TraumaMuscSkel

What percentage of childhood fractures are due to falls?
1. 10%
2. 20%
3. 50%
4. 75%
Which is located at the end of a long bone; epiphysis or the metaphysis?
1. Epiphysis
2. Diaphysis
3. Neither
4. Both
The epiphysis has how many layers of cartilage?
1. None
2. One
3. Two
4. Three
The physis, or growth center, serves to provide longitudinal growth and converts cartilage to bone in the underlying what?
1. Diaphysis
2. Epiphysis
3. Metaphysis
4. Chondrophysis
What part of the diaphysis provides for circumferential bone growth?
1. Perichondrium
2. Periosteum
3. Diaphyseal plate
4. Epiphyseal plate
T or F: When bone growth is completed, wthe epiphysis and physis drop out and are represented by articular cartilage?
1. True
2. False
Pediatric bone is more or less porous than adult bone?
1. More porous
2. Less porous
3. Equivalent
What is the weakest part of the child's bone?
1. Diaphysis
2. Metaphysis
3. Epiphysis
4. Physis
True or false: bone fractures in children heal faster than they do in adults?
1. True
2. False
T or F: There are 2 patterns of bone growth after physeal injury - stimulation and overgrowth, or shortening and angulation?
1. True
2. False
Compartment syndrome is most often associated with what type of fracture?
1. Greenstick
2. Torus
3. Crush or compression
4. Salter II
An infant's fracture may become fixed in how long
1. Few days
2. 2 - 4 weeks
3. 4 - 6 weeks
4. 2 months
T or F: Lower extremity fractures heal in an average of 1 - 2 weeks in a toddler?
1. True
2. False
How are the combination of vascular injury and fracture managed?
1. Stabilize the fracture, than repair vessels
2. Repair vessels, then stabilize the fracture
Which type of Salter fracture can result from a birth injury along the physis?
1. Salter 1
2. Salter 2
3. Salter 3
4. Salter 4
5. Salter 5
This is a fracture crushing the epiphyseal plate.
1. Salter 1
2. Salter 2
3. Salter 3
4. Salter 4
5. Salter 5
Epiphyseal and physeal injury, rarely associated with growth problems.
1. Salter 1
2. Salter 2
3. Salter 3
4. Salter 4
5. Salter 5
Epiphyseal and metaphyseal injury, often in the humerus or tibia.
1. Salter 1
2. Salter 2
3. Salter 3
4. Salter 4
5. Salter 5
This is a fracture along the physis into the metaphysis. It is the most common Salter fracture.
1. Salter 1
2. Salter 2
3. Salter 3
4. Salter 4
5. Salter 5
This is a shearing separation of epiphysis from metaphysis
1. Salter 1
2. Salter 2
3. Salter 3
4. Salter 4
5. Salter 5
T or F: The treatment for a proximal humerus fracture is usually Velpeau sling for three weeks?
1. True
2. False
T or F: The treatment for a proximal radial epiphysis fracture is usually open reduction?
1. True
2. False
What nerve is most commonly injured with a humerus fracture?
1. Brachial
2. Ulnar
3. Radial
What injury is associated with a supracondylar fracture?
1. Brachial artery
2. Ulnar artery
3. Radial artery
Most radial and ulnar fractures in kids must be immobilized for how long?
1. 2 weeks
2. 3 - 6 weeks
3. 6 - 8 weeks
T or F: Femoral shaft or neck fractures are associated with later growth problems.
1. True
2. False
Dislocations are less or more common in children?
1. More common
2. Less common
3. Equivalent
Which is NOT a complications of fracture?
1. Ischemia and compartment syndrome
2. Joint instability
3. Increased bone length
4. Increased risk of osteogenic sarcoma
True or false: amputation rates following major vascular injuries in children are about 2 times that seen in adults?
1. True
2. False
The smaller the child, the more prone to vascular spasm; this may last for up to how many hours?
1. 1 - 2 hours
2. 3 - 4 hours
3. 4 - 6 hours
4. 6 - 8 hours
T or F: Traumatic artery-vein fistula may result in impressive limb shortening.
1. True
2. False
Which would be noted first - overgrowth, or limb shortening?
1. Overgrowth
2. Shortening
3. They occur at approximately the same time
What percentage of vascular injuries in childhood are penetrating?
1. 10%
2. 30%
3. 60%
4. 90%
Which choice is the safest location for umbilical artery catheters?
1. T5
2. T10
3. L2
4. L4
True or false: Superior vena caval thrombosis may result in a communicating hydrocephalus?
1. True
2. False
What ankle-brachial index is considered abnormal in children?
1. Less than 0.6
2. Lessthan 0.8
3. Less than 0.9
4. Less than 1.1
Urokinase will usually begin to show clot lysis within how many hours?
1. 2 - 4 hours
2. 6 - 8 hours
3. 24 - 48 hours
After vascular injury, what is the incidence of growth disturbance in children?
1. 5%
2. 20%
3. 50%
4. 80%

TraumaMuscSkel

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