Alexanders Care Of the Patient in Surgery 14th Edition Rothrock
Alexanders Care Of the Patient in Surgery 14th Edition Rothrock
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Chapter 19: Orthopedic Surgery
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Periosteum |
| b. | Calcium |
| c. | Cartilage |
| d. | Fascia |
ANS: A
A layer of connective tissue called periosteum covers all bone.
REF: Page 719
| a. | epiphysis. |
| b. | diaphysis. |
| c. | epiphyseal plate. |
| d. | cancellous bone. |
ANS: C
Long bones consist of a shaft (diaphysis) and two ends (epiphyses). The shaft is composed of compact bone. The epiphyses flare out and consist of cancellous bone. They are covered by cartilage, which provides a cushion and offers protection during weight-bearing and movement. Until skeletal maturity, a line of cartilage called the epiphyseal plate separates the epiphysis from the diaphysis. Fractures in this region in children can be devastating because they often lead to malformation and permanent limb shortening.
REF: Page 720
| a. | Deltoid, teres major, and teres minor |
| b. | Supraspinatus, infraspinatus, teres minor, and subscapularis |
| c. | Latissimus dorsi, deltoid, and teres major |
| d. | Supraspinatus, subscapularis, pectoralis major, and deltoid |
ANS: B
The muscles immediately surrounding the shoulder joint are the supraspinatus, infraspinatus, teres minor, and subscapularis muscles; together they are referred to as the rotator cuff. These muscles stabilize the shoulder joint, whereas the powerful deltoid, pectoralis major, teres major, and latissimus dorsi muscles move the entire arm.
REF: Page 723
| a. | articulates with each metacarpal head. |
| b. | attaches its rough surfaces to the ligaments. |
| c. | stabilizes and coordinates the movement of the proximal and distal rows. |
| d. | articulates proximally with its matching carpal row. |
ANS: C
Functionally, the scaphoid links the rows as it stabilizes and coordinates the movement of the proximal and distal rows. The eight carpal bones in the wrist are arranged in two rows. The distal row, proceeding from the radial to the ulnar side, includes the trapezium, trapezoid, capitate, and hamate; the proximal row consists of the scaphoid (also called the navicular), lunate, triquetrum, and pisiform. Each carpal bone consists of several smooth articular surfaces for contact with the adjacent bones, as well as rough surfaces for the attachment of ligaments.
REF: Pages 723-724 (Figure 19-5)
| a. | Communication between the spinous processes and vertebral bodies |
| b. | Vertebral flexion, rotation, and extension |
| c. | Vertebral flexion and torsion |
| d. | Sustains integrity and spinal support |
ANS: B
Vertebrae form the longitudinal axis of the skeleton. The vertebral bodies are connected by several cartilaginous joints that enable the vertebrae to flex, extend, or rotate while being held together. Intervertebral disks and ligaments connect the bodies of adjacent vertebrae. The ligamenta flava bind the laminae of adjacent vertebrae.
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