1The Matricell decellurize dermis process used by LifeNet Health for Arthroflex removes how much donor DNA?
Greater than 97%
2What is added to our Angel CPRP from bone marrow aspirate for the intraosseous bioplasty technique?
AlloSync gel or AlloSync Pure
3Arthrocell Allograft has 3 components that conclude?
ell component, Micro-Particulate, Bone Gel
4Which of the following Arthrex bone void solutions provide cell signal and scaffold?
Arthrocell bone Allograft
5True or False - Biocartilge Allograft contains living cartilage cells?
False
6What is the shelf life of the biocatilige allograft
5 years
7True or False - The angel system uses a proprietary laser to separate platelets and other blood components
True
8What type of white blood cells make up the majority of white blood cells in the blood streem?
Neutrophils
9The microcells in the JumpStart bandages are made of?
Silver and Zinc
10IOBP can be minimally invasion procedure if used to treat
Bone marrow lesions
11True or False - Oseteo conduction is the term used for the provision of scaffold to support the growth of new bone
True
12What % of whole blood is made up of plasma
55%
13ArthroFlex Dermal Allograft is an extra cellular Dermal matrix process from ...
human skin
14True or False - The JumpStart bandage is a wound dressing that generates micro currencies in the present of the conductive medium
true
15The GraftNet collector may be used in which of the following procedures?
(All the above) AutoGraft BTB for bone collection, PowerPick/BioCartilige for Cartilige collection, Rotatar Cuff Repair for bursa collection, and collection soft tissue for testing
16Which of the following are benefits of using SutureTape over standard #2 Suture?
(All the above) Increase resistance to tissue pull through, Stronger knotted and knotless fixation, tighter smaller knot stacks
17The primary function of the subscapularis is to move the arm in this motion?
internal rotation
18True or False - The ACL GraftLink technique provides common cortical fixation on the Tibia and the Femur
true
19A Meniscus tear in this area is least likely to heal
white-white zone
20Nano Instrumentation can be used with ?
All the above - 4mm arthroscopes, Small joint arthroscopes, Nanoscope system
21What are the fluid management options for the nanoscope
Seran? Gravity, and Pump system (TW4 Dualwave)
22The target use spaces for the nano scope operative arthroscopy system
clinic procedure room and OR
23In an ACL Deficient knee the tibia will abnormally translate ...
anteriorly
24True or False - Due to strength of arthroflex dermal allograft, rehabilitation of the SCR is much faster and more aggressive than massive rotator cuff tears
false
25What two muscles make up your calf muscles that come together to form the achilles tendon
Gastrocnemius & soleus
26What 3 bones make up the ankle joint?
tib, fib, talus
27True or False - The AC Dog Bone button technique can be used for both ACUTE and CHRONIC AC Repairs
true
28This muscle tendon complex is commonly referred to as the rotator cuff of the hip
gluteus medius
29Shelf Life:
Quickset : 4 years
ArthroCell : 3 years
Cartiform : 2 years
Biocatilidge : 5 years
30What is the Arthrex suggested technique for FiberTape® suture positioning for InternalBrace™ Augmentation?
Talus to Fibula, under ATFL repair
Talus to Fibula, over top of ATFL repair
Fibula to Talus, under ATFL repair
Fibula to Talus, over ATFL repair
31When performing an InternalBrace™ procedure for augmentation of a Brostrom procedure the surgeon has first placed the 4.75mm SwiveLock® anchor into the talus with FiberTape® suture. The FiberTape® suture was passed through the tissues and will be secured in the fibula with a 3.5mm SwiveLock® anchor. What size drill should the surgeon use in the fibula?
2.5mm
2.7mm
3.0mm
3.4mm
32True or False: The InternalBrace™ implant allows for early weight bearing while protecting the ligament repair.
true
33True or False: Arthrex recommends using the InternalBrace™ implant for lateral ankle instability with or without a repair of the ATFL.
false
34Surgical repair of the lateral ankle ligament (ATFL) is most often accomplished with which procedure?
Modified Brostrom-Gould Procedure
Lateral Ankle Reconstruction
Syndesmosis TightRope® Implant
Watson-Jones Procedure
35When someone suffers an ankle sprain, what ligament is involved most commonly?
Anterior talofibular ligament (ATFL)
Posterior talofibular ligament (PTFL)
Calcaneofibular ligament (CFL)
Anterior inferior tibiofibular ligament (AiTFL)
36The PowerPick™ instrument was initially designed to make quick work of:
Bucket Handle tears of the meniscus
Drilling an anatomic femoral tunnel
Trephination of the meniscus
Microfracture procedures
37True or False: The DualWave™ arthroscopy pump is designed to operate as either an inflow/outflow or an inflow only pump.
true
38True or False: Removing the Orange Cap and plugging in the pressure sensor is the first step in the tubing set-up procedure for the DualWave™ arthroscopy pump.
true
39How many handpieces can be connected and controlled simultaneously by the Synergy Resection Console at one time?
2
40The purpose of the Shaver Boost mode on the DualWave™ arthroscopy pump is:
Increase the speed of the shaver
Increase the suction through the shaver
Increase pressure when the shaver is activated
Switch suction from the cannula to the shaver
41The three by-products of ablation are bubbles, light emission, and __________.
Tissue particulate
Saline reduction
Ions & electrons
heat
None of the above
42What is the largest arthroscopic segment for bipolar RF products?
Knee
DEX
Shoulder
Hip
43True or False: The PoweRasp™ attachment is a rotary motion device that creates a smooth, flat surface.
false
44When using bipolar RF technology the clinical guidelines include?
Meticulous ablation technique
Intermittent use of RF probe
Good inflow and outflow fluid management
Pulsed lavage or rinse cycle at frequent intervals
All of the above
45The metal detection feature on the SynergyRF™ Bipolar Ablation System performs what function?
Increases fluid flow in the system when metal is detected in the joint
Suspends power to probe when the tip is in close proximity of scope or metal instruments
Shuts down the system when an error message is shown on the console screen
Prevents the surgeon from using the product on patients with metal implants
46Which shaver oscillation mode provides both aggressive tissue resection and control?
STD
AGG
EFF
IDK
None of the above, there is no difference between aggressive tissue resection or control between the different oscillation modes
47The default ablation setting level for the MP90 probe is?
7
48The Torpedo™ shaver has which of the following features?
a tapered, conical tip
49The bipolar ablation breaks down tissue by the following process?
Ultrasound - high density waves to destroy tissue
Chemical reaction - gently breaks down tissue at the molecular level
Radioactive iodine - radioactive iodine is injected to destroy tissue
50The main talking points when introducing the Synergy UHD4™ Imaging Platform are:
Autoclavable camera head
Software based system
Cost Saving
All in one box is less equipment
All of the above
51The ClearCut™ family of burrs provides maximum visibility due to the following:
Aggressive 18 flute burr design
Clear Shaft
Clear Shroud/hood
Oval design
Clear fenestrations
52Which component included in the 2.7 mm Diameter Nano Cannula and Insertion Kit that can be placed over the Nano cannula to maintain cannula position during instrument removal?
Medical Grade Tape
Coban™ Self-Adherent Wrap
Tegaderm™ Transparent Film Dressing
None of the above
53If the DualWave™ arthroscopy pump height is 1 foot above the operative site, what is the differential between the displayed pressure and the actual pressure?
+10 mmHg
-22 mmHg
+22 mmHg
-10 mmHg
None of the above
54What type of light engine is in the Synergy UHD4™ all in one camera system?
LED
55What are some techniques surgeons use the bipolar RF wands for?
Debridement/smoothing of lesions & frayed tissues
Volumetric ablation
Hemostasis
Tissue shrinkage
All of the above
56What is the outer diameter of the inflow/outflow sheath for the NanoScope™ micro arthroscopy system?
2.7 mm
2.2 mm
1.9 mm
2.0 mm
57What are the sizes of the SwiveLock® anchors used in the Achilles SpeedBridge repair?
3.5mm
2.9mm
4.75mm
5.5mm
58The Achilles tendon inserts onto what bone:
Calcaneus
Talus
Cuboid
Tibia
59Which of the following is NOT an advantage to using SutureTape over round suture for an Achilles tendon midsubstance rupture repair?
Improved technology
Increased resistance to tissue pull-through
Stronger knotted and knotless fixation
Tighter, smaller knot stacks
Better handling characteristics compared to #2 suture
All of the answers are advantages
60What statement regarding non-operative treatment vs. operative repair of an Achilles tendon midsubstance rupture is FALSE?
Return to baseline activity takes longer with non-operative treatment
The rerupture rates are about the same with operative and nonoperative treatment
The complication rates are higher with operative treatment
Nonoperative treatment can lead to elongation of the Achilles tendon resulting in a mechanical disadvantage and weakness in push-off for the patient.
61True or False: When performing the knotless Achilles Midsubstance SpeedBridge™ procedure, the PARS jig is used only once in the proximal stump.
true
62What is the size of the anchor sheath for the DX FiberTak® anchor with SutureTape?
15mm
63What suture(s) fits through the eyelet of the 3.5mm DX SwiveLock® anchor?
FiberTape® suture
4 strands of LabralTape™ suture
6 strands of #2 FiberWire® suture
All of the above
64When deploying the DX FiberTak® anchor the surgeon should take this action:
Pull at a 90° angle to insertion angle
Pull in line, straight back
Split both suture tails and pull
Do not seat the anchor
65What is the advantage of using the DX FiberTak® anchor versus the SutureTak® anchor when using in conjunction with an ATFL InternalBrace™ Augmentation?
Smaller footprint/minimal bone removal
Takes longer to deploy
Larger footprint
None of the above
66True or False: Arthrex is the only company that can do a blind tunnel technique.
true
67Which of the following is a differentiating property of the FibuLock® nail from other fibular nails?
Proximal fixation
Load sharing device
Decreased incision size
Only intended for use in athletes
68True or False: The stainless steel and titanium Locking Distal Fibular Plates have SutureTape eyelets to incorporate the AiTFL InternalBrace™ ligament augmentation repair.
false
69Which of the following describes a Weber B fracture?
Fracture below the joint line
Fracture at the joint line
Fracture above the joint line
None of the above
70What year did Arthrex launch the Ankle Syndesmosis TightRope® implant?
2005
71Which of the following plates contains features to accommodate the syndesmosis TightRope® implant?
Complex fibular plates
Locking third tubular plates
Reconstruction plates
Medial hook plates
Lateral hook Plate
All of the above
72True or False: The knotless Ankle TightRope® implant is made of #5 ultra-high molecular weight polyethylene.
true
73Which of the following is a currently available size of the FibuLock® nail?
130 x 3.8mm
30 x 3.2mm
180 x 4.0mm
140 x 3.2mm
74All of the following statements are TRUE of hip arthroscopy, EXCEPT:
The hip is a constrained joint
The acetabular labrum is a gasket, not a bumper
You re-fixate the acetabular labrum towards the joint, not away from it
The hip has a thick, tight capsule
75In the Arthrex Shoulder Story, which product did Arthrex create that provides cortical fixation to address anchor pull-out strength?
The Corkscrew® suture anchor
FiberWire® suture
The Corkscrew® FT anchor
FiberTape® suture
76True or False: The FastPass Scorpion™ SL suture passer requires you to pre-fire the handle to lock the suture into place.
false, sure fire scorpion does
77What is the name of the triangular portion of the capsule which lies between the supraspinatus and the subscapularis?
Rotator Interval
Supraspinatus
Teres Major
Sublabral Foramen
78Arthrex as a company has made a decision to separate Medical Education functions from Sales and Marketing. Based on our MedEd policies which statement is appropriate when communicating, orally or written with any member of Arthrex Medical Education?
"My surgeon is a big dawg. He is pumping out cases like crazy. We think we could capture more of his business if he was teaching for Arthrex."
"I work with a surgeon that has an educational need and would like to come down to Naples for a single day lab."
"That lab you helped us with last month was a game changer for my quota. The surgeon is now converted on 9 different products and promises to use even more products."
"I've got a busy surgeon that promises to get his partners to convert to Arthrex products you agree to make him an instructor."
79True or False: Retrodrilling in the knee during an ACL reconstruction is advantageous because it creates a clean hole inside the joint where the graft will contact the bone.
true
80Fixation when using a PushLock® anchor is accomplished by:
The anchor body telescopes over the eyelet, pinching the suture between the two parts
The anchor compresses the suture against the bone, pinching the suture between the two
The anchor and eyelet compress the suture in a finger-trap type mechanism
None of the above are modes for fixation using the PushLock® anchor
81True or False: The Angel® System protocols are customizable to multiple users at the same account.
true
82True or False: When the femoral portion of the GraftLink is passed the surgeon has the option to only partially insert it into the socket. After the tibial portion is passed this option will allow fine tuning of tension in both sockets.
true
83True or False: When using the Meniscal Cinch™ II device, the knot will tighten to the first implant.
true
84What portal looking anterior on right shoulder what structure on left side of screen?-
posterior portal looking at the glenoid
85Which of the following statements are false during a shoulder arthroscopy
the standard postal will be in the exact same spot
86The posterior portal for shoulder arthroscopy should be placed in the palpable soft spot between glenoid and humeral head and inferior border of the RCR
true
87If a surgeon cannot reach a certain anatomical target for their anchors with their standard portals, they should
use spinal needle to help determine location from near accessory portal
88What structure is the supraspinatus muscle?
(On a picture diagram, answer is D) shoulder abduction
89What is the name of the anatomical landmark aka the lighthouse on the anterior aspect of the shoulder..-
coracoid
90The knee lateral portal is started next to which tendon in the front of the knee?
patella tendon
91Of the major knee ligaments, which one below is not intrarticular?
LCL
ACL & PCL are intrarticular
92What is the anatomical reference for the center footprint of the acl?
posterior aspect of interior lateral horn of the meniscus
93The two bundles of the acl are named for the attachment on the tibia. What are their names?
AM (anterior medial bundle) /PL (posterior lateral bundle)
94Knee arthroscopy, which portal should be made first?
inferior lateral portal
95T/F- center of the acl footprint... 43% of the distance
true
96T/F- PCL limits posterior translation of the tibia-
true
97Which picture shows the lateral meniscus?
answer is d
98Compared to a #2 suture, Labral tape is XX% amount stronger
37% more resistant to tissue pull through
99Compared to a #2 suture, SutureTape is XX% amount stronger?
21%
100Compared to a #2 suture, Fibertape XX%
27% ..........-> 200% more resistant
101True or false: A benefit to the knotless suturetak over the pushlock is that you can drill through the anchor through the drill guide.
true
102What is our #1 instability anchor on the market
pushlock
103All of these structures are closely related to the labrum EXCEPT
coracoid attachments
oid Attachments
104Continually tensioning of the repair suture under direct visualization
Knotless suture tape suturetak anchor
105What size drill is used for the single loaded knotted fibertak anchor?
1.6
106Which of the following is not a suture option for the fibertak anchors?
#2 fiberwire CL
107When transitioning the repair suture to the locking mechanism in the knotless fibertak anchor the surgeon should
Advance shuttle suture with light tugs
Make sure youre pulling the shuttle suture out of the same portal the anchor was inserted to reduce friction
108True or false: Labral tape can be used with the 2.4mm Pushlock anchors
false
109When do you tension the lateral row of a speedbridge repair?
before the eyelet inserts into bone
110True or false: The suture bridge repair is known as the original transosseus...
true
111What is the largest of all the rotator cuff muscles
subscap
112T/F: The fibertak DR anchor contains a fixed labral tape suture and a sliding tigertail suture
true
113All of the following are benefits of the knotless double row repair with speedbridge except
Decreased footprint contact pressure than single row repair
114T/F: the goal of an SCR is to keep the humeral head centered on the glenoid
true
115Proper positioning of arm during SCR
20-40 deg of abduction w humeral head centered
116SCR was developed in 2007 by
Terio Mahata
117All of the following are requirements of an SCR except
non repairable subscap
118What structure is the ARthroFlex Dermal Allograft attached to in the SCR technique?
superior glenoid and greater tuberosity
119The 3.0 mm ArthroFlex graft used in an SCR will best fit through what size passport cannula.
12mm passport
120All of the following can be used in a knotless double row rotator cuff repair except
fast thread screws
121T/F: The closed eyelet Swivelock Tenodesis anchor requires whipstitching and externalizing the biceps
true
122T/F: When using a biceps button for a sub pec, a tenodesis screw can be used to further augment the repair
true
123When seating the AC Dog Bone button at the bottom at the base of the coracoid, it should seat against the coracoid and should be in line
With the arch of the coracoid
124Corcacavicular ligaments are made of
Trapezoid and Conoid
125In order to properly tension the fibertape cerclage around bone, what should be performed
All the above
Place the tensioner against the knotted tensioning..
Avoid tensioning beyond the 8 mark
Place 1 half hitch prior to each tensioning
126T/F: When using Cerclage tensioner only the fibertape is loaded to the roller adjacent to the handle
false
127What is Osteo Inductive mean?
Ability to stimulate bone growth