Chapter 16

Question 1

What is the cause, sign, & care for a meniscus tear & which one is more commonly injured & why?

Answer 1

Cause: MOI-rotary force w/ knee flexed or extended while weight bearing
Sign: effusion over 48-72 hrs, joint pain, decreased ROM, locking, pain w/ squatting/stair
Care: PRICE, not locked = test to confirm, locked= surgery/ anesthesia
-medial due to its ligamentous attachments & decreased mobility

Question 2

What is the cause, sign, & care for a ACL sprain & what percentage of ACL injuries are non-contact?

Answer 2

Cause: MOI- tibia externally rotated w/ valgus forces, deceleration w/ valgus/rotational, more common in women
Sign: pop w/ severe pain and disability, rapid swelling at the joint line - factors: skin, condition, equipment
Care: RICE, crutches, instability
-90-95%

Question 3

What is the unhappy triad?

Answer 3

(a tear of the) ACL, MCL, and medial meniscus

Question 4

MC: Knee bursitis is treated with all of the following EXCEPT:
A. surgery
B. Aspiration & steroid injection
C. eliminate the cause
D. RICE & NSAID’s

Answer 4

A. surgery

Question 5

MC: Which gender athletes are more susceptible to ACL tears & why?
A. Females; Larger Q-angle, ACL size & laxity
B. Females;Smaller Q-angle, ACL size & laxity
C. Males; Larger Q-angle, ACL size & laxity
D. Males; Smaller Q-angle, ACL size & laxity

Answer 5

A. Females; Larger Q-angle, ACL size & laxity

Question 6

MC: A positive Lachman’s test indicates injury to which knee structure?
A. Posterior Cruciate Ligament
B. Medical Collateral Ligament
C. Anterior Cruciate Ligament
D. Medial Meniscus

Answer 6

C. Anterior Cruciate Ligament

Question 7

MC: Osgood-Schlatter’s disease is more common in what gender athlete, age, & why?
A. females, 18-25, more rapid bone growth than tendons & muscles
B. females, 13-17, increased stress on tibial tuberosity due to a larger Q-angle
C. males, 18-25, increased stress on tibial tuberosity
D. males, 13-17, more rapid bone growth than tendons & muscles

Answer 7

D. males, 13-17, more rapid bone growth than tendons & muscles

Question 8

MC: A positive Anterior Drawer test indicates injury to which knee structure?
A. Posterior Cruciate Ligament
B. Medical Collateral Ligament
C. Anterior Cruciate Ligament
D. Medial Meniscus

Answer 8

C. Anterior Cruciate Ligament

Question 9

MC: When surgically repairing an ACL, all of the following replacements can be used EXCEPT:
A. Your own hamstring tendon
B. Cadaver ACL
C. Cadaver patellar tendon
D.Your own patellar tendon

Answer 9

B. Cadaver ACL

Question 10

T/F: Total body conditioning, including strength, flexibility, endurance, agility, speed, & balance is essential in preventing knee injuries

Answer 10

True

Question 11

T/F: ACL prevention programs are common in colleges but only for female athletes

Answer 11

False

Question 12

T/F:Chondromalacia patella is the hardening & deterioration of the articular cartilage

Answer 12

False

Question 13

T/F: Knee special test: Patellar Apprehension tests for patellar fracture

Answer 13

False

Question 14

T/F: A joint contusion can present as a knee sprain with severe pain, loss of movement, & signs of acute inflammation

Answer 14

True

Question 15

T/F: Lateral Collateral ligament sprains are more common than Medial Collateral ligament sprains

Answer 15

False

Question 16

T/F: Prophylactic & functional knee braces can be used to prevent & reduce the severity of knee injuries

Answer 16

True

Question 17

T/F: The knee is considered a “ball & socket” joint

Answer 17

False

Question 18

Management of a patellar fracture includes immobilization for 2-3 months

Answer 18

True