Plastics quiz

Welcome to your Plastics quiz

By completing this quiz and reviewing and reflecting on the links supplied in the answers, 1 hour of CPD time may be claimed.

Name

1. Regarding volar plate sprains, which of the following is incorrect?

They are caused by forced hyperextension of the finger

Incorrect management leads to a flexion contracture deformity

They are managed by splinting the finger in extension

They are managed with early flexion of the PIPJ

2. Regarding fractures of the metacarpal shaft, which of the following statements is incorrect?

A. Shortening of >5mm requires hand surgeon opinion

B. Acceptable angulation in the ring/little fingers is <30 degrees

C. Acceptable angulation in the index/middle fingers is <10 degrees

D. Malrotation is assessed by asking the patient to slowly make a fist

3. Regarding the Le Fort classification of facial fractures, which of these statements is correct?

A. Type 1 fractures are unstable

B. Type 2 fractures are pyramidal through the central maxilla and hard palate.

C. Type 3 fractures involve the frontal bone

D. Type 4 fractures extend to include the mandible.

4. Regarding dog bites, which of the following statements is incorrect?

A. They are the most common mammalian bites in NZ

B. Tetanus immunisation status must be documented and updated if due

C. Rabies has never been reported in New Zealand from a dog bite

D. In severe infection, consider using IV cephazolin/probenecid protocols

5. Regarding hamate fractures, which of the following is correct?

A. Hook of hamate fractures usually need surgery

B. Intra-articular fractures of the body of the hamate almost always require conservative management

C. Hook of hamate fractures are more common than body fractures

D. Hamate body fractures account for 5% of carpal fractures

6. Regarding ulna collateral ligament injury, which of these is incorrect?

A. Is also called skier’s thumb

B. May be associated with an avulsion fracture

C. Is caused by an acute hyper-adduction of the thumb

D. Poor management may lead to MCPJ instability

7. Regarding injury to the nerves of the hand, which of these statements is incorrect?

A. Perform a neuro exam of the hand prior to any local anaesthetic infiltration

B. If any loss of sensation proximal to the DIPJ resulting from an open wound, discuss with the hand surgeon.

C. Neuropraxia from a closed injury usually settles in hours to a few weeks

D. The window for referral for hand surgeon opinion in the presence of a nerve injury from a laceration is 72 hours

8. Regarding local anaesthetic, which of these is a correct maximum safe dose to administer?

A. 7mg/kg of plain lignocaine

B. 4mg/kg of plain bupivacaine

C. 8mg/kg plain prilocaine

D. 3mg/kg plain lignocaine

9. Your patient has had a small, pressured solvent gun stream flick over their non-dominant index fingertip pulp. Which of these is incorrect management?

A. Elevate the limb

B. Give good analgesia, these can be painful

C. Document ADT status and if need be update

D. Ensure review within 24 hours – these can look worse the next day

10. Regarding burns, which statement is correct?

A. Epidermal Burn has – Red skin, blisters, no capillary return

B. Superficial burn has – Red skin, blisters, capillary refill present

C. Epidermal burn has – Red skin, no blisters, capillary refill is present

D. Superficial burn has – Pink skin, blisters, no capillary return