LL Exam

Question 1

If no pain with active movement, do you need to check passive movement?

Answer 1

No

Question 2

In the VALGUS test, the distal part moves ________

Answer 2

Laterally

Question 3

In the knee exam, the VALGUS test tests the ________

Answer 3

MCL

Question 4

After a basic ankle exam, order an x-ray for what three scenarios?

Answer 4

1. bony point tenderness at posterior edge
2. bony point tenderness at navicular and base of 5th metatarsal
3. inability to walk 4+ steps both immediately after injury and in ER

Question 5

a Maisonneuve fracture is located where?

Answer 5

proximal fibula

Question 6

In the basic ankle exam, the squeeze test is used to r/o a ___________

Answer 6

maisonneuve fracture (proximal fibula) and high ankle sprain

Question 7

obese adolescent pt presents with knee pain referring to the anteromedial thigh and limited internal rotation, what is your dx?

Answer 7

Slipped capital femoral epiphysis

Question 8

how is a SCFE treated?

Answer 8

surgical fixation

Question 9

child aged 3-10 presents refusing to bear weight on his R leg, holding it slightly flexed and externally rotated. He recently had a virus. dx? tx?

Answer 9

Transient synovitis of the hip

Tx with NSAIDs for 1-3 wks

Question 10

What tests should you run if you suspect transient synovitis of the hip? what will you find if you are right?

Answer 10

Sed rate - elevated

CBC - mild leukocytosis

Question 11

what is the typical etiology of a septic joint?

Answer 11

Gonorrhea or skin flora; college age

Question 12

how do you treat a septic joint?

Answer 12

surgical incision and drainage, followed by IV abx

Question 13

what is a complication of septic joint?

Answer 13

articular surface destruction

Question 14

what is the most common direction for a patellar dislocation?

Answer 14

lateral

Question 15

how do you treat a patellar dislocation?

Answer 15

PT

Question 16

What are the 3 most common ways to tear the ACL?

Answer 16

twisting non-contact

deceleration

hyperextension

Question 17

how do you treat a meniscal tear that does NOT cause locking?

Answer 17

PT and relative rest

Question 18

6Ps of presentation of compartment syndrome:

Answer 18

Pain out of proportion (early)
Paresthesia (early)
Poikilothermia
Paralysis (late)
Pallor (late)
Pulselessness (late and rare)

Question 19

in compartment syndrome, what is the pressure danger range?

Answer 19

30-40 mmHg, potentially dangerous

Question 20

most common etiology of ankle sprains

Answer 20

inversion

Question 21

what fracture is often associated with ankle injury

Answer 21

maissoneuve fracture

Question 22

middle aged male presents with difficulty walking. hx of pop and pain in heal during basketball. dx and treatment?

Answer 22

achilles rupture

tx: either acute immobilization or surgery

Question 23

The femoral nerve innervates _______

Answer 23

IPSQuad
Iliacus
Pectineus
Sartorius
Quads

Question 24

The psoas is innervated by ________

Answer 24

br. L1,2,3

Question 25

the obturator innervates (6)

Answer 25

POAAAG
pectineus
obturator externus
3 adductors
Gracilis

Question 26

which meniscus is larger?

Answer 26

medial

Question 27

40-50% of exertional compartment syndrome occurs in the _______ compartment

Answer 27

anterior

Question 28

30% of exertional compartment syndrome occurs in the _________ compartment

Answer 28

deep posterior

Question 29

20% of exertional compartment syndrome occurs in the _________ compartment

Answer 29

lateral