How do you approach and manage patients requiring common orthopedic procedures, such as joint aspirations or casting?

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Sample interview questions: How do you approach and manage patients requiring common orthopedic procedures, such as joint aspirations or casting?

Sample answer:

Approach

  • Obtain thorough medical history and perform physical examination: Gather information about the patient’s symptoms, past medical history, any relevant allergies, and current medications.
  • Educate the patient: Explain the procedure, its purpose, expected outcomes, and potential risks. Obtain informed consent.
  • Prepare the patient: Provide instructions on positioning, breathing techniques, and any necessary fasting.
  • Establish a sterile environment: Don appropriate personal protective equipment (PPE) and ensure the procedure area is clean and sterile.

Management

Joint Aspiration

  • Select appropriate joint: Identify the affected joint accurately.
  • Position the patient: Place the patient in a position that allows easy access to the joint.
  • Insert needle: Use a sterile needle and syringe to puncture the joint space under ultrasound guidance.
  • Aspirate fluid: Extract synovial fluid for analysis or remove excess fluid for symptomatic relief.
  • Bandage wound: Apply a sterile dressing to the puncture site.

Casting

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