Derek Trautwein
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Quiz for Clinical Medicine block 2A

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Derek Trautwein
Created by Derek Trautwein over 9 years ago
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Lower Extremity Disorders

Question 1 of 38

1

Techniques of arthrocentesis includes skin prepping/draping, using a 30 mL syringe, and:

Select one of the following:

  • Lateral approach

  • Hemarthrosis

  • Corticosteroid therapy

  • 22-24 gauge needle

Explanation

Question 2 of 38

1

In order to obtain a diagnostic radiograph, what angle would you ideally want an x-ray?

1. Anterior Posterior
2. Oblique
3. Transverse
4. Posterior Anterior

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 3 of 38

1

A 55 year old patient complains of acute knee pain w/o trauma localized over the patella and is unable to bear his own weight. What would this be an indication of and how would you proceed with treatment?

Select one of the following:

  • Positive Ottowa criteria; perform radiological exam

  • Patellar dislocation; perform reduction

  • ACL injury; perform arthrocentesis

  • Positive McMurray test; perform x-ray

Explanation

Question 4 of 38

1

While performing an arthrocentesis, you begin to draw blood into the syringe. What should you strongly suspect?

Select one of the following:

  • ACL tear

  • Chondromalacia patella

  • Patellar fracture

  • Femoral head fracture

Explanation

Question 5 of 38

1

Identify what test you would use to diagnose a meniscal tear:

1. Thessaly
2. Apley Distraction
3. McMurray
4. Straight leg raise

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 6 of 38

1

A history of malalignment of the knee and increased Q-angle is needed in order to diagnose Chondromalacia patella.

Select one of the following:

  • True
  • False

Explanation

Question 7 of 38

1

A young female is more likely to be treated for what condition?

1. Bi-partite patella
2. Patellar dislocation
3. Pelvic fracture
4. Chondromalacia patella

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 8 of 38

1

A 34 year old female presents with knee inflammation and pain localized over her left lateral femoral epicondyle while training for a marathon. What is the most likely injury?

Select one of the following:

  • Iliotibial band syndrome (ITBS)

  • Shin splints

  • Medial collateral ligament (MCL) injury

  • Chondromalacia patella

Explanation

Question 9 of 38

1

A 15 year old male complains of pain while walking and his knee periodically "locking up". You notice the patient has an altered gait due to external rotation in his right lower leg. What are these signs consistent with?

Select one of the following:

  • Osteochondritis dessicans (OCD)

  • Osgood Schlatter's disease (OSD)

  • Meniscal tear

  • Baker cyst

Explanation

Question 10 of 38

1

Subchondral bone necrosis of the femoral condyle indicates:

Select one of the following:

  • Osteochondritis dessicans (OCD)

  • Osgood Schlatter's disease (OSD)

  • Chondromalacia patella

  • Iliotibial band syndrome (ITBS)

Explanation

Question 11 of 38

1

Osteochondritis dessicans (OCD) may take several days to weeks to heal.

Select one of the following:

  • True
  • False

Explanation

Question 12 of 38

1

Possible secondary injury associated with an anterior cruciate ligament (ACL) injury:

1. Gapping >10 millimeters
2. Avulsion of tibial spine
3. Aponeurosis tear
4. Segond fracture

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 13 of 38

1

In relation to the distal femur, an anterior cruciate ligament (ACL) injury would displace the tibia anteriorly.

Select one of the following:

  • True
  • False

Explanation

Question 14 of 38

1

Collateral ligament tears present with effusion.

Select one of the following:

  • True
  • False

Explanation

Question 15 of 38

1

Upon performing varus/valgus stress testing in a patient with suspected lateral cruciate ligament (LCL) tear, you record a gapping of the joint line is 11 millimeters. What would you classify this as?

Select one of the following:

  • Grade III tear

  • Grade I tear

  • Grade II tear

  • Grade IV tear

Explanation

Question 16 of 38

1

Posterior patellar surface inflammation secondary to abnormal mechanical wear and often maltracking of the patella indicates:

Select one of the following:

  • Chondromalacia patella

  • Patellar dislocation

  • Meniscal tear

  • Bursitis

Explanation

Question 17 of 38

1

What is the appropriate test to confirm an ACL injury?

1. Lachman
2. McMurray
3. Anterior drawer
4. Apley distraction

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1,2,3

  • 4 only

  • All of the above

Explanation

Question 18 of 38

1

A PCL injury would most likely present with:

Select one of the following:

  • Subtle effusion

  • Difficult with ambulation

  • Joint line tenderness

  • Anterior instability

Explanation

Question 19 of 38

1

The mechanism of injury for a MCL tear is valgus and rotary stress.

Select one of the following:

  • True
  • False

Explanation

Question 20 of 38

1

What injury would you be looking for if a patient's MOI is knee flexion with rotational stress while bearing weight?

Select one of the following:

  • Meniscal tear

  • PCL tear

  • Patellar subluxation

  • Tendonitis

Explanation

Question 21 of 38

1

A common MOI for an ACL injury is rotational twist with a flexed knee.

Select one of the following:

  • True
  • False

Explanation

Question 22 of 38

1

Blunt trauma to the anterior tibia would present a positive history MOI for what injury?

Select one of the following:

  • PCL injury

  • Meniscal tear

  • Osteochondritis dessicans (OCD)

  • LCL tear

Explanation

Question 23 of 38

1

When would you classify an injury as a knee dislocation?

1. ACL tear
2. Collateral ligament tear
3. PCL tear
4. Bi-partite patella

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1,2,3

  • 4 only

  • All of the above

Explanation

Question 24 of 38

1

The dangerous complication of a knee dislocation which requires immediate reduction is:

1. Popliteal artery damage
2. Tibial nerve injury
3. Severed peroneal nerve
4. Vascular compromise

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1,2,3

  • 4 only

  • All of the above

Explanation

Question 25 of 38

1

Visible deformity and instability secondary to ischemia is indicative of Osgood Schlatter's disease (OCD)

Select one of the following:

  • True
  • False

Explanation

Question 26 of 38

1

You can treat tendonitis with all of the following EXCEPT:

Select one of the following:

  • Corticosteroidal injection

  • APAP

  • NSAIDs

  • RICE

Explanation

Question 27 of 38

1

Tendonitis is an overuse injury, leading to micro tears.

Select one of the following:

  • True
  • False

Explanation

Question 28 of 38

1

A 12 year old male complains of pain at the site of patellar tendon insertion on the proximal tibia while playing basketball. What should you suspect based on patient history and presentation?

1. Osteochondritis dessicans
2. Tibial tubercle apophysitis
3. ACL injury
4. Osgood Schlatter's disease (OSD)

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 29 of 38

1

What treatment is appropriate for Iliotibial band syndrome (ITBS)?

1. Corticosteroidal injection
2. Eversion orthotics
3. Ice
4. NSAIDs

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 30 of 38

1

What statement is NOT true in regards to shin splints versus tibial stress fractures?

Select one of the following:

  • Shin splints presents as linear tenderness or pain

  • Tibial stress fracture pain is localized along short band

  • Tibial stress fracture is more common in females

  • Shin splints causes severe nocturnal pain

Explanation

Question 31 of 38

1

Prepatellar bursitis (housemaid's knee) is the most common synovial disorder.

Select one of the following:

  • True
  • False

Explanation

Question 32 of 38

1

What is indicated in bursitis management?

1. Compression wrap
2. Aspiration
3. Corticosteroidal injection
4. VMO strengthening

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 33 of 38

1

Synovial disorder in the popliteal fossa that presents as a synovial lined sac:

1. Bursitis
2. Popliteal cyst
3. Prepatellar bursitis
4. Baker cyst

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 34 of 38

1

Baker cysts develops secondary to intra-articular disorder in children.

Select one of the following:

  • True
  • False

Explanation

Question 35 of 38

1

While treating a femur fracture, the patient has sudden onset dyspnea prior to losing consciousness and you notice a patch of small lesions develop. What should you immediately suspect?

Select one of the following:

  • Fat embolus

  • Compartment syndrome

  • Apophysitis

  • Posterolateral dislocation

Explanation

Question 36 of 38

1

What would you expect to see in early compartment syndrome?

1. Disproportionate pain during muscle stretch
2. Absent pulses
3. Parasthesia
4. Dyspnea

Select one of the following:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Explanation

Question 37 of 38

1

Distal pulses may be intact during late stage compartment syndrome.

Select one of the following:

  • True
  • False

Explanation

Question 38 of 38

1

34 year old patient complains of lower leg pain after a fall. Upon inspection, you notice severe edema in distal tibia and ankle with pallor and varying temperatures of the foot. What is your treatment for this patient?

Select one of the following:

  • Immediate fasciotomy

  • Arthrocentesis

  • Immediate reduction

  • Corticosteroidal injection

Explanation

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