Orthopedics

Question 0

Brachial plexus injury that affect shoulder, elbow (C5, C6)

Answer 0

Erb’s

Question 1

Brachial plexus injury associated with Horners

Answer 1

Klumpke’s

Question 2

Brachial plexus injury that affect hand, wrist (C7-8, T1)

Answer 2

Klumpke’s

Question 3

Intoeing less than 1 year of age

Answer 3

Metatarsus adductus

Question 4

Intoeing 1-3 years of age

Answer 4

Medial tibial torsion

Question 5

Intoeing 3-9 years

Answer 5

Medial femoral torsion (can sit in W position)

Question 6

Genu Varum

Answer 6

Bowlegs (normal until 2 years of age)

Question 7

Tibia vara

Answer 7

Blount’s Disease

Question 8

Abnormal growth of medial proximal tibial growth plate causing genu varum

Answer 8

Blount’s disease

Question 9

Obese toddler with severe bowing

Answer 9

Blount’s disease

Question 10

Genu Valgum

Answer 10

Knock knees

Question 11

Painful limp or refusal to walk in 3-6 year old. Often URI symptoms, usually not febrile

Answer 11

Transient synovitis of the hip (must rule out septic arthritis)

Question 12

4-8 year old, short, Caucasian male with painless limp

Answer 12

Legg Calve Perthes disease

Question 13

Child in early puberty with hip pain

Answer 13

SCFE

Question 14

To diagnose SCFE order:

Answer 14

AP and frog leg lateral X-rays

Question 15

Fixed kyphosis in older adolescent (T8-9)

Answer 15

Scheurmann’s Disease

Question 16

Stress fracture through the pars interarticulatis from repeated hyperextension

Answer 16

Spondylolysis

Question 17

Forward displacement of vertebral body

Answer 17

Spondylolisthesis

Question 18

Typically doesn’t present with back pain

Answer 18

Idiopathic scoliosis

Question 19

3 year old with difficulty climbing and getting up off the floor. Extraocular muscles intact.

Answer 19

Duchenne muscular dystrophy

Question 20

Overuse syndrome characterized by pain over heel, (can be bilateral), toe walking, tight Achilles’ tendon, and positive calcaneal compression test (pain produced by medial and lateral compression of the heel)

Answer 20

Sever disease (tx with stretching, heat, rest, heel cups and supportive shoes. NSAIDs minimally effective).

Question 21

Pseudohypertrophy of calf muscles and Gowers sign

Answer 21

Duchenne muscular dystrophy