Trauma Module-Lower Extremity 1. True about Sacral fractures are all except? U shaped fractures involved spinopelvic dissociation and maybe associated with cauda equina syndrome Transformaminal fractures with vertical instability and comminution should be treated with iliosacral screws only The Denis classification has 3 zones L5 nerve root is most commonly injured in Zone 1 injuries Zone 3 injuries have highest risk of neurological involvement(Question 1 of 10)2. Which of the following injuries is most commonly associated with knee dislocation Segond fracture common peroneal nerve injury popliteal artery rupture fracture of the distal femur fracture of the tibial plateau (Question 2 of 10)3. In a pelvic fracture, selective arterial embolisation can be considered to reduce ongoing haemorrhage if Ultrasound finding of a retroperitoneal hematoma Stable fracture pattern Restoration of haemodynamic stability by initial fluid resuscitation liver, kidney, spleen or other visceral lacerations A CT Scan finding of a large hematoma in the space of Retzius (Question 3 of 10)4. The following are true of acetabular fracture surgery except: The Ilioinguinal approach is ideal for anterior column fracture fixation The incidence of heterotopic ossification is highest for Ilioinguinal approach The development of secondary arthritis has a correlation with degree of articular reduction Infratectal and Juxtatectal fractures are best managed by Kocher Langenback approach An arteriogram is required to check the patency of superior gluteal artery prior to undertaking an extended iliofemoral approach (Question 4 of 10)5. A 20 year old male sustains a closed tibial shaft fracture with an intact fibula. Which of the following statements is false? It is associated with an increased incidence of delayed union 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 valgus malunion. It is associated with an increased risk of nonunion (Question 5 of 10)6. Sarmiento’s functional cast bracing is contraindicated in which of the following? Significant angular instability. Significant axial instability Rotational instability Articular Involvement Presence of an open fracture (Question 6 of 10)7. The most important ligament to be reconstructed in an isolated knee dislocation in the absence of a fracture is? PLC PCL MCL ACL LCL(Question 7 of 10)8. Regarding plate fixation for pubic symphysis diastasis the following are true except Placement of a Foley catheter is needed to decompress the bladder Double plating is ideally done in 90-90 degree fashion A lower midline incision is preferred to help identify visceral injuries if necessary Indicated if there is more than 2.5 cm displacement symphysis is an amphiarthrodial joint, consisting of a fibrocartilaginous disc, and stabilized by the superior and inferior arcuate ligaments(Question 8 of 10)9. The best solution for irrigation during debridement of an open tibial fracture is Castile Soap Distilled water Normal Saline Bacitracin Povidone Iodine (Question 9 of 10)10. Femur fractures that are most often associated with a pathologic process: Shaft fractures Femoral neck fractures Intertrochanteric fractures Supracondylar fractures Subtrochanteric fractures (Question 10 of 10) Loading ... Get explanatory answers from our book, <br /> Post Views: 7,829 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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