Question 1
Question
Which side of the knee acts as a ball & socket joint?
Answer
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Medial
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Lateral
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Posterior
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Anterior
Question 2
Question
What are the 3 axes of the Knee
Answer
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Internal
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Anatomical
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Mechanical
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Functional
Question 3
Question
There are 3 joints of the knee. Medial tibiofemoral, lateral [blank_start]tibiofemoral[blank_end] and the [blank_start]patellofemoral[blank_end].
Answer
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tibiofemoral
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patellofemoral
Question 4
Question
What is the degree difference roughly between the anatomical axis and mechanical axis of the femur?
Question 5
Question
What is the correct term to label this knee issue?
Question 6
Question
The mechanical axes is right through the center of the femur.
Question 7
Question
What muscles make up the quadriceps?
Answer
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Vastus Medialis
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Rectus Femoris
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Sartorius
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Vastus Lateralis
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Vastus Intermedius
Question 8
Question
The patella tendon is also called the patella ligament.
Question 9
Question
The patella will bring on more tension to the quadriceps
Question 10
Question
The keep the tension needed for the quads the patella will articulate or slide in what direction during flexion?
Answer
-
Caudally
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Cranially
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Laterally
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Medially
Question 11
Question
In the past the femoral condyles were believed to be [blank_start]egg[blank_end] shaped before it was discovered that they in-fact were more circular.
Question 12
Question
What does the femoral roll back increase?
Answer
-
Knee extension
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Knee flexion
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Knee internal rotation
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Knee external rotation
Question 13
Question
Which is a correct description of tibia shape?
Answer
-
Lateral side is concave, medial side is convex
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Lateral side is convex, medial side is concave
Question 14
Question
The shape of the tibia helps with [blank_start]medial[blank_end] pivot.
Question 15
Question
When standing up straight (muscles extended), the tibia will externally rotate. What do you call this arc of motion?
Answer
-
Functional Arc
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Deep Flexion Arc
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Screw Home arc
Question 16
Question
When standing up straight (muscles extended), the tibia will externally rotate. When the knee starts to flex the tibia will internally rotate. If the bones and ligaments are doing the work what kind of motion is this?
Question 17
Question
Is the Functional arc of the knee an active or passive motion?
Question 18
Question
In the deep flexion arc the tibia internally rotates with reference to the femur. The femur also translates anteriorly.
Question 19
Question
What is caused by the breakdown of cartilage between joint bones?
Answer
-
Psoriatic arthritis
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Rheumatoid arthritis
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Gout
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Osteoarthritis
Question 20
Question
How would you described Rheumatoid arthritis?
Answer
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Acute
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Chronic
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autoimmune dissease
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unknown cause
Question 21
Question
The granulation tissue (thickened synovium) that forms in RA patients is called [blank_start]Pannus[blank_end].
Question 22
Question
The materials used for TKA implants are pretty standardized. Tibial components are [blank_start]titanium[blank_end]. Tibial insert and patellar components are [blank_start]polyethylene[blank_end]. Lastly the femoral component is [blank_start]cobalt chrome[blank_end].
Answer
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titanium
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cobalt chrome
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polyethylene
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stainless steel
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titanium
-
cobalt chrome
-
polyethylene
-
stainless steel
-
titanium
-
cobalt chrome
-
polyethylene
-
stainless steel
Question 23
Question
Which implant component would you NOT use medical cement.
Answer
-
tibial component
-
femoral component
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tibial stem component
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use cement in all
Question 24
Question
If you use two different metals in the body and they come in contact with each other they will react to each other.
Ionization and oxidation is this process.
Question 25
Question
Cobalt chrome is an [blank_start]alloy[blank_end]. This means it contains a combo of three different metals.
Question 26
Question
Bone cement (PMMA) appears radiolucent on x-ray, so you will not see it on an image.
Question 27
Question
What is relied on in a press fit implant for stabilization.
Answer
-
Ligaments
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Cement
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Tendons
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Bone
Question 28
Question
Which are the two products that are press fit implants made by Zimmerman and Smith & Nephew?
Answer
-
Tantalum
-
Oxinium
-
itotal
-
Anthem
Question 29
Question
When was bone cement approved by the FDA?
Question 30
Question
A method to get polyethylene to wear/ oxidize less, therefore increasing its longevity is called [blank_start]cross linking[blank_end].
Question 31
Question
If a surgeon wanted to preserve the Pcl or even the acl what approach would you call this?
Answer
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Anatomic approach
-
Functional approach
-
Bio-functional approach
Question 32
Question
You can keep all ligaments in a Uni (partial) knee replacement.
Question 33
Question
If the surgeon wanted to keep a viable PCL intact and wants femoral roll back which tibial implant design would he or she use.
Question 34
Question
The first implant design for knees was a hinge joint in 1890
Question 35
Question
What factor greatly advanced surgery?
Answer
-
Antibiotics
-
Implant designs
-
Anesthesia
-
Pain medication
Question 36
Question
Which implant design is most commonly used for revision knee surgery?
Answer
-
Cruciate retaining (CR)
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Posterior Stabilizing (PS)
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Condylar Stabilizing (CS)
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Condylar Constrained knee (CCK)
Question 37
Question
Which implant component is seen?
Question 38
Question
[blank_start]Osteolysis[blank_end] is the term for bone loss. Seen in polyethylene wear and the debris react with the bone.
Question 39
Question
When you have an infected knee after a TKA you use antibiotics to clear the infection and then the patient can have a revision.
Question 40
Question
When a surgeon in cutting the femur, he or she must not " [blank_start]notch[blank_end] " the femur. This means cutting the cortical bone which could lead to a rupture.
Question 41
Question
In TKA surgery the femur gets cut multiple times before implant placement. What is the first cut made?
Answer
-
Proximal Cut
-
Posterior Cut
-
Distal Cut
-
Anterior Cut
Question 42
Question
What axis are you taking into account with the distal femur cut?
Answer
-
Functional
-
Mechanical
-
Anatomical
Question 43
Question
IM approach stands for intramedullary. The approach can be seen when drilling the femur & when inserting a rod into the femur.
Question 44
Question
What does the Doctor use to size the femoral implant?
Answer
-
AP sizer
-
Stylus
-
Distal cutting guide
-
4 in 1 cutting block
Question 45
Question
When cutting the femur which is the most important?
Answer
-
Posterior
-
Medial Chamfer
-
Lateral Chamfer
-
Anterior
Question 46
Question
How many femoral cuts are needed if using a PS insert?
Question 47
Question
The tibia sizing guide is what approach?
Answer
-
intermedullary
-
extramedullary
Question 48
Question
The tibia sizing guide cannot adjust for varus or valgus
Question 49
Question
What can be used to save time, perfect a patients implant design and get better cuts ?
Question 50
Question
If a knee is presented with minimal wear and a surgeon wanted to keep all ligaments, what could he or she preform?
Answer
-
TKA
-
CCK
-
Uni knee
-
Steroid injections
Question 51
Question
Which side of the knee is the most compromised out of all needed TKAs.
Answer
-
Lateral (valgus)
-
Medial(varus)
-
Posterior
-
Anterior
Question 52
Question
Which x-ray view is shown?
Answer
-
AP view
-
Oblique view
-
Lateral view
-
PA View
Question 53
Question
What view and which knee is shown?
Answer
-
AP view, Right
-
Lateral view, Left
-
Lateral View, Right
-
AP view, Left
Question 54
Question
This radiograph is showing the [blank_start]skyline[blank_end] view.
Question 55
Question
This radiograph is showing which view?
Answer
-
AP view
-
AP weight bearing view
-
Pa view
-
Pa weight bearing view
Question 56
Question
What tools are used to safe guard the ligaments?
Answer
-
Rongeur
-
Osteotome
-
Curette
-
Retractor
Question 57
Question
MIS stands for minimally invasive surgery