Chapter 21 - Orthopedic Surgery
Which mineral is stored in the bones and constantly being removed to maintain necessary blood levels?
Which of the following is a long bone that is the largest in the human body?
Which bone is the largest found in the foot and is commonly called the heel?
What is a serious bone infection that may result from a compound fracture and become chronic later?
Where is the area of active bone growth?
What is the name of a nonpathological small sac that contains synovial fluid?
What type of bone is the patella?
What is the medical term for spongy bone?
What is the outside covering of bones that provides some nourishment and protection from infection?
In adults, red bone marrow that produces red blood cells is mainly found in which type(s) of bone?
flat and irregular
The elbow is categorized as which type of joint?
The connections between the large bones of the skull are categorized as which type of joint?
Which joint is an example of a condyloid joint?
The proximal end of the radius and C1 on C2 vertebrae are examples of which type of diarthrosis?
Which joint is an example of a ball-and-socket joint?
What is the term for small, loose bodies in the knee that are constant irritants and may cause excess synovial production, pain, and locking up?
In which joint would a bucket handle tear be found?
Hallus valgus is a condition in which there is a turning outward from the midline found in the:
Which condition is commonly known as "bowlegged"?
Which of the following means a partial separation or dislocation of a joint without any break in the skin?
Which type of fracture is characterized as partial and may result from activities such as jumping or jogging?
Which of the following describes the appearance of a stellate bone fracture?
asterisk ( * )
Which medical term means moving a body part away from the midline?
The action of pointing and putting a toe in the water to check the temperature would be an example of which movement?
Which of the following factors related to bone growth and maintenance is responsible for mineral storage and utilization?
Which of the following pathologies is related to a specific autoimmune process that attacks the joints in the body?
What is the medical term for a bony prominence projecting from a bone, as in a bunion?
What is the term for the softening of bone in children that is commonly called rickets?
How many stages are involved in normal osteogenesis?
In which stage of normal bone healing is there bridging of the fracture site, and cartilage and immature bone provide support?
Which of the following is an acute, emergent condition of compression of neural and vascular structures, usually occurring in the upper and lower extremities following traumatic fractures?
The term C-arm refers to a(n):
Which of the following would be increased on a serum analysis and indicative of a malignant neoplasm of bone marrow?
Bence Jones protein
Which orthopedic instrument has the appearance of a turkey foot or eagle's talon?
Lowman bone holder
Surgeons may call both Bennett and Hohmann retractors by which other name because of their shapes?
Which device is sometimes used for achieving and maintaining the lateral position?
Which positioning device is frequently used for femoral nailing with leg traction and allows for placement of the C-arm?
What is achieved by wrapping an extremity with an Esmarch bandage prior to inflation of pneumatic tourniquet?
Which of the following statements regarding generally safe continuous tourniquet inflation time is CORRECT?
lower extremity = 1 1/2 hours; upper extremity = 1 hour
Whose instructions for cleaning, lubricating, and sterilizing powered orthopedic instrumentation must be followed?
Which component of an arthroscopy system is specific to orthopedics and differs from most laparoscopy/MIS systems?
powered shaving system
Which agency requires the documentation and tracking of implantable orthopedic devices?
Which type of suture would be contraindicated for attaching tendon to bone?
polyglactin 910 (Vicryl)
What is polymethyl methycrylate used for in orthopedic procedures?
Which bone is commonly referred to as the collarbone?
The acromion process involved in the acromioclavicular joint is part of which of the following bones?
The infraspinatus, teres minor, subscapularis, and supraspinatus muscles collectively comprise the:
Which of the following joints has the greatest range of motion?
Which of the following is the longest bone in the upper extremity?
What is the name of a small protuberance of a bone that is an attachment point for muscles or tendons?
Which medium is frequently used in arthroscopies where the ESU may be used for hemostasis?
Which instrument is used frequently in arthroscopies to examine and manipulate internal structures?
A Bankart avulsion lesion involves which anatomical structure(s)?
Surgical repair for recurrent anterior shoulder dislocation include all of the following EXCEPT:
Patients diagnosed with shoulder impingement syndrome would likely undergo:
What should the surgical technologist do while the surgeon is using the oscillating saw during open acromioplasty?
Drip small amounts of irrigation onto blade to prevent overheating.
Axillary nerve injury or detachment of the deltoid from the acromion are:
serious post-op complications of open acromioplasty
All of the following are indications for total shoulder arthroplasty EXCEPT:
moderate impingement syndrome
Which instrument is used to remove marrow from the canal of long bones for placement of prostheses?
Which bone is involved in a Colles' fracture?
What is a common surgical approach for Colles' fracture?
Which method of reducing a fracture carries the highest potential for surgical site infection?
open reduction, internal fixation for compound comminuted fracture
Which of the following is NOT a bone of the pelvis?
What is the name of the deep, round fossa of the hip joint?
Which portion of the femur articulates with the acetabulum?
A common system of instrumentation for open reduction of hip fractures is DHS, which stands for:
dynamic hip screw
Which positioning device will be used for ORIF of intertrochanteric femoral fracture?
Patients in which age group are MOST commonly candidates for total hip arthroplasty?
over 65 years
Which additional PPE is frequently worn by sterile team members during total joint procedures to prevent possible SSI?
space suit or body exhaust suits
Which of the following is a commonly used self-retaining retractor used in total hip arthroplasty procedures?
What tissue does the acetabular reamer remove?
What should the surgical technologist have ready to clean bone or tissue from a rongeur?
Which of the following demonstrates the correct order of steps for femoral canal preparation during total hip arthroplasty?
reamer, rasp, pulse lavage, implant trial
Rush, Ender, Russell-Taylor, Trigen, and Kuntscher are examples of flexible, standard, or titanium femoral:
Cannulated screws and nails are designed to follow the path created by a:
In which anatomical structure is the patella contained?
Which ligament of the knee keeps the femur from sliding posteriorly on the tibia and prevents hyperextension of the knee?
What is the purpose of the medial and lateral menisci of the knee?
Which bone of the lower extremity is commonly known as the shin bone?
Patellar tendon, iliotibial band, and semitendinosus tendon are examples of:
autografts for ACL repair
All of the following are examples of devices used to anchor both ends of the ACL graft EXCEPT:
Liston knife, Gigli saw, and Satterlee saw are examples of instruments used for which type of procedure?
Amputated limbs may be placed in which of the following for transport to pathology?
Mayo stand cover
Total knee arthroplasty implant are categorized in all of the following EXCEPT:
Aken, Chevron, McKeever, Keller, and McBride are techniques for which lower extremity procedure?
Which tendon is the thickest and strongest in the body?
Implantable devices made of different alloys can cause breakdown of the device and may cause wound infection.
Arthroscopic procedures require only one small incision through which all the instruments are passed.
There are limited choices of total joint systems available, making standardization routine and uncomplicated.
Care must be taken during skin prepping for gangrenous lower extremities prior to amputation to prevent inadvertent dislodging of toes.