Orthopaedics Flashcards
7 7-year-old is being seen at an orthopedics outpatient clinic for assessment of a limb length
discrepancy. She has a history of acute osteomyelitis that was difficult to treat. Which regarding
osteo is not correct.
b) Immune compromise (HIV-related) may increase susceptibility to the condition
c) The condition is more common in girls
d) Appropriate antimicrobial therapy has decreased mortality to lt:1%
Regarding pathogenesis of acute osteomyelitis is not correct
a) The metaphyseal part of the bone was likely affected in this case
b) Rapid circulation and flow of blood in the affected region plays an important role in
development of acute osteomyelitis
c) There is limited ability to phagocytose organisms in the affected region
d) Infection may spread causing abscess and/or a sinus tract
B
The following organisms would not likely be in acute osteomyelitis
a) Mycobacterium tuberculosis
b) Streptococcus
c) Haemophilus influenzae
d) Staphylococcus
Which one of the following test results would not be likely in acute osteomyelitis?
a) High erythrocyte sedimentation rate
b) Low circulating level of C reactive protein
c) Raised white cell count
d) Normal x-ray during the first week of presentation with the condition
Not be likely at the time of presentation
a) Reluctance to bear weight
b) Fever
c) Cellulitis
d) Pseudo-paralysis
A woman has been referred to the orthopedic surgeon’s hand clinic for assessment of pain that is
interfering with her ability to work. The possibilities appear to be carpal tunnel syndrome or rheumatoid
arthritis. If this is rheumatoid arthritis which statement is not correct?
a) one would investigate for bone loss in the hands
b) tendon rupture is a possibility
c) ligament rupture is a possibility
d) there would be ulnar deviation of the wrist and radial deviation of the fingers
Which of the following is not a risk factor for carpal tunnel syndrome?
a) Diabetes
b) Gout
c) hyperthyroidism
Regarding CTS is not correct
a) the syndrome involved 5 tendons and the median nerve
b) CTS is the most common nerve entrapment syndrome
c) Presentation may be associated with water retention during pregnancy
d) CTS may be a manifestation of inflammatory synovitis
Symptoms of CTS are not correct
a) Pain is experienced after an activity such as knitting
b) There is tingling in the regions innervated by the median nerve
c) The 5th finger is usually affected
d) the tinel sign involves pressure or tapping on the median nerve
- Regarding CTS is not correct
a) The condition is unlikely to respond to non-steroidal anti-inflammatory drugs
b) splinting may be a useful form of conservative treatment
c) specific treatment for a related medical condition may relieve symptoms
d) cortisone injections may be helpful
you are attending a foot clinic and discussing a patient who has been diagnosed with plantar fasciitis
(PF), which is not correct
a) The plantar fasciitis is the principal static and dynamic stabilizer of the longitudinal arch of the foot
b) The fascia acts a shock absorber
c) PF is an indication of chronic inflammation
d) PF is caused by the formation of a calcaneal spur
Not a typical feature of PF?
a) Swelling
b) Antalgic gait (shortened stance, phase vs swing phase)
c) Pain is relieved by standing on tiptoes
d) First steps after inactivity are the most painful
Regarding the etiology of PF is not correct
a) Tarsal tunnel syndrome
b) hypertrophic heel fat pad
c) tibialis posterior tendonitis
d) stress fracture
Regarding management of PF is not correct
a) Both steroidal and non-steroidal anti-inflammatory drugs are used
b) Stretching of the achillies tendon should be avoided
c) Ice and heat may both be helpful
d) Botulinum toxin may be helpful
What would you expect to see when performing a lab investigation for a patient with
acute osteomyelitis? -
A) Decreased erythrocyte sedimentation rate
B) Increased C- reactive protein
C) Decreased white cell count.
