MSK/Sports Medicine

Question 1

Congenital torticollis with cervical fusion, short neck, low occipital hairline, sprengel deformity. Associated with deafness

Answer 1

Klippel-Feil Syndrome

Question 2

Treatment osteomyelitis in sickle cell disease

Answer 2

ceftriaxone/cefotaxime to cover salmonella

Question 3

Scoliosis bracing required in which children?

Answer 3

When there is 2 years of growth left and curvature is between 25 and 40 degrees

Question 4

When is surgery indicated for scoliosis

Answer 4

Curvature >40 degrees

Question 5

Child/infant with scoliosis, fused ribs. What screening should be done?

Answer 5

Congenital scoliosis. Screen with renal US and cardiac ECHO

Question 6

When to obtain PFTs in kyphosis?

Answer 6

Curve >60 degrees

Question 7

Bad posture, kyphosis, and back pain in teenager?

Answer 7

Scheuermann disease

Question 8

When does genu varus resolve?

Answer 8

By 2 yo. If doesn’t, think Blount’s disease or rickets

Question 9

Overweight Adolescent with genu varus

Answer 9

Blount’s disease

Question 10

When does medial tibial torsion normally resolved?

Answer 10

By 2-4 yo

Question 11

When does femoral ante version normally resolve?

Answer 11

By 8-10 yo

Question 12

Toe walking is normal up to what age

Answer 12

3 yo

Question 13

Tx of discitis

Answer 13

immobilization with brace/cast, anti-staph antibiotics

Question 14

How to dx spondylolysis?

Answer 14

Oblique xray- shows fracture through pars interarticularis

Question 15

10 yo with painless bone mass, XR with pedunculated, cauliflower-like lesion on end of long bone.

Answer 15

Osteochondroma (benign)

Question 16

Protective polycarbonate goggles are required in which sports?

Answer 16

High risk (contact sports, projectiles, involving sticks like hockey or rackets), moderate risk (soccer, water polo, football)

Question 17

Athletes should not implement a weight loss program before which grade?

Answer 17

9th grade

Question 18

A direct blow to the anterior knee with the knee flexed describes a common mechanism for what injury?

Answer 18

Posterior cruciate ligament tear

Question 19

Forceful quadriceps contraction during a cutting motion describes a mechanism of injury for what?

Answer 19

Patellar dislocation

Question 20

Sudden deceleration and pivoting of the knee describes a mechanism of what injury?

Answer 20

Anterior cruciate ligament tear

Question 21

Maneuvers that twist the pelvis, such as the FABERE (figure of four) test, are painful in patients with what?

Answer 21

septic arthritis of the sacroiliac joint

Question 22

Tennis elbow is AKA? Where is tenderness?

Answer 22

Lateral epicondylitis. Due to repeated extension and flexion of the elbow

Question 23

Golfer’s elbow is AKA? Due to what?

Answer 23

Medial epicondylitis. 2/2 to repeated extension and flexion of the wrist

Question 24

X-ray with mature peripheral ossification with a distinct margin surrounding a radiolucent center of immature osteoid and primitive mesenchymal tissue; bony mass is always slightly separated from the long shaft of the bone. This indicates what diagnosis?

Answer 24

Heterotopic bone (Myositis ossificans)

Question 25

Common overuse disorder in runners and cyclists, characterized by an aching and/or burning pain over the lateral femoral condyle, which may radiate along the lateral portion of the thigh toward the hip

Answer 25

Iliotibial band syndrome

Question 26

16-year-old soccer player complaining of “knee pain” reports that his pain, while lying supine, is worse during slow extension of the left knee from a maximally flexed position while externally rotating the tibia (McMurray test)

Answer 26

Medial meniscal tear

Question 27

Adolescent male with knee pain. Radiograph may reveal loss of articular cartilage continuity in which the subchondral fragment has become an intraarticular loose body, separate from the femoral condyle

Answer 27

Osteochondritis dessicans

Question 28

What vitamin deficiency causes “ground glass” appearance of bone on XR?

Answer 28

Vitamin C

Question 29

Little league elbow is what?

Answer 29

Medial epicondylitis

Question 30

A broad-based pedunculated lesion arising from the metaphysis of the femur

Answer 30

Osteochondroma

Question 31

Boy with pain in the second costochondral cartilage on either side and is always associated with visible swelling and, in many cases, with erythema and warmth

Answer 31

Tietze Syndrome

Question 32

Absent, hypoplastic, or dystrophic nails and orthopedic anomalies, which include absence or hypoplasia of the patellae. What screening test?

Answer 32

Nail-patella syndrome (autosomal dominant) Urinalysis; can progress to ESRD