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26 Cards in this Set

  • Front
  • Back
1. What are the physiologic functions of bone?
a. Store calcium and phosphorus
b. Store other trace elements
2. How does bone develop?
a. By transformation of preexisting connective tissue
b. Osteoid formed by proteoglycans and collagen
c. Mineral crystals deposited by osteoblasts in matrix
d. Osteoblasts become osteocytes
3. What cells are associated with bone resorption?
a. Osteoclasts
4. Where does endochondral ossification occur?
a. Articular cartilage
b. Epiphysial plate cartilage
5. Where does intramembranous ossification occur?
a. Deeper layers of periosteum
6. What type of bone formation adds length?
a. Endochondral ossification
7. What type of bone formation adds width?
a. Intramembranous ossification
8. What is Wolff’s law?
a. Bone is deposited in the sites subjected to stress
b. Bone is resorbed from sites where there is little stress
9. What are the four zones of epiphyseal growth?
a. Germinal cells
b. Proliferation
c. Hypertrophy
d. Calcification
10. What is a fracture?
a. A break in the continuity of the bone
b. Soft tissue injuries with underlying bone involvement
11. Do fractures dislocate or displace?
a. Displace
12. What is the initial care of a fracture?
a. Correct significant malalignment
b. Splint
c. Obtain and maintain reduction
d. Obtain union
e. Rehab to restore function
13. What are some types of splints?
a. Robert Jones splint
b. Inflatable splints
c. RICE+splint
d. Neurocirculatory monitoring
14. How do you obtain reduction?
a. Alignment
b. Apposition
c. Conservation of length
d. Immobilization
15. What is the first step in fracture healing?
a. Callus formation
16. What is distraction osteogenesis?
a. Bones are maintained at a distance (microscopic) and new bone fills in the gap
17. What is compression osteogenesis?
a. Two ends of fracture are pushed into contact to allow bone to heal
18. Which is more effective, distraction or compression?
a. Distraction
19. What type of bones heal the fastest?
a. Those with access to a vast blood supply and muscle attachments
b. --Clavicle doesn’t have this, longer to heal
20. What is the healing rate of metaphyseal fractures?
a. Fast
21. What is the healing rate of open fractures?
a. Delayed
22. What is the healing rate of spiral fractures?
a. Heal faster than transverse fractures
23. What are some surgeon’s options in fracture healing?
a. Closed reduction with cast immobilization
b. Continuous traction followed by casting
c. Open or closed reduction with internal fixation
d. Open or closed reduction with external fixation
24. What are the benefits of a closed reduction?
a. Avoid stripping of periosteum
b. Decrease chance of infection
c. No scar
25. What are the indications for an open reduction?
a. Intra-articular fracture
b. Irreducible fractures
c. Unstable fractures
d. Early mobilization
e. Certain physeal fractures
26. What should be freed up in early mobilization?
a. Joint both proximal and distal to fracture