Bio Med - Day 5a

Question 1

(2 tests) Commonly used in orthopedic examinations to test for anterior cruciate ligament (ACL) integrity

Answer 1

Anterior Drawer Test

Lachman Test - more reliable/sensitive

Question 2

Commonly used in orthopedic examinations to test for posterior cruciate ligament (PCL) integrity

Answer 2

Posterior Drawer Test

Question 3

What test does the following correspond with:

Pain on external rotation - Medial Meniscus
Pain on internal rotation - Lateral Meniscus

Answer 3

McMurray Test

Question 4

Posterior Drawer sign means what type of injury

Answer 4

PCL injury

Question 5

Pain on the external rotation with McMurray test

A. ACL injury
B. PCL injury
C. Medial Meniscus injury
D. Lateral Meniscus injury

Answer 5

C. Medial Meniscus injury

Question 6

“Unhappy Triad” (ACL, MCL, Medial Meniscus) injury during a football game. Diagnostic imaging

A. MRI
B. CT Scan
C. PET Scan
D. Ultrasound

Answer 6

A. MRI

***good scan for the brain; spine; rotator cuff; joints; soft tissues; knee

Question 7

Shoulder pain after playing tennis, weakness on external rotation, pain upon abduction of arm. Drop-arm test (+)

A. Rotator Cuff Tear
B. Tennis Elbow
C. Golfer Elbow
D. Bicipital Tenosynovitis

Answer 7

A. Rotator Cuff Tear

Question 8

Of all 4 Rotator Cuff muscles, which is most commonly torn

Answer 8

Supraspinatus

Question 9

3 Tests to remember for Rotator Cuff injury

Answer 9

Drop Arm Test
Hawkins-Kennedy Test
Apprehension Test

Question 10

2 Tests to remember for Bicipital Tenosynovitis (remember “YES”)

Answer 10

YEgarson’s Test

Speed Test

Question 11

Most commonly fractured carpal bone
(Nemonic is “So Long To Pinky”, and “Here Comes The Thumb”)

A. Scaphoid 
B. Lunate
C. Triquetrum
D. Pisiform
E. Hamate

Answer 11

A. Scaphoid

***Lunate dislocation can cause acute Carpal Tunnel Syndrome

***Hamate, if falling on outstretched hand, can cause ulnar nerve injury

Question 12

Sideways curvature of the spine that occurs most often durning growth spurt just before puberty

A. Scoliosis
B. Lordosis
C. Kyphosis
D. Herniated Disk

Answer 12

A. Scoliosis

Question 13

Excessive posterior thoracic curvature (Hunchback)

A. Scoliosis
B. Lordosis
C. Kyphosis
D. Herniated Disk

Answer 13

C. Kyphosis

Question 14

Moderate Scoliosis

A. Cobb angle 5-15
B. Cobb angle 20-45
C. Cobb angle > 50
D. Cobb angle > 75

Answer 14

B. Cobb angle 20-45

Cobb angle 5-15 - MILD (can do Konstancin Exercise to help)
Cobb angle 20-45 - MODERATE (Bracing)
Cobb angle > 50 - SEVERE (Surgery)
Cobb angle > 75 - SEVERE

Question 15

Symmetrical joint pain, morning stiffness lasts 60 minutes, fatigue, anorexia

A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis

Answer 15

A. Rheumatoid arthritis

Question 16

Middle-aged obese man, severe pain, redness, and swelling in big toe. Associated with alcohol and meat consumption

A. Septic arthritis
B. Lyme disease
C. Gout
D. Rheumatoid arthritis

Answer 16

C. Gout

Question 17

T Score for Osteopenia

Answer 17

between -1 to -2.5

Question 18

Hip fracture, vertebral compression fractures, loss of height and progressive thoracic kyphosis, distal radius fractures (Colles’ fracture) following minimal trauma

A. Osteopenia
B. Osteoporosis 
C. Osteopetrosis
D. Osteomalacia
E. Rickets

Answer 18

B. Osteoporosis

Question 19

Vitamin D deficiency in adult

A. Osteopenia
B. Osteopetrosis
C. Osteomalacia
D. Rickets

Answer 19

C. Osteomalacia

• **Vit D Def. in kids = Rickets
• **Vit D Def. in adults = Osteomalacia

Question 20

Estrogen can ______ apoptosis (cell suicide)

Answer 20

inhibit

Question 21

PTH ______ calcium in the blood

Calcitonin ________ in the blood

Answer 21

increase

decrease

Question 22

Muscle injury evaluated by

A. Plain x-ray
B. DEXA scan
C. MRI
D. Ultrasound

Answer 22

C. MRI