Question 1

You are treating a patient with severe burning pain in the lower left extremity. You don't notice any abnormality with inspection and the leg is firm to palpation.What procedure will help this patient

Accepted Answer

Fasciotomy

Question 2

A patient presents to the clinic in intense pain, getting a splinter while moving plywood.  The 2nd digit is swollen uniformly, and flexed @ rest. What should you do after splinting and elevation?

Accepted Answer

Collect blood cultures

Question 3

A 12 year old is brought to the ED after her young sister bit her finger. What medication would you give to the patient as prophylaxis?

Accepted Answer

Amoxicillin-Clavulanate

Question 4

A 62 y/o patient presents after a minor fall c/o inability to bear weight without pain. The injured leg appears shorter than the other and is externally rotated and abducted. What should you do first?

Accepted Answer

Order an MRI

Question 5

A patient presents via ambulance with a traction device, severe pain, and swelling to the anterior thigh. Which PE finding would likely be present?

Accepted Answer

Leg Shortening - Femoral Shaft Fracture

Question 6

A 45 y/o decided to run a marathon without prepping stretching. At 5 miles, he felt severe LE pain and came to the ED. At PE, the Thompson Test didn't move the injury.How would you manage this patient

Accepted Answer

Splint in plantar flexion

Question 7

Which of the following is the MOI for MCL and LCL trauma?

Accepted Answer

Hyperextension

Question 8

A patient who suffers from an injury described as adduction force on the forefoot with the ankle in plantar flexion may lead to what complication:

Accepted Answer

Nonunion

Question 9

A 30 y/o complains of r. knee pain after a game of basketball. The patella appears displaced over the lateral condyle of the femur. After controlling thier pain, what action should be performed next?

Accepted Answer

Patellar Reduction

Question 10

What management is best for a patient who has a hx of osteoporosis c/o pain during weight-bearing activity who noticed thier mobility was restricted 24 hours prior with an unremarkable x-ray?

Accepted Answer

Non-Weight Bearing

Question 11

A 17 y/o c/o knee pain after wrestling prctice. They stated that prior to the pain, they "felt a pop". The knee is swollen with effusion. What test is highly sensitive in confirming this injury?

Accepted Answer

Lachmen Test

Question 12

Which of the following is not one of the Ottawa Ankle Rules for ordering an X-ray for a patient with ankle trauma?

Accepted Answer

Pain in the medial malleolus

Question 13

A patient with this grade of ankle sprain will have difficulty bearing weight, functional loss with a parital tear

Accepted Answer

Grade II

Question 14

A 70 y/o male with a recent fall complains of fever & joint pain in the right patella. You notice effusion and erythema and limited A-ROM and P-ROM. What should you do if you can't rule out the dx?

Accepted Answer

Admit the patient

Question 15

A patient checks into the ED for muscle pain & fatigue. They provide a urine sample that is coca-cola colored and vomit shortly after. What labs should you order for this patient?

Accepted Answer

Creatine Kinase

Question 16

Which of the following is a clinical feature of a patient with bony destruction caused by spread of infection to soft tissues or hematogenous spread?

Accepted Answer

Localized cellulitis of the soft tissues

Question 17

A patient complains of knee pain after squatting with heavy weight at the gym, and now thier leg tends to "lock" when climbing stairs. What intervention would best aid this patient?

Accepted Answer

Partial weight-bearing  - Meniscal injury

Question 18

What is the best imaging to assess an injury caused by low velocity indirect force to the foot while in plantar flexion with axial load?

Accepted Answer

CT - LisFranc Frax

Question 19

A patient involved in a H&R accident has pain and swelling to the r. lower limb with limited ROM. Xray shows a depressed articular surface. How will you manage this patient?

Accepted Answer

Ortho - ORIF Procedure - Tibial Plateau Fracture

Question 20

A sudden, incorrect landing after jumping that produces edema and hemarthosis can be diagnosed by:

Accepted Answer

MRI

Adult Medicine - Orthopedics LE - Final

2) A patient presents to the clinic in intense pain, getting a splinter while moving plywood. The 2nd digit is swollen uniformly, and flexed @ rest. What should you do after splinting and elevation?

3) A 12 year old is brought to the ED after her young sister bit her finger. What medication would you give to the patient as prophylaxis?

4) A 62 y/o patient presents after a minor fall c/o inability to bear weight without pain. The injured leg appears shorter than the other and is externally rotated and abducted. What should you do first?

5) A patient presents via ambulance with a traction device, severe pain, and swelling to the anterior thigh. Which PE finding would likely be present?

6) A 45 y/o decided to run a marathon without prepping stretching. At 5 miles, he felt severe LE pain and came to the ED. At PE, the Thompson Test didn't move the injury.How would you manage this patient

7) Which of the following is the MOI for MCL and LCL trauma?

8) A patient who suffers from an injury described as adduction force on the forefoot with the ankle in plantar flexion may lead to what complication:

9) A 30 y/o complains of r. knee pain after a game of basketball. The patella appears displaced over the lateral condyle of the femur. After controlling thier pain, what action should be performed next?

10) What management is best for a patient who has a hx of osteoporosis c/o pain during weight-bearing activity who noticed thier mobility was restricted 24 hours prior with an unremarkable x-ray?

11) A 17 y/o c/o knee pain after wrestling prctice. They stated that prior to the pain, they "felt a pop". The knee is swollen with effusion. What test is highly sensitive in confirming this injury?

12) Which of the following is not one of the Ottawa Ankle Rules for ordering an X-ray for a patient with ankle trauma?

13) A patient with this grade of ankle sprain will have difficulty bearing weight, functional loss with a parital tear

14) A 70 y/o male with a recent fall complains of fever & joint pain in the right patella. You notice effusion and erythema and limited A-ROM and P-ROM. What should you do if you can't rule out the dx?

15) A patient checks into the ED for muscle pain & fatigue. They provide a urine sample that is coca-cola colored and vomit shortly after. What labs should you order for this patient?

16) Which of the following is a clinical feature of a patient with bony destruction caused by spread of infection to soft tissues or hematogenous spread?

17) A patient complains of knee pain after squatting with heavy weight at the gym, and now thier leg tends to "lock" when climbing stairs. What intervention would best aid this patient?

18) What is the best imaging to assess an injury caused by low velocity indirect force to the foot while in plantar flexion with axial load?

19) A patient involved in a H&R accident has pain and swelling to the r. lower limb with limited ROM. Xray shows a depressed articular surface. How will you manage this patient?

20) A sudden, incorrect landing after jumping that produces edema and hemarthosis can be diagnosed by: