Quiz
Lower Extremity Disorders
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Questions in this quiz (38)
1Techniques of arthrocentesis includes skin prepping/draping, using a 30 mL syringe, and:
- ALateral approach
- BHemarthrosis
- CCorticosteroid therapy
- D22-24 gauge needle
2In order to obtain a diagnostic radiograph, what angle would you ideally want an x-ray?
1. Anterior Posterior
2. Oblique
3. Transverse
4. Posterior Anterior- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
3A 55 year old patient complains of acute knee pain w/o trauma localized over the patella and is unable to bear his own weight. What would this be an indication of and how would you proceed with treatment?
- APositive Ottowa criteria; perform radiological exam
- BPatellar dislocation; perform reduction
- CACL injury; perform arthrocentesis
- DPositive McMurray test; perform x-ray
4While performing an arthrocentesis, you begin to draw blood into the syringe. What should you strongly suspect?
- AACL tear
- BChondromalacia patella
- CPatellar fracture
- DFemoral head fracture
5Identify what test you would use to diagnose a meniscal tear:
1. Thessaly
2. Apley Distraction
3. McMurray
4. Straight leg raise- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
6A history of malalignment of the knee and increased Q-angle is needed in order to diagnose Chondromalacia patella.
- ATrue
- BFalse
7A young female is more likely to be treated for what condition?
1. Bi-partite patella
2. Patellar dislocation
3. Pelvic fracture
4. Chondromalacia patella- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
8A 34 year old female presents with knee inflammation and pain localized over her left lateral femoral epicondyle while training for a marathon. What is the most likely injury?
- AIliotibial band syndrome (ITBS)
- BShin splints
- CMedial collateral ligament (MCL) injury
- DChondromalacia patella
9A 15 year old male complains of pain while walking and his knee periodically "locking up". You notice the patient has an altered gait due to external rotation in his right lower leg. What are these signs consistent with?
- AOsteochondritis dessicans (OCD)
- BOsgood Schlatter's disease (OSD)
- CMeniscal tear
- DBaker cyst
10Subchondral bone necrosis of the femoral condyle indicates:
- AOsteochondritis dessicans (OCD)
- BOsgood Schlatter's disease (OSD)
- CChondromalacia patella
- DIliotibial band syndrome (ITBS)
11Osteochondritis dessicans (OCD) may take several days to weeks to heal.
- ATrue
- BFalse
12Possible secondary injury associated with an anterior cruciate ligament (ACL) injury:
1. Gapping >10 millimeters
2. Avulsion of tibial spine
3. Aponeurosis tear
4. Segond fracture- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
13In relation to the distal femur, an anterior cruciate ligament (ACL) injury would displace the tibia anteriorly.
- ATrue
- BFalse
14Collateral ligament tears present with effusion.
- ATrue
- BFalse
15Upon performing varus/valgus stress testing in a patient with suspected lateral cruciate ligament (LCL) tear, you record a gapping of the joint line is 11 millimeters. What would you classify this as?
- AGrade III tear
- BGrade I tear
- CGrade II tear
- DGrade IV tear
16Posterior patellar surface inflammation secondary to abnormal mechanical wear and often maltracking of the patella indicates:
- AChondromalacia patella
- BPatellar dislocation
- CMeniscal tear
- DBursitis
17What is the appropriate test to confirm an ACL injury?
1. Lachman
2. McMurray
3. Anterior drawer
4. Apley distraction- A1 and 3
- B2 and 4
- C1,2,3
- D4 only
- EAll of the above
18A PCL injury would most likely present with:
- ASubtle effusion
- BDifficult with ambulation
- CJoint line tenderness
- DAnterior instability
19The mechanism of injury for a MCL tear is valgus and rotary stress.
- ATrue
- BFalse
20What injury would you be looking for if a patient's MOI is knee flexion with rotational stress while bearing weight?
- AMeniscal tear
- BPCL tear
- CPatellar subluxation
- DTendonitis
21A common MOI for an ACL injury is rotational twist with a flexed knee.
- ATrue
- BFalse
22Blunt trauma to the anterior tibia would present a positive history MOI for what injury?
- APCL injury
- BMeniscal tear
- COsteochondritis dessicans (OCD)
- DLCL tear
23When would you classify an injury as a knee dislocation?
1. ACL tear
2. Collateral ligament tear
3. PCL tear
4. Bi-partite patella- A1 and 3
- B2 and 4
- C1,2,3
- D4 only
- EAll of the above
24The dangerous complication of a knee dislocation which requires immediate reduction is:
1. Popliteal artery damage
2. Tibial nerve injury
3. Severed peroneal nerve
4. Vascular compromise- A1 and 3
- B2 and 4
- C1,2,3
- D4 only
- EAll of the above
25Visible deformity and instability secondary to ischemia is indicative of Osgood Schlatter's disease (OCD)
- ATrue
- BFalse
26You can treat tendonitis with all of the following EXCEPT:
- ACorticosteroidal injection
- BAPAP
- CNSAIDs
- DRICE
27Tendonitis is an overuse injury, leading to micro tears.
- ATrue
- BFalse
28A 12 year old male complains of pain at the site of patellar tendon insertion on the proximal tibia while playing basketball. What should you suspect based on patient history and presentation?
1. Osteochondritis dessicans
2. Tibial tubercle apophysitis
3. ACL injury
4. Osgood Schlatter's disease (OSD)- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
29What treatment is appropriate for Iliotibial band syndrome (ITBS)?
1. Corticosteroidal injection
2. Eversion orthotics
3. Ice
4. NSAIDs- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
30What statement is NOT true in regards to shin splints versus tibial stress fractures?
- AShin splints presents as linear tenderness or pain
- BTibial stress fracture pain is localized along short band
- CTibial stress fracture is more common in females
- DShin splints causes severe nocturnal pain
31Prepatellar bursitis (housemaid's knee) is the most common synovial disorder.
- ATrue
- BFalse
32What is indicated in bursitis management?
1. Compression wrap
2. Aspiration
3. Corticosteroidal injection
4. VMO strengthening- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
33Synovial disorder in the popliteal fossa that presents as a synovial lined sac:
1. Bursitis
2. Popliteal cyst
3. Prepatellar bursitis
4. Baker cyst- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
34Baker cysts develops secondary to intra-articular disorder in children.
- ATrue
- BFalse
35While treating a femur fracture, the patient has sudden onset dyspnea prior to losing consciousness and you notice a patch of small lesions develop. What should you immediately suspect?
- AFat embolus
- BCompartment syndrome
- CApophysitis
- DPosterolateral dislocation
36What would you expect to see in early compartment syndrome?
1. Disproportionate pain during muscle stretch
2. Absent pulses
3. Parasthesia
4. Dyspnea- A1 and 3
- B2 and 4
- C1, 2, 3
- D4 only
- EAll of the above
37Distal pulses may be intact during late stage compartment syndrome.
- ATrue
- BFalse
3834 year old patient complains of lower leg pain after a fall. Upon inspection, you notice severe edema in distal tibia and ankle with pallor and varying temperatures of the foot. What is your treatment for this patient?
- AImmediate fasciotomy
- BArthrocentesis
- CImmediate reduction
- DCorticosteroidal injection
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- Description
- Quiz for Clinical Medicine block 2A
- Author
- Derek Trautwein
- Language
- English
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