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CM II - Spring 2012

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Zone of growth of bone?   Metaphysis  
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Amphiarthrodial jts aka?   Fibrocartilagenous - allow some movement  
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What is a sprain, and grades of it?   Stretching of the ligaments from excessive force. Grade 1: Partial tear, but stable. Grade 2: Partial tear w/unstability. Grade 3: Complete tear  
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Open frxr aka?   Compound  
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7P's are for what? What are they?   Compartment syndrome. Pain, pressure, parasthesias, paresis, poikilothermia, pulselessness  
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Nervous supply to tendons vs synovial tissue?   Tendons = none. Synovial tissue = rich nervous supply.  
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Relation of osteomyelitis and physis in kids?   Physis is avascular and infex usu originates in metaphysis, so cannot spread to epiphysis, but can spread to joint by was of intracapsular extension  
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Indications for surgery in a pt w/ osteomyelitis?   Pus on aspiration or signs and sxs persist >36 hrs on abx  
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What is a Brodie's abscess?   A chronic form of OM that starts from a heme source  
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Exostosis aka?   Osteochondroma  
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Sarcomas tend to metastasize to?   Lung, sometimes bone  
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MOI of adhesive capsulitis?   Insidious, Idiopathic, trauma, DM, hypothy, Female, red-hair and fair skin  
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painful arc for AC jt sep?   45-120 degrees~  
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TUBS?   Anterior GH disloc: Trauma, Unidirectional, Bankart, Surgery  
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In adult w/ anterior GH disloc, what should you be sure to evaluate?   RC tear, esp subscapularis  
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When may you see a posterior GH disloc?   Seizure, electrical shock, down-lineman fb  
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AMBRI?   Multidirec GH instab.: Atraumatic, Multidirec, Bilat lax, Rehab, Inferior capsular shift  
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MC clavicle frxr?   Mid-shaft  
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Tx for mid-shaft humerus frxr?   Sling/splint!! (90% union rate w/ non-op)  
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which form of MRI is best?   OPEN  
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role of lactic acid system?   Anaerobic glycolysis...generates ATP..but limited by lactic acid build-up  
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When to consume hi/lo glycemic index foods?   -hi: AFTER exercise, to load glycogen stores -Lo: 2-3 hrs b4 exercise; blunts insulin response  
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Fxrs affecting fluid loss in urine?   HIgh protein diet, high Na diet  
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Fluid loss of how much for every 5 degrees > 75 degrees?   13%  
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Max wt loss post training should not exceed?   3%  
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4 lbs wt loss = how much fluid?   8 cups of fluid  
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On hot days..how should you replace your fluid?   WITH NA+!!!!  
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What are heat cramps assoc with?   Drop in serum Na and Cl (MC in those practicing long pds in hot climates and only replacing water)  
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Heat stroke can be causes by excess heat production 2/2 exertion, impaired dissipation of env heat, and??   Anti-histamine use  
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What is the intermediate bw DHEA and testosterone?   Androstenedione  
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What does creatine help with?   Improve performance of brief (<30sec) high-intensity exercise  
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Bicarb loading purpose   to offset impact of lactic acid accum  
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Erythoropoietin blood doping?:   Increase RBC synth and improve O2 delivery  
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