Trauma Module-Lower Extremity 1. Sarmiento’s functional cast bracing is contraindicated in which of the following? Rotational instability Significant angular instability. Presence of an open fracture Significant axial instability Articular Involvement (Question 1 of 10)2. Regarding plate fixation for pubic symphysis diastasis the following are true except Double plating is ideally done in 90-90 degree fashion symphysis is an amphiarthrodial joint, consisting of a fibrocartilaginous disc, and stabilized by the superior and inferior arcuate ligaments Indicated if there is more than 2.5 cm displacement Placement of a Foley catheter is needed to decompress the bladder A lower midline incision is preferred to help identify visceral injuries if necessary (Question 2 of 10)3. A 20 year old male sustains a closed tibial shaft fracture with an intact fibula. Which of the following statements is false? Tension forces predominate in the lateral tibial cortex It is associated with an increased risk posttraumatic degeneration of the ipsilateral ankle. It is associated with an increased incidence of delayed union It is associated with an increased incidence of valgus malunion. It is associated with an increased risk of nonunion (Question 3 of 10)4. Femur fractures that are most often associated with a pathologic process: Supracondylar fractures Shaft fractures Intertrochanteric fractures Femoral neck fractures Subtrochanteric fractures (Question 4 of 10)5. True about Sacral fractures are all except? Transformaminal fractures with vertical instability and comminution should be treated with iliosacral screws only U shaped fractures involved spinopelvic dissociation and maybe associated with cauda equina syndrome The Denis classification has 3 zones Zone 3 injuries have highest risk of neurological involvement L5 nerve root is most commonly injured in Zone 1 injuries (Question 5 of 10)6. In a pelvic fracture, selective arterial embolisation can be considered to reduce ongoing haemorrhage if Stable fracture pattern Restoration of haemodynamic stability by initial fluid resuscitation A CT Scan finding of a large hematoma in the space of Retzius Ultrasound finding of a retroperitoneal hematoma liver, kidney, spleen or other visceral lacerations (Question 6 of 10)7. The following are true of acetabular fracture surgery except: The development of secondary arthritis has a correlation with degree of articular reduction The Ilioinguinal approach is ideal for anterior column fracture fixation Infratectal and Juxtatectal fractures are best managed by Kocher Langenback approach The incidence of heterotopic ossification is highest for Ilioinguinal approach An arteriogram is required to check the patency of superior gluteal artery prior to undertaking an extended iliofemoral approach (Question 7 of 10)8. The most important ligament to be reconstructed in an isolated knee dislocation in the absence of a fracture is? PCL MCL ACL LCL PLC(Question 8 of 10)9. The best solution for irrigation during debridement of an open tibial fracture is Povidone Iodine Castile Soap Bacitracin Distilled water Normal Saline(Question 9 of 10)10. Which of the following injuries is most commonly associated with knee dislocation fracture of the tibial plateau common peroneal nerve injury fracture of the distal femur Segond fracture popliteal artery rupture (Question 10 of 10) Loading ... Get explanatory answers from our book, <br /> Post Views: 7,880 Related Posts Lower Extremity Diaphyseal MalunionCourtesy: Susan Harding, MD, Associate Professor of Orthopaedic Surgery, Drexel University Saqib Rehman, Director of… Exam Module- Upper Limb TraumaGet explanatory answers from our book, Paediatric Lower Extremity #Trauma ReviewCourtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
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