Ortho/ Rheum

Question 1

AC Joint Grading

Answer 1

I- TTP at AC joint
II- instability w/ stress testing
III- deformity w/ prominence of clavicular head

Question 2

SITS MOA

Answer 2

Ext Rotation & Abduction
EXCEPT
Subscapularis - internal rotation

Question 3

Which nerve should be assessed in humeral fx?

Answer 3

Radial
(& Vascular integrity)
Sling and swath 4-6wks
ORIF

Question 4

Medial Epicondylitis

Answer 4

GOLFER’s Elbow/ Little League Elbow

Flexor m.

Question 5

Lateral Epicondlyitis

Answer 5

“Tennis hits to lateral edges”
Tennis Elbow
Extensor m.

Question 6

Fat Pad/ Sail Sign

Answer 6

Elbow Fx

Sugar tong

Question 7

deQuervain’s Tenosynovitis

Answer 7

+Finkelstein Test
pain @ dorsal radius
Tx: Rest, thumb spica/ splint

Question 8

Skier/Gamekeeper Thumb

Answer 8

UCL

Tx: Thumb spica 4-6wks or ORIF

Question 9

Collex fx tx

Answer 9

Sugar tong splint followed by long/short arm cast 4-6wks

Question 10

Boxer Fx tx

Answer 10

Ulnar Gutter

Question 11

Schaphoid Fx Tx

Answer 11

Non-displaced- thumb spica

Displaced- Surgical fixation

Question 12

When should necks be x-rayed in accidents that cause “whiplash”?

Answer 12

Nexus Criteria 
No ... "FIND"
-focal neurological deficit
-intoxication
-mid-line tenderness
-distracting, painful injury

-Normal alertness

Question 13

Extension injury to neck

Answer 13

Hangman’s

Question 14

Vertical compression injury

Answer 14

Jefferson
Unstable
Ant + Post arches + disruption of transverse ligament

Question 15

DTR’s
Biceps
Brachioradialis
Triceps

Answer 15

C5
C6
C7

Question 16

Straight Leg Test

Answer 16

Lasegue’s Lift

Question 17

Bowstring Test

Answer 17

flex knee press on popliteal area

Question 18

Which meniscus is more commonly injured

Answer 18

MCL > LCL
*“Locked” knee with inability to flex/extend
McMurray/ MRI
RICE –> Brace –> Refer if not improving to surgery

Question 19

Ottawa Ankle Rules

Answer 19

1) lateral malleolus
2) medial malleolus
3) base of 5th metatarsal
4) Navicular
5) Unable to WB after injury + 4 steps during evaluation
6) Drunk/ AMS

Question 20

What is the MC fx treated by orthopaedists?

Answer 20

Ankle

Question 21

What is the MC LE fx in sports?

Answer 21

Ankle

Question 22

Most frequently ruptured tendon?

Answer 22

Achilles
“hit by a baseball bat”
Splint in “equine” position –> Surgical repair