7-8 Knee (Kusienski) Flashcards
Breakdown of TQs
1-2 anatomy tq;
2-3 osteopathic tq;
rest sx and tests
A patient with “knock knees” is known as:
a) scoliosis
b) genu varus
c) genu recurvatus
d) genu valgus
d) genu valgus
A patient with “bowed knees” is known as:
a) scoliosis
b) genu varus
c) genu recurvatus
d) genu valgus
b) genu varus
What are ways to measure the knee?
a) range of motion
b) girth
c) Q angle
d) all of the above
d) all of the above
When assessing the knee of a 42 yo female, you find her Q angle is greater than 21 degrees. What does this tell you?
a) there is a great tendency for increased lateral pull on the patella, leading to grinding of the patella on the underlying bones of the knee
b) there is a great tendency for increased medial pull on the patella, leading to grinding of the patella on the underlying bones of the knee
c) there is a great tendency for decreased superior pull on the patella, leading to grinding of the patella on the underlying bones of the knee
c) there is a great tendency for decreased inferior pull on the patella, leading to grinding of the patella on the underlying bones of the knee
a) there is a great tendency for increased lateral pull on the patella, leading to grinding of the patella on the underlying bones of the knee
If a 29 yo female comes in complaining of right knee pain, what can you guarantee if her left knee is normal then:
a) you need an X-ray to figure out what is going on
b) the physician can’t feel the left capsule of the knee.
c) the ACL is most likely injured
d) The MCL is not injured
b) the physician can’t feel the left capsule of the knee.
You can NEVER palpate a normal capsule of the knee!
A patient comes in with a swollen knee. You suspect an effusion of the knee. What test(s) could confirm this idea?
a) Bulge Sign
b) Bounce Home Test
c) Lachman’s sign
d) Pivot test
a) Bulge Sign
b) Bounce Home Test
A 70 yo grandma comes complaints of a large bulge in the front of her knee. Hx reveals she was a previous housemaid. What is the likely diagnosis?
a) Osgood Slaughter’s disease
b) Baker’s Cyst
c) Patellofemoral syndrome
d) Prepatellar bursitis
d) Prepatellar bursitis
A 12 yo child comes in complaining of swelling in the posterior aspect of their knee. You suspect that because it it is the posterior popliteal fossa, it could be a:
a) Osgood Slaughter’s disease
b) Baker’s Cyst
c) Patellofemoral syndrome
d) Prepatellar bursitis
b) Baker’s Cyst
A 12 yo child comes in complaining of swelling in the posterior aspect of their knee. You suspect that because it it is the posterior popliteal fossa, it could be a Baker’s Cyst, which is a …?
a) tear and enlargement of the semimembranous bursa
b) tear and enlargement of the prepatellar bursa
c) tear and enlargement of the infrapatellar bursa
d) tear and enlargement of the pes anserine bursa
a) tear and enlargement of the semimembranous bursa
True or False: Before you try draining a Baker’s cyst, you should always auscultate the area.
True! You need to make sure you do not have an arterial aneurysm because you are in the popliteal fossa
All of the following are extensors of the knee EXCEPT:
a) Rectus femoris
b) Vastus medialis
c) Biceps femoris
d) vastus lateralis
e) Vastus intermedialis
c) Biceps femoris [flexor of the knee]
Which is an external rotator of the knee?
a) semitendinosis
b) semimembranosus
c) popliteus
d) biceps femoris
d) biceps femoris
Semitendinosis, semimembranosus, popliteus are internal rotators of the knee.
A 23 yo m football player complains of pain in his knee. Which test(s) would you use to test his collateral ligaments?
a) Apley’s distraction
b) Lachman’s test
c) Drawer’s Test
d) Valgus varus test
a) Apley’s distraction
d) Valgus varus test
A 23 yo m football player complains of pain in his knee. Which test(s) would you use to test the integrity of the ACL and PCL?
a) Apley’s distraction
b) Lachman’s test
c) Drawer’s Test
d) Valgus varus test
a) Apley’s distraction
b) Lachman’s test
c) Drawer’s Test
The Giant’s quarterback, Kyle Gunther, gives a talk about when he was standing and waiting for someone to be free, a defender rammed into him and caused a valgus force apply to his knee with external tibial rotation. What was the resulting injury?
a) LCL sprain
b) MCL sprain
c) PCL sprain
d) ACL sprain
b) MCL sprain
The Giant’s quarterback, Kyle Gunther, gives a talk about when he was standing and waiting for someone to be free, a defender tried to hit him on the anteriomedial side force apply to his knee. What was the resulting injury?
a) LCL sprain
b) MCL sprain
c) PCL sprain
d) ACL sprain
a) LCL sprain
A 80 yo male is tested to have a positive valgus/varus stress test at zero degrees and 30 degrees. You suspect just a ligament stretch. What is the treatment you would recommend?
a) Compression
b) Immobilization
c) Surgery
a) compression
PRICE = protection, rest, ice, compression, elevation
A 80 yo male is tested to have a positive valgus/varus stress test at zero degrees and 30 degrees. You suspect a laxity without endpoint. What is the treatment you would recommend?
a) Compression
b) Immobilization
c) Surgery
e) Heat pack
c) Surgery
What is a sag sign indicative of?
a) LCL sprain
b) MCL tear
c) PCL tear
d) ACL sprain
c) PCL tear
A 37 yo m patient of yours went for an X-Ray after complaining of knee pain. You notice on the films that he has a Segond fracture. Which of the following describes a test that would be positive?
a) flexion of the knee with a slight compression and rotation of the knee
b) flexion of the knee with an attempted anterior pull
c) flexion of the knee with a lateral force on the tibia
d) flexion of the knee with a medial force on the tibia
b) flexion of the knee with an attempted anterior pull [Lachman’s test]
A segond fracture is indicative of ACL tear most of the time (can also indicate MCL tear, but less likely)
42 yo male runner comes into your office complaining of medial joint tenderness around the knee. What test(s) would be most appropriate?
a) Drawer’s Test
b) McMurray’s
c) Apley’s distraction
d) Valgus varus test
e) Apley’s contraction
b) McMurray’s
Note: It is supposed to be Apley’s conpression test too, not Apley’s contraction
A 52 yo patient complains of pain in their knee cap. Upon physical exam, you notice that when you put your hand over the patella and ask them to contract their quadriceps, they have pain and you feel a lots of grinding. What is a potential diagnosis?
a) Osgood Slaughter’s disease
b) Baker’s Cyst
c) Patellofemoral Pain syndrome
d) Chrondomalacia
e) Prepatellar bursitis
d) Chrondomalacia
A 44 yo female complains of pain behind his patella. It gets worse when she walks up the stairs, squats, and sits down for too long at the movies. You notice a positive apprehension sign. What is a potential diagnosis?
a) Osgood Slaughter’s disease
b) Baker’s Cyst
c) Patellofemoral Pain syndrome
d) Chrondomalacia
e) Patellar tendonitis
c) Patellofemoral Pain syndrome
