None of Your Beez knees
If you foot only see
My hips don't lie
I am Leg-end
Limpin' ain't easy
100

Patient comes in with knee pain worse with activities, swelling, stiffness, sticking and grinding - palpable crepitus on exam. X-ray shows joint space narrowing and osteophytes. What is the most likely diagnosis?

What is knee osteoarthritis?

100

What is the most common ligament injured in an ankle sprain?

Anterior talofibular ligament?

100

Name the 2 maneuvers performed to assess hip instability, asymmetry, or limited abduction.

What is Barlow maneuver?

What is Ortolani maneuver?

100

Which type of fracture is the most common cause of compartment syndrome?

What is tibia fracture?

100

A 24-year-old male presents with severe pain in the right knee. He is a professional football player and a few hours prior to presentation, an opposing player hit his leg from his left side. Afterward, he felt a “popping” sound that was followed by severe knee pain and a sensation of knee instability. What physical exam test will you do next to help confirm diagnosis?

What is Lachman's test?

200

A doppler US is used to r/o a DVT and to identify this diagnosis that relates to synovial fluid.

What is a popliteal cyst or baker's cyst?

200

A 26yr old female runner reports sharp pain in her heels & sometimes in her arch area. Pain is worse in the morning when she gets up and hurts when she tries to run. PE reveals pain with dorsiflexion. What is the dx?    

What is plantar fasciitis?

200

What is idiopathic avascular osteonecrosis of the hip/femoral head commonly seen in children called?

What is Legg-Calve-Perthes Disease?

200

Name 2 tests that can be used to assess iliotibial band syndrome.

What is noble compression test?

What is ober test?

200

A 35 year old basketball player was treated with ciprofloxacin for a recent pneumonia infection. This puts him at greater risk for what injury?

What is achilles tendon rupture?

300

A 50 y/o man was sent to the ER after experiencing a motor vehicle collision. He is complaining about pain on the back of his knee. A PE shows a (+) posterior drawer test. What is the best diagnostic test to confirm his dx?

What is MRI?

Dx: Posterior Cruciate Ligament Injury

300

A 40 y/o woman has been experiencing a burning sensation on her feet after wearing some new tight fitting shoes for the past few weeks. On PE, there is a palpable painful mass on the third inter metatarsal space. What is the best initial management for this patient?

What is metatarsal support or pad & broad-toed shoes w/ firm soles?

Dx: Interdigital (Morton’s) Neuroma

300

What finding (sign) on an X-Ray confirms avascular necrosis?

What is (+) Crescent sign?

300

A patient had a knee (tibiofemoral) dislocation. Name a complication you should be worried about.

What is popliteal artery injury?

300

A 35 y/o woman noticed some anterior knee pain after recently completing a marathon. She noticed that the pain worsens at work after she has been sitting for a few hours. On PE, compression of the patella during knee extension produces a (+) apprehension sign. What is her most likely dx?

What is patellofemoral pain syndrome?

400

A 10yr old male complains of knee pain whenever he runs, jumps or kneels. Physical exam reveals swelling and tenderness of the knees. Considering the main dx, what is the mainstay treatment?

What is RICE, NSAIDs, PT? 

Dx: Osgood-Schlatter Disease

400

What is a Hallux valgus deformity at the 1st MTPJ w/ lateral deviation of the proximal phalanx called?

What is a bunion?

400

A 13yr old male obese male comes into your office with complains of thigh pain. On PE, you notice a painful limp. Considering the dx, what do you expect to see on the XR?

What is “Ice cream slipping off the cone” or displacement of the femoral head from the femoral neck?

Dx: Slipped Capital Femoral Epiphysis (SCFE)

400

A patient comes in with acute mid calf pain due to extension of the knee and forced dorsiflexion of the ankle. The pain began after she finished playing her tennis match. What is the most likely diagnosis?

What is Gastrocnemius Tear?

400

Name at least 2 special tests that assesses meniscus tear

What is Mcmurray sign?

What is thessaly test?

What is apley test?

500

50 year old female comes in with left knee pain that is swollen, tender, and warm. She had a low-grade fever last night. XR shows white lines of chondrocalcinosis. Athrocentesis of the joint is performed to confirm the dx. What findings would you see in the synovial fluid analysis?

What is Calcium Pyrophosphate Dihydrate (CPPD) crystals?

Or

What is (+) birefringent rhomboid-shaped crystals?

500

What would be the chief complaint (with exact location) of a Jone's fracture?

What is pain at the 5th metatarsal area?

500

Name 3 conditions where you would see a positive trendelenburg sign.

What is OA of the hip, DDH (developmental dysplasia of the hip), and Legg-Calve-Perthes Disease?

500

A 20 y/o female sustains a blow to her right lateral leg during a soccer game. She c/o pain with weight bearing. Exam reveals tenderness along the lateral aspect of the right lower leg, but no point tenderness over the tibia. There is full active ROM, no swelling, and no tenderness at the ankle, knee, and hip joints. What do you have to do to rule out a potentially overlooked injury?

What is an X-ray?

Dx: Fibular fracture

500
Name the specific management/plan for a Lisfranc injury.

What is ORIF (open reduction internal fixation) followed by non-weight bearing cast x 12 weeks?

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