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DEX IOT Day 5 2026 Exam – 75 Questions on Hand, Wrist & Trauma Fixation Techniques

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This document contains approximately 75 structured exam questions and answers from the DEX IOT Day 5 2026 assessment, focusing on orthopedic surgical techniques, fixation systems, fracture classifications, and hand and wrist procedures. The material covers InternalBrace kits, SwiveLock and FiberTak applications, thumb UCL repair protocols, scapholunate reconstruction, CMC bailouts, carpal tunnel release techniques (open and endoscopic), and detailed drill sizes and graft specifications. In addition, the document includes comprehensive trauma-focused content such as Garden classification of femoral neck fractures (Types I–IV), intertrochanteric and subtrochanteric nail selection, ES nail protocols, troch nail measurements, Pilon fracture characteristics, ankle fracture plating strategies (valgus vs varus), external fixation pin placement, and bone graft healing principles including the healing triad (osteogenesis, osteoinduction, osteoconduction). It also reviews biologics such as ArthroCell, OsteoAuger, BoneSync, and QuickSet, alongside procedural pearls for intraoperative decision-making and complication avoidance. The content is highly practical and procedure-driven, making it ideal for surgical device representatives, orthopedic fellows, residents, operating room staff, and trauma specialists preparing for internal product certification or orthopedic trauma examinations. It is particularly relevant for professionals working with upper extremity reconstruction, ankle trauma systems, intramedullary nailing, and biologic augmentation technologies. Keywords: DEX IOT exam, InternalBrace kit, SwiveLock, FiberTak, thumb UCL repair, scapholunate reconstruction, CMC fixation, carpal tunnel release, Garden classification, femoral neck fracture, intertrochanteric fracture, subtrochanteric fracture, ES nail, troch nail, Pilon fracture, ankle fracture plating, external fixation, bone healing triad, osteogenesis, osteoinduction, osteoconduction, ArthroCell, OsteoAuger, BoneSync, QuickSet, orthopedic trauma techniques

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DEX IOT
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DEX IOT

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DEX IOT DAY 5 2026 EXAM
QUESTIONS AND ANSWERS |
100% PASS



What comes in the InternalBrace kit? - 🧠 ANSWER ✔✔3.5mm x 8.5mm

SwiveLocks (2)

3.0 cannulated drill (Silver)

3.5 cannulated drill (Gold)

1.35 k-wires (3)

Tendon sizer 2mm, 2.5mm

, 2-0 FiberLoop with tapered needle

1.3mm SutureTape


What is the graph size for a scapholunate? - 🧠 ANSWER ✔✔Harvest a 2

mm to 3 mm slip of the extensor carpi radialis Brevus (ECRB) tendon at its

insertion of the base of the third metacarpal

What is the postop protocol for a scapholunate procedure? - 🧠 ANSWER

✔✔A forearm based thumb splint 6 to 8 weeks, k-wires removed and

therapy starts. Splint for another 6 weeks.


What are the drillbit options in the internal brace kit? - 🧠 ANSWER ✔✔3.0-

only tape

3.5- graft (gold)

What are the injury clinic actions for a thumb UCL? - 🧠 ANSWER

✔✔Valgus forces of the thumb


Gamekeepers thumb- chronic

Skiers thumb- acute

Stener's thumb- acute

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