Clin Med - Ortho

After reduction of an elbow dislocation, how should the elbow be splinted?

Which of these is NOT commonly associated with metatarsalgia?

Grandma had a fall and said she landed 'right on her funny bone'; she can't extend her forearm. What did she fracture?

Which is NOT a purpose of a cast?

Boxer's fracture is a fracture of.....

It is important to test function of the ____ nerve after shoulder dislocations.

A positive valgus stress test is a sign of what ligament tear?

Which is NOT included within an 'unhappy triad'?

Which hip fracture is more likely to disturb the blood supply?

Surgical fusion of the CMC joint is beneficial for what kind of patient with osteoarthritis?

Surgery is indicated in 90% of disc herniations.

Which symptom would usually rule OUT a cervical strain/sprain?

24M pain started after a 10K & he heard a 'pop'; ecchymosis on thigh & pain worse when trying to touch his toes. DDx?

With a patella fracture, the patient's ability to ______ the leg will be affected.

What is the typical age group of patients with elbow dislocations?

What injection has been proven most efficacious for stenosing flexor tenosynovitis (trigger finger)?

Volkmann's Ischemic Contracture can be fixed with reconstructive surgery and therapy.

What is the typical treatment for a Jones fracture?

Which Weber classification of distal fibula fractures are above the level of syndesmosis and usually need ORIF?

54F - sharp localized pain between her 3rd/4th digit as she's walking her dog - which is NOT a treatment option?

What is the best test for AC joint injury?

Which is NOT a risk factor for rotator cuff tendinosis?

Fractures of the LE in elderly are repaired by closed treatment to promote early mobilization.

A cam-type femoroacetabular impingement can be seen on x-ray with an over pronounced acetabulum.

A patient with impingement syndrome will have a painful arc of ROM between _____ degrees.

Callie, the cat, went wild & bite Jenna. When would you expect signs to appear & what is your first step for treatment?

'Fat Pad' and 'Sail Sign' are common radiological findings for a discrete olecranon fracture.

Which disc herniation is cauda equina syndrome caused by commonly?

When trying to catch a football, Eliza jammed her finger; which tendon would you suspect to be ruptured?

Which nerve do you have to be considered about with a humeral shaft fracture?

When would hammertoes, claw toes and mallet toes need to be surgically corrected?

In children, some rotational deformity (15-20 degrees) will correct itself.

Nonunion healing (even with treatment) is common with.....

34F - pain sitting at her job & going down the stairs & she hears her knees 'creaking' - no swelling. Treatment & DDx?

Which is a common sign seen on x-ray suggestive of avascular necrosis?

Which type of stress fracture is a 'March fracture'?

How would a radial head fracture with a large displaced fragment (Type II) with loss of supination/pronation be treated?

What is the common MOI for a Colles' fracture?

If subclavian vein is compressed w/ thoracic outlet syndrome, you would expect color changes, claudication & vague pain.

When does flexor tendon rupture (Jersey finger) require surgery?

Which is NOT a special test for myelopathy?

What Salter Harris fracture has a poor prognosis and can arrest the growth of the bone?

Smith's fracture (opposite of Colles') is typically treated by....

Thenar atrophy is seen in chronic _____.

What is the most common ankle sprain & what ligaments do they involve?

Which is NOT one of the 5 Ps of compartment syndrome?

Salter Harris Type II fracture occurs through....

The Rule of 10s is used for.....

Is displacement more common in metatarsal shaft fractures or in metatarsal head/neck fractures?

When performing a varus stress test, you feel laxity of the LCL but there is a definite end point. How would you treat?

Patient complains of numbness in their 4th and 5th digits & medial forearm pain; what's the diagnosis & nerve affected?

A typical MOI for biceps tendon rupture is....

Lateral Epicondylitis often involves the .....

Most ligamentous injuries will heal sufficiently with no significant disability.

27y.o. active man reports pain 'on top of kneecap' (aggravated with stairs) and minimal swelling. What's your DDx?

What is commonly associated with the "David Letterman" or "Terry Thomas" sign & requires surgical treatment?

Most patients undergo an arthroscopic meniscectomy instead of an arthroscopic meniscus repair.

Significant angular or rotational deformity should not be corrected until swelling has gone down.

Which bone is most commonly at an increased risk for avascular necrosis?

An incidental finding of a compression fracture in a 32F should concern you of what disease?

Which is NOT advice you would give after casting to your patient?

If a nightstick fracture has 45% displacement & 8% angulation, non-operative casting is the standard treatment.

Tibial sag is a sign of what injury?

A patient with a herniated disc would feel relief bending forward.

Which nerve is responsible for the triceps reflex?

If a subcutaneous abscess extends to the PIP, it is more likely.....

An acute anterior shoulder dislocation presents with the arm slightly abducted and ________.

When treating a patient with extensor tendon rupture (Mallet finger), what patient education must you provide?

Prone, knee flexed at 90, axial load on heel while leg is rotated internally & externally. Which test & what is it for?

29F - pain in her thumb when picking up her newborn; which test would you perform & how would you initially treat?

Which combination of deformities both include flexion of the PIP joint/extension at the DIP joint?

You are performing a Squeeze test and the forearm supinates. This confirms a distal biceps rupture.

62F ant. shoulder/clavicular pain & weakness/tingling in arm. Suspecting thoracic outlet syndrome, what's the 1st image?

Which is the GREATEST risk factor for avascular necrosis?

The best imagining for rotator cuff tears is....

Which nerve would you be concerned about if a patient could not perform eversion of their foot?

What is the most common cause of chronic paronychia?

Which is NOT a benefit of fiberglass/synthetic material over plaster?

_________ is inflammation of a tendon which is caused by the staining, or tearing of the tendon fibers.

All are views that should be taken for imaging of ankle fractures, EXCEPT

Which is NOT a risk factor for Dupuytren's disease?

What is the treatment for a Chance fx that affects both the anterior 2/3 of vertebral body & pedicle?

Patient presents with bladder incontinence, severe leg/back pain, and saddle anesthesia? What image should you get?

What is the chance of recurrence with aspiration of a ganglion cyst?

Which is NOT a risk factor for lumbar strain?

Which imaging is most sensitive for AVN?

What is the treatment for moderate Dupuytren's disease?

Pain with bicipital tendinopathy is typically located....

You see an odontoid fracture on x-ray. Which is the best next test? Which location of fracture is most unstable?

Which is NOT a reason to order an MRI?

A distal fibular fracture with medial widening (deltoid involvement) is considered a ______ ankle fracture.

Which is the imaging of choice for disc herniation?

Which drug could be responsible for a patient presenting with torticollis?

Ottawa Ankle Rules: Which is NOT a criteria (along with pain in malleolar zone) for the need of an x-ray?

Colles' fracture typically results in ____ angulation.

What spinal nerve is responsible for sensation on the dorsal side of the foot?

Which would NOT be used to treat a mild infection associated with olecranon bursitis?

When is pain associated with plantar fasciitis the worst?

Where would you NEVER perform a steroid injection?

More angulation is allowed for the 1st metatarsal than the rest of the metatarsals because it is a stronger bone.

A measured pressure of ____ mmHg above diastolic supports diagnosis of compartment syndrome?

For a medial malleolus fracture, you should also have a high suspicion of what?

What is the common epidemiology for Achilles Tendon Rupture?

Labral tears typically occur in these kinds of patients.

Treating a patient post-MVC (whiplash), you see a fx of pars interarticular of C2 with no displacement. Treatment?

Where would you see a "Fleck Sign" on an x-ray on a Lisfranc dislocation?

When performing a Spurling's test, you apply extension and lateral flexion. Which would be an example of a + test?

Bennett's fracture is a stable injury.

A Type III injury of the AC joint consists of....

76M with Hx of unmanaged diabetes; he takes off his sock, his 4th & 5th digit are black. What is it and what do you do?

Pott's Disease results in destruction of vertebral bodies from what infection?

Post-MVC, pt's hip slightly flexed, adducted & internal rotated. On x-ray, acetabular fx. What dislocation & next step?

What is the main symptomatic treatment for plantar fasciitis?

Which is the most common type of snapping hip syndrome?

What are ganglion cysts filled with?

Which is NOT a Kanavel's sign?

What is the first motion to be affected with adhesive capsulitis?

An anterior labral tear, AKA ____ tear, is also a common complication of anterior shoulder dislocations.

Which is a common exam finding on those with spondylolisthesis?

What is an incomplete fracture - fracture of one cortex with bending of the opposite cortex?

Gamekeeper's thumb is an injury to which ligament?

What is the healing time for a contusion (neuropraxia) nerve injury?

65M - progressive back pain that travels down leg for 1 yr; gets better when tying his shoes - which is NOT a treatment?

A non-union is classified after _____ of treatment.

An offensive lineman presents w/ extreme pain in his midfoot & ecchymosis located on the plantar surface; top DDx?

Rocker bottom is a sign of chronic, late stage _____?

Heberden's nodes and mucous cysts are found in which joint with OA?