Imaging
Knee
Shoulder
Back & Hip
Elbow - Ankle - Wrist
100
List the Ottawa Ankle Rules
Ankle series indicated if there is pain in the malleolar zone AND any of these findings 1) bony tenderness of posterior edge/tip of lateral mallelous 2) bony tenderness of posterior edge/tip of medial malleolus 3) inability to bear weight after injury https://www.mdcalc.com/ottawa-ankle-rule
100
First line treatment: tylenol
What is osteoarthritis
100
Decreased active and passive range of motion
What is adhesive capsulitis (frozen shoulder)
100
This physical exam test is used to distinguish sacroiliac joint pathology
What is FABERs (Flexion, ABduction, External Rotation)
100
Diagnose & Manage - A 2 yo M BIB by mom for not using his right arm. According to mom, the child was unwilling to leave the sand box and a tug of war ensued with mom eventually picking the child up by his forearm
- Radial head subluxation "Nursemaids elbow" - Reduction https://www.youtube.com/watch?v=LL24yNwx-bU
200
List four (4) indications for imaging in patient who presents with lower back pain
1) Trauma 2) Bowel / Bladder dysfunction 3) Saddle anesthesia 4) Areflexia 5) Progressive Motor weakness 6) Hx of Cancer
200
This is the age at which femoral anteversion (in-toeing) should be corrected in children
What is 8-10 years?
200
Pain relieved when resting hand on top of head
What is cervical stenosis (bikolski sign)
200
13 yo overweight male p/w vague right sided knee pain which has caused him to limp. He denies any history of trauma, but reports he has been able to run less in gym. Knee wnL. Hip is notable for limited internal rotation
What is SCFE (slipped capital femoral epiphysis)
200
25 yo male p/w R foot pain while playing soccer. He reports an opponent fell on his foot causing him to rapidly and forcefully twisted around the fixed foot. Since then, he has had significant pain and swelling of his midfoot. Xray was significant for a widened space b/t 1st and 2nd metatarsals
Lisfranc Fracture
300
Next step in management of the following Xray finding https://www.researchgate.net/profile/Raphael_Hau/publication/46577203/figure/fig1/AS:281806810173489@1444199387834/Figure-4-Example-of-anterior-and-posterior-%27sail-sign%27-fat-pads-on-X-ray-radiograph.png
[Sail Sign] Soft tissue swelling of anterior fat pad associated with Supracondylar fracture Pain management & Immobilization (Ortho)
300
Knee pain occurred while playing in a high school football game. Patient was engaged in a block and was hit by a falling teammate behind him. Followed by immediate swelling and inability to bear weight.
What is ACL tear
300
DOUBLE JEOPARDY Surgery popularized after used successfully in a major league pitcher (medical name only)
What is ulnar collateral ligament repair (Tommy John surgery). UCL injury: from ulnar (valgus) pressure at the elbow. pain located at medial elbow -positive varus stress test and milking sign
300
40 yo male with 3 month hx of lumbosacral pain and stiffness. XR showed the following http://what-when-how.com/wp-content/uploads/2012/04/tmpBD147_thumb2.jpg
What is Ankylosing Spondylitis
300
Next step in management for a 16 yo male who sustained a forced flexion injury of his distal interphalangeal (DIP) joint
[Mallet Fracture] Splinting DIP in extension for 8 weeks
400
The fracture in the image below is associated with this http://www.nature.com/bonekey/knowledgeenvironment/2010/1009/bonekey20100462/images/bonekey20100462-f1.jpg
What is bisphosphonates use
400
It is increased in patellofemoral pain syndrome and represents the intersection of two axis.
What is Q-angle http://52bpijddwt-flywheel.netdna-ssl.com/wp-content/uploads/2015/02/pfp2.jpg Other causes of PFPs: overload/overuse in setting of -acute change in activity -pes planus/cavus -muscle weakness (ex: quads, tight ITE/hamstring/gastro)
400
Arthritis here is most commonly subclinical
What is AC joint
400
23 yo female presents s/p MVA with left upper extremity pain. Exam significant for decreased sensation of the middle finger, medial aspect of wrist, forearm and elbow and weakness in triceps, finger flexion and abduction. List the affected nerve roots
What is C7, C8 and T1
400
Known as the "moving valgus stress test" patients report pain between 70 and 120 degrees of flexion and extension when this is injured
What is the Ulnar Collateral Ligament (UCL)?
500
6 yo female falls while running at recess. She was witnessed to hit her head on the wooden floor and began crying on impact. In the ED, her mother reports she is acting appropriately denying headache or n/v. Exam significant for a 3cm contusion on her right forehead. Her next step in management is
Observation for 4-6hr to assess mental status changes https://www.mdcalc.com/pecarn-pediatric-head-injury-trauma-algorithm#next-steps
500
Most commonly occurs in passenger in MVA
What is PCL tear
500
Most common fracture in shoulder dislocation
What is Bankart lesion (avulsion of glenoid labrum) Hill-sachs: cortical depression of humeral head by glenoid rim https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiZwefu6ojUAhUDWCYKHXDiBtEQjRwIBw&url=http%3A%2F%2Fwww.houstonmethodist.org%2Forthopedics%2Fwhere-does-it-hurt%2Fshoulder%2Fshoulder-dislocations%2F&psig=AFQjCNEhpXHtv-J5IRgSs7CmMRXQ1KZjqg&ust=1495725774899249
500
The treatment of adolescent idiopathic scoliosis with a Cobb angle of 46 degrees
What is surgery (rod placement v bone grafting) 10 - 15 Observation 25 - 45 Thoracocolumbar-sacral (TLSO) bracing > 45 Surgery http://www.aafp.org/afp/2002/0501/p1817.html#afp20020501p1817-f2
500
These two bones are most commonly fractured in a FOOSH (fall on outstretched hand) injury
What is Distal radius (Colles) and scaphoid
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