Download EBOT Trauma Exam Questions And Answers Latest Update 2025 and more Exams Traumatology in PDF only on Docsity!
Answers Latest Update 2025
Adult: systemic inflammatory response affecting lungs Children: delayed local response affecting all organs simultaneously (rare) - correct answer ✅Poly trauma inflammatory response kids vs adults Lactate of < 4.0 mmol/L pH ≥ 7. base excess ≥ -5.5 mmol/L delta base -2 - + EAC = you can nail long bones - correct answer ✅Parameters for Early appropriate care inflammatory response/ severity of injury in trauma - correct answer ✅IL 6 marker for Stage III (HR <120, decrease in BP) - correct answer ✅Which stage of shock do you see a decrease in BP? Patients with closed head injuries, poor response to resuscitation, and poor ventilator parameters; blood pressure <70mmHg,
Answers Latest Update 2025
platelets count <70,000, temperature <32°C and major soft tissue injuries Ex-fix - correct answer ✅Damage control ortho: Which patients benefit, what is treatment? IIIA: soft tissue stripping & >10cm IIIB: require flap (not skin graft) IIIC: vascular injury - correct answer ✅Type III Gustilio classification (4x4)+(4x4)+(3x3)= 16+16+9=41 - correct answer ✅What is the Injury Severity Score (ISS) for a patient with an open chest wound (Abbreviated Injury Scale, AIS=4), colon transection (AIS=4), femoral fracture (AIS=3), shoulder dislocation (AIS=2), and a thyroid gland contusion (AIS=1) Masquelet technique ("induced-membrane" technique) - correct answer ✅Technique where : 1st stage: I&D, cement spacer and temporizing fixation
Answers Latest Update 2025
modified ertl amputation risk of nonunion - correct answer ✅Amputation type and risk Syme: 15% BKA 25% BL BKA 50% AKA: 65% BL AKA: 128% - correct answer ✅Metabolic demands for common amps BKA X 2: 50% AKA + BKA: 118% AKA X 2: >200% - correct answer ✅Bilateral amputation metabolic demands
Answers Latest Update 2025
Hiking of the shoulder girdle; corrected with PT and wearing a prosthetic - correct answer ✅Complication of glenohumeral disarticualriton Lisfranc amputation (different than transmetatarsal) Equinovarus The loss of the peroneus longus, peroneus brevis, EHL, EDL, and peroneus tertius insertions result in an equinovarus deformity due to the pull of the gastroc-soleus complex and varus pull of posterior tibialis, and anterior tibialis. Correct with tib ant tendon transfer - correct answer ✅Amputation type and deformity Lack of adductor myodesis to femur - correct answer ✅AKA patient unable to ambulate due to prostethic moving to the lateral thigh Patient can still wear shoe, typically total contact insert and a rigid rocker bottom sole
Answers Latest Update 2025
IV broad antibiotics; low risk of spine infection with GSW - correct answer ✅GSW w bowel perforation that goes to the spine tx Delta P < 30 diastolic bp - compartment pressure < 30 - correct answer ✅Pressure that is indicative of compartment syndrome
- Accelerated granulation tissue formation
- Removes excess proteins and electrolytes from wound
- Reducing anaerobic colonization
- Causes cells to release vascular endothelial growth factor by mechanical force
- decrease afterload in capillaries - correct answer ✅Wound vacs promot healing by Cierny-Mader Classification - takes into account host status and location - correct answer ✅Classification for osteomylitis takes into account ceftriaxon
Answers Latest Update 2025
N Gonorrhoeae - gram negative diplococcus - correct answer ✅Gonoccoccal septic arthritis treatment Resection of Sternoclavicuolar joint (get CT Scan before) ID and abx are not effective w high rate of recurrence - correct answer ✅Treatment of sternoclavicular septic arthritis Surgical debridement, maintain hardward, culture specific antibiotics - correct answer ✅Treatment of acute infection after ORIF 48 hours CRP more reliable than ESR for early post op infections ESR peaks 4-11 days after insult - correct answer ✅When does CRP peak after fracture
Answers Latest Update 2025
medial: lateral border of the long head of the triceps b lateral: humerus superior: teres minor inferior: teres major - correct answer ✅What goes through quadrilateralspace C5-C7 nerve root upper/middle trunk anterior division lateral cord - correct answer ✅Coarse of musculocutanous nerve in teh brachial plexus C5-C6 nerve root upper trunk posterior division posterior cord - correct answer ✅Coarse of axillary nerve in brachial plexus
Answers Latest Update 2025
C5-C6 nerve roots; upper trunk - correct answer ✅Coarse of suprascapular nerve in brachial plexus C5-C7 nerve roots Provides motor to the seratus anterior muscle - correct answer ✅Coarse of long thorasic nerve in brachial plexus C8-T1 nerve root Lower trunk Anterior division Medial Cord - correct answer ✅Ulnar nerve coarse in brachial plexus Axillary nerve Radial nerve Upper and Lower subscapular nerve Thoraco dorsal nerve - correct answer ✅What comes off posterior cord of brachial plexus Reverse oblique fracture pattern
Answers Latest Update 2025
Femoral neck stress fractures and some basilar neck fractures can also be treated - correct answer ✅DHS (Sliding hip screw) are used for THA - correct answer ✅Tx if SHS cuts out? Reverse obliquity intertroch fracture - correct answer ✅ Observation until symptomatic - correct answer ✅Bisophosphonates, beaking on imaging, no pain. What is treatment? BP have thicked brittle cortices and mismatch between nail diameter and proximal crotices put at increase risk iatrogenic fracture - correct answer ✅Bisphosphonate related fracture are at increase risk of iatrogenic fracture with IM nailing due to Proximal fragment is abduction/externally rotated (gluts), flexion (illiopsoas) -
Answers Latest Update 2025
correct answer ✅what is the deformity and deforming factors in a subtrach with an intact lesser troch Internal rotation (due to interally rotating leg to get start site and imaging) - correct answer ✅Femoral shaft treated on fracture table is at risk of what deformity 15 degrees internal/external rotaion - correct answer ✅How much internal extenal rotaion is allowed in femoral shaft fx compared to nonfractured side? (-) negative External rotation (+) positive internal rotation - correct answer ✅External and internal rotation of the femur: which one positive and which one negative Iatrogenic proximal femur fracture (bursting) Advantage of anterior start site is it makes placement of screw in femoral head easy due to anteversion of femoral head -
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varus malalignment - correct answer ✅Using a piriformis (striaght) nail thorugh a greater troch entry portal will result in Distance between two screws closest to the fracture - correct answer ✅Working length of a plate is defined as Plate screw density - correct answer ✅The ratio of number of screws in a plate to number of wholes in plate Coronal fracture of the distal femor; MC affects the lateral condyle; Treated with AP or PA screws - correct answer ✅What is a hoffa fragment and how is it treated? CR knee - correct answer ✅ PS knee - correct answer ✅
Answers Latest Update 2025
AP of knee with 30 degrees internal rotaiton - correct answer ✅How to insure intercondylar screw is not too long for distal femur fractures? Look for Hoffa fractures - often missed on AP/lateral xrays in supracondylar/ intercondylar femur fractures Important to know as it requries screw fixation in the AP plane - correct answer ✅Why obtain CT scan of distal femur fractures Lateral process of talus fracture - correct answer ✅Snowboarder with ankle pain - dx Medial tibia: open osteotomy Lateral tibia: closed osteomy - correct answer ✅Closed vs open osteomy in tibia Patella baja - correct answer ✅MC complication of both lateral closing wedge HTO and medial opening wedge osteotomy?
Answers Latest Update 2025
- Open fx
- Loss of rotator cuff function
- coracoid fx w > 1 cm displacement
- double disruption of the superior shoulder senspensory complex - correct answer ✅Indications for ORIF Scapula fx Judet approach between infraspinatus (suprascapular nerve) and teres minor (axillary) - correct answer ✅What approach for ORIF scapula Immobolization for 2 weeks followed by PT Extra-articular glenoid neck fx - not signficantly displaced by definition Displacement = > 40 degrees angulation and 1 cm displacement - correct answer ✅Glenoid translated 3mm and angulated 20 degrees Scapulothoracic Dissociation
Answers Latest Update 2025
Non op (immobolization) if no vascular injury and pt hemodynamicallys stable High lateral thoractomy w vascular repair if axillary artery injury in unstable patient Median sternotomy with vascular repair if proximal injury and unstable ORIF of AC joint if asscoated with calvicle/AC injury Forequarter amputation if have complete brachial plexus injury - correct answer ✅Dx and Tx Anatomic healing of the tuberosities - correct answer ✅When performing hemiarthorplasty for dispalced 4 part prox humerus fracture, the best predictor for successful outcome is <8mm of calcar length attached to articular segment Disrpution of medial hinge
