VIP ~f'\ ~ r1\S. t1A..

D6
~.~."Pve~\.)1 M(bl4.tnN~ . ;J',

c-;-

-Best closure CODfaminmM for wound?

-Bestsuturefor O)ntRmin~ted wound? -IDtems fracture = ? -Pirie's Bone=?
-What

INTERVIEW PREPOUESTIONS

#1tape, staples #2

~~It:..

passes plantar to DTll..?

-FDL passes throughwhat layerin p1aDtar foot? .CJI to P andAmatri xectomy?

-Why

need digital tourniquet wI P and A?

Nylon or polYP.tQPylene Os TngoD1JDl Os SupI~cuJare. (mL~~ for avulsionfx ta1ar head) Lumbricales, Nn 2nd Inf~on, vasccompromise, DM* (reJative; only wI phmol) B/c blood will dilute chemical Zadik total matrixectomy Tenninal Symetotal mabixectomy .062(anythingsmallerwouldbreak) Dorsal 2ad met For poiydactyly...based position of on duplicationin longit & tIBnsvplanes PIPJfusion, Girdl~~., Well No, li~rnent is alreadyweak!
Mulders, SuI1ivans,Bei'kowskys

~~

6v,d...

("4-,,5')

-Which

matrixectomy allows remova1 of SlIbungual exostosis d/t exposure? -Most radical procedure for dyStrophic nails?

-PIPJfusion...wbatsizeK-wire if aossing MPJ"! -Peg-in-hole... what PP cortexis left intact? -Axis of foot? -What is the Blauth andOlssonc1a~~~tion? -T~~!forPDS7 -Would you give a steroidinjectionfor PDS1
-What signs do you see wI nemoma?

ReprodIlclble pain wI Jateral compressionofFF(De1n'Oma) -Lachmann test = ? For PDS; vertical stressIdrawer test -complication of osteotomy lengd1enjng forbIa chymet? stretchNV/NVcompromise -What did DuVries believewascause tailors bunion? of l)hypertrophyof S.t wide ~ MI1I -2)con~~1taL1y -What is the SHIP ifn!'l1mt? -c/I to hemi jmpJants? -Radiographic separation b/w implant andbonenormal till? -What % of infectionsfrom implantsoccur w/in 1 mo to 2 yy plop? -What is the Pirogoff'amputation?
-Which preserves more calcaneus,Boyd or Pirogoff' ampuI:ation? -Should you remove cartilage when amputating?
cartilage

-Berkowskysign is?

3)latemlbowing of ~ MI1I SgarJatto HSimmertoe Imp~ Prosthesis (total imp~ no hinge) UncontroDed pronation,arthritisboth sidesof joint 3 months 60% (or greaterthan Y2) Modi:fiOO prox Symes preserves calcaneus Boyd
Yes; nidus for infection
surface delays healing

and uneven
and can -> IH'e8StJre points

-Who

originally descn1)ed Mortonsneuroma?

-MPN supplies? -Neuroma is plantar or dorsal to DTn..? -Min distance b/w incisions on dorsum foot to avoid skin DfCI"OSis? D8I ). . ~ -Epineurolysis = ? IDterdigitaln. freedfrom surr S.tsw/o nerveexcision -Why is demerol called the bear bugger? Its for shivering 1aisesyourte mperabJre -Why are bunions more common in females? Ligllment wea1cP!ning hormones d/t -the ligament that is weakened is met-phalangeal (medial)

~~cher AbdH m, FDB m, lit lumbricale, FHB m Plantar

-what

are 3 mostcommoncauses charcot? of

-How do you treat brown recluse spider bite? -4 things you release in HA V lateral release andinordel'?

I) DM, 2)ETOH, 3)leprosy Dapsone Lateml capsule, DTJL, addlL fibular sesamoid

-How would you diagnoseCMT disease? -11mit of insulin will lower ~ blood glucose how much?
-What NSAID is used to prevent

Musclebiopsy 30 (50 will alsowoIk ~ on sliding scale)

heterotopic ossificationfollowing surgery? IIJdomedlacin -11mit ofblood I3isesyour 8gb and Hct by how much? Hgb by I aDdHct by 3
-Osteochondrosis of:fibular head?
-What is antidote to epi? -What is presenting symptom of MS1 -RA pt, what are 3 things you must do before surgery'!

Ritters disease Phenrolamine Optic neuritis C-spiDe xrdY. cover for steroid suppression,cervical collar

-What is the mdiograpbic differenr::e/major distinguishing

factorb/wPA andRA?

Noosteoporosis PA wI

-PI anergicto amideand ester,what would you use? Benzoylaioobo1 -Which NSAID causes dose-related headaches? Indomethacin -IR Ray- what is the cmciateanastomosis? l)medial branchof lit plantarmetatarsal artery 2)latera1 branchof"" " " 3)hallucalbI3Dchof medialplaDtarartery

4)11tPMA
-~ how to perfOIDl bioorrectlODal a Austin. Offset V? -What is tbe difference b/wKalishand

--

-What makesup the ~~ DO? -What is the mUle of the 1- MPJ ~?

2mbonecut is madethat extends 8041/0 tbrougb the met to removea medialwedgeofboue Offset V canswivel to COnedPASA aIKI the ~is at metaph~eal junction Waterman/WatetmaD,.Green ~ +1;3 -

~ever

-Name the 5 stagesof bone graft healing.

1)Vascu1aringrowth 2)OsteobJastproliferation 3)Osteoinduction 4)OsteocaDduction 5)Graft remodeling Large bony defects Demineralized (DBM) or decalcified bone graft
for

-What type of a1logrdft promotes osteoinduction?

-Free vascularized bone grafts are

-What is a common example of the

inlay bonegmft technique? Evans calcaneal osteotomy and bone graftprocedu re -What was the Papineau technique designed fot'! Rapidreva scuJarizatjon -List the DBM products. GI3fton, Dynagraft, ~ AlloMatrix -MC. NM causeof cavus foot? CArr (*NM is most common cause of cavus foot) -Posteriorcavusis ..
-Anterior

cavus primarilywhattypeof deformity?Sagittal is plane deformity

.. ? STJdeformity Pt has l)hyporeflexia,2)uystagmus

-When do you get a Dem'O consulton a cavusfoot pt?

indicated

-What is the only osteotomy for (3VUSfoot that does Dot remove any bone 'Wedges? -AIUerior tarsal bJImel syndrome is 'What1aVe1 -FDDcaioDal taIsal tuond syOOrome d/t? is

Japas (disp~ V-siJaped ostecKomy) DeepPeroneal (~4IJDaJ11JDder N. iDfericxextmSOr retiDaa1lmn) Pronation...~~ rotmiooof leg tigiltalS flexor JetjDaCUlum; forced eversionof foot also stretd1es andoomprrsses n. contents TI' of

-What order do yonfuse in a tripleaItbrodesis? jts -3 sources bloodsupply tendon? of to

In order ~ of l)STJ,2)1110, 3)CCJ M belly,bo~periosteum, mesoIpaI3teDOn

AdhcsiODS
P1T is ~ from proximal incision d1rough ('CMJertechnique = goesarouodmedial malleolus)

-#1 amplicatiooof ~

transfers?

-What is the Potti technique for PTrn

jJ1terosse()us ~

andtransfenedto LC

arethe 21B:OCOhrr~ PT1U7 for -Wbid1)X'oced1 rq>1ac:e ~ ATf'L. {]'"I., alMlPI'f1.? -OJoDdromalacia ? = -Gold std for severe. JBiDfDI DJD'l AI -How do you fix dO:xn/pt1Wangu]ar deformity of pmiously fusedAI? -Oo1yFDA -awroYedAI ~m7 -Oo1yAJ impJantthat canbe used. post failed AJ fusion,aIMiwith A VN of talus?
-What
-What 8I1!,J1atjon of a Z-p1asty gives

~b, FDL transfer S~ff. RoseOOahl-Jmscn; utilize fascialata both Arthritic<:baDge aItiaJlarcartiJage in ADk1e fusion Wedgeresection tibia of Agility Ankle ~~ 60 degrees implant(~ DDIst iDIxt) be

the greatest skin l~gthfmin g? -Why are angles~ 1ban S CX' 4 greata:than

-Stages

of skin graft ~1ing7

l)PJasmatic stage
2~onQge 3)Reorgani~on stage 4)Reimlervation stage

-Pinch

test?

To determiDe RSn...~

a regularly shaped furrow

-Why do tbi(;kcr skin grafts have

a~

d1ance of~p0I3

non?

-Full thickness skin grafts are iDdicatM for...? -What bugs do you need to wony about

DIt ~ tissue demands Coverage WB~ or flexionpoints of

Strep pyogeoes, Pseudomonaspyogeoes

withskingr3itinfCdions? what is impor13nt t1apsmvival? for

flaps vs. arterial flaps

-cutaneous

Accelerated action of ~1!etic ClDKlrOO1astoma (CB) -IV drug for It wI NVl Promethazine (Pbeuergan) -Where is common peroneal n. block performed? 2 cm distal to fibular ~ -Pt bascavus~ aodiJD-~ ~.. what dL~~~1 l..f-!l-~.J1ar DysIJq)hy -Tmf toe is caused by: Hyperextension compression wI -Clinical findings wI ~ sclerosis? Periungual fibroma, ~ adenoma. tbicr.~P4 skin -Li~-iDe toxicity affects what system first? CNS; CVS is affected2m

-First Iadiographic sign of osteODecrosis? -What haA)eDs when you give an amide anesthetic to a It wI Iiver problems? -MC. bmIOrin epiplysjs?

CuIaneouspedicle~ : be wide enoughto supportflap AtteJiat depeodmton dimeosioDS artery am length of of 8rtelYterritory. not 00 pediclewidth Sclerosis

-Pt wI RayDa1xls aDd calcinosis has... -MC. location of osteoid osteoma? -What lab value is high wI bone tumor?

CREST Proximal tibia

A Ikal1nP. pllOspbatase

-MC. fungalinfection L'nD1Qnosuwressed? in -Inaease in cal~~ fat pad is ~ wI what di.~~ -PurposeofiDsertingan~~iIIto lit MPJ after performKeller? -Can roo give ~ to a p wI g12~?
-STJ easiest to displace in what position?

r~dida , Acromegaly
Acts asa spacer No

{""give mq>ine with glaucoma aIi you won't get a diploma")

-Mid!mal ~ duringsait is clIaIadaisticof! -Firstline of trea~t for RSD?

-Blue discoloratioo in wd>space = 7

Inversion EquiDUs PT
Cavemosa hemangioma

-SY!!~~c nJptme seen Weber wi _7 -one of thediffeI~ diagooses Kaposis7 for -Sickle aisis t1'eatmeJ]t: cell
seenwi: -~ in 1xme width ~ wi: -HSllllDaIk LisFI3DCS fradm'e1 -Excise~ ~oids; what might result?
-Inaease in bone width

WeberC MaligDaDt ~Iaooma 02, Narootics,Abx Aaomegaiy, Pagets Osteogenesis uDpetfccta

Fledc fraCbU"e

- off medial base of 2-

Met

Hanux malleus.. Jose insCJ:tion I'1IB of

-Six cardinal stages/signs of cbrooic osteomyelitis: 1)I3diol~ - ostcolysis, decreasedck:osity, Jossof ttabeculation

2~
3 )sequestra

- deal txme or areaof advanced bo~

~~uu

repair
density
for pus)
--

isJaIi of dead bone 4 )invo1ua1Jm - area of MW bone fOImation; jJgea5cd

u,~~..~5)cloaca

siDUs ttact

in 00De~ decreased
--

density

(*o1Jtlet

-Fmn, 1KBl~ ~ !~~ m dc:Ksum of foot; which of the following is it: ganglioniccyst. lipoma, granuloma, fibroma'! -Pt JB'eseDtS b/o AI sprainsam ankle wi occasionally locks; what is the problem? -Avulsion ~ of calc aIderiorP'Oce5S d/t1 -Incision ~ over tendonmay result in? -TxforRSD: -MC. bonetumor in ca~j: -Abx for PCN-allergicpt wi DM, aId liver dx with aIbnres positive for gram ~ nxf! -Clinical ha11Tn1ni1: of pityriasis rosca1
-Male IX wi toes that bJIDblue. thm 1M?

Granuloma

om talus
Bifurcate ligament Adhesion Pr, TENS, Bier block, Psychotherapy UnicaDa"3llxme cyst (U~) Cipo HeIak1.-tdl TAD 1~e7 2)pro1iferative, 3)~Jing 1)Stimulation,2)conwlsioos,3~on, d/t directpressureon arteries ~ by Perpeodicular axis of rotationof toe to

-3 PJaSC'S wound repIiI1 of -Toxic drug reactionto LA manif~s how? -Vnl~'s isd1emia ? =
-Skin wcdge must be placed how for skin plastics?
-What is Simons Angle?

4)death edema

Line bi_~~ ta1arheadaIxi extcnds diSIallytowards I-met (APview); ifitfal1s~to )-Mr, is negative(MA) ; falling ~ to 1- Mr = (+) (rEV) SimpIifiM MA angle;bisectionr MY'aIxi bi_~OD IC * approx 3 degrees greata'than MAA

-What is

Engles Angie(AP)?

-What is position of navicular in TEVl

~y

subl~

-GanleyspliDt... whereis bar placed for extemalrotation C(;u~oo1

FF ( (vs) placedat RF for iDtemalrotaIioocolIedion)

.What MA devicewas designedasalt=native

.After ~OD
toscrialcastjDg? of MA is acbievM, 00w long shouldcastingcontinue? Wbeatootrace Foot shouldbe mAintJtined ~ in positionfor at leastaslong asit took to ooaectMA

.When~ ~

co~on

of MA beperiomd? 0IK:e is 6-8yy or older pt

-Modified Heyman,Henxion and Sttoogprocedu Preserves Ie? plantMaIKilatera1 Jiga~. anduses3 dorsalincisions(mginal HHS = ~ ttaDsviJx:ision andre.!~~ an 1ip~k at LF jt) -UIt the ~ procedures MA: for
Bankart, Peabody and Muro, McCormick aJKtBlount, FowJer, Steyt1eraM VanDer Walt, Berman aIxI GardaIx1,Lepird, Brink aod Levitsky

-Which MA In'tx:cdme is a Juvara wI cresentic osteotomies of lesser mets? -Another mme for Steytler aIM1 Van Del" Walt?

-Ditr~

b/w imrinsic aIK1 extrinsicclubfoot?

Lepird Modified BermanaDdGartJand TmriDsic (lEV) \ISRDrin.cic(posbJIal); intrinsic also basTN] subluxaDon. ~ ta1ar rotatim in AJ mcxtise

-MC.

~logic.

ooogmital deformity? foot

TEV (2.29/1000 bil'tbs)

.only teIIdoDS el~~M wI TEV'l PeroDeals -8iDK)DS of 15 for TEV7 rule ---~$Wlqxali~ if.TCA.~S.~ > 15 -~m"VS.i Idease what is JO~? Cilalmferemjal re1ease~ ~ aDtedor ~!~~ an is -Primarydeforming~ in calcaoeovaJsus7 T~ of aDtrro-]afeJal ankle
-ccv ...Jcx:aboo DaViaIIaI7 of

subluxcd (like in TEV)

-AchT is SU'etdIed which oongmihtl defOImity? ccv in -:MajordeformingF in Vertical Talus (VI)? PL In. = mjr deformingF wI iDaeasedproDatOry potential -Radiographic ~~s of VT7 For=! plaDtarfiexion 1ateral view TNJ disltx:atioo DOt alleviatOO whenfoot is in ~~ pJantarflexion -How to differeDbate CCV from VI' clinicany7 VI' =hollow anteriorto lat maIl~lus -T~ foraImIiIY1axis(aIMI &R)? 0.3 ml epi 1:1000 dilution 1M

-T~ -T~~

-T~tment for CPof CV orrespiratory origin?

for CP ~-!1Y to shcd:7

02
Fluids

for CP wlo sbcd: or respir rogin? DSW,morphine,labs -Earliest sign of shock? Tachycardia (tachypnea also an earlysign) is -Wbea is ~ in urinary ~ ~ in shockprs? Only in severe shockstates -What classofbelD(XIbage sIMJws c1assic $b(x:ksigns? ~ m -What classof hemOlThage life-threateoing? is C~ IV -How D11d lossofblo<Kiresultsin LOC? 5()8/0 ofblood loss -How muchblcxx1 you losewI pelvic fI3CtlDe1 6 uoits (3OOOml).._im~iatp.lylife tID'eat~ing! can
-Whidl

is safer...ringers lactate or NSS?

Ringerslactate;for joints, it is lessdamaging to ~~ aM for ~ pts, NSS causes

hypochloremic acidosis. Ringers does not

-MC. fracture in FF? -Vasal1ar supply to 5th MI'?

Hallux fraCbn (usnDP) RQ~~~~.~: DMA, PMA. fiOOJar plantaramrginala lDtta(&eOUs: peri~ plexus.nutrient a, metaph plexus
MOl for avulsioD=iDvcrsion injury vs Jones-foot QInDOtinvert

-Differencein mecbani~ b/w Jones and Sib MI'B avulsionftxtme?

-What are the 5 "D"s of Cbaroot?

Desttudion, dellsity,debris.disorgani~tiOD,disl<ation

.What test is the gold std for DVI"i'

-What di~~~

Venogram (but everyone orders Duplex VS)

present palmar-plantar wi lesions? Syphilis, HFMD, RMSF, N.Gon. menmgococcemia,

palmar-plaDtar psoriasis, ~-pJantar 2 foot one baud disease(rinea) ke13tosis,

-Keratodermic

sandal is seen wi what

disease?

PityriasisRubIaPi1aris (PRP)
l)risk hypoglycemia 2)BS of 40 or less 3)i!!1~edia!~ recurrence of hypoglYc. following administration of glucose

.Whipples

triad =1

-Normal CrCI

=?

>SO
PCN G 10-20 million 1JDits/day Give C1~~mycin Tramnatic anemysm, A V fistuJa lDIra-aItiaJJarbemonbage Medial (Hemy), Dorsal (Muba13k), Combo *medial is fiIstest, dOIEalis 1east tnmrnmi7in~, mxl a>mOO most often usm is 21Ki 3MdegreeplaDlar burn or

-What do yon give a pt that needs tetaD1ls shot but is anergic to tetanus toxoid? *What is the IX:is PCN anergic? -What are 2 Jatesequela of arterial injmy? -An inaease mjt space on XIayplfra ~ =1 -Surgical approachesfor fasciotomy (foot)?

-When

do you hospitalize

burns?

anyzDddegrees> lSO/o body SA >6Oyyor<2yy ~ectrica1 orjnhalRtionburn -Signs ofbum sI1(x:k? = hypovolemicshoclc; circuJatory collapseand arterial VC -A very pr()Dated will obliteratewhat foot on a Lateralxray7 Middle TC facet...fake-outfor tarsalcoalition -What artbritidesarecommonlyfound at LF joint? OA (2a1 location),gout (r !DC ]DC location) *impt to ddx thesefrom Charcoton xray -MC. osteolytic conditions in the foot? IDfection,seronegative arthropathies, chronicgout -Non-erosive arthropathies (in the foot)? DISH, OA, acutegout, 01arc0t -Key to Charcot foot on xray? Subluxation -It space widening common wi what attbritis? Seronegatives
of choice for navicular stress

- T~ent

fraCttIresfor young, active pI? -Why are navicular Sb'ess fI3CbU"es m.c. in

ORIF (+) immOOilization InaeasedP (we(jgOO bones), and poor blood supply b/w
Posterior COmpartment:Sciatic n. divisions Anterior COmparbDent: Femoral n. Medial compat1ment:ObttuMor n.

centIall/3 of the bone?

-Nn supply to tbjgh mm?

Weakvastusm~a1is lnh1"bit oste<x:lastic activity -> blocks resorptionof boneaM canilage(why they're becomingpopularfor Olarcot) -Common C/I to bisphosp~~es in Charcotpts? CanIlOt if decreased use kidney function/renalfailure -How canyou stopthe progression Charcot? of ImmobilizeandNWB (w/o WB, Charcotdoesn't progress)
-Action ofbisphosphanates?

-Runners ~

=?

-charcot treatment guidelinefor stableconfiguration? -Charcottreatment guidelinefor unstableconfiguration?

Exostectomy Stabilization arthrodesis (relocate & rebuild)

-Charcottreatmf':nt guidelinefor rigid deformity wI glOOal prominences?

-If

Charcotpt hasequiDIJS, you fix before or after do

recoDsttUction?

Mjr reconstmctive surgery plus relocation ard1rodesis

Fix equimIS lit, thenrC(:OD sttuctive surges:y

-Deadly triad
-What is

=?

DM. HTN, Obesity

ooe problem wI bone bx as definitive

diagnosisfor OM!
-Max dose of ASA qd? -Max dose AP AP qd? -Max dose Ibuprofen qd?

-MC. causeSlllsticity in adults? -DGI (dL~m~~ed gonococcalinfection) triad? do you do if get dorsiflexedhallux after MBA implaDtation?

Biopsywrong part ofbone 4 g; * >4g ->as gout, <4g -> hypemricemia 1 g/dose;4gi24hacute,6gi24h chronic~ (325 mg or 500 109tablets) 2.4-3.2gIday Stroke Tenosynovitis, polyarthI3lgias,dermatitis
(*teIK)S}'novitis

= unique

to DGI out of infectious arthritides)

-What

=d/t s.t adaptation to keeping 1- MT position wI FF supjnatus...s.ts should eventually relax mI PL m/tendon should regain advantage

-Hallux

varus5UrgrlY: if DTn., is no longer intact,

can you do tendon transfers?

CaDDotdo AIxJH or Em., tendon transfers b/c using DTn.. as pulley for these tendoo 1I3Dsfers Secondary to chronic VD (seen in D M b/ c of autonomic ne1Jropathy causes~c -> VD)

--What ---

is- the cause -~ --

of Ml)!1k~gs7

-Whicll NSAID do you give pt wI ~ rd1ux? -M"inimtlm you should keep an MBA in? -Would you take an MBA out in very active kid involved in a lot of jumping?

Nabumetone (Relafen) 1 year, absolute minimum is 6 !DOS

y es~b/c jars MBA around aIKi is painful to kid (*once hit 6 mos-lyear, Sotskeep STJ in new position)
MBA: all same length. as size inaeases so does diam Futma: as size inaeases so do length aIKi diameter

-Differenceb/w MBA aDdFutma?

-stagesof arterial occlusionin orderof ami occlusion? l)IC, 2)restpain, 3)gangreoe -Lesion pJaDlarsIhMr wh~ doesinfection ttavel? Dorsally -Lesion sub 1,2... wheredoesinfection ttavel? Medial arch

-AO rules (different from principles)?

More cortices the better More screws the better V~ Principle will attack the domjnaJ1t fracture

DVT, compartsyndrome, Charcot,Venousstasis. lymphangitis,lymphedema, infection,fracture -What soakswould you Rx forpseudomonasinfection? Acetic acid (white vinegar)4: 1 H2O: AA -Youngestageits safeto do osseous procedure MA? for 6 yy
-~

-COmmon causes UII.. leg edema?

deformingF of flexible flatfoot (FFF)1

AJequinus >35% MF involvoo

-At what % do you fuse middle facet TC instead of resecting'?

-DifIcrence

b/w skin naps

aDd skin grafts?

Skin flaps retain their vasco1arsupply

-Indi~tions for skjn fiaps?

Coverage areasof poor ~~~ for Reconstruction thicknesswound full Paddingoverbony PfOm-~~
Medial arch, Sjuus T aIsi 24-48 bh after jDjmy or it won )t be aca1mte

-Wherein foot t3n you harvest small FTSGs? -What time fiame 00 yon. need to do peImeal tenogram in?
-How
long after tendon tIansfer can

pt

retmn

to~activityandwhy?
-MC. causes TrS?
-Du Vries procedure for caws foot?

4 wks; blc ~eIingpbase (3I1ipbase) 15-28 lasts days bowever. manypeoplesaycan ~ at 3 wks
Pronation, Varia)Siti~

Dorsit1exoryfusionofMrJ
l)fibula to le&1gth plate and 2)tibiato]eDgth 3}pack defect 4)buttress plate m~~1y

-AO principles for pilon fl'aCbJres?

-What is the Reudi-ADgower C~~~on pilonfraames basedon?

for Amount of comm;mttion #1 TIauma;1ongIItMr, short lotMr, bypeIDKJbiie lotMr, immOOile Mr, MPE, DJD, lot ~ iifuLupad!if.c;, iatI'Ogenic
Johnson and Strom, Conti, F1DJk For PTlD; a smgical ~1&.-o:sification l)avuJsion PIT (IUpbJre) 2)midsubstaDcetear near med mall 3)longitsplitB w/o complete ropb1re 4)teDosynovitis w/o visible roptme

~~~.Qf~~:-

-What

arethe 3 commonlyused (:1as.~~~on systemsfor PITD1

-What is the Funk cIas..sification?

-What is anod1erclg~catiO!1 system for sa. Mr fI3ctm'es besides Stewa1t1

Cbapman
Mueller Degan For MaligoantMelanoma;OaIks=pathOlogic staging, Breslows=survival ratesbasedon depth Sbot,gonwoun& Morris Knwada Vogler (=SAD) For LCL iqjmy, I=CFL, ll=I+ATFL, m-n+PTFL, IV=m-+partia1 deltoid tear In propoJsion, flexed 45 degrees, p1aDtaIflexcd KJ AI 20 degrees D=1 to at Jeast 65 ~ -7 get dorsiflexionat lit MP] to aca>UDt this! for

-Qassification systemfor medmall fraCblreS? -CJ:I~~fication systemfor ant proce3S cal~~? -What are Carks andBresiowscl:ls.~ficatiODS1 -What is Oniogscl~cificatjon for? systemfor AchT lesions'!

-CI--3S-sification

-Classification system for AchT mpture? -C1a~afication system for STJ artbroeresis7

-What is d1e Dias ~1as-sffication'!

-Why is 65 degrees lit MPJ ROM min

necessary normal propulsion? for

-Brajded absoIbable synthetic sutures? -BIaided non-ebsorbable synthetic SUbJres? - Whm does Sclerosing OM of GaDe ocaJr? -Dil~Jdid is a good a1tema1ive morphine for to paUelKswi1h

Dexon.Viayi EthiboDd. ~J~ Steel Whminvohlaum~"'S hyperaaive COM in

Renal failure

-1 0 reagms a wOUIKiwon' t heal:

Hi 1e\Ie1s systemic steroids IDfC(2ion(pDmJeoceiqia~ wooDd edges) U1KX)DttOUai DM EtDbiSDl(DDttilional depletion) Prolonged depeodmcy (edema) Dessi~on of tissues ~ AscoIbic acid deficiency (collagen syn requires) Pl8SdetiDhibitiDg drop (ASA, NSAIDS) Hepatic di~~ (~~ ~ factors, albumin) ADemia (Hb <10 am Hct <33=iDadeq ~ 02 supply)

-LFFD: is NWB castinmcatOO 0RJF7 No; casting1msaabIc w/o fixation is rmely over jts effedive -LFFD: wbatooyookd:foronxray1 AP: m,.~~c>2Dm1b'w 1._~MI'Bs MO: broken)iDeof 4d1 MI'B mn MC (~ line up exactly) -"Toe up" signofhaDox z? Sccnw/LFFD whenTAT iiItcr-~ (~~ haDax)

.g.1or

ralUdiooaff.FFD?

l)rOOuce djastasj~

2~ 3~
-:#1 ~lication
-M C. cause

~ ooinmn ~ ray to 8IKl6tabilize lesser DIets Dm..mostpts

uamna

4)screwfixate LF jt for stability/compression

foUowiDg LFFD?
isolated cuboid! ~meifDIJD fix?

Post-tnn~t'.
~ impact

will

have some

-Cause of avulsion ~

d(K'S81 c:aICBDeUs?

-cause of aw1sionfx 1at~

-MC. midfoot fradme?
-Blood supply

amd?

EDB or bifurcatelig avulsion CC 1;8IIDeJI1 avulsioo

1/3 is avasaJlar

Navia1lar
('~

to c:eDb3ll/3 navicular? -What t~ODS insert on DaviaJJar7

-What is the F.ft~1uIT

Pn'

additioo10

Watson-JOIa? TypeIV: suess ~~ fIadme -MC. DavicuJarfractme? W-JType (dorsal n Jip/chip fx) -Whal doyou0 RIF W-J Typen? Whm >20010 artiaJJar imIOlved surf. -Aviators Astmlgus =? Another name talar~ fx for -HowmanyaaaredisnJpted Hawkins for Ill7 2 a (I=1 a, n aIM! m=2 as,IV=3aa) -WbaI: themajorartm~ supplying are talus? PTA, ATA, ~ng peroneal a -Bemdt-HaJdy howdoyoudiagn(S? Need MRI to ~ thissaage Ian
-What is tr~f B-H m~? 8-12 wks castimmOO. thm amscr)' ("'DcSI1 requiIc um man oSIeotOmy ~ wI ofOCD. then castp~cxM)

-Another

name 1Blar for dome fx?

Osteochondritis D1-,~~

-What. is most common taJar dome lesion? PIMP -What. type of talar fx d/t dorsiflexion injuries? Head, Deck fx -MOl for taJarbody ~? Cc,iDpfessionof tibia against talus

-MOl for ]at ~ fractmes? -ShepmUs fIadme =? -Name for talar}X)st processIx?
-What other ta1arcm~Qjfication sys includes 131ar dome lesions besides B-H1 -What % of ta1arfx are neck fx:? -What xray view is good for 1a1ar n=7

Dorstt1exion.;jnversion
Medja1 tubercle

Latemlta1arprocessfl'acbJre

= Hmiey's notchfx

Lateml tubercle = Steidasprocess fx SDepPeJl (Group 1) 500/0

Canale xray ...modified .AP

-How are ta1ar neck fx :fixated?

-Why

2 screwsfor 1alar neck fx:?

From A to P wI 23.5 cortical screws (must sink the saews when placed dmJugh the head) To prevem vams/valgus rotation of head Mani- Weber (I'ype I) 12-16 wks NWB; 0Dce A VN di~gnosed,

-Cla!;-0fi~QD that includes 13Jar headfx andflake fx?

-How do yon prevent collapse wI A VN?

adtHti~16-18 mo NWB recomm~dcd

-Talar head fx... when to reduce/fucate;vs

castiImDobi1i7ation? When>25%of headinvolved Area of cal~~~JS w.ha'e blood supply enters
(weakest area of ~~-!!eUS) l"'.Alcaneal fx Fx prox tibia, femur, hip, 1mnbar spine, bJadderproblems

~is~~~e?
-Most disabling pedal ftactures? -What else must be considered wi cak: .fx?

-~

is the!D.C. sPiDa1 -iDjury

wI calcaDeal fx? -T~ JtAngle=? .cri:ti~ Angle CrucialAngle? vs.

-Pt cannot waJk on heel.. what type of fx? -Can you distinguish Rowe llA aDd lIB solely on xray? -What Rowe has hlo mversion AI spxain? -MC. Rowe?

Fx wI COmpI'ession oiL! BohIeJ:S Angle ClUcial Angle= Bob1ers Angle

Critical Angle = GissanesAngle Rowe IA -11Jberosity fx

-Passivedftxn oihanux causes pain...typefx?

Rowem - susten. fx tali

NO
Rowe IC (3Dterior~ fx)

~ ~

IC m.c.RoweTypeI m mc. extm-a11icu]ar fx

-Palmers theory = ?

For iDIra-al'tic ca]caneal fx l)primary fx line d/t talusdriving iDI:o calc 2)secondazy line givesjt depress TI' fx vs 3)Jatwall blowout 4)cJastic recoil ->sttp-off (JatfI3l frdgmt sinksaway)

By directionof F; vertical F = TT. aDtfrior F =jt depression - Tx for SaDdezs type IV? Primaryarthrodesis level comminl~on d/t -The closer a ~ gets to sust 131i.it is_7 Harderto fixate -High Ankle SpmiDs=1 Synnesmotic spI3ins -Mor high anklesprain?
Forced ex! rotation of fOOtwI iDtemalleg rotation ORhyperd orsifiexion wI forceful ex!:rotation

-How is secondary line detennined? fx

-Diagnostictestfor sy!!d~ntic

sprain?

Cotton hook test

10

-What else is usuaDy iJ\jmoed with frank syDdesm. .-JJPmc? -~ test -1

Deltoid 1,pment usually I~~ also Manual compiSOn of tibia BOOfibula alxJve calf level; is paiDful = syIMiestOOtlc sprain

.complete tib-fib diastasis ~ usn

wn

PERanklefIadme No; they are reIOOVM at 3-4 mODtbs usn (*aews left in permaJaJfiy~ fail d/t normalmotion bIw tibia andfibular)

-Are tI3Dssyudrsmotic screws kept in ~1y?

-1

mmlattzal~~~

w/in aokle~
(~ Up to 42% LIt man fx wI AJ ~~~ kas bd1iIKI1ibia; ~ d/t ex! rotationof foot) VollcmaDDS fx

dtcreases tibio-talar contactby? -Bwwuiibs ~7 -Posterior ma1l~1a!' anklefx -7 -MC. Lauge-Hausen7 -WoIstLauge..JiaDseIl 7 -SAD Mn~7
-Which L-H bas tI8DSVfiOO1arfx on

ss.n PER IV
Fibular awlsion wI vertical mM mall fx

lat aIKioo1iq1x: fibJ)ar fx 011. AP? -Til1auxm:Wagstaftefxs can be s=D.wI wbichL-Hs? -V ~~.c fx ~ be ~ wI which Lange-F~
-What is tbe AOIASIF L'Jassificatial for

PAB
Pm n-1V c:D1y

smtm.IV;~1V

_.~Q!!-:DoIsifiexion (.-rlofL--H) SAD (b/c fx mcd man dIt \X)I11p: ~ from talus!) -Pilon fx ~ to Ic.-lh in wbat type def'UA-iiiiLy7 Varus;d/t cxIm gabjJi1y fibula of -If pilon fx is too comminnt~ to ORlFr7Tl Traction 5-8 wks then AJ fusion -T.i~oos or ~J jDjmies mrely ~ befme what age? 8 y/o -M.C. reason pbyscalgrowth diaIii'-~? for Bony bri~~~ -Salter -Hmis I may be assocwI what ~- ~~ Scurvy,~ myeioproJif.d/~
-Which L-H mech ~ 't nJIMme ~1tnid?

viJonfx?

---

-MC. Salter-Hmris'l

<2 y/o=Type >2y/o-Typen 1;

(smrpys fibers abseIIt before2 y/o) -Thurstml-HollaIKisign caused by? Lateml ~~1acaDt F .oD1y~ when a Dew (an ~ ~ pbysis? TiD8JX~ (bIc of 8F) -How 00 you diagnose triplane ankle~'l cr (2O,'too only xmys) wI
-Ogden mOOificatioo to Saher-Hmris? Avulsion fx epiphysis wi 0 physca1involvemt

-Keyto 5'~~~

~f!nt of physea1 iDjuries? R~~~liDg to G-A Types n, m? B/c of Gram Dega1ive bac aDd erKiotoxins (eDdotoxiDsC2I1 ~sboc1:) -WIa. are woums fromfasci otomy (COmpaItlDCDt decompression) closed? SdaysP/OP Pain -Most im.-: sign of ~ syndrome? -Why are AGs ~
-2l1li

mostimpt sign of coiDPil1~syDdrome?

Pressme
4-U bh (somesay 3h) 6-12 bh

-At what ~ doesirreYCIsible Im/mm. damage occur? -Partial/totalfunction deficik first seenat ?
-UDtl'eate(i COiiij:iil1~ syndrome has what

11

-Treves disease?

serious result? end -Lewins disease? -Ritters disease?

ARF OsteochoDdrosis of distaltibia "of fibularhead

"fibular

sesamoid

-~~ttim disease? "tibial ~--!!!~id -GSW - whatdo yon do once stabilize ~? CheckNY andteaaDUs status -L VM GSW=whatvelocity? <2000ft/sec -When is s.t uaumaconsideJ'ed conm~t~? >6 hh post tIamna
- T etaDUS prone wounds = ?

>6hhpostiDjury bum,frostbite, auch or missile injmy stellate wound,abIasion,or avulsionof skiD devitatiz~ ischemictissue contamin~nts (dirt, feces,saliva) -caPS - whenis remis.~on most likely?
-What causes Sudeks Atrophy?

Phase ill ("ciamc" iDi1ial phase) Hyperemia, increased meduDaty P, decreasedpH (*NOT d/t disuse)

-CRPS phases?

IA: ooJd/VC (2-6 wks) (akaacute) IB: Sweaty/VD.(2-6 mos) (akaaaJte) ll: S~ Atrophy (ab dystrophic) ill: deadphase(6-12mos) (akaatrophic)
do to
CRPS IX?

-What.

should

you never
.

NEVER.immobilizethe area
Type I - partjal tear less than 500/0

-Knwada

classification

of AchT ~?

---

Typen - completetear <3cm ~ Typem - completetear 3-6 cm defect T:Ype - completetear> 6cm defect IV -2 reasons Ach1T~ usn at Watershed area?

dea-easedva scuIarity, ~
torque (AchT twists prox to distal}

-Differenceb/w Silverskiold Lindhnlm and ~~ ~ of AchT mpIme?

~kioM

- ceDtral gastroc8p00eur.strip Li@olm - 2 outer stripsof gastrocapmIeur.

Skiing

105 degrees -Which ligament aosses bothAJ andSTJ? CFL -Valgus tilting of talus sigofies? Complete mptID'e~cial. & deep deltoid -complete mJXme usn ~ in how much

-m.c. sports-related cause of peronealsubluxation? -ATFL aDdCFL form whatangle to ea~JJ.er?

lataa1t31ardispla~

1 cm (justinjury to deltoid usn = 2mm)

-Should

-Nail ~

you elevatea limb wi vasculartrauma? lacelation... whenshouldyou repair?

NO! may fmfher CCiiDpIuJDise W/in 7 days p/tmmna

-BY~ngbase

ofPPin distalSymes you...

I)allow sesamoid complexto fuDctionandreduceP uOOer MPJ lit 2)retainintrinsic m. attacbmts

12

-What diagnostic method is required to see:

-~
-Bum

-PiD~ '/ -wocxI~ dcsIspliDteJ:s -glass 100 piDmI j close a pmJCbIre ~

staodardxmys Cfisb5t xraylFtimedorcoD1ainslead Never;~~

anemire foot..wbat% of BSA?

3.5%

SermnaIKiUriDc ~l8!i1y (kidneyfm), eledrolyres,Hct (volmDem~) -Sb(H!]d give bum pt JXDPhylaClic roo Abx? No blc may ~~~on off A or ~ -4dodcsreefrosd)jtcresu1rs in? Lossof bodypart -O1i1blain/pemio ? c ChImic~~Jlitis of dermis ~ by cold -4 ~ for 1/3nJbu1ar pJate? DeUtl31i~on (fiOOlar ~ fx), plate.Do>. talsioo baodingplate -Spnmg Mortises ? SyDliesmroc ~ -Whm do you changea dmin? q12hCX' Y2 if full -PeroDeal sOOIuxatioo...a ortXJlx:WOJk I'" Try Sot. tbeJ1 to groove(k;q)eDmgproceds, 1., go c

-Lab vahICS OlderwI bums? to

-WouldyoufiDte B-H 3 1ateral?

- VI' risk factors? D

n:#-':'_1~n -J.J~~j

Y~ b/c shaDow poorbloodsupply and

1M CLOTIED (imIII(j), IDa1 gD3DCy, i coDgeDital,longevity,
dai1y, b:a1DDa, ~7 _YJNDICATFS.(~~11f1r, ~~ tStrogm, DYrJKev bJSly)

Deoplan, djd,

.-.

~P1~~
-Kilby

Mortms neuromavs PDS1

sign 1 --

many cx:' in 1 mIit blO(xf'l s

can you give 1M?

;JDDIImogeoic, con~~;w. ~-.mm. tIa1DDa, aMkgiIIe, eJc~ll'bi~) MN feels bdrer wi !,11mt1rrf1exion, PDS feels worse Seenwi excessproDatioo; 1attJ:alprocess of talus hiWDg ~ l~S (d)Stmcts siIIIs 1arSi) ~ -. . ~

-What NSAID

-NSAIDS ~

for kids mxi doles'}

soo Tomdol RiiipI-ofeill0 mg/kg Nap~ 10mg;Ikg T~lmP!nrin mg/kg 20

-6 ~

for AI b1odc'l

Tibial,~s.

deep ~

IDCN.IDOl, sural
eIytbo, - -

oK-wire ~

.02i, .035, .045, .054, .062

-V8DOOJaksam~7 ...A~-tbat-D=1"DO'~-adjustmatt?
- ABX for pegDaDt women? -ABX for mtRin! moms? -can JUegDaDt women get an MRrl
-Rule of lh- am 1/3 for 1xJDe?

~30-40,trou8h5-l0 . -A:mc"8iirEfVr(87itTiiO,~-dOij;~~~.
DmXi)

-Should you do a ga11i1tm ~

-PICCliDe=?

in kjds?

PECs(PCNs,coythro,1- and r gfD cefs (not I:dmuximc PA VB (PCNs,AGs, VaDCO, erythro) No is a CJl (una ~~ emergmcy) <30 yy & 1/3rule (1/3 = ~111aIy boDe), >40 yy = 1/2 rule (Jose cortiQ1boDe-> moremMn naryboDe) No; SlayS growth platesfor days in

Periphaally inserted central C'2thMcr

DiICd

-Direct R~tioo Vi ~

for fx fI3gmts?

=tbroo,gh fIagmt to SI3ble fx boDe,iJxIiJtd:=~

won'tfit

-WIthAI fusion, whatdoyou~ TiDaDX -OJapJtfx in kids =?

to doto :6mJ]a? Remove piece, will be100 a or long& ~ SHill

5. digit.

-M.C. a)aJitionin~? -~ for panMIH ~1 Tr-tnt#S1ffor ~~ian cyst? -Whm ck> ordtr: cr scans fxs? yoo wI

Hoffman (plantIrincision), Clayton (doIsal incision)

LA, tlm aspirate gaugeneedle),CS, OODJTIi~~ dressing (18
(*Y au always order xmys I-) -Always order cr after XI8y for calc fx. -Always order cr after xray for molt MI'B fx. (to r/ 0 LFFD) -Good ~ to order cr after xmy for pilon fx. to look at artic can aIKI to gd: a better ia of what the mgmR look like

13

-Why do some Drs primary arthrodesis pilon fx?

B/ c usu Deedto do as 5e(X)Ddaryproced1 anyways ]Ie

Inhibits degredx toxic peroxides fungal cell andinhibi-ls of in Fe synthesis -MOA teltri-mfJne? Inhibits ergosterol syDdJesis -How do you treat onychomycosis pregnantpt? M~hanical debridemt in -# 1 reasonfor DM pts to be bospi~1ized1 Foot infections -Why are DM pts skin so dry? DIt giycosylationof tissues (this occmsevenin skin)
-Di:fIerence
-Definitive

-MO A ciclopirox?

b/w RSD aOOcalJsalgia?

RSD

diagnosis CRPS? for

= CBPS 1, c.aJJsa1gia CRPS n = S~~~ blocks

-What is a podiatric~ for Tagamet? As treatmmt for waItS;worksbestin kids < 16y/o -How long doesit aake arthrodesisto ftJse? 10 wks or tmtil seebonytrabeaIlatiw J3di0~lly an -STJ impJant...What stIUdsdo you want to avoid? Suraln, )at cal~J!~ n, lateralaDd~ us TC Jigs, a1t=Yof tarsalcaImI, artay of simIStaIsi, deltoid artery, possiblyIDCN (~ ou JX:) -Decrease Hbalc by 1 point -> ? 43% dea'ease amputation, risk 24% decrease IezJa1 risk: failure, 14%deaease cataracts risk and:t...n, % ~ 12 risk stIoke -Which is bdter for DM pts - ABI or PPG7.PPGb/c ~ systolictoeP am medial ~~-5 doesn't usuextemtotocs -TAL ~ plantarpessuresin DM pts by? 2"/0 decrease ~ in -What is d1e mosteffectiveway to ~med oo1umn? TN] fusion -What is d1emoststablefixation for TN] fusion? Circum~ fixation (3 screws...2 crossed screws - --. -.wI 3Msaew Jatcra1 to.~) --What

--

are sequelae

of TNJ fusion

if do not address

NC fault/sagging (*othc; sequelae ~ TN} fusion = CC1subJDxation) -PTID p1ns fixed valgusheel- how to correct? Triple arthrodesis needed restorealignmt,funcboo to -How doesthe Evansfix flatfoot? By tealigning CCJandTN] sothey ~ not pamlle1, hypermooilityis ~~ and stability is iDa'eased -What arethejt destlUcti\Ie pI~? In.. Artm'OOesis, Imp1aI!!, KeUer,O1ei1ectomy -What is biggerthan 100suture? 0,0-0,0-1,0-2,0-3 -Diffelmce b/w chronicand aaIte woUDds?Chronichavepersisting~ phase--> exudate hi [ Js wI of:MMPs (mab:ixmetall oprotei~-~) *~ MMPs resuhin degredaUon CXtI3ceU matrix proteins aDdinactivati of growth factors(--> delayhealing) on
-What is promogran?

equiDDS?

A wound matrix; used for venous stasis u1ceIS *binds }\.,IMpsaDdpromotes moist wound environment Classic/MediteII3Dean FnrlP:lnit'J Afiican

-4 types ofKaposis sarooma?

Epidemic/AIDS-related Transplant-related/Immlmodeficiency
-Myositis ~~~--:!!S circumscripla ? Heterotopic05$i~~Jionthat occmsafter tramna -What bone tumor is in the ddx for myositis ossificans? Osteosarc (same age group)
-Difference
-LateI31

b/w secondarY

ixlines

in Essex-~? wan blow-Jt. ~ with is what typeof CA1~nea 1fx?

1T horiz, Joint~
JoiDt~on

on vertical

intta-articuJar fx

14

-DKA cbarada~

by what 3lab~?

hYJKolglYcemia (>300) Dmyd1'atian 15 bicalb) Aci&!SiswI ~~ aIM! k-::~.~..,~a <7.3) (pH

hypoNa, bypoK, hypoglycemia B/c ~c is d/thy perosmolarity aDd that causes(X)IDa (metabolic ~ltlJSiS (DKA) is DOta mjr ~ ooma) (~ ketonemia CAN iJMIuce ooma)

-potentially
-Why

lethal ofDKA? SE
~

ck:tes mt ~ DKA

as fIeq~

as non-ketotic does?

-What is oftm. m1~goosed as a sttc:*e?

-Treatm~

Non~hYJa

osmolar ooma

for fibromyalgia geared tDWards?

d1~gJIOse osteopo~?

SIeqJ 8Dd~
BMD test

sing~

-Only way to ~irivdy

-~graft

vs.Dynagrafl

Denua~ BUN~
artbtitis?

DyDagmf=DBM (bODe graft)

=demJa1 substinlte Dr:wborn from foreskin

hydrMim&13te

-What is BUN anitvfir:IIt~of! -3 D's of surgeryfor infection?

-How do you dMtDitivdy dia 8IMJSe septic

Debridement. Drainage,D~sion
Gmm stain aDd (+) ~ fluid aJ1nD'e

-F21}m,ntr

of septic ard1ritis ttcalmSJ!?

Closed ~
SA N. pOJlbca SA; Gram~

~on

qd to dminjoiDt
eoaaic ba~~

-MC. causesepticarthritis in kids? -MC. ~ septicarthriaisin Y.A ? -MC. causesepticSInIn;ti~indde.dy7 -Top 4 ~ of ~Jllary iDfBrct?

l)chronic steroids at supraphysiologic doses 2~ a}cX)bolism 3)SLE _.4}Sick1eC41 ADemia

-What is

a '-natoma b~
For reduction of fx; inject. same amt of local you would for regional bloclL (ie aDkle bkd: for taJar fx/~is!~~) ~ ~ it iDo ~ ofhE,..1Sit.~...d ..the ~ of ~~J bJeed!ngis aIQ m worst fmctme. . ..by doing a more location ~c block, the ptexperi=1 ~ 1rss.-m both during and post reduction

~1/l: 1/2 'VI 1/3:2/3 role for roue?

-Femaleath1d:e triad for sires fx?

u~ age 40, DOmIalboDe is 112:112 oortjcal:canceIloos; after age 40, cortical bone ID8$ ~ aIKI result is 1/3:2/3 a)I1jr21:~Jlous_- .this is a maIka' for~ osis Eating diDdeI. ~~0Ibea. oste.opeDja

-caws foot IDOIC Iikdy to ~ to what type ~ fx? -Flatfoot more likely to leadto what ~ ~ fx:?
-High

Tibial ~ MT~fx

fx

jDci~
RA ~iaDC

of 2mMT ~
caD. ~

fX. afterwhattypeImFY 7 lit ray pIocedmes(espwI KeUas)

.!.--~oo arRA

-What.

nOOu]e fuiiDatioD?

MTX

-What other~~~

canyoo ~ RA-like noduleswn

SLE.gramJ1oIDa ~11are, NLD

-What ~~~ canIMuce RA nodules? -What is focusof surgical ~OD of ankle fx?
-What

causesepi~1

1nl'Jnc1nn cysts?

-What is baR~11 foot/acquired cbJbfoo1? -MOl for STJ disl~~?

Q)l~hicine Restore length of fibu]a. syndesmooc stability, a~~1y realignankle mortise UAJallyd/t h3,..lmlic impJaotation ofepj demJal cells intodennaltissue STJdislocationcauses !oct.to look like this the High ~ injury wI forceful inversionof plaDtarfiexed foot

1~

.What is the I3diographickey

to dia~~-E STJdiskK:ation? ~~
&caItate di~~C test for nemoma.?

-Most

of taJar htad to osvjco1ar, sbooId be amgromt on all views (normal) *wI STJdislocation, will ~ intact CCJbut not TNJ US (mole 8CCIlra1e than MRI MRI ~'t showall

-Why ~'t

cl1i1dren / RicketsstalxilwaJk? w

~) WaIkmg/~g om drJayed stI'IIdmal suppcxt hlc isn't alffid=t ...chiJdIal who do tty to walk usn deve1op ~ fx aro1DMi~ epipbysjmK:tion
ELISA; det=s IgG and IgMAbs of the spirochete WhitetoBJuetoRed rnEST (w/o ~~, its just RayDaIK1s) Assymebic oligoartbritis ofLE wiD rest aftriad ~ pain is usn very pc.~.mi..?2it this form wi Heclpain

-What

testis used djagn. to Lymedx?

= what disease?

-RayD8Uds ooWr dIaIJF? -Raynauds plus vessel ~tj-.!!~s

-Incomplete ReitfI'Sp~
~TalaIgia =7 -Pre-ballux c?
-If

as?

A~

DaviaJ]ar

on ABx. 00w Ioag do yoo haveto Iakc off

ABX before yoo ck> aJ1bJres7 wI Dai1bed ~tion... what is #1 thiDgywcbeci:? -t 1/2 ofhqJarin1 ~fx:

mfu.48haffABX
NVs8abIS,tha1cbedctdaDDS -_. O.5-2h(afta" 1~ ~ Jifc. Je\Ie1s 9Jb.;fbtraj1elWcb/c ale ~ is gone)

-z.osyn ~-Hujii.tC what

~"11in

amta7Ji)3a3m?

3 g ~"T1in, O.375g gz~

19 suDJadam
R

-}..ngm~tin ooJJ1ajns amt amoxi and clav acid? 650 mgamoxicillin, 125mg cIavuJaDic what acid
Tim~

-~

oo~

whatamtticarcilJin clavacid? and

3g ti:3IcilliD, g clavulaDic 0.1 acid

wbat~ ~ ~ ~Ibacaam1 -What is pnpose of addiugtbingslike sulbadamto PCNs?

~

2 g ~11iD,
~~i~

HelpPCNs 0\'eI:tX)IDe b-J$ldam~~

bugsby ~~.!

biDding sites -> 00gs can't imdivate PCN

~afsopcrficialposteriorOOmpaI1legmm in calf regiOD/high ankle'! ~ Tom, Harry (M->L) .Does Kites aDgIe iDaase (X" deaeasewI pmatim? ~ (21 ~~ is ~1) .Wha1is the talo-navicu1ar angle? Columntali to Ime tlaDsecting 1arsus < (JM)IDJa) =60-80 ~)

-6 ~

HaIJux Yams?

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~id, iX:Iil~

slaking MI'H,removal fiOO1ar of

~ve medial~~Jonphagy, over of IMA, ov='oori~ of PASA

-Sequential~~~

ofHT?

.order ofDeuIOmas fromM->L? -What is the CD4 Mfinihon of AIDS? -pathon. sign of osteoid~ma? -Why do gram (-)5 ~ septicemia eJdaiy'! in
-Milk of ~rnnl81Cia ?

Ext hO<xi lCRdion, at ~ 1~!;fMrin& ckJrsal ~~~, plaorarplate~~~. ardIrodesis PIPI (all ~ at MPJ) Ioplins. T~Jans, Bowsers,Mmtons, HDdcrS,~ a:>4<2OO=AIDS n~lu-~ ~ ~ arethe #1 ~ tms
Propot'ol

-What ~~r..lliates
-Why

~~

aod warts from caI ~

PKa

waItS aIaI't

boDeprOOlcms

do yon soakhypcrbi drOOcfed: in bJack tea?

and both have ahyperbi dIOtic component B/c bas 19amts t3DDicacid (dIyiDg agaIt) Weber aDd Ced1

-Name for the cl"ssifi~on systemdescribing hy-~upbic aJxiatIOJilicn00-1mions?

16