Ch. 21 - Orthopedic Surgery

scoliosis

An abnormal lateral curvature of the spine for which a stabilization procedure may be done is _____.
A. scoliosis
B. osteoporosis
C. exostosis
D. herninated nucleus pulposa

avascular necrosis

Death of bone tissue due to the lack of circulation is _____.
A. arthritis
B. avascular necrosis
C. malunion
D. osteomyelitis

suction irrigator

Equipment used to debride and clean infected wounds and joints is ______.
A. periosteal elevator
B. drill/reamer
C. suction irrigator
D. impactor

ilium

The most likely donor site for an autogenous bone graft is the ______.
A. femur
B. ischium
C. scapula
D. ilium

periosteum

In orthopedic surgery, absorbable suture would most likely be used on ______.
A. tendons
B. periosteum
C. ligaments
D. bone

Excision of a Baker's Cyst

The patient would be placed in the prone position for which of these procedures?
A. Excision of a Baker's Cyst
B. AK Amputation
C. Knee arthroscopy
D. Triple Arthrodesis of the Ankle

secure a bucket of hot water

When assisting with the application of a plaster cast, you would do all of the following except _____.
A. secure a bucket of hot water
B. prepare only one plaster bandage or strip at a time
C. gently squeeze excess water from the plaster bandage after bub

comminuted

The type of fracture that includes splintered or crushed bone is _____.
A. Colles'
B. greenstick
C. compound
D. comminuted

arthroplasty

The general term for joint reconstruction is _____.
A. osteotomy
B. arthrodesis
C. osteoarthritis
D. arthroplasty

mix with a gloved hand

All of the following are guides to be followed when using polymethylmethacrylate (bone cement) except _____.
A. mix immediately before use
B. use a fume evacuator
C. mix with a gloved hand
D. supply to the surgeon in a syringe for injection into the medul

Bankhart Procedure

Heavy suture is used to reattach a weakened anterior capsule to the glenoid fossa to correct recurrent dislocation of the shoulder in which procedure?
A. Excision of Ganglion
B. Keller Procedure
C. Bankhart Procedure
D. Kyphoplasty

Excision of Ganglion

Removal od a fluid-filled sac protruding between wrist joints for cosmesis or discomfort describes which procedure?
A. Excision of Ganglion
B. Patellectomy
C. McBride Procedure
D. Metacarpal Arthroplasty

Metacarpal Arthroplasty

Use of a prosthesis to replace arthritic joints in the hand is referred to as a/an _____.
A. Triple Arthrodesis
B. Carpal Tunnel Release
C. Bankhart Procedure
D. Metacarpal Arthroplasty

Patellectomy

The excision of the kneecap for degenerative arthritis is called a/an _____.
A. Bristow Procedure
B. Patellectomy
C. Putti-Platt Procedure
D. Rotator cuff correction

autogenic

Bone retrieved from the patient for bone grafting is called _____ bone.
A. cadaveric
B. autogenic
C. xenogenic
D. allogenic

external fixation

The placement of fixation pins through the skin into the bone proximal and distal to the fracture site, which are then connected to stabilizing bars, is called _____.
A. external fixation
B. skeletal fixation
C. internal fixation
D. compression fixation

compression plates and screws

The fixation device(s) most commonly used for intratrochanteric fractures of the femur include(s) ______.
A. compression plates and screws
B. hinged replacement prosthesis
C. rods/nails
D. Kirschner wires

at the hour, and every 15 minutes thereafter

When a tourniquet is inflated during surgery, the surgeon is notified at which recommended time intervals?
A. at the half hour, and every 15 minutes thereafter
B. at the half hour, and every half hour thereafter
C. at the hour, and every 15 minutes therea

cancellous and cortical

Screws come in which type(s)?
A. cortical only
B. cortical and Kirschner
C. cancellous and cortical
D. trochanteric and Kirschner

material used to hold the prosthesis when placing a cemented prosthesis

Polymethylmethacrylate is commonly known as _____.
A. a material implants are made from
B. material used to coat implants when placing a noncemented prosthesis
C. a material soft tissue allografts are made of
D. material used to hold the prosthesis when p

Steinmann pin

The implant used on small bone fragments or as part of skeletal traction is called _____.
A. cancellous screw
B. Steinmann pin
C. cortical screw
D. nail

from above the knee joint to the toes

When performing a skin prep for surgery on the tibia, the skin prep would extend _____.
A. from above the hip joint to the toes
B. from above the knee joint to the toes
C. from the incision site down to the toes
D. from the hip joint to the knee joint

ace or elastic bandage

The dressing applied at the end of an orthopedic procedure which gives compression to the wound is a/an ____.
A. kerlix fluff
B. xeroform
C. ace or elastic bandage
D. fiberglass or plaster cast

during draping but before other drapes are placed over the upper extremity

The sterile tourniquet cuff is applied _____.
A. before the skin prep begins
B. during draping but before other drapes are placed over the upper extremity
C. at the end of the draping procedure
D. never; tourniquet cuffs do not come sterile

saggital

The x-ray views usually obtained during orthopedic surgery include all of the following except _____.
A. saggital
B. oblique
C. anterior/posterior
D. lateral

the affected arm is immobilized against the torso of the patient, and padding is placed between skin surfaces which will contact one another

After shoulder surgery ______.
A. the unaffected arm is immobilized against the torso of the patient
B. the affected arm is not immobilized, as the patient will not move it due to postoperative discomfort
C. the affected arm is not immobilized, as the pat

hydroxyapatite

Casting material can be made from all of the following material except _____.
A. hydroxyapatite
B. gypsum
C. anhydrous calcium sulfateimpregnated crinoline
D. fiberglass

compound fracture

An open fracture, where bone protrudes through the skin, is also referred to as a ____ fracture.
A. greenstick fracture
B. closed traumatic fracture
C. comminuted fracture
D. compound fracture

avulsion

A fracture where the tendonous attachments of the bone are torn away is called a/an _____.
A. tendon fracture
B. epiphyseal separation
C. avulsion
D. compound fracture

callus stage

The stage of osteogenesis where there is a proliferation of cells from the fracture site into the fibrin to form fibrous connective tissue and cartilage is called _____.
A. osteoid stage
B. blood clot formation stage
C. remodeling stage
D. callus stage

skeletal traction with balanced suspension

The method of fracture treatment where a pulling force is exerted directly on the bone itself via a pin in the bone using a system of weights and pulleys is called ____.
A. Buck's traction
B. external fixation
C. open reduction internal fixation (ORIF)
D.

bones are held loosely in place by ligaments and the joint capsule

Principles of joint reconstruction include all of the following except _____.
A. joint function depends on the quality of its structures
B. bones are held loosely in place by ligaments and the joint capsule
C. synovial membrane lining the joint capsule se

subluxation

A loosening of a joint with some displacement of the articular surface from the joint capsule is called a/an ____.
A. dislocation
B. avulsion
C. fracture
D. subluxation

arthroplasty

Reconstruction of a joint to restore or improve range of motion and stability or to relieve pain is referred to as an ____.
A. arthrotomy
B. arthroplasty
C. arthrogenesis
D. arthroscopy

biofixation using polymethylmethacrylate

Methods of prosthetic fixation and stabilization include all of the following except _____.
A. biofixation using hydroxyapatite
B. biofixation using polymethylmethacrylate
C. polymethylmethacrylate cement fixation
D. direct bone contact with a press-fit p

polymethylmethacrylate should be prepared at the beginning of the case, so it is ready at the desired time of use

Concepts concerning polymethylmethacrylate use on the surgical field include allof the following except ___.
A. room and component temperature will affect the setting time
B. contact of the polymer and your skin may cause a dermatitis reaction
C. avoid ex

arthroscopy

Visualization of a joint for diagnosis and conservative treatment of joint disease is called _____.
A. arthroplasty
B. arthrotomy
C. arthroscopy
D. arthrorrhaphy

exostosis

An overgrowth of bone is referred to as an _____.
A. exostosis
B. osteoblast
C. osteocyte
D. osteoclast

neurolysis

The "freeing up" of an entrapped nerve is referred to as a/an ____.
A. neuropexy
B. kyphosis
C. neurolysis
D. kyphoplasty

tenosynovectomy

Excision of a tendon sheath and its associated synovium is referred to as a _____.
A.
B.
C.
D.

ligamentum flavum

The yellow, elastic tissue connecting the lamina is called the ____.
A.
B.
C.
D.

shoulder

A rotator cuff tear occurs in which region of the body?
A.
B.
C.
D.

semi-Fowler

The patient position for a Bristow Procedure is _____.
A.
B.
C.
D.

delayed union

A fracture where healing has not taken place in the usual amount of time is referred to as a/an ____.
A.
B.
C.
D.

hip

An Austin Moore prosthesis is used at which point?
A.
B.
C.
D.

radius

A Colles' fracture occurs in which bone(s)?
A.
B.
C.
D.

prone for a Total Knee Arthroplasty

Positioning for procedures include all of the following combination except ____.
A.
B.
C.
D.

medial malleolous

The bony process which can be involved in an ankle fractured is the ____.
A.
B.
C.
D.

Correction of Hammer Toe Deformity

The procedure which consists of excision and fusion of the middle phalangeal joint of the foot with incision of the flexor tendon is ____.
A.
B.
C.
D.

tibial plateau fracture

The fracture commonly treated with angled blade plates or a long cancellous screw would be ____.
A.
B.
C.
D.

supine

Which position is the patient placed in for an Anterior Cervical Discectomy and Fusion?
A.
B.
C.
D.

metacarpophalangeal joint

A Triple Arthrodesis does not include fusion of which bones?
A.
B.
C.
D.

compression of bone fragments

Long cancellous screws placed with a gliding hole for the shaft provide _____.
A.
B.
C.
D.

avascular necrosis

A potential complication of ischemia of the femoral head is _____.
A.
B.
C.
D.

greenstick

A fracture commonly found in children is a _____.
A.
B.
C.
D.

compound

A fracture requiring debridement and closure prior to casting would be a _____.
A.
B.
C.
D.

Arthrodesis

A surgical procedure designed to stiffen or fuse a joint is called ____.
A.
B.
C.
D.

Menisectomy

A tear in the lateral or medial knee cartilage is repaired by performing a/an _____.
A.
B.
C.
D.

chondromalacia

Chronic dislocation of the patella may predispose the patient to a condition called ____.
A.
B.
C.
D.

popliteal fossa

Baker's cysts are found in the ____.
A.
B.
C.
D.

Esmarch bandage

Which of the following would not be used for cast padding?
A.
B.
C.
D.

bone wax

A hemostatic agent used to control bleeding from an open bone is _____.
A.
B.
C.
D.

oscillating saw

The power drill or saw used to divide bone with a "side-to-side" cutting action is a/an ____.
A.
B.
C.
D.

drill, measure, tap, place

Which one of the following is the correct order for screw placement?
A.
B.
C.
D.

Bacitracin for antimicrobial prophylaxis against osteomyelitis

When implanting plates and screws, what medication is used on the surgical field?
A.
B.
C.
D.

Genu Varum

Osteomalacia

MRI scan

Polyglactin 910 (Vicryl)

Blunt probe

Intramedullary reamer

Nails

Anterior cruciate

Acetabulum

Rotator cuff

Low man bone holder