Ortho

Question 1

radial valgus trauma to the thumb resultin gin injury to the lateral collateral ligament at the 1st MCP

Answer 1

gamekeeper thumb

Question 2

object strieks end of finger leading to forced flexion and pain at dorsal DIP. can’t extend joint

Answer 2

mallet finger

Question 3

painful locking/ snapping of PIP during flexion. can be due to trauma, DM, gout, RA

Answer 3

trigger finger

Question 4

most useful study for stress fracture

Answer 4

bone scan

Question 5

rare, benign neoplasm in epiphysis of long bones in young males

Answer 5

chondroblastoma

Question 6

what does weakness with empty can test indicate?

Answer 6

supraspinatus tear

Question 7

what does pain will frull flexion of shoulder (Neers) indicatae

Answer 7

impringement

Question 8

most common fractures in elderly

Answer 8

hip, wrist, shoulder

Question 9

dent in the humeral head w/ shoulder dislocation

Answer 9

hill-sach deformity

Question 10

glenoid labrum is avulsed due to shoulder dislocation

Answer 10

bankart lesion

Question 11

occurs with fall directly on to shoulder or FOOSH. will have elevated clavicle, and point tendnerness

Answer 11

AC joint separation

Question 12

films to get with AC joint separation to rule out fracture

Answer 12

load bearing X-rays

Question 13

shoulder pain with overhead activity or at night when laying on arm.

Answer 13

rotator cuff tendopathy

Question 14

RTC tear with pain and weakness with elbow adduction and resist on external rotation of arm

Answer 14

infraspinatus

Question 15

RTC tear with pain on external rotation

Answer 15

teres minor

Question 16

RTC tear with painfull empty can test

Answer 16

supraspinatus

Question 17

x-ray shows subacrominal spur. Has pain with reaching, lifting, overhead motions

Answer 17

impringement

Question 18

pain with wrist flexion and pronation.

Answer 18

medial epicondylitits

Question 19

lateral elbow and forearm pain with resisted finger extension and wrist extension

Answer 19

lateral epicondylitits (tennis elbow)

Question 20

most common UE injury in infants and young children. radial head realeased form annular ligamennt

Answer 20

radial head subluxation

Question 21

what are anti-citrullinated peptide antibodies specific for?

Answer 21

rheumatoid arthritis

Question 22

what can a rupture of a baker’s cyst cause?

Answer 22

crescentic hematoma over medial malleolus

Question 23

what does elevated 24 hour urinary excretion of hydroxyproline reflect?

Answer 23

increased bone resoprtion taht occurs in paget’s disease of the bone

Question 24

what levels are elevated in sarcoidosis

Answer 24

elevated ACE, calcium and ESR

Question 25

antibodies found in Sjogrens

Answer 25

Anti ro and Anti La

Question 26

"glass in knee" sensation. Egg shaped swelling over patella. Tx with aspirate and steroid injection (abx if cellulitits before aspirating)

Answer 26

prepatellar bursitits

Question 27

most common complication associated with fractures of the proximal humerus

Answer 27

brachial plexus injury

Question 28

type of shock associated with a long bone fracture

Answer 28

hypovolemic

Question 29

where is point tenderness with plantar fascitits

Answer 29

point tenderness at the medial calcaneal tubercle

Question 30

Tx for SCFE

Answer 30

surgical pinning. Eipihysis is fracture and must be held in place

Question 31

Tx for NSAID-resistant axial disease in ankylosing spondylitits

Answer 31

etancercept and other TNF inhibitors

Question 32

most common cause of septic arthritis in children

Answer 32

H . flu

Question 33

presents with altered mental status, petechial rash and SOB following a long bone fracture

Answer 33

fat embolism

Question 34

Flex the knee to 30 degrees and place anterior force on the tibia to look for laxity that suggests ACL injury

Answer 34

Lachmans

Question 35

Flex and rotate neck in direction of the questionable nerve root compression. + if pain is reproduced

Answer 35

Spurling test

Question 36

x-ray manifestation of cervical strain

Answer 36

straightening or reversal of normal lordosis

Question 37

most common location of cervical herniate nucleus pulposus

Answer 37

C5-C6 or C6-7

Question 38

Fracture though the pedicles of C2 with anterior slip of C2 on C3.

Answer 38

hangmans fracture of C2

Question 39

Burst fracture by C1, best seen with open mouth view.

Answer 39

Jefferson fracture (C1)

Question 40

what are the 5 unstable neck fractures?

Answer 40

jefferson hangman's flexion/ extension tear drops bilateral locked facets

Question 41

nerve root evaluated by ankle reflex and sensation at the posterior calf and lateral foot

Answer 41

S1

Question 42

What can S1 radiculopathy cause

Answer 42

weakness of planter flexion

Question 43

most common location of lumbar herniated nucleus pulpousus

Answer 43

L4-L5

Question 44

what can causes progression kyphosis of the spine

Answer 44

Tb of the spine ((pott's dz)

Question 45

presents with pain with walking that is better while lying or sitting. Symptoms while biking or standing. Due to narrowing of the lumbar space

Answer 45

Spinal stenosis

Question 46

knee pain with activities, sensation of "glass in knee"

Answer 46

pre-patella bursitits

Question 47

most common tarsal fracture

Answer 47

calcaneous fracture

Question 48

most common sprain of the ankle

Answer 48

lateral from inversion fo the foot

Question 49

when should a fasiotomy be performe din compartment syndrome

Answer 49

>35-40 (normal pressure is 0-8)