The proximal end of the radius and C1 and C2 vertebrae are examples of which type of diarthrosis | Pivot |
| What is the most common cause of bone fractures | Trauma |
| What is the medical term for spongy bone | Cancellous |
| Which of the following diagnostic procedures does not use ionizing radiation | MRI |
| Where is the area of active bone growth | Epiphyseal plate |
| Which hormone stimulates osteoclasts to break down bone and increase reabsorption of calcium when serum levels are low | Parathyroid |
| Patients diagnosed with shoulder impingement syndrome would likely undergo | Acromioplasty |
| Care must be taken during skin prepping for gangrenous lower extremities part amputation to prevent inadvertent dislodging of toes | True |
| There are limited choices of total joint systems available, making standardization routine and uncomplicated | False |
| Which of the following would be increased on a an analyst and indicative of a malignant neoplasm of bone marrow | Bence Jones protein |
| What is the term for small, loose bodies in the knee that are constant irritants and may cause excess synovial production, pain, and locking up | Joint mice |
| Rush, ender, russell-taylor, trigen, and kuntscher are examples of flexible, standard, or titanium femoral: | Nails |
| In which stage or normal bone healing is there bridging of the fracture site, and cartilage and immature bone provide support | Callus formation |
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