Answers Updated 2024/2025
What is the most common form of melanoma?
Superficial spreading melanoma - 70% of cases, M.C. in young people, irregular boarders,
asymmetrical form, flat to slightly raised
What is the preferred drug choice for administering IV sedation?
Midazolam - safer than diazepam, lorazepam
What are indications of patients needing a chest xray prior to surgery?
-heavy smokers
-history of COPD
-history of cardiac disease
->40 yo male
What is the lab value that is increased in hypoparathyroidism?
Phosphorus
-decreased calcium
T/F Tibial recurvatum is more easily compensated at the ankle then procurvatum
T - recurvatum is more likely to lead to degenerative changes, ankle is able to compensate
T/F Pronation abduction has a comminuted fibular fracture above the level of the syndesmosis
T
Patient with triad of petechiae, respiratory depression and altered state of consciousness has this
syndrome.
Fat embolism syndrome
-detected early with pulse oximetry
-in long bone fractures
-result in local ischemia and inflammation causing thrombocytopenia
Reversal agent for heparin
protamine sulfate
What factors are associated with desmopressin?
Factor VIII and vWF
Most common fungal pathogen in hardware/implants?
Candida
What ankle ligament is preserved in idopathic club foot correction?
Deep deltoid
-tibiotalar ligament
, Most common etiology of hammertoe formation
Flexor stabilization
-pronated foot
-flexor tendons overpower interossei
-adductovarus 4th and 5th toes
What is the least common etiology of hammertoe formation?
Flexor substitution
-deep compartment flexors overpower interossei
-weak triceps surae
-extensive lengthening of achilles tendon
What is a young's tenosuspension?
Reroutes the TA tendon in slot through the navicular
-plantar flexes 1st ray
-indicated in flexible pes planus
-nonarthritic navicular-cuneiform fault
-rigid is contraindication
Reverdin osteotomy with an "L" or trapezoidal shape to preserve sesamoids?
Green
Modification of a reverdin osteotomy to provide correction of PASA as well as structural reduction of
the IMA with a distal osteotomy.
Reverdin Laird
What type of hemoglobin is seen in an individual with sickle cell trait?
Hemoglobin AS
-Hemoglobin SS if not trait
What is the most malignant form of melanoma?
Nodular melanoma
How long to post-pone elective surgery after MI?
6 months
Type 1 Reudi Algower
Nondisplaced distal tibia fracture
-no comminution
Type II Reudi Algower
Simple displacement with incongruous joint
- no comminution
Type III Reudi Algower
Comminuted articular surface
-no stage IV for Reudi Algower