Question 1201
Topic: 1. General Principles & Basic ScienceC ardinal signs of evenomation include all of the following except:
Correct Answer & Explanation
. C yanosis
Practice Set 61 of 789
This practice set contains high-yield board review questions covering key concepts in 1. General Principles & Basic Science. Each clinical scenario is designed to test your diagnostic and management skills relevant to this subspecialty.
C ardinal signs of evenomation include all of the following except:
. C yanosis
A 24-year-old man presents to the emergency department. He was bitten on his fist while fighting with another man. You notice teeth marks on the dorsum of the metacarpophalangeal (MC P) joint of the right middle finger. The bite does not appear to be deep because the joint is not exposed, and you can see the extensor tendon, which seems intact. The patient has active extension at the MC P joint. The wound is red and swollen, but there is no tenderness or redness on the volar aspect of the MCP joint. The patient has some limitation in range of motion. He is afebrile. Radiographs reveal soft tissue involvement but no joint dislocation or fracture, and there is no neurovascular deficit. An important step in assessment of human bites is:
. Evaluation for tendon injury in clenched-fist position
A 24-year-old white man presents to the emergency department. He was bitten on his fist while fighting with another man. You notice teeth marks on the dorsum of the metacarpophalangeal (MC P) joint of the right middle finger. The bite does not appear to be deep because the joint is not exposed, and you can see the extensor tendon, which seems intact. The patient has active extension at the MC P joint. The wound is red and swollen, but there is no tenderness or redness on the volar aspect of the MCP joint. The patient has some limitation in range of motion. He is afebrile. Radiographs reveal soft tissue involvement but no joint dislocation or fracture, and there is no neurovascular deficit. The most appropriate antibiotic treatment includes:
. Imipenam and ciprofloxacin
Which of the following organisms is most likely found in a cat bite:
. Pasteurella multocida
Which of the following fascial structures does not contribute to the formation of the spiral cord:
. Clelands ligament
. Longitudinal fibers of palmar aponeurosis inserting into the skin
Which of the following is not a characteristic of an acrolentiginous melanoma:
. Delays in diagnosis are common
Which of the following terms is not used in reference to macrodactyly:
. Symbrachydactyly
. Unilateral and affect men more often than women
A 30-year-old female presents with knee pain. Radiographs show an eccentric, lytic lesion in the distal femoral epiphysis extending to the subchondral bone without a sclerotic margin. Biopsy reveals multinucleated giant cells. Which medication acts by binding to RANKL to treat this condition?
. Denosumab
During viscoelastic testing of a tendon, a constant load is applied over time, resulting in progressive deformation (elongation) of the tissue. What is this biomechanical phenomenon called?
. Creep
A surgeon is considering using a stainless steel screw in combination with a titanium plate for fracture fixation. Which of the following best describes the primary risk associated with mixing these two metals?
. Galvanic corrosion
Which of the following is the true neoplastic cell population in a Giant Cell Tumor (GCT) of bone?
. Spindle-shaped mononuclear cells
A 65-year-old woman on long-term bisphosphonate therapy presents with prodromal thigh pain. Radiographs show cortical thickening and a transverse radiolucent line on the lateral aspect of the femoral diaphysis. What is the recommended management?
. Prophylactic intramedullary nailing of the femur
A 6-year-old boy sustains a completely displaced, extension-type supracondylar humerus fracture. The distal fragment is displaced posteromedially. Which nerve is most commonly at risk in this specific displacement pattern?
. Radial nerve
Which anatomical feature does not predispose patients to peroneal tendon dislocation:
. Varus heel alignment
In normal development, the differentiation of the interdigital web space is influenced by which of the following factors:
. Apical ectodermal ridge maintenance factor (AERMF)
The ______ of the brachial plexus emerge between the anterior middle scalane muscles:
. Trunks
Horner syndrome includes all of the following except:
. Exophthalmos
Axonotmesis involves injury to which of the following structure:
. Axon