Question 1

A fracture line perpendicular to the axis of a long bone

Accepted Answer

Transverse

Question 2

Which of the following would not warrent an emergent ortho consult

Accepted Answer

Closed Spiral Fracture

Question 3

A patient complains of inability to sleep due to shoulder pain. On physical exam, they have a positive cross arm abduction test. What will confirm your diagnosis

Accepted Answer

X-Ray of the AC Joint

Question 4

A fracture which produces more than two fragments

Accepted Answer

Commuted

Question 5

Progressive pathologic changes to the gliding path of associated structures within the coracromial arch describes:

Accepted Answer

Subacromial Impingement

Question 6

What is the most common mechanism of injury for a proximal humerus fracture?

Accepted Answer

Fall on outstreched hand

Question 7

A patient of yours suffered a fracture to thier left scaphoid due to a biking accident. What immobilization device would best support thier healing process?

Accepted Answer

Thumb Spica

Question 8

A patient presents with nighttime shoulder pain. On PE they have crepitus with active ROM,  positive Neer and Hawkins sign and diffuse atrophy in comparison to the unaffected side. This is known as:

Accepted Answer

Subacromial Impingment

Question 9

What nerve is most often injured in a proximal humerus fracture?

Accepted Answer

Axillary

Question 10

A 22 y/o patient who plays football was tackled and suffered a closed clavicle fracure. What treatment would you give to help this patient

Accepted Answer

Shoulder immobilizer & analgesia

Question 11

A patient presents with a squared off appearance and pain after falling down. During PE they resist internal rotation and you can palpate the humeral head of the affected shoulder. What injury is this

Accepted Answer

Anterior Shoulder Dislocation

Question 12

The position of one fragment of a fracture, relative to the adjacent fragment, described as a percentatge is also known as

Accepted Answer

Displacement

Question 13

Which diagnostic modality is best for a patient that you suspect with a rotator cuff injury?

Accepted Answer

MRI

Question 14

Which type of AC joint injury would be appropriate for an orthopedic surgical consult?

Accepted Answer

Type IV

Question 15

Which of the following is the most common elbow fracture

Accepted Answer

Fracture of the radial head

Question 16

A 16 year old suffered from a nondisplaced fracture to the right radius in which the entire epiphysis and a portion of the metaphysis was impacted, What class of fracture is this

Accepted Answer

Salter Harris Class II

Question 17

Your patient stocks shelves at home depot and is C/O shoulder pain. On PE there's pain in the bicipital groove and a positive Yergason test. What is the gold standard diagnostic for this injury?

Accepted Answer

Arthroscopy - biceps tendinitis

Question 18

What diagnosis are you considering when you order an xray for a middle-aged patient with a PMH of steriod use, who has a popeye deformity when flexing the elbow, ecchymosis and anterior shoulder pain?

Accepted Answer

Avulsion fracture

Question 19

What will you see the x-ray of a patient who has pain that is worse with supination & pronation of the forearm and lateral elbow tenderness & edema :

Accepted Answer

Displacement of the radiocapitellar line

Question 20

Which of the follwing fractures of the radius or ulna does not involve a FOOSH injury?

Accepted Answer

Barton's

Question 21

What supportive device is appriopriate for a patient with forced radial deviation at the 1st MCP joint?

Accepted Answer

Spica Splint

Question 22

Which of the following is a clinical feature of the condition caused by forced hyperabduction from a FOOSH injury?

Accepted Answer

Positive Drop Arm Test

Question 23

Which of the following scenarios would be considered an orthopedic emergency?

Accepted Answer

A posterior dislocation of the talus

Question 24

This leison, known as a superior labrum anterior to posterior (SLAP) is a clinical feature of what upper extremity injury?

Accepted Answer

Biceps Tendonitis

Question 25

This type of injury is described as blunt trauma that ruptures the extensor tendon at the base of the distal phalanx, and impacts greater than 25% of the articular surface

Accepted Answer

Mallet Finger Type III

Question 26

How would you diagnose a volar angulation of the distal radius that is displaced at the palmar region

Accepted Answer

Lateral X-Ray

Question 27

Which of the following is a clinical presentation of a fracture to the distal radial metaphysis, dorsally angulated and displaced both proximally and dorsally

Accepted Answer

Dinner Fork Deformity

Question 28

A patient is comes to the ED after a bar fight. They have a fracture to the metacarpal neck, with pain at the 5th metacarpal. What degree of angulation to the 5th MCP would warrent further management?

Accepted Answer

45 degrees

Question 29

This fracture desciption is the reduction in length due to overriding or impaction of fragments

Accepted Answer

Shortening

Question 30

What is an important complication that can occur from a dorsiflexed wrist that increases axial load to the 1st metacarpal?

Accepted Answer

Avascular Necrosis

Emergency Medicine - Orthopedics UE - Final

2) Which of the following would not warrent an emergent ortho consult

3) A patient complains of inability to sleep due to shoulder pain. On physical exam, they have a positive cross arm abduction test. What will confirm your diagnosis

4) A fracture which produces more than two fragments

5) Progressive pathologic changes to the gliding path of associated structures within the coracromial arch describes:

6) What is the most common mechanism of injury for a proximal humerus fracture?

7) A patient of yours suffered a fracture to thier left scaphoid due to a biking accident. What immobilization device would best support thier healing process?

8) A patient presents with nighttime shoulder pain. On PE they have crepitus with active ROM, positive Neer and Hawkins sign and diffuse atrophy in comparison to the unaffected side. This is known as:

9) What nerve is most often injured in a proximal humerus fracture?

10) A 22 y/o patient who plays football was tackled and suffered a closed clavicle fracure. What treatment would you give to help this patient

11) A patient presents with a squared off appearance and pain after falling down. During PE they resist internal rotation and you can palpate the humeral head of the affected shoulder. What injury is this

12) The position of one fragment of a fracture, relative to the adjacent fragment, described as a percentatge is also known as

13) Which diagnostic modality is best for a patient that you suspect with a rotator cuff injury?

14) Which type of AC joint injury would be appropriate for an orthopedic surgical consult?

15) Which of the following is the most common elbow fracture

16) A 16 year old suffered from a nondisplaced fracture to the right radius in which the entire epiphysis and a portion of the metaphysis was impacted, What class of fracture is this

17) Your patient stocks shelves at home depot and is C/O shoulder pain. On PE there's pain in the bicipital groove and a positive Yergason test. What is the gold standard diagnostic for this injury?

18) What diagnosis are you considering when you order an xray for a middle-aged patient with a PMH of steriod use, who has a popeye deformity when flexing the elbow, ecchymosis and anterior shoulder pain?

19) What will you see the x-ray of a patient who has pain that is worse with supination & pronation of the forearm and lateral elbow tenderness & edema :

20) Which of the follwing fractures of the radius or ulna does not involve a FOOSH injury?

21) What supportive device is appriopriate for a patient with forced radial deviation at the 1st MCP joint?

22) Which of the following is a clinical feature of the condition caused by forced hyperabduction from a FOOSH injury?

23) Which of the following scenarios would be considered an orthopedic emergency?

24) This leison, known as a superior labrum anterior to posterior (SLAP) is a clinical feature of what upper extremity injury?

25) This type of injury is described as blunt trauma that ruptures the extensor tendon at the base of the distal phalanx, and impacts greater than 25% of the articular surface

26) How would you diagnose a volar angulation of the distal radius that is displaced at the palmar region

27) Which of the following is a clinical presentation of a fracture to the distal radial metaphysis, dorsally angulated and displaced both proximally and dorsally

28) A patient is comes to the ED after a bar fight. They have a fracture to the metacarpal neck, with pain at the 5th metacarpal. What degree of angulation to the 5th MCP would warrent further management?

29) This fracture desciption is the reduction in length due to overriding or impaction of fragments

30) What is an important complication that can occur from a dorsiflexed wrist that increases axial load to the 1st metacarpal?