99 Questions
1 to
20
By Troy Bornes
Volkmann ischemia is a result of which of the following conditions associated with forearm fractures?
- Compartment syndrome of the forearm musculature 53%
- Non-union of the radius and/or ulna 6%
- Compromised blood supply to the bone fragments at the fracture site(s) 16%
- Ischemic damage to the tissue supplied by the radial artery and/or ulnar artery due to arterial trauma at the fracture site(s) 24%
Topics:
Elbow & Forearm,
orthopedics
By Troy Bornes
In the elbow joint, the capitellum articulates with which structure?
- Ulnar coronoid process 0%
- Radial bicipital tuberosity 0%
- Humeral trochlea 20%
- Radial head 80%
Topics:
Elbow & Forearm,
anatomy,
orthopedics
By Troy Bornes
A terrible triad injury of the elbow involves which of the following injuries:
- Radial head fracture, olecranon fracture, and elbow dislocation 25%
- Olecranon fracture, coronoid process fracture, and elbow dislocation 37%
- Elbow dislocation, radial head fracture, and coronoid process fracture 30%
- Coronoid process fracture, radial head fracture, and olecranon fracture 7%
Topics:
Elbow & Forearm,
dislocation,
orthopedics
By Troy Bornes
Which class of medication has been linked with atypical subtrochanteric hip fractures?
- Bisphosphonates 60%
- ACE inhibitors 7%
- Statins 20%
- Beta blockers 12%
Topics:
Hip & Thigh,
orthopedics
By Armin Badre
What is the most common direction of glenohumeral instability?
- Superior 0%
- Inferior 14%
- Anterior 79%
- Posterior 6%
Topics:
Shoulder & Arm,
orthopedics
By Armin Badre
What is #1 cause of intoeing in children?
- Tibial torsion 32%
- Femoral anteversion 35%
- Metatarsus adductus 32%
- External rotation contracture 0%
Topics:
orthopedics,
pediatrics
By Armin Badre
What is the gold standard surgical treatment for slipped capital femoral epiphysis?
- Cannulated screw fixation 40%
- Percutaneous in situ screw fixation 46%
- Arthrodesis 6%
- Arthroplasty 7%
Topics:
orthopedics,
pediatrics
By Armin Badre
Which of the following medical conditions is NOT associated with slipped capital femoral epiphysis?
- Renal Disease 53%
- Obesity 6%
- Diabetes 15%
- Thyroid Disease 25%
Topics:
orthopedics,
pediatrics
By Armin Badre
What is the primary blood supply to the humeral head?
- Acromial branch of thoracoacromial artery 8%
- Deltoid branch of thoracoacromial artery 10%
- Posterior circumflex humeral artery 33%
- Anterior circumflex humeral artery 47%
Topics:
anatomy,
Shoulder & Arm,
orthopedics
By Armin Badre
What is the first muscle of the thigh/leg to atrophy following injury or inactivity?
- Rectus femoris 42%
- Vastus lateralis 12%
- Vastus medialis 36%
- Tibialis anterior 8%
Topics:
orthopedics,
Hip & Thigh
By Troy Bornes
Which artery provides a majority of the blood supply to the femoral head?
- Medial femoral circumflex artery 64%
- Lateral femoral circumflex artery 25%
- Artery of the ligamentum teres 7%
- Superior gluteal artery 2%
Topics:
orthopedics,
anatomy,
Hip & Thigh
By Troy Bornes
Which of the following is true about the surgical management of hip fractures?
- Subtrochanteric fractures are commonly treated with a hemiarthroplasty. 11%
- Basicervical fractures are commonly treated with a total arthroplasty. 11%
- Transcervical fractures are commonly treated with a cephalomedullary nail. 14%
- Intertrochanteric fractures are commonly treated with a dynamic hip screw. 63%
Topics:
Hip & Thigh,
orthopedics
By Troy Bornes
Which of the following is true about hip fracture classification?
- Basicervical, intertrochanteric and subtrochanteric fractures are extracapsular fractures. 50%
- Transcervical, basicervical and intertrochanteric fractures are intracapsular fractures. 20%
- Subcapital, basicervical and intertrochanteric fractures are extracapsular fractures. 13%
- Subcapital, transcervical and subtrochanteric fractures are intracapsular fractures. 16%
Topics:
Hip & Thigh,
orthopedics
By Armin Badre
A 75 year old gentleman presents to your office with pain in his L anterior thigh. He describes it as a sharp pain that comes on when he gets up in the morning or after sitting for a while and goes away after a few steps. On past medical history, he is a healthy 75 year old gentle man with no significant comorbidities. On past surgical history, he has had bilateral total hip replacement 15 years ago. What is most likely cause of his L anterior thigh pain?
- Loose L stem 43%
- Sciatica 11%
- OA of L hip 17%
- Loose L cup 28%
Topics:
Hip & Thigh,
orthopedics
By Armin Badre
A 75 year old gentleman presents to your office with R groin pain. He describes it as a sharp pain that comes on when he gets up in the morning or after sitting for a while and goes away after a few steps. On past medical history, he is a healthy 75 year old gentle man with no significant comorbidities. On past surgical history, he has had bilateral total hip replacement 15 years ago. What is most likely cause of his R groin pain?
- Loose R cup 37%
- Loose R stem 40%
- OA of R hip 12%
- Back pain radiating to the groin 9%
Topics:
Hip & Thigh,
orthopedics
A 4-year-old boy presents to his family doctor with a two day history of right-sided hip pain. He is able to weight-bear. His mom reports no recent trauma; however does remind you that she and her son visited you recently when he had an URTI. On exam there is mild restriction of abduction and internal rotation. The patient is afebrile. Lab results reveal a slightly elevated ESR. The most likely diagnosis is:
- septic arthritis 22%
- Legg-Calve-Perthes disease 17%
- slipped capital femoral epiphysis 6%
- transient synovitis 53%
Topics:
pediatrics,
orthopedics
A 10-year-old boy presents to the hospital with right knee pain after having fallen off of his bicycle. He is reluctant to weight-bear. On exam the right knee is swollen and diffusely tender. Valgus stress reveals increased laxity both at full extension and 30° flexion. The anterior drawer and Lachman tests are asymmetric with increased laxity on the right side. Skin is intact and neurovascular exam is normal. The most likely diagnosis is:
- anterior cruciate ligament rupture 58%
- tibial plateau fracture 8%
- osteochondritis dissecans of the tibial plateau 1%
- anterior intercondylar eminence fracture 30%
Topics:
pediatrics
During a new baby check in a family medicine clinic a 2-week-old baby girl is found to have a positive Ortolani test. The best course of management would be:
- reduce hip, with a Pavlik harness to maintain reduction 78%
- hip spica casting for 2-3 months 14%
- open reduction and/or femoral osteotomy if necessary 5%
- closed reduction under general anesthetic 1%
Topics:
pediatrics
Mom brings in her 30-month-old daughter, Emily, to your office because she walks on her toes. Mom tells you that Emily suffered form IUGR and therefore labor was induced three weeks early. After delivery Emily did not require resuscitation, or admittance to the NICU. On exam there is significant restriction of ankle dorsiflexion, and a dimple and small hairy patch are noted on the girl’s back. The next best course of action for dealing with this patient is:
- nothing, Emily’s toe-walking is likely habitual and there is no need for concern 9%
- serial casting, below the knee casts with progressively increasing dorsiflexion 11%
- book the patient for tendo achilles lengthening (TAL) surgery 0%
- order an MRI of the brain and spinal cord 78%
Topics:
pediatrics
Mom brings her 7-year-old son to your office because he walks on his toes. Before diagnosing this child with idiopathic toe-walking it is important to rule out all of the following EXCEPT:
- Duchenne muscular dystrophy 15%
- tethered spinal cord 13%
- cerebral palsy 17%
- genu varum 53%
Topics:
pediatrics