Infection, Pharmacology & VTE MCQs

During harvest of a hamstring autograft, the pes anserinus is exposed via an anteromedial tibial incision. From anterior to posterior, what is the correct order of the tendinous insertions?

In the original Kocher criteria for differentiating pediatric septic arthritis from transient synovitis of the hip, which of the following laboratory/clinical parameters was NOT one of the four factors used?

A surgeon is exposing the medial tibia to harvest hamstring tendons for ACL reconstruction. From anterior to posterior, what is the correct anatomic order of the pes anserinus tendon insertions?

A 19-year-old football player sustains a severe blunt trauma to his anterior thigh from a helmet collision. Three weeks later, he presents with significantly restricted knee flexion and a firm, painful mass in his quadriceps. Radiographs demonstrate peripheral calcification within the muscle belly. What is the most appropriate initial management for this condition?

A 78-year-old female on chronic warfarin therapy sustains a displaced femoral neck fracture. Her admission INR is 3.5. To facilitate urgent surgical intervention within 24 hours, what is the best agent for rapid reversal of her anticoagulation?

An 82-year-old female sustains a non-displaced femoral neck fracture. To minimize mortality and morbidity, national guidelines recommend that surgical intervention should ideally be performed within what timeframe from admission?

An 82-year-old female with a history of atrial fibrillation presents with a displaced femoral neck fracture. She is taking Apixaban (a direct factor Xa inhibitor). What is the optimal timing for surgery to minimize mortality and bleeding risk?

An 82-year-old female sustains an open distal femur fracture. Her medical history includes atrial fibrillation, for which she takes rivaroxaban (a direct Factor Xa inhibitor). She requires urgent surgical debridement and stabilization. If she experiences severe, life-threatening hemorrhage during surgery, what is the most specific and appropriate reversal agent?

During a total knee arthroplasty for a severe varus deformity, the medial compartment remains tight in both flexion and extension after initial bone resections. Which of the following is the most appropriate sequence of soft tissue release?

During a regional block for an orthopaedic procedure, a patient develops sudden perioral numbness, tinnitus, and subsequent cardiovascular collapse. Which of the following agents is the primary targeted rescue treatment for this acute condition?

During the pathogenesis of orthopedic implant infections, Staphylococcus aureus forms a biofilm. Which of the following host-pathogen interactions mediates the initial irreversible adhesion phase to the implant surface?

In correcting a severe varus deformity during a primary total knee arthroplasty, after resection of osteophytes, the medial side remains tight in both flexion and extension. According to standard medial release algorithms, which structure is typically released first?