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NMS 1-3 > NMS 3: Knee Orthos > Flashcards

NMS 3: Knee Orthos Flashcards

1
Q

You may be able to feel a defect in the cartilaginous surface secondary to osteochondral fragments or to osteoarthritis of the knee at?
Select one:

a. Medial Tibial Plateau
b. Tibial Tubercle
c. Adductor tubercle
d. Medial Femoral Condyle

A

d. Medial Femoral Condyle

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2
Q

Which bursa of the knee is painfull on the anterior medial aspect of the tibia?
Select one:

a. suprapatellar superficial
b. infrapatellar deep
c. pes anserine
d. infrapatellar superficial
e. suprapatellar deep

A

c. pes anserine

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3
Q

Where does the Lateral Collateral Ligament usually rupture?
Select one:

a. Fibular insertion
b. Lateral condyle of the femur
c. Mid ligament
d. All are equally likely

A

a. Fibular insertion

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4
Q

Characteristic findings on radiographic evaluation of a patient with Osteoarthritis of the knee would NOT include?
Select one:

a. decreased lateral joint space
b. subchondral cysts
c. osteophyte formation
d. decreased medial joint space

A

a. decreased lateral joint space

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5
Q

Which bursa of the knee is affected in the condition known as Parsons knee?
Select one:

a. suprapatellar
b. infrapatellar
c. deep patellar
d. prepatellar

A

b. infrapatellar

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6
Q

Which of the following do not demonstrate a Method of injury for a non-contact ACL tear?
Select one:

a. Quick acceleration
b. Pivoting
c. Single leg landings
d. Abrupt deceleration

A

a. Quick acceleration

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7
Q

Sinding Larsen Johannsen Disease is seen primarily?
Select one:

a. In males
b. In elderly
c. at the superior pole of the patella)
d. In females

A

a. In males

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8
Q

In a skeletally immature patient Radiographs used for evaluation of Osgood Schlatters Disease?
Select one:

a. may be used to rule out partial avulsion
b.may be misleading due to a normal variant of tibial tuberosity fragmentation
c. should be used to rule out fracture

A

b.may be misleading due to a normal variant of tibial tuberosity fragmentation

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9
Q

A cartilaginous defect under the patella or a roughened patellar border may be found secondary to?
Select one:

a. Osgood Schlatters Disease
b. Osteoarthritis of the knee
c. Ortolani click
d. Bursitis.

A

b. Osteoarthritis of the knee

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10
Q

The age group in which Sinding Larsen Johannsen Disease is most prevalent is?
Select one:

a. 4 TO 9
b. 14 TO 18
c. 10 TO 14
d. 9 TO 15

A

c. 10 TO 14

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11
Q

Which of the following is NOT a predisposing factor for patellar dislocations?
Select one:

a. Patella dysplasia
b. Vastus Lateralis insufficiency
c. Patella Alta
d. High Q-Angle

A

b. Vastus Lateralis insufficiency

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12
Q

ACL tear is more likely to occur in practice?
Select one:

a. False
b. True

A

False

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13
Q

Which nerve may also be injured with a Lateral Collateral Ligament tear?
Select one:

a. Anterior Fibular Nerve
b. Peroneal Nerve
c. Lateral Femoral Cutaneous Nerve
d. Sciatic Nerve

A

b. Peroneal Nerve

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14
Q

Intrinsic factors that contribute to Iliotibial band syndrome include all of the following except?
Select one:

a. varus knee deformity
b. leg length discrepancy
c. pronation of the forefoot
d. patellar dislocation

A

d. patellar dislocation

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15
Q

Which is the most common location for a meniscal tear?
Select one:

a. Medial
b. Lateral
c. Anterior
d. Posterior

A

a. Medial

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16
Q

T/F

ACL tear is usually a contact injury?

A

False

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17
Q

Iliotibial band friction syndrome is also called?
Select one:

a. cyclers knee
b. jumpers knee
c. housemaids knee
d. runners knee

A

d. runners knee

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18
Q

How soon does the knee swell following an ACL tear?
Select one:

a. 10 to 12 hours
b. 12 plus hours
c. 3 to 4 hours
d. It does not swell

A

c. 3 to 4 hours

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19
Q

Resistant cases of Iliotibial band syndrome may require?
Select one:

a. corticosteroid injections to the tender site
b. bracing of the knee joint
c. permanent cessation of the activity causing the symptoms
d. surgical intervention

A

a. corticosteroid injections to the tender site

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20
Q

Gradual stretching of what muscle group can be considered an approach to managing Osgood Schlatters Disease?
Select one:

a. Quadriceps
b. Triceps surae
c. Gluteal muscles
d. External Rotators of the hip

A

a. Quadriceps

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21
Q

T/F

Locking of the knee can occur with a meniscal tear?

A

True

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22
Q

Activities that contribute to Iliotibial band syndrome include all of the following except?

A. Prolonged sitting
b. Running Stairs
c. Leg length inequality
d. Squatting
e. Distance running

A

A. Prolonged sitting

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23
Q

Which direction does the patellar dislocate?

A. Medial
B. Posterior
C. Lateral
D. Anterior

A

C. Lateral

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24
Q

Which is likely the cause of isolated ACL tears?

A. Anterior force
B. Medial force
C. Posterior Force
D. Lateral force

A

C. Posterior Force

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25
Q

What is the most common mechanism of injury for a meniscal tear/

A. Quick acceleration
B. Stopping
C. Twisting while weight bearing
D. Running backward

A

C. Twisting while weight bearing

26
Q

When grading a total ACL tear how far does the knee anterior translate?

A. 5 to 10 mm
B. 1 to 5 mm
C. Greater then 10 mm

A

C. Greater then 10 mm

27
Q

Fluid enters a bakers cyst from what area?

a. prepatellar bursa
b. a location of an infection in the lower leg
c. lower thigh
d. articular cavity

A

d. articular cavity

28
Q

A bakers cyst is found on what aspect of the knee?

A medial
B. Posterior
C. Lateral
D. Anterior

A

B. Posterior

29
Q

Which population experience patellar dislocations most frequently?

a. Middle aged men
b. Adolescent boys
c. Adolescent girls
d. Geriatric women

A

c. Adolescent girls

30
Q

T/F
ACL tear is more likely to occur with male athletes

A

False

31
Q

Which bursa of the knee is affected in the condition known as housemaids knee?

a. prepatellar
b. suprapatellar
c. deep patellar
d. infrapatellar

A

a. prepatellar

32
Q

What is the most common sequoia of Osgood Schlatters disease?

A. Stiff knee
B. Painful kneeling
C. Patellar Pain
D. Painful Tibial tubrical

A

B. Painful kneeling

33
Q

What does not increase the chance of osteoarthritis of the knee?

A. exercise
B. Damaged meniscus
C. Being over weight
D. Jobs that involve squatting

A

A. exercise

34
Q

In individuals with osteoarthritis of the knee small excrescences of bone called _____ are often present?

a. spondylophytes
b. osteophytes
c. sequestrum
d. osteoblasts

A

b. osteophytes

35
Q

Which is the most frequently injured collateral of the knee?

a. Lateral
b. Posterior
c. Medial
d. Anterior

A

c. Medial

36
Q

Bakers cysts found in adults usually occur?

A. after infection
b. after trauma
c. because of excessive friction
d. secondary to disease in the knee joint

A

d. secondary to disease in the knee joint

37
Q

Which of the following is not a sign or symptom of an ACL tear?

a. Feeling of knee giving way
b. Pain progressively worsens
c. Muscle spasm
d. Knee joint instability and insecurity
e. Locking of the knee

A

e. Locking of the knee

38
Q

Overuse pain and swelling of the lower patella indicating an apopysitis would indicate?

a. Bipartite patella irritation
b. Osgood Schlatter Disease
c. Sinding Larsen Johannsen Disease
d. Epiphyseal injury

A

c. Sinding Larsen Johannsen Disease

39
Q

If the athlete is able to reduce the discomfort associated with Osgood Schlatters Disease with rest?

a. No activity modifications are necessary
b. Further evaluation with a radiograph is not necessary
c. An avulsion is likely
d. A radiograph should still be taken as a precaution

A

b. Further evaluation with a radiograph is not necessary

40
Q

The site of insertion of the tendon that is often tender in young individuals and may be indicative of Osgood Schlatters Disease is the?

a. Patella
b. Tibial tubercle
c. Fibular head
d. Medial to the Tibial Tubercle

A

b. Tibial tubercle

41
Q

Which of the following demonstrate a method of injury for an ACL tear?

A. Bent knee an internal rotation of the tibia
B. Bent knee and external rotation of the tibia

A

A. Bent knee an internal rotation of the tibia

42
Q

Which of the following is NOT a clinical sign or symptom of a meniscal tear?

a. Limited Range of Motion
b. Buckling of the knee
c. Relief of pain when weight bearing
d. Pain when squatting

A

c. Relief of pain when weight bearing

43
Q

Which of the following is NOT recommended for management of Osgood Schlatters Disease in a skeletal LH immature patient?

A. Ice
B. Concentric strengthening the quadriceps
C activity modification
D. Brace

A

B. Concentric strengthening the quadriceps

44
Q

Which of the following conditions has the same causes and management considerations as Osgood Schlatters Disease?

a. Tibial eminence fracture
b. Sinding Larson Johannsen Syndrome
c. Posttraumatic Genu Valgum
d. Tibia Vara

A

b. Sinding Larson Johannsen Syndrome

45
Q

T/F
Patients are unable to walk after an ACL tear?

A

False

46
Q

What would increase pain when evaluating for Osgood Schlatters disease?

A. Resisted extension
B. Resisted flexion
C. Resisted internal rotation
D. Resisted external rotation

A

A. Resisted extension

47
Q

Which bursa of the knee is affected in the condition known as parson’s knee?

a. infrapatellar superficial
b. infrapatellar deep
c. suprapatellar deep
d. suprapatellar superficial

A

b. infrapatellar deep

48
Q

Iliotibial band syndrome is a?

A result of disuse atrophy
B. Overuse injury
C. Result of infection
D. Traumatic injury

A

B. Overuse injury

49
Q

What muscle mimics the ACL and should be strengthened to help prevent the tearing of the ACL?

A. Hamstrings
B Quads
C. Sartorius
D. Gastroc Soleus

A

B Quads

50
Q

Iliotibial band syndrome is a?

a. Irritation of the IT band and greater trochanter
b. Pes anserine and the medial epicondyle of the knee
c. Irritation of the IT band and medial epicondyle of the knee
d. Irritation of the IT band and lateral epicondyle of the knee

A

d. Irritation of the IT band and lateral epicondyle of the knee

51
Q

An examiner places the patient in supine with slight flexion in the knee joint and applies a medial to lateral stress on the knee joint. If this test was positive the patient most like has what?

A. Torn meniscus
B. Torn LCL
C. Torn MCL
D. Torn ACL

A

B. Torn LCL

52
Q

Which of the following is not a test for cruciate ligament tears?

A drawer test
B. Mcmurray test
C. Slocum test
D. Lachman test

A

B. Mcmurray test

53
Q

Which of the following would you use to check for a lateral meniscus tear?

A McMurray with external rotation and varus stress
b. Lachman
c. Drawer
d. McMurray with internal rotation and valgus stress

A

d. McMurray with internal rotation and valgus stress

54
Q

In what position do you have the patients knee to begin McMurray test?

a. Flexed slightly about 10 to 15 degrees and relaxed
b. Extension
c. Flexed as far as it goes
d. Flexed at 30 degrees

A

c. Flexed as far as it goes

55
Q

A patient complains of knee pain and examination shows a positive McMurray test in external rotation and has pain on the medial aspect of his knee that disappears with flexion. What is the likely diagnosis?

a. LCL tear
b. Lateral meniscus tear
c. Medial meniscus tear
d. MCL tear

A

c. Medial meniscus tear

56
Q

Which test was compared to the Kaplan test of the elbow?

A. Fouchet
B. Apprehension test
C. Dreyer
D. Clarke

A

C. Dreyer

57
Q

In which of the following test should you make sure to not hold the patella to hard, and allow is to move?

A. Clarke
B apprehension test
C. Dreyer
D. Fouchet

A

A. Clarke

58
Q

The focus of the Lateral Pivot Shift test is which structure?

A. Gracilis
B. Sartorius
C Rectus Femoris
C. Iliotibial Band

A

C. Iliotibial Band

59
Q

When examining a patient what test should be preformed to rule out patella fracture?

A. Apprehension test
B. Patella Ballotment
C. Clarke
D. Dreyer

A

D. Dreyer

60
Q

Which joint in the body is the most enjoyable to perform orthopedics on?

A. Knee
B. Ankle
C. Hip
D. Wrist

A

A. Knee

NMS 1-3 (27 decks)

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