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elevenone
11-1
| Question | Answer |
|---|---|
| What gives definitive dx of carpal tunnel | EMG |
| Posterior dislocation of shoulder has arm rotated in what direction? | inward (pronation, adducted) |
| Rx of anterior dislocation of shoulder? | lidocaine injection, then traction, sling...follow up in 1 wk due to high rate of recurrence |
| claw hand? | ulnar |
| ape hand? | median n |
| first 10 degrees of arm raise? 10 degrees to horizontal? above horizontal? | suprascapular muscle (supraspinatus n), axillary n, l thoracic n |
| which part of elbow injury can cause ulnar n damage | medial epicondyle fracture |
| which part of elbow injury causes median n damage | supracondyle fracture |
| scaphoid injury suspected, xray clear...dx? | still dx as scaphoid injury (may not show up on xray) |
| 5th metacarpal # is? how do you proceed? | Boxer fracture. Give ulnar gutter splint + look for fight bite |
| What antibiotic is given in open fractures? | cefazolin (add aminoglycoside if soft tissue damage is present) |
| What is never removed from an open fracture when waiting for OR | bone fragments! |
| most common ligament tear in knee? | MCL |
| anterior drawer sign + is? | ACL tear |
| unhappy triad? | MCL, ACL, medial meniscus |
| MCC of compartment syndrome? | tibia fracture |
| Best screening test for compartment syndrome? | pain on passive stretching |
| L5-S1 slip of whole vertebra..is called what | spondylolesthesis |
| bowel dysfunction/perineal anesthesia with spinal pain is... | cauda equina |
| Rx for slipped disk? | self resolves in 6w, give pain relief....surgery if persists |
| test of choice for spinal stenosis | MRI |
| treatment of spinal stenosis? | NO STEROIDS...you can give other shit like NSAIDS, surgery |
| Rx for cauda equina? | shitload of steroids (especially if urine retention), radiation for neoplasm, surgery |