2477240
Descripción
Test por Derek Trautwein, actualizado hace más de 1 año
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Creado por Derek Trautwein
hace alrededor de 9 años
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Pregunta 1
Pregunta
Techniques of arthrocentesis includes skin prepping/draping, using a 30 mL syringe, and:
Respuesta
-
Lateral approach
-
Hemarthrosis
-
Corticosteroid therapy
-
22-24 gauge needle
Pregunta 2
Pregunta
In 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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 3
Pregunta
A 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?
Respuesta
-
Positive Ottowa criteria; perform radiological exam
-
Patellar dislocation; perform reduction
-
ACL injury; perform arthrocentesis
-
Positive McMurray test; perform x-ray
Pregunta 4
Pregunta
While performing an arthrocentesis, you begin to draw blood into the syringe. What should you strongly suspect?
Respuesta
-
ACL tear
-
Chondromalacia patella
-
Patellar fracture
-
Femoral head fracture
Pregunta 5
Pregunta
Identify what test you would use to diagnose a meniscal tear:
1. Thessaly
2. Apley Distraction
3. McMurray
4. Straight leg raise
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 6
Pregunta
A history of malalignment of the knee and increased Q-angle is needed in order to diagnose Chondromalacia patella.
Respuesta
- True
- False
Pregunta 7
Pregunta
A young female is more likely to be treated for what condition?
1. Bi-partite patella
2. Patellar dislocation
3. Pelvic fracture
4. Chondromalacia patella
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 8
Pregunta
A 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?
Respuesta
-
Iliotibial band syndrome (ITBS)
-
Shin splints
-
Medial collateral ligament (MCL) injury
-
Chondromalacia patella
Pregunta 9
Pregunta
A 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?
Respuesta
-
Osteochondritis dessicans (OCD)
-
Osgood Schlatter's disease (OSD)
-
Meniscal tear
-
Baker cyst
Pregunta 10
Pregunta
Subchondral bone necrosis of the femoral condyle indicates:
Respuesta
-
Osteochondritis dessicans (OCD)
-
Osgood Schlatter's disease (OSD)
-
Chondromalacia patella
-
Iliotibial band syndrome (ITBS)
Pregunta 11
Pregunta
Osteochondritis dessicans (OCD) may take several days to weeks to heal.
Respuesta
- True
- False
Pregunta 12
Pregunta
Possible 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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 13
Pregunta
In relation to the distal femur, an anterior cruciate ligament (ACL) injury would displace the tibia anteriorly.
Respuesta
- True
- False
Pregunta 14
Pregunta
Collateral ligament tears present with effusion.
Respuesta
- True
- False
Pregunta 15
Pregunta
Upon 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?
Respuesta
-
Grade III tear
-
Grade I tear
-
Grade II tear
-
Grade IV tear
Pregunta 16
Pregunta
Posterior patellar surface inflammation secondary to abnormal mechanical wear and often maltracking of the patella indicates:
Respuesta
-
Chondromalacia patella
-
Patellar dislocation
-
Meniscal tear
-
Bursitis
Pregunta 17
Pregunta
What is the appropriate test to confirm an ACL injury?
1. Lachman
2. McMurray
3. Anterior drawer
4. Apley distraction
Respuesta
-
1 and 3
-
2 and 4
-
1,2,3
-
4 only
-
All of the above
Pregunta 18
Pregunta
A PCL injury would most likely present with:
Respuesta
-
Subtle effusion
-
Difficult with ambulation
-
Joint line tenderness
-
Anterior instability
Pregunta 19
Pregunta
The mechanism of injury for a MCL tear is valgus and rotary stress.
Respuesta
- True
- False
Pregunta 20
Pregunta
What injury would you be looking for if a patient's MOI is knee flexion with rotational stress while bearing weight?
Respuesta
-
Meniscal tear
-
PCL tear
-
Patellar subluxation
-
Tendonitis
Pregunta 21
Pregunta
A common MOI for an ACL injury is rotational twist with a flexed knee.
Respuesta
- True
- False
Pregunta 22
Pregunta
Blunt trauma to the anterior tibia would present a positive history MOI for what injury?
Respuesta
-
PCL injury
-
Meniscal tear
-
Osteochondritis dessicans (OCD)
-
LCL tear
Pregunta 23
Pregunta
When would you classify an injury as a knee dislocation?
1. ACL tear
2. Collateral ligament tear
3. PCL tear
4. Bi-partite patella
Respuesta
-
1 and 3
-
2 and 4
-
1,2,3
-
4 only
-
All of the above
Pregunta 24
Pregunta
The 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
Respuesta
-
1 and 3
-
2 and 4
-
1,2,3
-
4 only
-
All of the above
Pregunta 25
Pregunta
Visible deformity and instability secondary to ischemia is indicative of Osgood Schlatter's disease (OCD)
Respuesta
- True
- False
Pregunta 26
Pregunta
You can treat tendonitis with all of the following EXCEPT:
Respuesta
-
Corticosteroidal injection
-
APAP
-
NSAIDs
-
RICE
Pregunta 27
Pregunta
Tendonitis is an overuse injury, leading to micro tears.
Respuesta
- True
- False
Pregunta 28
Pregunta
A 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)
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 29
Pregunta
What treatment is appropriate for Iliotibial band syndrome (ITBS)?
1. Corticosteroidal injection
2. Eversion orthotics
3. Ice
4. NSAIDs
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 30
Pregunta
What statement is NOT true in regards to shin splints versus tibial stress fractures?
Respuesta
-
Shin splints presents as linear tenderness or pain
-
Tibial stress fracture pain is localized along short band
-
Tibial stress fracture is more common in females
-
Shin splints causes severe nocturnal pain
Pregunta 31
Pregunta
Prepatellar bursitis (housemaid's knee) is the most common synovial disorder.
Respuesta
- True
- False
Pregunta 32
Pregunta
What is indicated in bursitis management?
1. Compression wrap
2. Aspiration
3. Corticosteroidal injection
4. VMO strengthening
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 33
Pregunta
Synovial disorder in the popliteal fossa that presents as a synovial lined sac:
1. Bursitis
2. Popliteal cyst
3. Prepatellar bursitis
4. Baker cyst
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 34
Pregunta
Baker cysts develops secondary to intra-articular disorder in children.
Respuesta
- True
- False
Pregunta 35
Pregunta
While 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?
Respuesta
-
Fat embolus
-
Compartment syndrome
-
Apophysitis
-
Posterolateral dislocation
Pregunta 36
Pregunta
What would you expect to see in early compartment syndrome?
1. Disproportionate pain during muscle stretch
2. Absent pulses
3. Parasthesia
4. Dyspnea
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 37
Pregunta
Distal pulses may be intact during late stage compartment syndrome.
Respuesta
- True
- False
Pregunta 38
Pregunta
34 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?
Respuesta
-
Immediate fasciotomy
-
Arthrocentesis
-
Immediate reduction
-
Corticosteroidal injection
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