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Question 4021

Topic: 10. Pathology and Oncology

A 10-year-old boy presents with a diaphysial tibial lesion and systemic symptoms. A biopsy confirms Ewing sarcoma. Which of the following immunohistochemical markers is most characteristically strongly positive in this tumor?

. CD99
. S-100
. Cytokeratin
. MyoD1
. Vimentin

Correct Answer & Explanation

. CD99


Explanation

Ewing sarcoma is a small round blue cell tumor that characteristically shows diffuse, strong membranous staining for CD99 (MIC2). This tumor is molecularly driven by the t(11;22) translocation, creating the EWS-FLI1 fusion protein.

Question 4022

Topic: 10. Pathology and Oncology

A 14-year-old boy presents with a painful, swollen thigh. Radiographs show a permeative diaphyseal lesion with an 'onion skin' periosteal reaction. Biopsy reveals sheets of small blue round cells. Which chromosomal translocation is most commonly associated with this pathology?

. t(11;22) (q24;q12)
. t(X;18) (p11;q11)
. t(12;16) (q13;p11)
. t(2;13) (q35;q14)
. t(9;22) (q34;q11)

Correct Answer & Explanation

. t(11;22) (q24;q12)


Explanation

The clinical and radiographic presentation is classic for Ewing sarcoma. The most common genetic anomaly is the translocation t(11;22)(q24;q12), which results in the EWS-FLI1 fusion protein. Synovial sarcoma is associated with t(X;18), myxoid liposarcoma with t(12;16), and alveolar rhabdomyosarcoma with t(2;13).

Question 4023

Topic: Bone Tumors

A 22-year-old man complains of a dull, aching pain in his right tibia that worsens at night and is dramatically relieved by ibuprofen. Radiographs show thickened cortical bone with a small 8mm radiolucent nidus. Which of the following is the most appropriate first-line definitive treatment if conservative management fails?

. Open intralesional curettage and bone grafting
. Wide en bloc resection
. Radiofrequency ablation
. External beam radiation therapy
. Chemotherapy followed by surgical resection

Correct Answer & Explanation

. Radiofrequency ablation


Explanation

The clinical picture is pathognomonic for an osteoid osteoma (night pain relieved by NSAIDs, <1.5 cm radiolucent nidus with surrounding sclerosis). If symptomatic relief with NSAIDs is insufficient or undesired long-term, the gold standard definitive and minimally invasive treatment is percutaneous CT-guided radiofrequency ablation (RFA).

Question 4024

Topic: 10. Pathology and Oncology

A 15-year-old female is diagnosed with conventional high-grade osteosarcoma of the distal femur. Her family history is significant for a mother with early-onset breast cancer and a sibling with childhood leukemia. A germline mutation in which of the following tumor suppressor genes is most likely responsible for this presentation?

. RB1
. EXT1
. TP53
. APC
. PTEN

Correct Answer & Explanation

. TP53


Explanation

The clinical scenario describes Li-Fraumeni syndrome, an autosomal dominant disorder characterized by a germline mutation in the TP53 tumor suppressor gene. It predisposes patients to a spectrum of malignancies including osteosarcoma, breast cancer, leukemia, brain tumors, and soft tissue sarcomas.

Question 4025

Topic: 10. Pathology and Oncology

A 10-year-old boy presents with pain and swelling in the mid-thigh. Radiographs show a permeative diaphyseal lesion with an 'onion skin' periosteal reaction. Biopsy confirms Ewing sarcoma. Which of the following cytogenetic abnormalities is the diagnostic hallmark of this tumor?

. t(11;22)(q24;q12) yielding the EWS-FLI1 fusion transcript
. t(X;18)(p11;q11) yielding the SYT-SSX fusion transcript
. t(12;16)(q13;p11) yielding the FUS-CHOP fusion transcript
. Amplification of MDM2 and CDK4 on chromosome 12q
. t(2;13)(q35;q14) yielding the PAX3-FOXO1 fusion transcript

Correct Answer & Explanation

. t(11;22)(q24;q12) yielding the EWS-FLI1 fusion transcript


Explanation

Ewing sarcoma is classically associated with the t(11;22) chromosomal translocation, which results in the EWS-FLI1 fusion protein. t(X;18) is seen in synovial sarcoma. t(12;16) is seen in myxoid liposarcoma. MDM2 amplification is seen in well-differentiated/dedifferentiated liposarcoma. t(2;13) is seen in alveolar rhabdomyosarcoma.

Question 4026

Topic: 10. Pathology and Oncology

A 62-year-old female with a history of breast cancer presents with severe thigh pain. Radiographs reveal a purely lytic lesion in the subtrochanteric femur that occupies greater than 2/3 of the bone's cortical diameter. She describes the pain as worsening with weight-bearing. According to Mirels' criteria, what score does this lesion receive based solely on its size and radiographic appearance?

. Size 1 point, Appearance 1 point
. Size 2 points, Appearance 2 points
. Size 3 points, Appearance 3 points
. Size 2 points, Appearance 3 points
. Size 3 points, Appearance 2 points

Correct Answer & Explanation

. Size 3 points, Appearance 3 points


Explanation

Mirels' criteria evaluates 4 factors to predict fracture risk: site, pain, lesion size, and radiographic appearance. A size greater than 2/3 of the bone diameter scores 3 points. A purely lytic appearance also scores the maximum 3 points. (A total score of 9 or more strongly indicates prophylactic fixation).

Question 4027

Topic: 10. Pathology and Oncology

A 15-year-old male presents with a mass in his distal femur. Radiographs show a sclerotic, destructive lesion with a Codman triangle. Biopsy confirms conventional osteosarcoma. Which of the following genetic alterations is most frequently associated with the pathogenesis of this tumor?

. t(11;22) translocation
. t(X;18) translocation
. Mutations in the RB1 and TP53 tumor suppressor genes
. Overexpression of the MDM2 gene
. Mutation of the EXT1 gene

Correct Answer & Explanation

. Mutations in the RB1 and TP53 tumor suppressor genes


Explanation

Conventional osteosarcoma is highly associated with mutations in the retinoblastoma (RB1) and p53 (TP53) tumor suppressor genes (e.g., in patients with hereditary retinoblastoma or Li-Fraumeni syndrome). Ewing sarcoma is linked to t(11;22), synovial sarcoma to t(X;18), and parosteal osteosarcoma to MDM2 amplification.

Question 4028

Topic: 10. Pathology and Oncology

A 16-year-old female undergoes neoadjuvant chemotherapy followed by wide surgical resection of a high-grade intramedullary osteosarcoma of the distal femur. Which of the following findings from the surgical pathology report is the most significant prognostic factor for her overall survival?

. Tumor size at initial presentation
. Serum alkaline phosphatase levels
. Percentage of tumor necrosis on histologic mapping
. Distance of the tumor margin from the joint line
. Presence of skip metastases within the same bone

Correct Answer & Explanation

. Percentage of tumor necrosis on histologic mapping


Explanation

The degree of tumor necrosis following neoadjuvant chemotherapy is the single most important prognostic indicator for overall survival in patients with localized, high-grade osteosarcoma. A good histologic response is typically defined as greater than 90% tumor necrosis. Patients achieving this have significantly higher disease-free and overall survival rates.

Question 4029

Topic: 10. Pathology and Oncology

A 60-year-old male presents with a large, painful, destructive lesion in his proximal humerus. Biopsy shows atypical chondrocytes with endosteal scalloping and cortical destruction. What is the primary treatment modality for conventional high-grade chondrosarcoma?

. Neoadjuvant chemotherapy followed by wide surgical resection
. Definitive radiation therapy
. Wide surgical resection alone
. Intralesional curettage and bone grafting
. Radiofrequency ablation

Correct Answer & Explanation

. Wide surgical resection alone


Explanation

Conventional chondrosarcomas are notoriously resistant to both chemotherapy and radiation therapy. The gold standard treatment is wide surgical resection with negative margins.

Question 4030

Topic: 10. Pathology and Oncology

A 28-year-old male presents with a slow-growing, painful mass near his knee joint. MRI shows a soft tissue mass with heterogeneous signal intensity. Biopsy confirms a biphasic spindle cell neoplasm. Which chromosomal translocation is most characteristic of this tumor?

. t(11;22)(q24;q12)
. t(X;18)(p11;q11)
. t(9;22)(q34;q11)
. t(2;13)(q35;q14)
. t(12;16)(q13;p11)

Correct Answer & Explanation

. t(X;18)(p11;q11)


Explanation

The clinical and histological scenario describes a synovial sarcoma, which characteristically features the t(X;18)(p11;q11) translocation resulting in the SYT-SSX fusion gene. The other options represent Ewing sarcoma, extraskeletal myxoid chondrosarcoma, alveolar rhabdomyosarcoma, and myxoid liposarcoma, respectively.

Question 4031

Topic: 10. Pathology and Oncology

  • A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months after the injury, no callus is visible. Management at this time should include which of the following?
. Observation for three months
. Dynamization of the nail
. Exchange to a reamed nail
. Autogeneous bone grafting
. Electrical stimulation
. Copies of the record can be released to the patient
. Records can be released only to another physician
. No records can be released until the balance due is paid
. Records can be released to the patient for 24hrs, but then must be returned.
. Because of probable future legal action, records can be released only by court order.
. Positive HLA-B27 antigen
. Chest expansion limited to less than 2.5cm
. Generalized ligamentous laxity
. Positive rheumatoid factor (greater than 1 to 64)
. The presence of Achilles tendonitis for more than three months
. Length of the femoral neck
. Retroversion of the upper femur
. Size of the proximal femoral epiphysis
. Size of the greater trochanteric apophysis
. Angle between the proximal femoral physis and Hilgenreiner's line
. an onlay bone graft
. electrical stimulation
. resection of the distal clavicle
. plate fixation and a bone graft
. smooth Kirschner wire fixation and a bone graft
. 20% with cemented and uncemented sockets
. 40% with cemented and uncemented sockets
. 60% with cemented sockets
. 90% with cemented and uncemented sockets
. 90% with cemented sockets
. Intramedullary rodding
. Functional bracing
!. Closed reduction and a long arm cast
". Closed reduction and application of an external fixator
#. Open reduction and internal fixation with a dorsal plate
$. patellar chondromalacia
%. failure of meniscus repair
&. arthrofibrosis
'. varus-valgus instability
(. anteroposterior instability
). type-I collagen
*. type-II collagen
+. cartilage oligomeric protein (COMP)
,. fibroblast growth factor 2 (FGFR2)
-. fibroblast growth factor 3 (FGFR3)
.. karyotyping
/. flow cytometry
0. transmission electron microscopy
1. immunohistochemistry staining
2. scanning electron microscopy
3. ankle arthrodesis
4. ankle synovectomy
5. total ankle arthroplasty
6. transplant of cartilage cells
7. lengthening of the Achilles tendon
8. fracture of the acetabulum
9. protrusion of the acetabulum
:. inadequate inferior coverage
;. inadequate superior coverage
<. inadequate anterior and posterior coverage
=. Myelography
>. Thermography
?. CT Scan
@. IV contrast-enhanced CT Scan
A. Gadolinium-enhanced MRI scan
B. CT scan of the chest
C. Bone marrow biopsy
D. Complete blood cell count
E. Lateral radiograph of the skull
F. Erythrocyte sedimentation rate
G. Myosin
H. Troponin
I. Tropomyosin
J. Fibrillin
K. Dystrophin
L. a skeletal survey.
M. audiometric screening.
N. physical therapy for stretching.
O. contrast studies of the upper gastrointestinal tract.
P. reassurance to the parents that there is no underlying pathology.
Q. Fragmentation and subluxation of the normal joint articulation
R. Varus deformity with medial subchondral sclerosis
S. Preferential narrowing of the medial tibiofemoral compartment
T. Narrowing of the medial, lateral, and patellofemoral compartments
U. Bone proliferation at the patellar tendon and ligament insertion sites
V. Central cord syndrome
W. Anterior cord syndrome
X. Posterior cord syndrome
Y. Brown-Sequard syndrome
Z. Cervical nerve root injury
[. Debriding the skin edges and performing plate fixation of the fracture
\. Debriding the skin edges and intramedullary rodding of the fracture
]. Extending the wounds, debriding the bone ends, and applying distal femoral traction
^. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
_. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
`. The cell body nucleus migrates centrally
A. Schwann cells distal to the transection die
B. Axoplasm in the proximal stump drains out
C. Myelin distal to the transection is phagocytized
D. Cell body protein synthesis decreases for the first 10 to 14 days
E. Labral repair
F. acromioplasty
G. excision of the coracoid process
H. an arthroscopic Bankart procedure
I. subscapularis repair
J. Clinodactyly
K. Camptodactyly
L. Symbrachtyly
M. Kirner’s deformity
N. Digiti minimi adductus
O. Cable
P. Buttress plate
Q. Methylmethacrylate
R. Multiple lag screws
S. Multiple Kirschner wires
T. Sacral fracture lateral to the foramina
U. Sacral fracture medial to the foramina
V. Sacroiliac fracture-dislocation
W. Sacroiliac dislocation
X. Iliac wing fracture
Y. Allograft Replacement
Z. Radioulnar synostosis
{. Excision of the radial head
|. Open reduction and internal fixation
}. Silicone radial head replacement
~. T10 sensory pin-prick level
. Retained vibratory sensation at the ankles
€. Presence of sacral sparing
. Retained spontaneous respiratory function
‚. Priapism
ƒ. Application of a pelvic external fixator
„. A pelvic sling
…. Angiography of the pelvis
†. Open reduction and internal fixation
‡. Open packing of the pelvic hematoma
ˆ. Syme’s amputation
‰. Arthrodesis of the knee
Š. Disarticulation of the knee
‹. Centralization of the fibula
Œ. Prosthetic fitting to accommodate the present deformity
. Use of regional rather than general anesthesia
Ž. Observation of a latex-avoidance protocol
. Latex skin allergen testing
. Premedication with corticosteroids and antihistamines
‘. Avoidance of prophylactic antibiotics derived from penicillin
’. Olecranon pin traction
“. Closed reduction and pin fixation
”. Open reduction and internal fixation
•. Cast immobilization in this position
–. An arteriogram to rule out an occult intimal tear of the brachial artery
—. A
˜. B
™. C
š. D
›. E
œ. Follow-up in six months.
. AP and lateral radiographs.
ž. AP and lateral radiographs, and a bone scan.
Ÿ. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
 . AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
¡. MRI scan
¢. Bone scan
£. Arthrogram
¤. Axillary lateral radiograph
¥. CT arthrogram
¦. Open repair of the central slip of the extensor mechanism
§. Open repair of the terminal tendon of the extensor mechanism
¨. Closed splinting with the proximal interphalangeal joint
©. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
ª. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
«. Anteriorly at 20 to 30 degrees of flexion
¬. Anteriorly at 70 to 90 degrees of flexion
­. Posteriorly at 20 to 30 degrees of flexion
®. Posteriorly at 70 to 90 degrees of flexion
¯. Anteriorly with the knee in full flexion
°. Rett syndrome
±. Cerebral palsy
². Myotonic dystrophy
³. Fragile-X syndrome
´. Adrenoleukodystrophy
Μ. Endurance limit
¶. Failure stress
·. Critical stress
¸. Yield stress
¹. Elastic limit
º. Ewing’s sarcoma
». Osteogenic sarcoma
¼. Multiple myeloma
½. Metastatic prostate carcinoma
¾. Metastatic breast carcinoma
¿. Higher subsequent loosening rate of the femoral component
À. Higher subsequent polyethylene wear rate
Á. Higher subsequent dislocation rate
Â. Higher infection rate
Ã. Unaltered subsequent survival rate of the femoral component
Ä. Crevice corrosion
Å. Oscillatory fretting
Æ. Oxidative degradation
Ç. Adhesion and abrasion
È. Fatigue and delamination
É. a total contact cast.
Ê. partial calcanectomy
Ë. Syme’s amputation
Ì. transtibial amputation.
Í. nonweightbearing and IV antibiotics.
Î. Sural artery island flap.
Ï. Free rectus abdominis flap.
Ð. Extensor digitorum brevis flap.
Ñ. Staged cross leg flap.
Ò. Split-thickness skin graft.
Ó. An anterior cruciate functional knee brace.
Ô. A physical therapy program.
Õ. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
Ö. Reconstruction of the posterior cruciate ligament.
×. Reconstruction of the anterior cruciate ligament.
Ø. Avoids the risk of marrow emboli
Ù. Avoids injury to the intramedullary nutrient vessels
Ú. Results in faster healing of fractures
Û. Results in more secure fixation
Ü. Results in faster regeneration of the endosteal blood supply
Ý. Above-knee amputation
Þ. En bloc resection of the lesion and reconstruction with a bone graft
SS. Closed reduction and immobilization in a cast
À. Open reduction and internal fixation, followed by radiation therapy
Á. Open reduction, curettage, and cementing of the lesion
Â. Injury to the subclavian artery
Ã. Injury to the brachial plexus
Ä. Segmental fracture
Å. 100% displacement
Æ. Associated displaced surgical neck fracture of the humerus
Ç. humeral arthroplasty2/. repair of the rotator cuff
È. closed reduction and immobilization
É. open reduction and immobilization
Ê. open reduction and early passive motion
Ë. arthroscopic capsular release
Ì. manipulation under anesthesia
Í. a physical therapy program
Î. an intra-articular corticosteroid injection
Ï. administration of high-dose oral corticosteroids
Ð. adding the scores, in all five body systems
Ñ. adding the squares of the scores in the three most severely injured systems
Ò. doubling the cumulative score for head and chest injuries
Ó. combining the scores from the most and least injured systems
Ô. correcting the score in the most severely injured system for age
Õ. traumatic femoral head fracture
Ö. osteonecrosis
÷. osteoarthritis
Ø. neuropathic joint
Ù. rheumatoid arthritis
Ú. low-dose radiation
Û. steroid injection
Ü. a load-relieving insert and shoe modification
Ý. complete excision of the mass and the entire plantar fascia
Þ. wide excision of the mass with a 2 cm margin of normal fascia
Ÿ. CT scan of the chest
Ā. technetium bone scan
Ā. bone marrow aspiration
Ă. serum protein electrophoresis
Ă. lateral skull radiograph
Ą. high-grade histology of the initial tumor
Ą. multiple local recurrences after curettage
Ć. previous treatment of the tumor with cryotherapy
Ć. previous treatment of the tumor with radiation therapy
Ĉ. extraosseous extension into two or more adjacent compartments
Ĉ. Dorsal rhizotomy and facet joint fusion
Ċ. Multilevel corpectomy and spinal stabilization
Ċ. Central and lateral recess decompression and bilateral foraminotomy
Č. Central decompression and facet joint fusion
Č. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Ď. Inadequate rehabilitation
Ď. Displacement of the coronoid process fracture
Đ. Insufficiency of the lateral ulnar collateral ligament
Đ. Insufficiency of the anterior band of the medial collateral ligament
Ē. Insufficiency of the posterior band of the medial collateral ligament
Ē. Osteotomy and intramedullary rod fixation
Ĕ. Electrical stimulation
Ĕ. Strut-autografing the concavity the tibia
Ė. A patellar tendon-bearing brace
Ė. Percutaneous injection of demineralized bone matrix
Ę. digoxin
Ę. sucralfate
Ě. clindamycin
Ě. alcohol
Ĝ. neuromuscular blocking agents
Ĝ. Unrestrained roll-back
Ğ. Unrestrained rotational conformity
Ğ. Medial-Lateral conformity
Ġ. Anteroposterior conformity in flexion
Ġ. Anteroposterior conformity in extension
Ģ. Arthrodesis of the MTP joint
Ģ. A Silastic implant of the MTP joint
Ĥ. Resection arthroplasty of the MTP joint
Ĥ. Cheilctomy of the MTP joint
Ħ. Osteotomy of the base of the proximal phalanx
Ħ. Genu varum
Ĩ. Tarsal coalition
Ĩ. Degenerative ankle arthrosis
Ī. Osteochondritis dissecans of the talus
Ī. Hemihypertrophy of the ipsilateral lower extremity
Ĭ. Trabecular bone is preferentially resorbed in this high bone turnover state
Ĭ. Loss of water content in the disk increases impact load to the vetrebral bodies
Į. Stress is imposed by the relative stiffness of the arthrtic facet joints
Į. Increased energy demands are imposed by decreased circulation to the vertebral body
İ. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
I. Increased time in stance and swing phase
IJ. Addition of a double leg float phase
IJ. Decreased vertical ground reaction forces
Ĵ. Decreased arc of motion in the hip, knee, and ankle
Ĵ. Decreased joint reaction forces in the hip, knee, and ankle
Ķ. Talonavicular arthrodesis
Ķ. Medial displacement calcaneal osteotomy
ĸ. Flexor digitorum longus tendon transfer with spring ligament advancement
Ĺ. Triple arthrodesis
Ĺ. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ļ. Lymphoma
Ļ. Hemangioma
Ľ. Osteosarcoma
Ľ. TB of the spine
Ŀ. Metastatic breast carcinoma
Ŀ. widening and shortening of the heel.
Ł. weakness of the gastrocnemius-soleus complex.
Ł. anterior impingement from a horizontal talus.
Ń. unrecognized compartment syndrome of the foot.
Ń. degenerative arthritis of the tibiotalar joint.
Ņ. a corrective osteotomy
Ņ. application of braces
Ň. medial physeal stapling until the varus corrects
Ň. observation
ʼN. application of corrective casts
Ŋ. a total contact cast.
Ŋ. electrical stimulation.
Ō. an off the shelf fracture brace.
Ō. an elastic compression bandage and crutches.
Ŏ. a hard soled shoe until the patient is asymptomatic.
Ŏ. Ewings tumor
Ő. Parosteal osteosarcoma
Ő. Dedifferentiated chondrosarcoma
Œ. Low grade intramedullary chondrosarcoma
Œ. High grade intramedullary osteosarcoma
Ŕ. Vascular injury
Ŕ. Tear of the rotator cuff
Ŗ. Injury to the brachial plexus
Ŗ. Fracture of the upper thoracic rib
Ř. Fracture of the proximal humerus
Ř. Biceps
Ś. Trapezius
Ś. Infraspinatus
Ŝ. Pectoralis major
Ŝ. Serratus anterior
Ş. Hybrid total hip arthroplasty
Ş. Noncemental hemiarthroplasty of the hip
Š. Closed reduction and percutaneous pin fixation
Š. Open reduction through an anterior approach to the hip
Ţ. Excision of the head fragment
Ţ. a quadratus femoris pediclebone graft
Ť. a proximal femoral allograft
Ť. intertrochanteric osteotomy
Ŧ. total hip arthroplasty
Ŧ. hip hemiarthroplasty
Ũ. Echocardiogram
Ũ. Electrocardiogram
Ū. Radiograph of the chest
Ū. CT scan of the shoulder
Ŭ. Ultrasound of the shoulder
Ŭ. Ilioinguinal
Ů. Extended iliofemoral
Ů. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ű. Kocher-Langenbeck (posterior)
Ű. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ų. Deltoid
Ų. Supraspinatus
Ŵ. Subscapularis Infraspinatus
Ŵ. Infraspinatus
Ŷ. Infraspinatus and teres minor
Ŷ. an orthosis.
Ÿ. observation.
Ź. electrical stimulation.
Ź. open reduction and internal fixation.
Ż. application of a nonweightbearing short leg cast.
Ż. repair of the rotator cuff.
Ž. rehabilitation of the shoulder
Ž. replacement of the humeral head.
S. arthroscopic acromioplasty and debridement.
Ƀ. immobilization is a sling until pain resolves.
Ɓ. Bone rotation versus torque applied
Ƃ. Bone deflection versus bending moment applied
Ƃ. Axial displacement versus tension applied
Ƅ. Lateral translation versus shear force applied
Ƅ. Fracture gap closing versus compressive force applied
Ɔ. steroid injection
Ƈ. stretching of the heel cord
Ƈ. surgical release of the plantar fascia
Ɖ. application of a short leg cast for 6 to 8 weeks
Ɗ. wearing dorsiflexion night splints
Ƌ. Open bladder
Ƌ. Bilateral “hitchhiker’s” thumbs
ƍ. Bilateral defects in the midclavicles
Ǝ. Rhizomelic shortening of the extremities
Ə. Radiographic fragmentation of all major epiphyses
Ɛ. Medial patellotibial
Ƒ. Medial patellofemoral
Ƒ. Medial patellomeniscal
Ɠ. Lateral patellofemoral
Ɣ. Lateral patellotibial
Ƕ. Heat
Ɩ. Gentle active flexion-extension exercises
Ɨ. Isokinetic strengthening
Ƙ. Electrical muscle stimulation
Ƙ. Immobilization of the limb with the knee in full flexion
Ƚ. Distal chevron osteotomy with soft-tissue release
ƛ. Distal soft-tissue realignment only
Ɯ. Closing wedge osteotomy (Aken) of the proximal phalanx
Ɲ. Proximal first metatarsal osteotomy only
Ƞ. Soft-tissue realignment with a proximal metatarsal osteotomy
Ɵ. Vagus
Ơ. Phrenic
Ơ. Hypoglossal
Ƣ. Recurrent laryngeal
Ƣ. Inferior thyroid
Ƥ. Surgical exploration
Ƥ. Application of leeches
Ʀ. Stellate ganglion blocks
Ƨ. Intra-arterial streptokinase
Ƨ. Elevation and reevaluation in 1 hour
Ʃ. Liver profile
ƪ. Myleogram
ƫ. Platelet count
Ƭ. CT scan of the head
Ƭ. Angiogram of the extremity
Ʈ. Post spinal fusion from L5to S1
Ư. Primary repair with an iliac bone graft
Ư. Post spinal fusion of L4-5
Ʊ. A pantaloon body cast and 6 weeks of bed rest
Ʋ. Rest, NSAIDS, and limited dancing
Ƴ. Stress fracture of the proximal fifth metatarsal
Ƴ. Stress fracture of the base of the second metatarsal
Ƶ. Stress fracture of the neck of the second metatarsal
Ƶ. Morton’s neuroma
Ʒ. Lisfranc’s joint subluxation
Ƹ. C5 radiculopathy
Ƹ. Subscapularis rupture
ƺ. Glenohumeral arthrosis
ƻ. Rotator cuff arthropathy
Ƽ. Suprascapular nerve compression at the spinoglenoid notch
Ƽ. mm femoral head in combination with a metal-backed polyethylene component
ƾ. mm femoral head in combination with an all-polyethylene acetabular component
Ƿ. mm femoral head in combination with a metal-backed polyethylene component
ǀ. mm femoral head in combination with an all-polyethylene component
ǁ. mm femoral head in combination with a metal-backed polyethylene component
ǂ. Female gender
ǃ. History of cigarette smoking
DŽ. L5-S1 spondylolisthesis on pre-employment radiography
DŽ. Decreased strength of the lower extremities on pre-employment testing
DŽ. Decreased flexibility of the lumbar spine on pre-employment testing
LJ. Size of cells
LJ. Amount of DNA in cells
LJ. Nucleus-cytoplasm ratio
NJ. Specific DNA sequences
NJ. Specific messenger RNA sequences
NJ. Femoral and obturator nerves
Ǎ. Femoral and superior gluteal nerves
Ǎ. Femoral and lateral femoral cutaneous nerves
Ǐ. Obturator and superior gluteal nerves
Ǐ. Obturator and lateral femoral cutaneous nerves
Ǒ. Isotonic
Ǒ. Isokinetic
Ǔ. Isometric
Ǔ. Open kinetic chain
Ǖ. Dynamic variable resistance
Ǖ. Closed reduction and cast immobilization
Ǘ. Uniplanar external fixation
Ǘ. Open reduction and internal fixation with a dynamic compression plate
Ǚ. Unreamed intramedullary rod
Ǚ. Multiple plane external fixator
Ǜ. Inlet view of the pelvis
Ǜ. Outlet view of the pelvis
Ǝ. AP view of the hip
Ǟ. Ilial oblique view (external oblique) of the hip
Ǟ. Obturator oblique
Ǡ. Glycolytic pathway
Ǡ. Oxidative phosphorylation
Ǣ. Breakdown of fat
Ǣ. Breakdown of protein
Ǥ. Breakdown of adenosine triphosphate
Ǥ. an MRI scan
Ǧ. arthroscopic examination
Ǧ. AP and frog-lateral radiographs of the pelvis and hips
Ǩ. varus and valgus stress radiographs of the knee
Ǩ. physical examination of the knee under anesthesia
Ǫ. extended curettage and polymethylmethacrylate cementation
Ǫ. extra-articular resection of the knee and an allograft arthrodesis
Ǭ. wide resection of the proximal tibia and custom prosthetic replacement
Ǭ. prophylactic internal fixation and postoperative irradiation
Ǯ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
Ǯ. silicone implant joint replacement
J̌. metatarsophalangeal joint arthrodesis
DZ. metatarsophalangeal joint debridement
DZ. resection of the metatarsal head
DZ. resection of the base of the proximal phalanx
Ǵ. Fixation of the syndesmosis has failed
Ǵ. Widening of the ankle mortise has led to the failure of fixation
Ƕ. Infection around the syndesmosis screw has led to osteomyelitis
Ƿ. The syndesmosis screw is broken
Ǹ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǹ. Microcephaly
Ǻ. A temporal lobe cyst
Ǻ. An Arnold-Chiari type 1 malformation
Ǽ. Periventricular leukomalacia
Ǽ. Agnesis of the corpus callosum
Ǿ. Wolff’s
Ǿ. Hooke’s
Ȁ. Hilton’s
Ȁ. Muller-Haeckel
Ȃ. Heuter-Volkmann
Ȃ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ȅ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ȅ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ȇ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ȇ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ȉ. UCB orthosis
Ȉ. Rigid orthosis with a medical arch support
Ȋ. Semi-rigid orthosis with lateral forefoot posting
Ȋ. Semi-rigid orthosis with a medial arch support
Ȍ. Medial heel wedge attached to the running shoes
Ȍ. Hallux varus
Ȏ. Osteonecrosis
Ȏ. Recurrence of the hallux valgus
Ȑ. “Transfer” second metatarsalgia
Ȑ. Physeal arrest of the first metatarsal
Ȓ. Aseptic loosening in a 70-year-old patient
Ȓ. Mechanical failure of a hinged knee prosthesis
Ȕ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ȕ. Infection with soft-tissue deficit
Ȗ. A prior patellectomy
Ȗ. Knee fusion
Ș. Open irrigation and debridement
Ș. Arthroscopic irrigation and debridement
Ț. One-stage exchange arthroplasty
Ț. Two-stage exchange arthroplasty
Ȝ. Putti-platt repair
Ȝ. Open Bankart repair
Ȟ. Injection of a subacromial corticosteroid
Ȟ. Arthroscopic transglenoid capsular shift
Ƞ. Rehabilitation of the scapular and rotator cuff muscles
ȡ. Silicone suction socket and an energy-absorbing foot
Ȣ. Silicone suction socket and a variable resistance ankle
Ȣ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ȥ. Plastic socket with a hinged thigh cuff and a SACH foot
Ȥ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ȧ. Parosteal
Ȧ. Periosteal
Ȩ. High-grade intramedullary
Ȩ. Osteosarcoma occurring in Paget’s disease
Ȫ. Osteosarcoma occurring in irradiated bone
Ȫ. Cauda equina
Ȭ. Conus medullaris
Ȭ. Genitofemoral nerve
Ȯ. Lumbar sympathetic plexus
Ȯ. Lumbar parasympathetic plexus
Ȱ. Spinal pseudoarthrosis
Ȱ. Spinal cord traction injury with paralysis
Ȳ. Arterial and venous thromboses
Ȳ. Superior mesenteric artery syndrome
ȴ. Crankshaft phenomenon
ȵ. Inversion stress radiograph
ȶ. MRI scan
ȷ. CT scan
ȸ. Nuclear bone scan
ȹ. External rotation stress radiograph
Ⱥ. Complex deformity with an angulation in two planes
Ȼ. Single deformity less than 20 degrees, apex posterolateral
Ȼ. Single deformity greater than 30 degrees, apex posterolateral
Ƚ. Single deformity less than 20 degrees, apex posteromedial
Ⱦ. Single deformity greater than 30 degrees, apex posteromedial
Ȿ. Pronation of the foot during the stance phase of gait
Ɀ. Heel inversion at the beginning of a single limb heel rise
Ɂ. Active inversion of the nonweightbearing foot
Ɂ. Active plantar flexion of the first ray against resistance
Ƀ. Active plantar flexion of the foot during the push-off phase of gait
Ʉ. Observation and repeat radiographs in 4 months
Ʌ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ɇ. Electrical stimulation at night
Ɇ. Physical therapy
Ɉ. Begins to remodel and hypertrophy more quickly
Ɉ. Provides a better scaffold for osteoconduction
Ɋ. Reduces the risk of early fracture
Ɋ. Reduces technical difficulty
Ɍ. Lowers donor site morbidity
Ɍ. Anterior fusion of the lumbar curve
Ɏ. Anterior and posterior fusion of the thoracic curve
Ɏ. Posterior fusion of the thoracic curve
Ɐ. Posterior fusion of the thoracic and lumbar curves
Ɑ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ɒ. Subscapularis rupture
Ɓ. Type III SLAP lesion
Ɔ. Disruption of capsular shift
ɕ. Isolated traumatic subluxation
Ɖ. Injury to the axillary nerve after dislocation
Ɗ. hypophosphatemia
ɘ. high dietary cholesterol intake
Ə. deficiency of lipoprotein A
ɚ. deficiency of protein S and protein C
Ɛ. elevated levels of antithrombin III
Ɜ. Weightbearing short leg cast
ɝ. Nonweightbearing short leg cast
ɞ. Removable splint and early motion
ɟ. Open reduction and internal fixation
Ɠ. Elastic compression bandage with full weightbearing
Ɡ. Breast
ɢ. Prostate
Ɣ. Gastrointestinal
ɤ. Kidney
Ɥ. Multiple myeloma
Ɦ. Varus stress
ɧ. Valgus stress
Ɨ. Torsional loading
Ɩ. Hyperextension of the knee
Ɪ. Contraction of the quadriceps while axially loaded
Ɫ. Primary internal fixation at both fracture levels
Ɬ. External fixation as definitive ttt for both #
ɭ. Skeletal traction and delayed internal fixation of both fractures
ɮ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɯ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
ɰ. Heel spur
Ɱ. Plantar fascitis
Ɲ. Dysfunction of the tibialis posterior tendon
ɳ. Compression of the first branch of the lateral plantar nerve
ɴ. Compression of the calcaneal nerve
Ɵ. Displaced labral tear
ɶ. Tear of the rotator cuff
ɷ. Fracture of the glenoid rim
ɸ. Palsy of the axillary nerve
ɹ. Palsy of the musculocutaneus nerve
ɺ. Enchondroma
ɻ. Osteoblastoma
ɼ. Giant cell tumor
Ɽ. Aneurysmal bone cyst
ɾ. Fibrous dysplasia
ɿ. Arthrogram of the wrist
Ʀ. MRI scan of both wrists
ʁ. CT scan of both wrists in the same position
Ʂ. Radiographs of the wrist in supination and pronation
Ʃ. Radiographs of the opposite wrist in the same position
ʄ. Secondary hyperparathyroidism
ʅ. Phosphate retention secondary to uremia
ʆ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
Ʇ. Aluminum deposition in bone from oral phosphate binders
Ʈ. Persistent acidosis aggravating the negative calcium balance
Ʉ. Posterior fusion at T10-L3 with segmental instrumentation
Ʊ. Laminectomy and fusion of T12-L2 with segmental instrumentation
Ʋ. Bed rest in a hyperextension brace
Ʌ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
ʍ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
ʎ. Positive-pressure ventilation
ʏ. An immediate radiograph of the chest
ʐ. Adjustment of the position of the endotrachael tube
ʑ. Insertion of a large-bore needle into the pericardial space
Ʒ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
ʓ. Allowing the ends of the fracture to touch
ʔ. Adding a second connecting bar
ʕ. Adding one pin to each fracture fragment
ʖ. Increasing the pin diameter from 4 mm to 6 mm
ʗ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
ʘ. Osteomyelitis
ʙ. Malignant degeneration
ʚ. Stress fracture
ʛ. Local recurrence of the giant cell tumor
ʜ. Bone resorption due to methylmethacrylate
Ʝ. Advancement of the plantar plate
Ʞ. Resection of the second metatarsal head
ʟ. Dorsiflexion osteotomy of the second metatarsal neck
ʠ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
ʡ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
ʢ. Sacral fracture
ʣ. Burst fracture of L5
ʤ. Cauda equina syndrome
ʥ. Distraction-flexion injury at L3
ʦ. Distraction-extension injury at L3
ʧ. An MRI scan of the shoulder
ʨ. An MRI scan of the cervical spine
ʩ. Electromyographic and nerve conduction velocity studies
ʪ. Immobilization in a sling and early passive range of motion exercises
ʫ. Immediate return to the operating room for exploration of the brachial plexus
ʬ. cerclage wiring
ʭ. tension band wiring
ʮ. removal of the patellar component
ʯ. revision of the patellar component
ʰ. immobilization of the knee and protected weightbearing
ʱ. Liposarcoma
ʲ. Nodular fasciitis
ʳ. Rabdomyosarcoma
ʴ. Malignant fibrous histiocytoma
ʵ. Extra-abdominal desmoid tumor
ʶ. Clubfeet
ʷ. Thrombocytopenia
ʸ. Congenital scoliosis
ʹ. Ventricular septal defect
ʺ. Arnold-Chiari malformation
ʻ. delayed primary closure
ʼ. free flap
ʽ. pedicle groin flap
ʾ. full-thickness skin graft
ʿ. split-thickness skin graft
ˀ. Infection
ˁ. Nonunion
˂. Improper screw length
˃. Osteonecrosis of the distal fragment
˄. Use of a cortical screw instead of a cancellous screw
˅. Infection
ˆ. Tear of the rotator cuff
ˇ. Loosening of the humeral component
ˈ. Arthritis of the glenoid
ˉ. Arthritis of the A-C joint
ˊ. Reduced morbidity
ˋ. Improved osteoinduction
ˌ. Improved osteoconduction
ˍ. More rapid revascularization
ˎ. Lower risk of disease transmission
ˏ. Manipulation Under Anesthesia
ː. Arthroscopic acromioplasty
ˑ. Arthroscopic debridement of G-H joint
˒. Replacement of the humeral head
˓. Lengthening of the subscapularis and release of the anterior capsule
˔. Bacteroides
˕. E. coli
˖. Staph. aureus
˗. group A streptococcus
˘. Clostridium perforingens
˙. observation and exercises
˚. bracing with a thoracolumbar orthosis
˛. fusion of the posterior spine
˜. fusion of the anterior spine
˝. fusion of the anterior and posterior spine
˞. Total wrist replacement and bridge grafts
˟. palmar shelf arthroplasty and tendon transfers
ˠ. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
ˡ. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
ˢ. Total wrist fusion and tendon transfers
ˣ. constrained acetabular component
ˤ. protrusion ring with morselized graft
˥. cemented metal backed acetabular component
˦. cemented all-polyethylene acetabular component
˧. cementless hemispherical component with screw fixation
˨. application of a hip abduction brace for 22 hours per day
˩. application of a hip spica under anesthesia
˪. discontinuance of all bracing and repeat radiographs in 3 months
˫. open reduction of the hip and application of a spica cast
ˬ. open reduction, varus osteotomy, and application of a spica cast
˭. Loss of skin hair on the feet
ˮ. Absent pulses on vascular examination
˯. Pain that originates proximally and spreads distally
˰. Pain that is relieved by stopping and standing
˱. Pain that is worse when the patient walks uphill rather downhill
˲. wrist flexors and finger flexors
˳. elbow flexors and wrist flexors
˴. elbow flexors and finger flexors
˵. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
˶. elbow extensors and wrist extensors
˷. Syndactyly
˸. Macrodactyly
˹. Camptodactyly
˺. Preaxial polydactyly
˻. Postaxial polydactyly
˼. Arthrodesis
˽. Rotationplasty
˾. Above-knee amputation
˿. Osteoarticular allograft
̀. Endoprosthesis (custom arthroplasty)
́. Plantar fascia
̂. Spring ligament
̃. Deltoid ligament
̄. Intrinsic tendons
̅. Gastorcnemius-solelus complex
̆. Prevention of presynaptic release of acetylcholine
̇. Prevention of synthesis of presynaptic acetylcholine
̈. Activation of acetylcholinesterase at the motor end-plate
̉. Blockage of postsynaptic action of acetylcholine until reserves are depleted
̊. Stimulation of release of presynaptic acetylcholine until reserves are depleted
̋. stiffness of the femoral component.
̌. head offset of the femoral component.
̍. femoral component material modulus of elasticity.
̎. extent of the femoral component porous coating.
̏. Presence of a femoral component collar.
̐. plantar fascia and quadratus plantae tendon.
̑. ligamentous structures connecting the tarsal bones.
̒. shape of the tarsal bones and the intervening joints.
̓. activity of the intrinsic muscles of the foot.
̔. activity of the posterior tibialis and the peroneus longus muscles.
̕. scapulothoracic fusion
̖. strengthening of the periscapular muscles
̗. pectoralis minor-fascia lata graft transfer to the scapula
̘. pectoralis major-fascia lata graft transfer to the scapula
̙. exploration of the long thoracic nerve, with sural nerve graft
̚. tricompartmental knee replacement
̛. unicompartmental knee replacement
̜. medial compartment meniscal allograft
̝. valgus-producing distal femoral osteotomy
̞. valgus-producing proximal tibial osteotomy
̟. Internal rotation of the femoral component
̠. External rotation of the tibial component
̡. Lateral placement of the femoral component
̢. Medial placement of the patellar component
̣. Excessive resection of the patella
̤. Hallux rigidus
̥. Hallux valgus
̦. Neuroma of the first web space
̧. Fracture of the sesamoid
̨. Rupture of the flexor hallucis longus
̩. Sickle cell crisis
̪. Idiopathic chondrolysis
̫. Hemophilic arthropathy
̬. Osteoid osteoma of the femoral neck
̭. Legg-Calve-Perthes disease
̮. Decreased ankle jerk and positive femoral nerve stretch test
̯. Decreased knee jerk and positive straight-leg raising sign
̰. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̱. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̲. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̳. Long-term administration of IV and oral antibiotics
̴. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̵. Immediate exchange arthroplasty with antibiotic-impregnated cement
̶. Two-stage surgical prosthetic exchange and IV antibiotics
̷. Resection arthroplasty and IV antibiotics
̸. SCFE
̹. MED
̺. Perthes disease
̻. Hypothyroidism
̼. Chondrolysis
̽. gout.
̾. osteoporosis.
̿. eosinophilic granuloma.
̀. tuberculosis of the spine.
́. metastatic disease of the spine.
͂. water content.
̓. Synthesis of type I collagen.
̈́. Proteoglycan content.
Ι. Activity of chondrocytes.
͆. Synthesis of hyaluronate.
͇. Lung
͈. Breast
͉. Prostate
͊. Thyroid
͋. Renal
͌. T1-low, T2-low.
͍. T1-low, T2-high.
͎. T1-moderate, T2-low.
͏. T1-high, T2-low.
͐. T1-high, T2-high.
͑. hypothesis is incorrect or invalid
͒. interobserver error rate is 4%.
͓. Standard deviation is 4% higher or lower than the mean.
͔. Sample size is 4% larger than required to be clinically significant.
͕. Probability that the differences noted between two study groups were due to chance alone is 4%.
͖. I
͗. II
͘. IV
͙. IX
͚. X
͛. Cranial setting
͜. Cranial subluxation
͝. Odontoid fracture
͞. Lysis of the arch of the atlas
͟. Atlantoaxial subluxation
͠. Retrograde collapse of the endoneurial tubes
͡. Irreversible atrophy of the denervated muscles
͢. Elongation of the axons across the zone of injury
ͣ. Sprouting of the axons at the neuromuscular junction
ͤ. Misdirection of the axons across the zone of injury
ͥ. Maximally pronated and elbow extended
ͦ. Maximally pronated and the elbow flexed
ͧ. Maximally supinated and the elbow flexed
ͨ. Maximally supinated and the elbow extended
ͩ. In neutral rotation, with the elbow extended
ͪ. open reduction and internal fixation
ͫ. buddy taping to the adjacent index finger
ͬ. early motion with application of a dynamic banjo splint
ͭ. application of a cast with the hand in a “safe position” for 3 weeks.
ͮ. dorsal extension block splinting
ͯ. The name of the manufacturer
Ͱ. The manufacturer’s potential liability
Ͱ. The physician’s clinical performance
Ͳ. The physician’s materials testing data
Ͳ. Any royalties the physician receives from the manufacturer
ʹ. Femoral
͵. Obturator
Ͷ. Inferior gluteal
Ͷ. Superior gluteal
͸. Lateral femoral cutaneous
͹. open biopsy and a long leg cast
ͺ. open biopsy and wide resection of the tumor
Ͻ. a long leg cast and observation
Ͼ. intramedullary stabilization and observation
Ͽ. Triggering
;. Lateral instability
Ϳ. Swan-neck deformity
΀. Boutonniere deformity
΁. Loss of distal interphalangeal joint flexion
΂. Peroneus brevis to peroneus longus
΃. Peroneus tertius to extensor hallucis longus
΄. Peroneus tertius to superficial peroneal nerve
΅. Extensor hallucis longus to deep peroneal nerve
Ά. Extensor hallucis longus to extensor digitorum longus
·. reassurance that Medicare will pay for the treatment.
Έ. consent forms that patients or their guardians are able to understand.
Ή. a detailed description of the device, omitting the fact that it is part of a study.
Ί. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
΋. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
Ό. an onlay iliac crest bone graft.
΍. limited weightbearing and observation.
Ύ. removal of the implant and limited weightbearing.
Ώ. removal of the implant and insertion of a reamed femoral nail.
Ϊ́. removal of the implant and insertion of an unreamed femoral nail.
Α. Coronal
Β. Sagittal
Γ. Anteromedial, midway between the sagittal and the coronal
Δ. Proximal pins sagittal, distal pins coronal
Ε. Proximal pins coronal, distal pins sagittal
Ζ. Rheumatoid arthritis
Η. Posttraumatic arthritis
Θ. Degenerative osteoarthritis
Ι. Osteonecrosis of the tibial plateau
Κ. Osteonecrosis of the medial femoral condyle
Λ. Trapeziometacarpal arthrodesis
Μ. Osteotomy of the thumb metacarpal
Ν. Arthrotomy and joint debridement
Ξ. Ligament reconstruction using one half of the flexor carpi radialis
Ο. Trapezium resection, tendon interposition, and reconstruction of the ligament
Π. Creep
Ρ. Relaxation
΢. Energy dissipation
Σ. Plastic deformation
Τ. Elastic deformation
Υ. bending
Φ. axial loading
Χ. high-speed rotation
Ψ. direct impact from anteromedial
Ω. crush from anteromedial to posterolateral
Ϊ. Increase stiffness
Ϋ. Increase fracture toughness
Ά. Increase fatigue strength
Έ. Decrease mechanical strength
Ή. Decrease wear rate
Ί. disuse osteopenia
Ϋ́. paraendocrine effect of the tumor
Α. abnormally increased density on the right side
Β. side effect of the treatment of the lesion
Γ. extensive tumor involvement of the left hip
Δ. Sciatic nerve
Ε. Superior gluteal artery
Ζ. Profunda femoris artery
Η. Femoral artery and nerve
Θ. External iliac artery and vein
Ι. Length
Κ. Moment arm
Λ. Total volume
Μ. Physiologic cross-sectional area
Ν. Distribution of slow and fast twitch fibers
Ξ. decreasing initiation of action potentials.
Ο. increasing action potential amplitude.
Π. blocking the opening of gated sodium channels.
Ρ. decreasing the number of functional motor units.
Σ. slowing or stopping action potential propagation through the axon.
Σ. resection of the metatarsal heads of the first through fifth toes.
Τ. Silastic MP joint arthroplasties of the first through fifth toes.
Υ. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Φ. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Χ. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Ψ. hemiarthroplasty
Ω. open reduction and internal fixation
Ϊ. closed reduction and percutaneous pinning
Ϋ. a sling and early pedulum exercises
Ό. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Ύ. open acromioplasty
Ώ. open Bankart repair
Ϗ. open subscapularis tendon repair
Β. inferior capsular shift
Θ. a supervised physical therapy program
ϒ. a sling and swathe, with pendulum exercises in 10 days
ϓ. open reduction and internal fixation through an anterior approach
ϔ. open reduction and internal fixation through a posterior approach
Φ. immobilization with a splint in 45 degrees of abduction for 6 weeks
Π. arthroscopically assisted reduction and percutaneous screw fixation
Ϗ. Repair of the rotator cuff
Ϙ. Replacement of the humeral head
Ϙ. Resection arthroplasty
Ϛ. Total shoulder arthroplasty
Ϛ. AP and lateral radiographs of the elbow
Ϝ. Diagnositc arthroscopy
Ϝ. Aspiration of joint fluid
Ϟ. An erythrocyte sedimentation rate and CBC
Ϟ. A diagnostic lidocaine injection
Ϡ. Insulin-like growth factor (IGF-1)
Ϡ. Fibroblast growth factor (FGF-1)
Ϣ. Platelet-derived growth factor (PDGF)
Ϣ. Transforming growth factor beta (TGF-B)
Ϥ. Bone morphogenetic proteins (BMP)
Ϥ. clinical history and radiographic findings.
Ϧ. technetium bone scan
Ϧ. flow cytometry pattern of extracted chondrocytes
Ϩ. immunohistochemical staining patterns of a biopsy specimen
Ϩ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Ϫ. Radial
Ϫ. Radial recurrent
Ϭ. Posterior interosseous
Ϭ. Superior ulnar recurrent
Ϯ. Superficial radial circumflex
Ϯ. Impaired hydroxylation of proline
Κ. Failure of cleavage in procollagen
Ρ. Defective binding sites for hydroxyproline
Ϲ. Failure to incorporate glycine into the helix
Ϳ. Diminished production of collagen through the rough endoplasmic reticulum
ϴ. Asking the legal staff to seek a court injunction
Ε. Copying the patient’s chart and giving it to him as he leaves
϶. Having the patient sign a written legal contract that specifies acceptable behavior
Ϸ. Continuing care of the patient until an appropriate referral can be arranged
Ϸ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Ϲ. Meta-analysis
Ϻ. Confidence interval
Ϻ. Analysis of variance (ANOVA)
ϼ. Statistical significance (p-value)
Ͻ. Survivorship analysis (Kaplan-Meier)
Ͼ. Spinal shock
Ͽ. Neurogenic shock
Ѐ. Hypovolemic shock
Ё. Pulmonary embolism
Ђ. Fat embolus syndrome
Ѓ. Lumbar spinal stenosis
Є. Metastatic disease of the spine
Ѕ. Rheumatoid lumbar spondylitis
І. Isthmic spondyloloisthesis
Ї. Degenerative spondylolisthesis at L4-5 and L5-S1
Ј. Patella alta
Љ. A metal-backed patella
Њ. Varus malalignment of the knee
Ћ. A posterior cruciate-substituting femoral component
Ќ. Lateral subluxation of the patella on a Merchant’s view
Ѝ. The sesamoids are separated
Ў. The sesamoid is fractured
Џ. The proximal phx is on the neck of the metatarsal
А. The dislocation is dorsal and centered
Б. The proximal phalanx is hyperextended
В. Patella
Г. Tibial stem
Д. Distal femoral interface
Е. Posterior femoral interface
Ж. Sites of screw fixation for the tibia
З. Hallux rigidus
И. Fracture of the sesamoid
Й. Disruption of the plantar plate
К. Osteonecrosis of the metatarsal head
Л. Rupture of the flexor hallucis longus
М. Gout
Н. Sepsis
О. Old trauma
П. Rheumatoid arthritis
Р. Charcot arthroplasty
С. Aspiration and steroid injection
Т. Biopsy, curettage, and allograft bone grafting
У. Percutaneous Kirschner wire fixation
Ф. Percutaneous injection of autogenous bone marrow
Х. Nerve roots
Ц. Spinal cord
Ч. Sciatic nerve
Ш. Peroneal nerve
Щ. Conus medullaris
Ъ. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
Ы. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Ь. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Э. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
Ю. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Я. Early and late infection
А. Periprosthetic fracture of the femur
Б. Failure of the patellofemoral and extensor mechanisms
В. Aseptic loosening of cementing tibial components
Г. Asceptic loosening of cemented femoral components
Д. Acceptance of the current position of the ankle
Е. Open reduction and fixation in the epiphysis only
Ж. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
З. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
И. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Й. Resection arthroplasty and local radiation
К. In situ fusion of the hip
Л. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
М. Excision of heterotopic bone and local radiation
Н. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
О. Closed reduction of both fractures and immediate spica casting
П. Bilateral skin traction for 3 weeks, followed by spica casting
Р. External fixation of both femora
С. External fixation of the left femur and a long leg cast brace for the right femur
Т. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
У. Synovial sarcoma
Ф. Soft-tissue abcess
Х. Rhabdomyosarcoma
Ц. Eosinophilic granuloma
Ч. Nodular pigmented villonodular synovitis
Ш. Changing to a titanium nail
Щ. Changing to a nonslotted nail
Ъ. Changing the cross-sectional shape of the nail
Ы. Increasing the diameter of the nail by 3 mm
Ь. Increasing the diameter of the interlocking screws
Э. Fracture healing
Ю. Chondrosarcoma
Я. Periosteal chondroma
Ѐ. Periosteal osteosarcoma
Ё. Dysplasia epiphysealis hemimelica
Ђ. Demonstrate competence in the subject of the case
Ѓ. Be fellowship trained in the subject of the case
Є. Be paid on a contingency basis
Ѕ. Be board certified by the American Board of Orthopaedic Surgery
І. Have been involved in the case as a consultant
Ї. Diagnostic arthroscopy
Ј. Arthroscopy and subacromial decompression
Љ. Reduction and fixation of the proximal humeral epiphysis
Њ. Temporary cessation of throwing
Ћ. Physical therapy for rotator cuff strengthening
Ќ. Oblique popliteal ligament
Ѝ. Lateral capsule
Ў. Popliteal tendon
Џ. Fibular collateral ligament
Ѡ. Posterior oblique ligament
Ѡ. Radial tear
Ѣ. Parrot-beak tear
Ѣ. Vertical tear in the “red-red” zone
Ѥ. Vertical tear in the “red-white” zone
Ѥ. Vertical tear in the “white-white” zone
Ѧ. 0 degrees of abduction, with neural rotation
Ѧ. 40 degrees of flexion and 60 degrees of internal rotation
Ѩ. 45 degrees of flexion and 45 degrees of external rotation
Ѩ. 90 degrees of abduction with neutral rotation
Ѫ. 90 degrees of abduction and 90 degrees of external rotation
Ѫ. Sural
Ѭ. Saphenous and its branches
Ѭ. Posterior tibial and its branches
Ѯ. Deep peroneal and its branches
Ѯ. Superficial peroneal and its branches
Ѱ. Strength
Ѱ. Stiffness
Ѳ. Shelf life
Ѳ. Antigenicity
Ѵ. Risk of HIV transmission
Ѵ. Indemnification
Ѷ. Occurrence
Ѷ. Excess liability
Ѹ. Claims-made
Ѹ. Nose
Ѻ. Lateral Y
Ѻ. Scapular AP
Ѽ. Neutral rotation AP
Ѽ. Internal rotation AP
Ѿ. External rotation AP
Ѿ. Trauma
Ҁ. Hemophilia
Ҁ. Reiter’s syndrome
҂. Rheumatoid arthritis
҃. Systemic lupus erythematosus
҄. Cast immobilization for 6 weeks
҅. Activity modification and re-evaluation in 2 months
҆. Internal fixation with or without bone grafting
҇. Retrograde drilling of the defect without articular cartilage penetration
҈. Drilling of the defect directly through the articular cartilage
҉. repair or reconstruction of the medial collateral ligament
Ҋ. repair or reconstruction of the medialand lateral collateral ligaments
Ҋ. immobilization for 5 days or less
Ҍ. immobilization for 14 days
Ҍ. immobilization for 25 days
Ҏ. Cystinosis
Ҏ. Hypophosphatemia
Ґ. Renal osteodystrophy
Ґ. Primary hyperparathyroidism
Ғ. Nutritional vitamin D deficiency
Ғ. Lateral meniscus tear
Ҕ. Popliteus tenosynovitis
Ҕ. Iliotibial band friction syndrome
Җ. Peroneal nerve entrapment
Җ. Biceps tendinitis
Ҙ. Observation
Ҙ. Removal of the prosthetic components
Қ. Operative exploration and decompression of the peroneal nerve
Қ. Nerve conduction velocity studies
Ҝ. Loosening of the primary dressings and knee flexion to 30 degrees
Ҝ. I
Ҟ. II
Ҟ. III
Ҡ. decreased tissue tension
Ҡ. decreased abductor lever arm
Ң. decreased joint reaction force
Ң. increased body weight over lever arm
Ҥ. increased polyethylene wear rate
Ҥ. recurrent traumatic anterior dislocation
Ҧ. recurrent traumatic posterior dislocation
Ҧ. traumatic subluxation with no previous dislocation
Ҩ. traumatic anterior subluxation
Ҩ. atraumatic involuntary subluxation
Ҫ. radial
Ҫ. axillary
Ҭ. suprascapular
Ҭ. thoracodorsal
Ү. long thoracic
Ү. Flexion
Ұ. Extension
Ұ. Axial rotation
Ҳ. Left lateral bending
Ҳ. Right lateral bending
Ҵ. Skin
Ҵ. Lung
Ҷ. Brain
Ҷ. Heart
Ҹ. Kidney
Ҹ. Thoracoacromial, lateral thoracic, subscapular
Һ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Һ. Posterior humeral circumflex, subscapular, thoracacromial
Ҽ. Subscapular, thoracacromial, anterior humeral circumflex
Ҽ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ҿ. Respondeat superior
Ҿ. Indemnity agreement
Ӏ. Hold harmless agreement- attempt to shift liability from company to physician
Ӂ. Comparative negligence-% of involvement
Ӂ. Contributory negligence- resident contributed to the negligence
Ӄ. t-type
Ӄ. both column
Ӆ. transverse
Ӆ. anterior column
Ӈ. anterior column posterior hemitransverse
Ӈ. Posterior interosseous
Ӊ. Anterior interosseous
Ӊ. Radial
Ӌ. Median
Ӌ. Ulnar
Ӎ. Shock from hypovolemia
Ӎ. Associated rupture of the bladder
Ӏ. Arterial bleeding on pelvic angiogram
Ӑ. Presence of a hematoma in the perineum and scrotum
Ӑ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. Observation for three months


Explanation

Question 4032

Topic: 10. Pathology and Oncology

  • A patient who had been previously treated for multiple injuries as a result of a motor vehicle accident is now requesting all medical records for unspecified reasons. A review of the patient record shows numerous office visits, all carrying a large unpaid balance. With regard to the release of records, the patient should be informed that
. Copies of the record can be released to the patient
. Records can be released only to another physician
. No records can be released until the balance due is paid
. Records can be released to the patient for 24hrs, but then must be returned.
. Because of probable future legal action, records can be released only by court order.
. Positive HLA-B27 antigen
. Chest expansion limited to less than 2.5cm
. Generalized ligamentous laxity
. Positive rheumatoid factor (greater than 1 to 64)
. The presence of Achilles tendonitis for more than three months
. Length of the femoral neck
. Retroversion of the upper femur
. Size of the proximal femoral epiphysis
. Size of the greater trochanteric apophysis
. Angle between the proximal femoral physis and Hilgenreiner's line
. an onlay bone graft
. electrical stimulation
. resection of the distal clavicle
. plate fixation and a bone graft
. smooth Kirschner wire fixation and a bone graft
. 20% with cemented and uncemented sockets
. 40% with cemented and uncemented sockets
. 60% with cemented sockets
. 90% with cemented and uncemented sockets
. 90% with cemented sockets
. Intramedullary rodding
. Functional bracing
. Closed reduction and a long arm cast
. Closed reduction and application of an external fixator
. Open reduction and internal fixation with a dorsal plate
. patellar chondromalacia
. failure of meniscus repair
!. arthrofibrosis
". varus-valgus instability
#. anteroposterior instability
$. type-I collagen
%. type-II collagen
&. cartilage oligomeric protein (COMP)
'. fibroblast growth factor 2 (FGFR2)
(. fibroblast growth factor 3 (FGFR3)
). karyotyping
*. flow cytometry
+. transmission electron microscopy
,. immunohistochemistry staining
-. scanning electron microscopy
.. ankle arthrodesis
/. ankle synovectomy
0. total ankle arthroplasty
1. transplant of cartilage cells
2. lengthening of the Achilles tendon
3. fracture of the acetabulum
4. protrusion of the acetabulum
5. inadequate inferior coverage
6. inadequate superior coverage
7. inadequate anterior and posterior coverage
8. Myelography
9. Thermography
:. CT Scan
;. IV contrast-enhanced CT Scan
<. Gadolinium-enhanced MRI scan
=. CT scan of the chest
>. Bone marrow biopsy
?. Complete blood cell count
@. Lateral radiograph of the skull
A. Erythrocyte sedimentation rate
B. Myosin
C. Troponin
D. Tropomyosin
E. Fibrillin
F. Dystrophin
G. a skeletal survey.
H. audiometric screening.
I. physical therapy for stretching.
J. contrast studies of the upper gastrointestinal tract.
K. reassurance to the parents that there is no underlying pathology.
L. Fragmentation and subluxation of the normal joint articulation
M. Varus deformity with medial subchondral sclerosis
N. Preferential narrowing of the medial tibiofemoral compartment
O. Narrowing of the medial, lateral, and patellofemoral compartments
P. Bone proliferation at the patellar tendon and ligament insertion sites
Q. Central cord syndrome
R. Anterior cord syndrome
S. Posterior cord syndrome
T. Brown-Sequard syndrome
U. Cervical nerve root injury
V. Debriding the skin edges and performing plate fixation of the fracture
W. Debriding the skin edges and intramedullary rodding of the fracture
X. Extending the wounds, debriding the bone ends, and applying distal femoral traction
Y. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
Z. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
[. The cell body nucleus migrates centrally
\. Schwann cells distal to the transection die
]. Axoplasm in the proximal stump drains out
^. Myelin distal to the transection is phagocytized
_. Cell body protein synthesis decreases for the first 10 to 14 days
`. Labral repair
A. acromioplasty
B. excision of the coracoid process
C. an arthroscopic Bankart procedure
D. subscapularis repair
E. Clinodactyly
F. Camptodactyly
G. Symbrachtyly
H. Kirner’s deformity
I. Digiti minimi adductus
J. Cable
K. Buttress plate
L. Methylmethacrylate
M. Multiple lag screws
N. Multiple Kirschner wires
O. Sacral fracture lateral to the foramina
P. Sacral fracture medial to the foramina
Q. Sacroiliac fracture-dislocation
R. Sacroiliac dislocation
S. Iliac wing fracture
T. Allograft Replacement
U. Radioulnar synostosis
V. Excision of the radial head
W. Open reduction and internal fixation
X. Silicone radial head replacement
Y. T10 sensory pin-prick level
Z. Retained vibratory sensation at the ankles
{. Presence of sacral sparing
|. Retained spontaneous respiratory function
}. Priapism
~. Application of a pelvic external fixator
. A pelvic sling
€. Angiography of the pelvis
. Open reduction and internal fixation
‚. Open packing of the pelvic hematoma
ƒ. Syme’s amputation
„. Arthrodesis of the knee
…. Disarticulation of the knee
†. Centralization of the fibula
‡. Prosthetic fitting to accommodate the present deformity
ˆ. Use of regional rather than general anesthesia
‰. Observation of a latex-avoidance protocol
Š. Latex skin allergen testing
‹. Premedication with corticosteroids and antihistamines
Œ. Avoidance of prophylactic antibiotics derived from penicillin
. Olecranon pin traction
Ž. Closed reduction and pin fixation
. Open reduction and internal fixation
. Cast immobilization in this position
‘. An arteriogram to rule out an occult intimal tear of the brachial artery
’. A
“. B
”. C
•. D
–. E
—. Follow-up in six months.
˜. AP and lateral radiographs.
™. AP and lateral radiographs, and a bone scan.
š. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
›. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
œ. MRI scan
. Bone scan
ž. Arthrogram
Ÿ. Axillary lateral radiograph
 . CT arthrogram
¡. Open repair of the central slip of the extensor mechanism
¢. Open repair of the terminal tendon of the extensor mechanism
£. Closed splinting with the proximal interphalangeal joint
¤. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
¥. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
¦. Anteriorly at 20 to 30 degrees of flexion
§. Anteriorly at 70 to 90 degrees of flexion
¨. Posteriorly at 20 to 30 degrees of flexion
©. Posteriorly at 70 to 90 degrees of flexion
ª. Anteriorly with the knee in full flexion
«. Rett syndrome
¬. Cerebral palsy
­. Myotonic dystrophy
®. Fragile-X syndrome
¯. Adrenoleukodystrophy
°. Endurance limit
±. Failure stress
². Critical stress
³. Yield stress
´. Elastic limit
Μ. Ewing’s sarcoma
¶. Osteogenic sarcoma
·. Multiple myeloma
¸. Metastatic prostate carcinoma
¹. Metastatic breast carcinoma
º. Higher subsequent loosening rate of the femoral component
». Higher subsequent polyethylene wear rate
¼. Higher subsequent dislocation rate
½. Higher infection rate
¾. Unaltered subsequent survival rate of the femoral component
¿. Crevice corrosion
À. Oscillatory fretting
Á. Oxidative degradation
Â. Adhesion and abrasion
Ã. Fatigue and delamination
Ä. a total contact cast.
Å. partial calcanectomy
Æ. Syme’s amputation
Ç. transtibial amputation.
È. nonweightbearing and IV antibiotics.
É. Sural artery island flap.
Ê. Free rectus abdominis flap.
Ë. Extensor digitorum brevis flap.
Ì. Staged cross leg flap.
Í. Split-thickness skin graft.
Î. An anterior cruciate functional knee brace.
Ï. A physical therapy program.
Ð. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
Ñ. Reconstruction of the posterior cruciate ligament.
Ò. Reconstruction of the anterior cruciate ligament.
Ó. Avoids the risk of marrow emboli
Ô. Avoids injury to the intramedullary nutrient vessels
Õ. Results in faster healing of fractures
Ö. Results in more secure fixation
×. Results in faster regeneration of the endosteal blood supply
Ø. Above-knee amputation
Ù. En bloc resection of the lesion and reconstruction with a bone graft
Ú. Closed reduction and immobilization in a cast
Û. Open reduction and internal fixation, followed by radiation therapy
Ü. Open reduction, curettage, and cementing of the lesion
Ý. Injury to the subclavian artery
Þ. Injury to the brachial plexus
SS. Segmental fracture
À. 100% displacement
Á. Associated displaced surgical neck fracture of the humerus
Â. humeral arthroplasty2/. repair of the rotator cuff
Ã. closed reduction and immobilization
Ä. open reduction and immobilization
Å. open reduction and early passive motion
Æ. arthroscopic capsular release
Ç. manipulation under anesthesia
È. a physical therapy program
É. an intra-articular corticosteroid injection
Ê. administration of high-dose oral corticosteroids
Ë. adding the scores, in all five body systems
Ì. adding the squares of the scores in the three most severely injured systems
Í. doubling the cumulative score for head and chest injuries
Î. combining the scores from the most and least injured systems
Ï. correcting the score in the most severely injured system for age
Ð. traumatic femoral head fracture
Ñ. osteonecrosis
Ò. osteoarthritis
Ó. neuropathic joint
Ô. rheumatoid arthritis
Õ. low-dose radiation
Ö. steroid injection
÷. a load-relieving insert and shoe modification
Ø. complete excision of the mass and the entire plantar fascia
Ù. wide excision of the mass with a 2 cm margin of normal fascia
Ú. CT scan of the chest
Û. technetium bone scan
Ü. bone marrow aspiration
Ý. serum protein electrophoresis
Þ. lateral skull radiograph
Ÿ. high-grade histology of the initial tumor
Ā. multiple local recurrences after curettage
Ā. previous treatment of the tumor with cryotherapy
Ă. previous treatment of the tumor with radiation therapy
Ă. extraosseous extension into two or more adjacent compartments
Ą. Dorsal rhizotomy and facet joint fusion
Ą. Multilevel corpectomy and spinal stabilization
Ć. Central and lateral recess decompression and bilateral foraminotomy
Ć. Central decompression and facet joint fusion
Ĉ. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Ĉ. Inadequate rehabilitation
Ċ. Displacement of the coronoid process fracture
Ċ. Insufficiency of the lateral ulnar collateral ligament
Č. Insufficiency of the anterior band of the medial collateral ligament
Č. Insufficiency of the posterior band of the medial collateral ligament
Ď. Osteotomy and intramedullary rod fixation
Ď. Electrical stimulation
Đ. Strut-autografing the concavity the tibia
Đ. A patellar tendon-bearing brace
Ē. Percutaneous injection of demineralized bone matrix
Ē. digoxin
Ĕ. sucralfate
Ĕ. clindamycin
Ė. alcohol
Ė. neuromuscular blocking agents
Ę. Unrestrained roll-back
Ę. Unrestrained rotational conformity
Ě. Medial-Lateral conformity
Ě. Anteroposterior conformity in flexion
Ĝ. Anteroposterior conformity in extension
Ĝ. Arthrodesis of the MTP joint
Ğ. A Silastic implant of the MTP joint
Ğ. Resection arthroplasty of the MTP joint
Ġ. Cheilctomy of the MTP joint
Ġ. Osteotomy of the base of the proximal phalanx
Ģ. Genu varum
Ģ. Tarsal coalition
Ĥ. Degenerative ankle arthrosis
Ĥ. Osteochondritis dissecans of the talus
Ħ. Hemihypertrophy of the ipsilateral lower extremity
Ħ. Trabecular bone is preferentially resorbed in this high bone turnover state
Ĩ. Loss of water content in the disk increases impact load to the vetrebral bodies
Ĩ. Stress is imposed by the relative stiffness of the arthrtic facet joints
Ī. Increased energy demands are imposed by decreased circulation to the vertebral body
Ī. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ĭ. Increased time in stance and swing phase
Ĭ. Addition of a double leg float phase
Į. Decreased vertical ground reaction forces
Į. Decreased arc of motion in the hip, knee, and ankle
İ. Decreased joint reaction forces in the hip, knee, and ankle
I. Talonavicular arthrodesis
IJ. Medial displacement calcaneal osteotomy
IJ. Flexor digitorum longus tendon transfer with spring ligament advancement
Ĵ. Triple arthrodesis
Ĵ. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ķ. Lymphoma
Ķ. Hemangioma
ĸ. Osteosarcoma
Ĺ. TB of the spine
Ĺ. Metastatic breast carcinoma
Ļ. widening and shortening of the heel.
Ļ. weakness of the gastrocnemius-soleus complex.
Ľ. anterior impingement from a horizontal talus.
Ľ. unrecognized compartment syndrome of the foot.
Ŀ. degenerative arthritis of the tibiotalar joint.
Ŀ. a corrective osteotomy
Ł. application of braces
Ł. medial physeal stapling until the varus corrects
Ń. observation
Ń. application of corrective casts
Ņ. a total contact cast.
Ņ. electrical stimulation.
Ň. an off the shelf fracture brace.
Ň. an elastic compression bandage and crutches.
ʼN. a hard soled shoe until the patient is asymptomatic.
Ŋ. Ewings tumor
Ŋ. Parosteal osteosarcoma
Ō. Dedifferentiated chondrosarcoma
Ō. Low grade intramedullary chondrosarcoma
Ŏ. High grade intramedullary osteosarcoma
Ŏ. Vascular injury
Ő. Tear of the rotator cuff
Ő. Injury to the brachial plexus
Œ. Fracture of the upper thoracic rib
Œ. Fracture of the proximal humerus
Ŕ. Biceps
Ŕ. Trapezius
Ŗ. Infraspinatus
Ŗ. Pectoralis major
Ř. Serratus anterior
Ř. Hybrid total hip arthroplasty
Ś. Noncemental hemiarthroplasty of the hip
Ś. Closed reduction and percutaneous pin fixation
Ŝ. Open reduction through an anterior approach to the hip
Ŝ. Excision of the head fragment
Ş. a quadratus femoris pediclebone graft
Ş. a proximal femoral allograft
Š. intertrochanteric osteotomy
Š. total hip arthroplasty
Ţ. hip hemiarthroplasty
Ţ. Echocardiogram
Ť. Electrocardiogram
Ť. Radiograph of the chest
Ŧ. CT scan of the shoulder
Ŧ. Ultrasound of the shoulder
Ũ. Ilioinguinal
Ũ. Extended iliofemoral
Ū. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ū. Kocher-Langenbeck (posterior)
Ŭ. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ŭ. Deltoid
Ů. Supraspinatus
Ů. Subscapularis Infraspinatus
Ű. Infraspinatus
Ű. Infraspinatus and teres minor
Ų. an orthosis.
Ų. observation.
Ŵ. electrical stimulation.
Ŵ. open reduction and internal fixation.
Ŷ. application of a nonweightbearing short leg cast.
Ŷ. repair of the rotator cuff.
Ÿ. rehabilitation of the shoulder
Ź. replacement of the humeral head.
Ź. arthroscopic acromioplasty and debridement.
Ż. immobilization is a sling until pain resolves.
Ż. Bone rotation versus torque applied
Ž. Bone deflection versus bending moment applied
Ž. Axial displacement versus tension applied
S. Lateral translation versus shear force applied
Ƀ. Fracture gap closing versus compressive force applied
Ɓ. steroid injection
Ƃ. stretching of the heel cord
Ƃ. surgical release of the plantar fascia
Ƅ. application of a short leg cast for 6 to 8 weeks
Ƅ. wearing dorsiflexion night splints
Ɔ. Open bladder
Ƈ. Bilateral “hitchhiker’s” thumbs
Ƈ. Bilateral defects in the midclavicles
Ɖ. Rhizomelic shortening of the extremities
Ɗ. Radiographic fragmentation of all major epiphyses
Ƌ. Medial patellotibial
Ƌ. Medial patellofemoral
ƍ. Medial patellomeniscal
Ǝ. Lateral patellofemoral
Ə. Lateral patellotibial
Ɛ. Heat
Ƒ. Gentle active flexion-extension exercises
Ƒ. Isokinetic strengthening
Ɠ. Electrical muscle stimulation
Ɣ. Immobilization of the limb with the knee in full flexion
Ƕ. Distal chevron osteotomy with soft-tissue release
Ɩ. Distal soft-tissue realignment only
Ɨ. Closing wedge osteotomy (Aken) of the proximal phalanx
Ƙ. Proximal first metatarsal osteotomy only
Ƙ. Soft-tissue realignment with a proximal metatarsal osteotomy
Ƚ. Vagus
ƛ. Phrenic
Ɯ. Hypoglossal
Ɲ. Recurrent laryngeal
Ƞ. Inferior thyroid
Ɵ. Surgical exploration
Ơ. Application of leeches
Ơ. Stellate ganglion blocks
Ƣ. Intra-arterial streptokinase
Ƣ. Elevation and reevaluation in 1 hour
Ƥ. Liver profile
Ƥ. Myleogram
Ʀ. Platelet count
Ƨ. CT scan of the head
Ƨ. Angiogram of the extremity
Ʃ. Post spinal fusion from L5to S1
ƪ. Primary repair with an iliac bone graft
ƫ. Post spinal fusion of L4-5
Ƭ. A pantaloon body cast and 6 weeks of bed rest
Ƭ. Rest, NSAIDS, and limited dancing
Ʈ. Stress fracture of the proximal fifth metatarsal
Ư. Stress fracture of the base of the second metatarsal
Ư. Stress fracture of the neck of the second metatarsal
Ʊ. Morton’s neuroma
Ʋ. Lisfranc’s joint subluxation
Ƴ. C5 radiculopathy
Ƴ. Subscapularis rupture
Ƶ. Glenohumeral arthrosis
Ƶ. Rotator cuff arthropathy
Ʒ. Suprascapular nerve compression at the spinoglenoid notch
Ƹ. mm femoral head in combination with a metal-backed polyethylene component
Ƹ. mm femoral head in combination with an all-polyethylene acetabular component
ƺ. mm femoral head in combination with a metal-backed polyethylene component
ƻ. mm femoral head in combination with an all-polyethylene component
Ƽ. mm femoral head in combination with a metal-backed polyethylene component
Ƽ. Female gender
ƾ. History of cigarette smoking
Ƿ. L5-S1 spondylolisthesis on pre-employment radiography
ǀ. Decreased strength of the lower extremities on pre-employment testing
ǁ. Decreased flexibility of the lumbar spine on pre-employment testing
ǂ. Size of cells
ǃ. Amount of DNA in cells
DŽ. Nucleus-cytoplasm ratio
DŽ. Specific DNA sequences
DŽ. Specific messenger RNA sequences
LJ. Femoral and obturator nerves
LJ. Femoral and superior gluteal nerves
LJ. Femoral and lateral femoral cutaneous nerves
NJ. Obturator and superior gluteal nerves
NJ. Obturator and lateral femoral cutaneous nerves
NJ. Isotonic
Ǎ. Isokinetic
Ǎ. Isometric
Ǐ. Open kinetic chain
Ǐ. Dynamic variable resistance
Ǒ. Closed reduction and cast immobilization
Ǒ. Uniplanar external fixation
Ǔ. Open reduction and internal fixation with a dynamic compression plate
Ǔ. Unreamed intramedullary rod
Ǖ. Multiple plane external fixator
Ǖ. Inlet view of the pelvis
Ǘ. Outlet view of the pelvis
Ǘ. AP view of the hip
Ǚ. Ilial oblique view (external oblique) of the hip
Ǚ. Obturator oblique
Ǜ. Glycolytic pathway
Ǜ. Oxidative phosphorylation
Ǝ. Breakdown of fat
Ǟ. Breakdown of protein
Ǟ. Breakdown of adenosine triphosphate
Ǡ. an MRI scan
Ǡ. arthroscopic examination
Ǣ. AP and frog-lateral radiographs of the pelvis and hips
Ǣ. varus and valgus stress radiographs of the knee
Ǥ. physical examination of the knee under anesthesia
Ǥ. extended curettage and polymethylmethacrylate cementation
Ǧ. extra-articular resection of the knee and an allograft arthrodesis
Ǧ. wide resection of the proximal tibia and custom prosthetic replacement
Ǩ. prophylactic internal fixation and postoperative irradiation
Ǩ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
Ǫ. silicone implant joint replacement
Ǫ. metatarsophalangeal joint arthrodesis
Ǭ. metatarsophalangeal joint debridement
Ǭ. resection of the metatarsal head
Ǯ. resection of the base of the proximal phalanx
Ǯ. Fixation of the syndesmosis has failed
J̌. Widening of the ankle mortise has led to the failure of fixation
DZ. Infection around the syndesmosis screw has led to osteomyelitis
DZ. The syndesmosis screw is broken
DZ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǵ. Microcephaly
Ǵ. A temporal lobe cyst
Ƕ. An Arnold-Chiari type 1 malformation
Ƿ. Periventricular leukomalacia
Ǹ. Agnesis of the corpus callosum
Ǹ. Wolff’s
Ǻ. Hooke’s
Ǻ. Hilton’s
Ǽ. Muller-Haeckel
Ǽ. Heuter-Volkmann
Ǿ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǿ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ȁ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ȁ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ȃ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ȃ. UCB orthosis
Ȅ. Rigid orthosis with a medical arch support
Ȅ. Semi-rigid orthosis with lateral forefoot posting
Ȇ. Semi-rigid orthosis with a medial arch support
Ȇ. Medial heel wedge attached to the running shoes
Ȉ. Hallux varus
Ȉ. Osteonecrosis
Ȋ. Recurrence of the hallux valgus
Ȋ. “Transfer” second metatarsalgia
Ȍ. Physeal arrest of the first metatarsal
Ȍ. Aseptic loosening in a 70-year-old patient
Ȏ. Mechanical failure of a hinged knee prosthesis
Ȏ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ȑ. Infection with soft-tissue deficit
Ȑ. A prior patellectomy
Ȓ. Knee fusion
Ȓ. Open irrigation and debridement
Ȕ. Arthroscopic irrigation and debridement
Ȕ. One-stage exchange arthroplasty
Ȗ. Two-stage exchange arthroplasty
Ȗ. Putti-platt repair
Ș. Open Bankart repair
Ș. Injection of a subacromial corticosteroid
Ț. Arthroscopic transglenoid capsular shift
Ț. Rehabilitation of the scapular and rotator cuff muscles
Ȝ. Silicone suction socket and an energy-absorbing foot
Ȝ. Silicone suction socket and a variable resistance ankle
Ȟ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ȟ. Plastic socket with a hinged thigh cuff and a SACH foot
Ƞ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
ȡ. Parosteal
Ȣ. Periosteal
Ȣ. High-grade intramedullary
Ȥ. Osteosarcoma occurring in Paget’s disease
Ȥ. Osteosarcoma occurring in irradiated bone
Ȧ. Cauda equina
Ȧ. Conus medullaris
Ȩ. Genitofemoral nerve
Ȩ. Lumbar sympathetic plexus
Ȫ. Lumbar parasympathetic plexus
Ȫ. Spinal pseudoarthrosis
Ȭ. Spinal cord traction injury with paralysis
Ȭ. Arterial and venous thromboses
Ȯ. Superior mesenteric artery syndrome
Ȯ. Crankshaft phenomenon
Ȱ. Inversion stress radiograph
Ȱ. MRI scan
Ȳ. CT scan
Ȳ. Nuclear bone scan
ȴ. External rotation stress radiograph
ȵ. Complex deformity with an angulation in two planes
ȶ. Single deformity less than 20 degrees, apex posterolateral
ȷ. Single deformity greater than 30 degrees, apex posterolateral
ȸ. Single deformity less than 20 degrees, apex posteromedial
ȹ. Single deformity greater than 30 degrees, apex posteromedial
Ⱥ. Pronation of the foot during the stance phase of gait
Ȼ. Heel inversion at the beginning of a single limb heel rise
Ȼ. Active inversion of the nonweightbearing foot
Ƚ. Active plantar flexion of the first ray against resistance
Ⱦ. Active plantar flexion of the foot during the push-off phase of gait
Ȿ. Observation and repeat radiographs in 4 months
Ɀ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ɂ. Electrical stimulation at night
Ɂ. Physical therapy
Ƀ. Begins to remodel and hypertrophy more quickly
Ʉ. Provides a better scaffold for osteoconduction
Ʌ. Reduces the risk of early fracture
Ɇ. Reduces technical difficulty
Ɇ. Lowers donor site morbidity
Ɉ. Anterior fusion of the lumbar curve
Ɉ. Anterior and posterior fusion of the thoracic curve
Ɋ. Posterior fusion of the thoracic curve
Ɋ. Posterior fusion of the thoracic and lumbar curves
Ɍ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ɍ. Subscapularis rupture
Ɏ. Type III SLAP lesion
Ɏ. Disruption of capsular shift
Ɐ. Isolated traumatic subluxation
Ɑ. Injury to the axillary nerve after dislocation
Ɒ. hypophosphatemia
Ɓ. high dietary cholesterol intake
Ɔ. deficiency of lipoprotein A
ɕ. deficiency of protein S and protein C
Ɖ. elevated levels of antithrombin III
Ɗ. Weightbearing short leg cast
ɘ. Nonweightbearing short leg cast
Ə. Removable splint and early motion
ɚ. Open reduction and internal fixation
Ɛ. Elastic compression bandage with full weightbearing
Ɜ. Breast
ɝ. Prostate
ɞ. Gastrointestinal
ɟ. Kidney
Ɠ. Multiple myeloma
Ɡ. Varus stress
ɢ. Valgus stress
Ɣ. Torsional loading
ɤ. Hyperextension of the knee
Ɥ. Contraction of the quadriceps while axially loaded
Ɦ. Primary internal fixation at both fracture levels
ɧ. External fixation as definitive ttt for both #
Ɨ. Skeletal traction and delayed internal fixation of both fractures
Ɩ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɪ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɫ. Heel spur
Ɬ. Plantar fascitis
ɭ. Dysfunction of the tibialis posterior tendon
ɮ. Compression of the first branch of the lateral plantar nerve
Ɯ. Compression of the calcaneal nerve
ɰ. Displaced labral tear
Ɱ. Tear of the rotator cuff
Ɲ. Fracture of the glenoid rim
ɳ. Palsy of the axillary nerve
ɴ. Palsy of the musculocutaneus nerve
Ɵ. Enchondroma
ɶ. Osteoblastoma
ɷ. Giant cell tumor
ɸ. Aneurysmal bone cyst
ɹ. Fibrous dysplasia
ɺ. Arthrogram of the wrist
ɻ. MRI scan of both wrists
ɼ. CT scan of both wrists in the same position
Ɽ. Radiographs of the wrist in supination and pronation
ɾ. Radiographs of the opposite wrist in the same position
ɿ. Secondary hyperparathyroidism
Ʀ. Phosphate retention secondary to uremia
ʁ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
Ʂ. Aluminum deposition in bone from oral phosphate binders
Ʃ. Persistent acidosis aggravating the negative calcium balance
ʄ. Posterior fusion at T10-L3 with segmental instrumentation
ʅ. Laminectomy and fusion of T12-L2 with segmental instrumentation
ʆ. Bed rest in a hyperextension brace
Ʇ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
Ʈ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
Ʉ. Positive-pressure ventilation
Ʊ. An immediate radiograph of the chest
Ʋ. Adjustment of the position of the endotrachael tube
Ʌ. Insertion of a large-bore needle into the pericardial space
ʍ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
ʎ. Allowing the ends of the fracture to touch
ʏ. Adding a second connecting bar
ʐ. Adding one pin to each fracture fragment
ʑ. Increasing the pin diameter from 4 mm to 6 mm
Ʒ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
ʓ. Osteomyelitis
ʔ. Malignant degeneration
ʕ. Stress fracture
ʖ. Local recurrence of the giant cell tumor
ʗ. Bone resorption due to methylmethacrylate
ʘ. Advancement of the plantar plate
ʙ. Resection of the second metatarsal head
ʚ. Dorsiflexion osteotomy of the second metatarsal neck
ʛ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
ʜ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
Ʝ. Sacral fracture
Ʞ. Burst fracture of L5
ʟ. Cauda equina syndrome
ʠ. Distraction-flexion injury at L3
ʡ. Distraction-extension injury at L3
ʢ. An MRI scan of the shoulder
ʣ. An MRI scan of the cervical spine
ʤ. Electromyographic and nerve conduction velocity studies
ʥ. Immobilization in a sling and early passive range of motion exercises
ʦ. Immediate return to the operating room for exploration of the brachial plexus
ʧ. cerclage wiring
ʨ. tension band wiring
ʩ. removal of the patellar component
ʪ. revision of the patellar component
ʫ. immobilization of the knee and protected weightbearing
ʬ. Liposarcoma
ʭ. Nodular fasciitis
ʮ. Rabdomyosarcoma
ʯ. Malignant fibrous histiocytoma
ʰ. Extra-abdominal desmoid tumor
ʱ. Clubfeet
ʲ. Thrombocytopenia
ʳ. Congenital scoliosis
ʴ. Ventricular septal defect
ʵ. Arnold-Chiari malformation
ʶ. delayed primary closure
ʷ. free flap
ʸ. pedicle groin flap
ʹ. full-thickness skin graft
ʺ. split-thickness skin graft
ʻ. Infection
ʼ. Nonunion
ʽ. Improper screw length
ʾ. Osteonecrosis of the distal fragment
ʿ. Use of a cortical screw instead of a cancellous screw
ˀ. Infection
ˁ. Tear of the rotator cuff
˂. Loosening of the humeral component
˃. Arthritis of the glenoid
˄. Arthritis of the A-C joint
˅. Reduced morbidity
ˆ. Improved osteoinduction
ˇ. Improved osteoconduction
ˈ. More rapid revascularization
ˉ. Lower risk of disease transmission
ˊ. Manipulation Under Anesthesia
ˋ. Arthroscopic acromioplasty
ˌ. Arthroscopic debridement of G-H joint
ˍ. Replacement of the humeral head
ˎ. Lengthening of the subscapularis and release of the anterior capsule
ˏ. Bacteroides
ː. E. coli
ˑ. Staph. aureus
˒. group A streptococcus
˓. Clostridium perforingens
˔. observation and exercises
˕. bracing with a thoracolumbar orthosis
˖. fusion of the posterior spine
˗. fusion of the anterior spine
˘. fusion of the anterior and posterior spine
˙. Total wrist replacement and bridge grafts
˚. palmar shelf arthroplasty and tendon transfers
˛. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
˜. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
˝. Total wrist fusion and tendon transfers
˞. constrained acetabular component
˟. protrusion ring with morselized graft
ˠ. cemented metal backed acetabular component
ˡ. cemented all-polyethylene acetabular component
ˢ. cementless hemispherical component with screw fixation
ˣ. application of a hip abduction brace for 22 hours per day
ˤ. application of a hip spica under anesthesia
˥. discontinuance of all bracing and repeat radiographs in 3 months
˦. open reduction of the hip and application of a spica cast
˧. open reduction, varus osteotomy, and application of a spica cast
˨. Loss of skin hair on the feet
˩. Absent pulses on vascular examination
˪. Pain that originates proximally and spreads distally
˫. Pain that is relieved by stopping and standing
ˬ. Pain that is worse when the patient walks uphill rather downhill
˭. wrist flexors and finger flexors
ˮ. elbow flexors and wrist flexors
˯. elbow flexors and finger flexors
˰. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
˱. elbow extensors and wrist extensors
˲. Syndactyly
˳. Macrodactyly
˴. Camptodactyly
˵. Preaxial polydactyly
˶. Postaxial polydactyly
˷. Arthrodesis
˸. Rotationplasty
˹. Above-knee amputation
˺. Osteoarticular allograft
˻. Endoprosthesis (custom arthroplasty)
˼. Plantar fascia
˽. Spring ligament
˾. Deltoid ligament
˿. Intrinsic tendons
̀. Gastorcnemius-solelus complex
́. Prevention of presynaptic release of acetylcholine
̂. Prevention of synthesis of presynaptic acetylcholine
̃. Activation of acetylcholinesterase at the motor end-plate
̄. Blockage of postsynaptic action of acetylcholine until reserves are depleted
̅. Stimulation of release of presynaptic acetylcholine until reserves are depleted
̆. stiffness of the femoral component.
̇. head offset of the femoral component.
̈. femoral component material modulus of elasticity.
̉. extent of the femoral component porous coating.
̊. Presence of a femoral component collar.
̋. plantar fascia and quadratus plantae tendon.
̌. ligamentous structures connecting the tarsal bones.
̍. shape of the tarsal bones and the intervening joints.
̎. activity of the intrinsic muscles of the foot.
̏. activity of the posterior tibialis and the peroneus longus muscles.
̐. scapulothoracic fusion
̑. strengthening of the periscapular muscles
̒. pectoralis minor-fascia lata graft transfer to the scapula
̓. pectoralis major-fascia lata graft transfer to the scapula
̔. exploration of the long thoracic nerve, with sural nerve graft
̕. tricompartmental knee replacement
̖. unicompartmental knee replacement
̗. medial compartment meniscal allograft
̘. valgus-producing distal femoral osteotomy
̙. valgus-producing proximal tibial osteotomy
̚. Internal rotation of the femoral component
̛. External rotation of the tibial component
̜. Lateral placement of the femoral component
̝. Medial placement of the patellar component
̞. Excessive resection of the patella
̟. Hallux rigidus
̠. Hallux valgus
̡. Neuroma of the first web space
̢. Fracture of the sesamoid
̣. Rupture of the flexor hallucis longus
̤. Sickle cell crisis
̥. Idiopathic chondrolysis
̦. Hemophilic arthropathy
̧. Osteoid osteoma of the femoral neck
̨. Legg-Calve-Perthes disease
̩. Decreased ankle jerk and positive femoral nerve stretch test
̪. Decreased knee jerk and positive straight-leg raising sign
̫. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̬. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̭. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̮. Long-term administration of IV and oral antibiotics
̯. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̰. Immediate exchange arthroplasty with antibiotic-impregnated cement
̱. Two-stage surgical prosthetic exchange and IV antibiotics
̲. Resection arthroplasty and IV antibiotics
̳. SCFE
̴. MED
̵. Perthes disease
̶. Hypothyroidism
̷. Chondrolysis
̸. gout.
̹. osteoporosis.
̺. eosinophilic granuloma.
̻. tuberculosis of the spine.
̼. metastatic disease of the spine.
̽. water content.
̾. Synthesis of type I collagen.
̿. Proteoglycan content.
̀. Activity of chondrocytes.
́. Synthesis of hyaluronate.
͂. Lung
̓. Breast
̈́. Prostate
Ι. Thyroid
͆. Renal
͇. T1-low, T2-low.
͈. T1-low, T2-high.
͉. T1-moderate, T2-low.
͊. T1-high, T2-low.
͋. T1-high, T2-high.
͌. hypothesis is incorrect or invalid
͍. interobserver error rate is 4%.
͎. Standard deviation is 4% higher or lower than the mean.
͏. Sample size is 4% larger than required to be clinically significant.
͐. Probability that the differences noted between two study groups were due to chance alone is 4%.
͑. I
͒. II
͓. IV
͔. IX
͕. X
͖. Cranial setting
͗. Cranial subluxation
͘. Odontoid fracture
͙. Lysis of the arch of the atlas
͚. Atlantoaxial subluxation
͛. Retrograde collapse of the endoneurial tubes
͜. Irreversible atrophy of the denervated muscles
͝. Elongation of the axons across the zone of injury
͞. Sprouting of the axons at the neuromuscular junction
͟. Misdirection of the axons across the zone of injury
͠. Maximally pronated and elbow extended
͡. Maximally pronated and the elbow flexed
͢. Maximally supinated and the elbow flexed
ͣ. Maximally supinated and the elbow extended
ͤ. In neutral rotation, with the elbow extended
ͥ. open reduction and internal fixation
ͦ. buddy taping to the adjacent index finger
ͧ. early motion with application of a dynamic banjo splint
ͨ. application of a cast with the hand in a “safe position” for 3 weeks.
ͩ. dorsal extension block splinting
ͪ. The name of the manufacturer
ͫ. The manufacturer’s potential liability
ͬ. The physician’s clinical performance
ͭ. The physician’s materials testing data
ͮ. Any royalties the physician receives from the manufacturer
ͯ. Femoral
Ͱ. Obturator
Ͱ. Inferior gluteal
Ͳ. Superior gluteal
Ͳ. Lateral femoral cutaneous
ʹ. open biopsy and a long leg cast
͵. open biopsy and wide resection of the tumor
Ͷ. a long leg cast and observation
Ͷ. intramedullary stabilization and observation
͸. Triggering
͹. Lateral instability
ͺ. Swan-neck deformity
Ͻ. Boutonniere deformity
Ͼ. Loss of distal interphalangeal joint flexion
Ͽ. Peroneus brevis to peroneus longus
;. Peroneus tertius to extensor hallucis longus
Ϳ. Peroneus tertius to superficial peroneal nerve
΀. Extensor hallucis longus to deep peroneal nerve
΁. Extensor hallucis longus to extensor digitorum longus
΂. reassurance that Medicare will pay for the treatment.
΃. consent forms that patients or their guardians are able to understand.
΄. a detailed description of the device, omitting the fact that it is part of a study.
΅. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
Ά. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
·. an onlay iliac crest bone graft.
Έ. limited weightbearing and observation.
Ή. removal of the implant and limited weightbearing.
Ί. removal of the implant and insertion of a reamed femoral nail.
΋. removal of the implant and insertion of an unreamed femoral nail.
Ό. Coronal
΍. Sagittal
Ύ. Anteromedial, midway between the sagittal and the coronal
Ώ. Proximal pins sagittal, distal pins coronal
Ϊ́. Proximal pins coronal, distal pins sagittal
Α. Rheumatoid arthritis
Β. Posttraumatic arthritis
Γ. Degenerative osteoarthritis
Δ. Osteonecrosis of the tibial plateau
Ε. Osteonecrosis of the medial femoral condyle
Ζ. Trapeziometacarpal arthrodesis
Η. Osteotomy of the thumb metacarpal
Θ. Arthrotomy and joint debridement
Ι. Ligament reconstruction using one half of the flexor carpi radialis
Κ. Trapezium resection, tendon interposition, and reconstruction of the ligament
Λ. Creep
Μ. Relaxation
Ν. Energy dissipation
Ξ. Plastic deformation
Ο. Elastic deformation
Π. bending
Ρ. axial loading
΢. high-speed rotation
Σ. direct impact from anteromedial
Τ. crush from anteromedial to posterolateral
Υ. Increase stiffness
Φ. Increase fracture toughness
Χ. Increase fatigue strength
Ψ. Decrease mechanical strength
Ω. Decrease wear rate
Ϊ. disuse osteopenia
Ϋ. paraendocrine effect of the tumor
Ά. abnormally increased density on the right side
Έ. side effect of the treatment of the lesion
Ή. extensive tumor involvement of the left hip
Ί. Sciatic nerve
Ϋ́. Superior gluteal artery
Α. Profunda femoris artery
Β. Femoral artery and nerve
Γ. External iliac artery and vein
Δ. Length
Ε. Moment arm
Ζ. Total volume
Η. Physiologic cross-sectional area
Θ. Distribution of slow and fast twitch fibers
Ι. decreasing initiation of action potentials.
Κ. increasing action potential amplitude.
Λ. blocking the opening of gated sodium channels.
Μ. decreasing the number of functional motor units.
Ν. slowing or stopping action potential propagation through the axon.
Ξ. resection of the metatarsal heads of the first through fifth toes.
Ο. Silastic MP joint arthroplasties of the first through fifth toes.
Π. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Ρ. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Σ. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Σ. hemiarthroplasty
Τ. open reduction and internal fixation
Υ. closed reduction and percutaneous pinning
Φ. a sling and early pedulum exercises
Χ. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Ψ. open acromioplasty
Ω. open Bankart repair
Ϊ. open subscapularis tendon repair
Ϋ. inferior capsular shift
Ό. a supervised physical therapy program
Ύ. a sling and swathe, with pendulum exercises in 10 days
Ώ. open reduction and internal fixation through an anterior approach
Ϗ. open reduction and internal fixation through a posterior approach
Β. immobilization with a splint in 45 degrees of abduction for 6 weeks
Θ. arthroscopically assisted reduction and percutaneous screw fixation
ϒ. Repair of the rotator cuff
ϓ. Replacement of the humeral head
ϔ. Resection arthroplasty
Φ. Total shoulder arthroplasty
Π. AP and lateral radiographs of the elbow
Ϗ. Diagnositc arthroscopy
Ϙ. Aspiration of joint fluid
Ϙ. An erythrocyte sedimentation rate and CBC
Ϛ. A diagnostic lidocaine injection
Ϛ. Insulin-like growth factor (IGF-1)
Ϝ. Fibroblast growth factor (FGF-1)
Ϝ. Platelet-derived growth factor (PDGF)
Ϟ. Transforming growth factor beta (TGF-B)
Ϟ. Bone morphogenetic proteins (BMP)
Ϡ. clinical history and radiographic findings.
Ϡ. technetium bone scan
Ϣ. flow cytometry pattern of extracted chondrocytes
Ϣ. immunohistochemical staining patterns of a biopsy specimen
Ϥ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Ϥ. Radial
Ϧ. Radial recurrent
Ϧ. Posterior interosseous
Ϩ. Superior ulnar recurrent
Ϩ. Superficial radial circumflex
Ϫ. Impaired hydroxylation of proline
Ϫ. Failure of cleavage in procollagen
Ϭ. Defective binding sites for hydroxyproline
Ϭ. Failure to incorporate glycine into the helix
Ϯ. Diminished production of collagen through the rough endoplasmic reticulum
Ϯ. Asking the legal staff to seek a court injunction
Κ. Copying the patient’s chart and giving it to him as he leaves
Ρ. Having the patient sign a written legal contract that specifies acceptable behavior
Ϲ. Continuing care of the patient until an appropriate referral can be arranged
Ϳ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
ϴ. Meta-analysis
Ε. Confidence interval
϶. Analysis of variance (ANOVA)
Ϸ. Statistical significance (p-value)
Ϸ. Survivorship analysis (Kaplan-Meier)
Ϲ. Spinal shock
Ϻ. Neurogenic shock
Ϻ. Hypovolemic shock
ϼ. Pulmonary embolism
Ͻ. Fat embolus syndrome
Ͼ. Lumbar spinal stenosis
Ͽ. Metastatic disease of the spine
Ѐ. Rheumatoid lumbar spondylitis
Ё. Isthmic spondyloloisthesis
Ђ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ѓ. Patella alta
Є. A metal-backed patella
Ѕ. Varus malalignment of the knee
І. A posterior cruciate-substituting femoral component
Ї. Lateral subluxation of the patella on a Merchant’s view
Ј. The sesamoids are separated
Љ. The sesamoid is fractured
Њ. The proximal phx is on the neck of the metatarsal
Ћ. The dislocation is dorsal and centered
Ќ. The proximal phalanx is hyperextended
Ѝ. Patella
Ў. Tibial stem
Џ. Distal femoral interface
А. Posterior femoral interface
Б. Sites of screw fixation for the tibia
В. Hallux rigidus
Г. Fracture of the sesamoid
Д. Disruption of the plantar plate
Е. Osteonecrosis of the metatarsal head
Ж. Rupture of the flexor hallucis longus
З. Gout
И. Sepsis
Й. Old trauma
К. Rheumatoid arthritis
Л. Charcot arthroplasty
М. Aspiration and steroid injection
Н. Biopsy, curettage, and allograft bone grafting
О. Percutaneous Kirschner wire fixation
П. Percutaneous injection of autogenous bone marrow
Р. Nerve roots
С. Spinal cord
Т. Sciatic nerve
У. Peroneal nerve
Ф. Conus medullaris
Х. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
Ц. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Ч. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Ш. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
Щ. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Ъ. Early and late infection
Ы. Periprosthetic fracture of the femur
Ь. Failure of the patellofemoral and extensor mechanisms
Э. Aseptic loosening of cementing tibial components
Ю. Asceptic loosening of cemented femoral components
Я. Acceptance of the current position of the ankle
А. Open reduction and fixation in the epiphysis only
Б. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
В. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
Г. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Д. Resection arthroplasty and local radiation
Е. In situ fusion of the hip
Ж. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
З. Excision of heterotopic bone and local radiation
И. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Й. Closed reduction of both fractures and immediate spica casting
К. Bilateral skin traction for 3 weeks, followed by spica casting
Л. External fixation of both femora
М. External fixation of the left femur and a long leg cast brace for the right femur
Н. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
О. Synovial sarcoma
П. Soft-tissue abcess
Р. Rhabdomyosarcoma
С. Eosinophilic granuloma
Т. Nodular pigmented villonodular synovitis
У. Changing to a titanium nail
Ф. Changing to a nonslotted nail
Х. Changing the cross-sectional shape of the nail
Ц. Increasing the diameter of the nail by 3 mm
Ч. Increasing the diameter of the interlocking screws
Ш. Fracture healing
Щ. Chondrosarcoma
Ъ. Periosteal chondroma
Ы. Periosteal osteosarcoma
Ь. Dysplasia epiphysealis hemimelica
Э. Demonstrate competence in the subject of the case
Ю. Be fellowship trained in the subject of the case
Я. Be paid on a contingency basis
Ѐ. Be board certified by the American Board of Orthopaedic Surgery
Ё. Have been involved in the case as a consultant
Ђ. Diagnostic arthroscopy
Ѓ. Arthroscopy and subacromial decompression
Є. Reduction and fixation of the proximal humeral epiphysis
Ѕ. Temporary cessation of throwing
І. Physical therapy for rotator cuff strengthening
Ї. Oblique popliteal ligament
Ј. Lateral capsule
Љ. Popliteal tendon
Њ. Fibular collateral ligament
Ћ. Posterior oblique ligament
Ќ. Radial tear
Ѝ. Parrot-beak tear
Ў. Vertical tear in the “red-red” zone
Џ. Vertical tear in the “red-white” zone
Ѡ. Vertical tear in the “white-white” zone
Ѡ. 0 degrees of abduction, with neural rotation
Ѣ. 40 degrees of flexion and 60 degrees of internal rotation
Ѣ. 45 degrees of flexion and 45 degrees of external rotation
Ѥ. 90 degrees of abduction with neutral rotation
Ѥ. 90 degrees of abduction and 90 degrees of external rotation
Ѧ. Sural
Ѧ. Saphenous and its branches
Ѩ. Posterior tibial and its branches
Ѩ. Deep peroneal and its branches
Ѫ. Superficial peroneal and its branches
Ѫ. Strength
Ѭ. Stiffness
Ѭ. Shelf life
Ѯ. Antigenicity
Ѯ. Risk of HIV transmission
Ѱ. Indemnification
Ѱ. Occurrence
Ѳ. Excess liability
Ѳ. Claims-made
Ѵ. Nose
Ѵ. Lateral Y
Ѷ. Scapular AP
Ѷ. Neutral rotation AP
Ѹ. Internal rotation AP
Ѹ. External rotation AP
Ѻ. Trauma
Ѻ. Hemophilia
Ѽ. Reiter’s syndrome
Ѽ. Rheumatoid arthritis
Ѿ. Systemic lupus erythematosus
Ѿ. Cast immobilization for 6 weeks
Ҁ. Activity modification and re-evaluation in 2 months
Ҁ. Internal fixation with or without bone grafting
҂. Retrograde drilling of the defect without articular cartilage penetration
҃. Drilling of the defect directly through the articular cartilage
҄. repair or reconstruction of the medial collateral ligament
҅. repair or reconstruction of the medialand lateral collateral ligaments
҆. immobilization for 5 days or less
҇. immobilization for 14 days
҈. immobilization for 25 days
҉. Cystinosis
Ҋ. Hypophosphatemia
Ҋ. Renal osteodystrophy
Ҍ. Primary hyperparathyroidism
Ҍ. Nutritional vitamin D deficiency
Ҏ. Lateral meniscus tear
Ҏ. Popliteus tenosynovitis
Ґ. Iliotibial band friction syndrome
Ґ. Peroneal nerve entrapment
Ғ. Biceps tendinitis
Ғ. Observation
Ҕ. Removal of the prosthetic components
Ҕ. Operative exploration and decompression of the peroneal nerve
Җ. Nerve conduction velocity studies
Җ. Loosening of the primary dressings and knee flexion to 30 degrees
Ҙ. I
Ҙ. II
Қ. III
Қ. decreased tissue tension
Ҝ. decreased abductor lever arm
Ҝ. decreased joint reaction force
Ҟ. increased body weight over lever arm
Ҟ. increased polyethylene wear rate
Ҡ. recurrent traumatic anterior dislocation
Ҡ. recurrent traumatic posterior dislocation
Ң. traumatic subluxation with no previous dislocation
Ң. traumatic anterior subluxation
Ҥ. atraumatic involuntary subluxation
Ҥ. radial
Ҧ. axillary
Ҧ. suprascapular
Ҩ. thoracodorsal
Ҩ. long thoracic
Ҫ. Flexion
Ҫ. Extension
Ҭ. Axial rotation
Ҭ. Left lateral bending
Ү. Right lateral bending
Ү. Skin
Ұ. Lung
Ұ. Brain
Ҳ. Heart
Ҳ. Kidney
Ҵ. Thoracoacromial, lateral thoracic, subscapular
Ҵ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ҷ. Posterior humeral circumflex, subscapular, thoracacromial
Ҷ. Subscapular, thoracacromial, anterior humeral circumflex
Ҹ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ҹ. Respondeat superior
Һ. Indemnity agreement
Һ. Hold harmless agreement- attempt to shift liability from company to physician
Ҽ. Comparative negligence-% of involvement
Ҽ. Contributory negligence- resident contributed to the negligence
Ҿ. t-type
Ҿ. both column
Ӏ. transverse
Ӂ. anterior column
Ӂ. anterior column posterior hemitransverse
Ӄ. Posterior interosseous
Ӄ. Anterior interosseous
Ӆ. Radial
Ӆ. Median
Ӈ. Ulnar
Ӈ. Shock from hypovolemia
Ӊ. Associated rupture of the bladder
Ӊ. Arterial bleeding on pelvic angiogram
Ӌ. Presence of a hematoma in the perineum and scrotum
Ӌ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. Copies of the record can be released to the patient


Explanation

Question 4033

Topic: 10. Pathology and Oncology

  • Which of the following findings is the most specific for ankylosing spondylitis?
. Positive HLA-B27 antigen
. Chest expansion limited to less than 2.5cm
. Generalized ligamentous laxity
. Positive rheumatoid factor (greater than 1 to 64)
. The presence of Achilles tendonitis for more than three months
. Length of the femoral neck
. Retroversion of the upper femur
. Size of the proximal femoral epiphysis
. Size of the greater trochanteric apophysis
. Angle between the proximal femoral physis and Hilgenreiner's line
. an onlay bone graft
. electrical stimulation
. resection of the distal clavicle
. plate fixation and a bone graft
. smooth Kirschner wire fixation and a bone graft
. 20% with cemented and uncemented sockets
. 40% with cemented and uncemented sockets
. 60% with cemented sockets
. 90% with cemented and uncemented sockets
. 90% with cemented sockets
. Intramedullary rodding
. Functional bracing
. Closed reduction and a long arm cast
. Closed reduction and application of an external fixator
. Open reduction and internal fixation with a dorsal plate
. patellar chondromalacia
. failure of meniscus repair
. arthrofibrosis
. varus-valgus instability
. anteroposterior instability
. type-I collagen
. type-II collagen
!. cartilage oligomeric protein (COMP)
". fibroblast growth factor 2 (FGFR2)
#. fibroblast growth factor 3 (FGFR3)
$. karyotyping
%. flow cytometry
&. transmission electron microscopy
'. immunohistochemistry staining
(. scanning electron microscopy
). ankle arthrodesis
*. ankle synovectomy
+. total ankle arthroplasty
,. transplant of cartilage cells
-. lengthening of the Achilles tendon
.. fracture of the acetabulum
/. protrusion of the acetabulum
0. inadequate inferior coverage
1. inadequate superior coverage
2. inadequate anterior and posterior coverage
3. Myelography
4. Thermography
5. CT Scan
6. IV contrast-enhanced CT Scan
7. Gadolinium-enhanced MRI scan
8. CT scan of the chest
9. Bone marrow biopsy
:. Complete blood cell count
;. Lateral radiograph of the skull
<. Erythrocyte sedimentation rate
=. Myosin
>. Troponin
?. Tropomyosin
@. Fibrillin
A. Dystrophin
B. a skeletal survey.
C. audiometric screening.
D. physical therapy for stretching.
E. contrast studies of the upper gastrointestinal tract.
F. reassurance to the parents that there is no underlying pathology.
G. Fragmentation and subluxation of the normal joint articulation
H. Varus deformity with medial subchondral sclerosis
I. Preferential narrowing of the medial tibiofemoral compartment
J. Narrowing of the medial, lateral, and patellofemoral compartments
K. Bone proliferation at the patellar tendon and ligament insertion sites
L. Central cord syndrome
M. Anterior cord syndrome
N. Posterior cord syndrome
O. Brown-Sequard syndrome
P. Cervical nerve root injury
Q. Debriding the skin edges and performing plate fixation of the fracture
R. Debriding the skin edges and intramedullary rodding of the fracture
S. Extending the wounds, debriding the bone ends, and applying distal femoral traction
T. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
U. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
V. The cell body nucleus migrates centrally
W. Schwann cells distal to the transection die
X. Axoplasm in the proximal stump drains out
Y. Myelin distal to the transection is phagocytized
Z. Cell body protein synthesis decreases for the first 10 to 14 days
[. Labral repair
\. acromioplasty
]. excision of the coracoid process
^. an arthroscopic Bankart procedure
_. subscapularis repair
`. Clinodactyly
A. Camptodactyly
B. Symbrachtyly
C. Kirner’s deformity
D. Digiti minimi adductus
E. Cable
F. Buttress plate
G. Methylmethacrylate
H. Multiple lag screws
I. Multiple Kirschner wires
J. Sacral fracture lateral to the foramina
K. Sacral fracture medial to the foramina
L. Sacroiliac fracture-dislocation
M. Sacroiliac dislocation
N. Iliac wing fracture
O. Allograft Replacement
P. Radioulnar synostosis
Q. Excision of the radial head
R. Open reduction and internal fixation
S. Silicone radial head replacement
T. T10 sensory pin-prick level
U. Retained vibratory sensation at the ankles
V. Presence of sacral sparing
W. Retained spontaneous respiratory function
X. Priapism
Y. Application of a pelvic external fixator
Z. A pelvic sling
{. Angiography of the pelvis
|. Open reduction and internal fixation
}. Open packing of the pelvic hematoma
~. Syme’s amputation
. Arthrodesis of the knee
€. Disarticulation of the knee
. Centralization of the fibula
‚. Prosthetic fitting to accommodate the present deformity
ƒ. Use of regional rather than general anesthesia
„. Observation of a latex-avoidance protocol
…. Latex skin allergen testing
†. Premedication with corticosteroids and antihistamines
‡. Avoidance of prophylactic antibiotics derived from penicillin
ˆ. Olecranon pin traction
‰. Closed reduction and pin fixation
Š. Open reduction and internal fixation
‹. Cast immobilization in this position
Œ. An arteriogram to rule out an occult intimal tear of the brachial artery
. A
Ž. B
. C
. D
‘. E
’. Follow-up in six months.
“. AP and lateral radiographs.
”. AP and lateral radiographs, and a bone scan.
•. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
–. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
—. MRI scan
˜. Bone scan
™. Arthrogram
š. Axillary lateral radiograph
›. CT arthrogram
œ. Open repair of the central slip of the extensor mechanism
. Open repair of the terminal tendon of the extensor mechanism
ž. Closed splinting with the proximal interphalangeal joint
Ÿ. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
 . Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
¡. Anteriorly at 20 to 30 degrees of flexion
¢. Anteriorly at 70 to 90 degrees of flexion
£. Posteriorly at 20 to 30 degrees of flexion
¤. Posteriorly at 70 to 90 degrees of flexion
¥. Anteriorly with the knee in full flexion
¦. Rett syndrome
§. Cerebral palsy
¨. Myotonic dystrophy
©. Fragile-X syndrome
ª. Adrenoleukodystrophy
«. Endurance limit
¬. Failure stress
­. Critical stress
®. Yield stress
¯. Elastic limit
°. Ewing’s sarcoma
±. Osteogenic sarcoma
². Multiple myeloma
³. Metastatic prostate carcinoma
´. Metastatic breast carcinoma
Μ. Higher subsequent loosening rate of the femoral component
¶. Higher subsequent polyethylene wear rate
·. Higher subsequent dislocation rate
¸. Higher infection rate
¹. Unaltered subsequent survival rate of the femoral component
º. Crevice corrosion
». Oscillatory fretting
¼. Oxidative degradation
½. Adhesion and abrasion
¾. Fatigue and delamination
¿. a total contact cast.
À. partial calcanectomy
Á. Syme’s amputation
Â. transtibial amputation.
Ã. nonweightbearing and IV antibiotics.
Ä. Sural artery island flap.
Å. Free rectus abdominis flap.
Æ. Extensor digitorum brevis flap.
Ç. Staged cross leg flap.
È. Split-thickness skin graft.
É. An anterior cruciate functional knee brace.
Ê. A physical therapy program.
Ë. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
Ì. Reconstruction of the posterior cruciate ligament.
Í. Reconstruction of the anterior cruciate ligament.
Î. Avoids the risk of marrow emboli
Ï. Avoids injury to the intramedullary nutrient vessels
Ð. Results in faster healing of fractures
Ñ. Results in more secure fixation
Ò. Results in faster regeneration of the endosteal blood supply
Ó. Above-knee amputation
Ô. En bloc resection of the lesion and reconstruction with a bone graft
Õ. Closed reduction and immobilization in a cast
Ö. Open reduction and internal fixation, followed by radiation therapy
×. Open reduction, curettage, and cementing of the lesion
Ø. Injury to the subclavian artery
Ù. Injury to the brachial plexus
Ú. Segmental fracture
Û. 100% displacement
Ü. Associated displaced surgical neck fracture of the humerus
Ý. humeral arthroplasty2/. repair of the rotator cuff
Þ. closed reduction and immobilization
SS. open reduction and immobilization
À. open reduction and early passive motion
Á. arthroscopic capsular release
Â. manipulation under anesthesia
Ã. a physical therapy program
Ä. an intra-articular corticosteroid injection
Å. administration of high-dose oral corticosteroids
Æ. adding the scores, in all five body systems
Ç. adding the squares of the scores in the three most severely injured systems
È. doubling the cumulative score for head and chest injuries
É. combining the scores from the most and least injured systems
Ê. correcting the score in the most severely injured system for age
Ë. traumatic femoral head fracture
Ì. osteonecrosis
Í. osteoarthritis
Î. neuropathic joint
Ï. rheumatoid arthritis
Ð. low-dose radiation
Ñ. steroid injection
Ò. a load-relieving insert and shoe modification
Ó. complete excision of the mass and the entire plantar fascia
Ô. wide excision of the mass with a 2 cm margin of normal fascia
Õ. CT scan of the chest
Ö. technetium bone scan
÷. bone marrow aspiration
Ø. serum protein electrophoresis
Ù. lateral skull radiograph
Ú. high-grade histology of the initial tumor
Û. multiple local recurrences after curettage
Ü. previous treatment of the tumor with cryotherapy
Ý. previous treatment of the tumor with radiation therapy
Þ. extraosseous extension into two or more adjacent compartments
Ÿ. Dorsal rhizotomy and facet joint fusion
Ā. Multilevel corpectomy and spinal stabilization
Ā. Central and lateral recess decompression and bilateral foraminotomy
Ă. Central decompression and facet joint fusion
Ă. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Ą. Inadequate rehabilitation
Ą. Displacement of the coronoid process fracture
Ć. Insufficiency of the lateral ulnar collateral ligament
Ć. Insufficiency of the anterior band of the medial collateral ligament
Ĉ. Insufficiency of the posterior band of the medial collateral ligament
Ĉ. Osteotomy and intramedullary rod fixation
Ċ. Electrical stimulation
Ċ. Strut-autografing the concavity the tibia
Č. A patellar tendon-bearing brace
Č. Percutaneous injection of demineralized bone matrix
Ď. digoxin
Ď. sucralfate
Đ. clindamycin
Đ. alcohol
Ē. neuromuscular blocking agents
Ē. Unrestrained roll-back
Ĕ. Unrestrained rotational conformity
Ĕ. Medial-Lateral conformity
Ė. Anteroposterior conformity in flexion
Ė. Anteroposterior conformity in extension
Ę. Arthrodesis of the MTP joint
Ę. A Silastic implant of the MTP joint
Ě. Resection arthroplasty of the MTP joint
Ě. Cheilctomy of the MTP joint
Ĝ. Osteotomy of the base of the proximal phalanx
Ĝ. Genu varum
Ğ. Tarsal coalition
Ğ. Degenerative ankle arthrosis
Ġ. Osteochondritis dissecans of the talus
Ġ. Hemihypertrophy of the ipsilateral lower extremity
Ģ. Trabecular bone is preferentially resorbed in this high bone turnover state
Ģ. Loss of water content in the disk increases impact load to the vetrebral bodies
Ĥ. Stress is imposed by the relative stiffness of the arthrtic facet joints
Ĥ. Increased energy demands are imposed by decreased circulation to the vertebral body
Ħ. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ħ. Increased time in stance and swing phase
Ĩ. Addition of a double leg float phase
Ĩ. Decreased vertical ground reaction forces
Ī. Decreased arc of motion in the hip, knee, and ankle
Ī. Decreased joint reaction forces in the hip, knee, and ankle
Ĭ. Talonavicular arthrodesis
Ĭ. Medial displacement calcaneal osteotomy
Į. Flexor digitorum longus tendon transfer with spring ligament advancement
Į. Triple arthrodesis
İ. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
I. Lymphoma
IJ. Hemangioma
IJ. Osteosarcoma
Ĵ. TB of the spine
Ĵ. Metastatic breast carcinoma
Ķ. widening and shortening of the heel.
Ķ. weakness of the gastrocnemius-soleus complex.
ĸ. anterior impingement from a horizontal talus.
Ĺ. unrecognized compartment syndrome of the foot.
Ĺ. degenerative arthritis of the tibiotalar joint.
Ļ. a corrective osteotomy
Ļ. application of braces
Ľ. medial physeal stapling until the varus corrects
Ľ. observation
Ŀ. application of corrective casts
Ŀ. a total contact cast.
Ł. electrical stimulation.
Ł. an off the shelf fracture brace.
Ń. an elastic compression bandage and crutches.
Ń. a hard soled shoe until the patient is asymptomatic.
Ņ. Ewings tumor
Ņ. Parosteal osteosarcoma
Ň. Dedifferentiated chondrosarcoma
Ň. Low grade intramedullary chondrosarcoma
ʼN. High grade intramedullary osteosarcoma
Ŋ. Vascular injury
Ŋ. Tear of the rotator cuff
Ō. Injury to the brachial plexus
Ō. Fracture of the upper thoracic rib
Ŏ. Fracture of the proximal humerus
Ŏ. Biceps
Ő. Trapezius
Ő. Infraspinatus
Œ. Pectoralis major
Œ. Serratus anterior
Ŕ. Hybrid total hip arthroplasty
Ŕ. Noncemental hemiarthroplasty of the hip
Ŗ. Closed reduction and percutaneous pin fixation
Ŗ. Open reduction through an anterior approach to the hip
Ř. Excision of the head fragment
Ř. a quadratus femoris pediclebone graft
Ś. a proximal femoral allograft
Ś. intertrochanteric osteotomy
Ŝ. total hip arthroplasty
Ŝ. hip hemiarthroplasty
Ş. Echocardiogram
Ş. Electrocardiogram
Š. Radiograph of the chest
Š. CT scan of the shoulder
Ţ. Ultrasound of the shoulder
Ţ. Ilioinguinal
Ť. Extended iliofemoral
Ť. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ŧ. Kocher-Langenbeck (posterior)
Ŧ. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ũ. Deltoid
Ũ. Supraspinatus
Ū. Subscapularis Infraspinatus
Ū. Infraspinatus
Ŭ. Infraspinatus and teres minor
Ŭ. an orthosis.
Ů. observation.
Ů. electrical stimulation.
Ű. open reduction and internal fixation.
Ű. application of a nonweightbearing short leg cast.
Ų. repair of the rotator cuff.
Ų. rehabilitation of the shoulder
Ŵ. replacement of the humeral head.
Ŵ. arthroscopic acromioplasty and debridement.
Ŷ. immobilization is a sling until pain resolves.
Ŷ. Bone rotation versus torque applied
Ÿ. Bone deflection versus bending moment applied
Ź. Axial displacement versus tension applied
Ź. Lateral translation versus shear force applied
Ż. Fracture gap closing versus compressive force applied
Ż. steroid injection
Ž. stretching of the heel cord
Ž. surgical release of the plantar fascia
S. application of a short leg cast for 6 to 8 weeks
Ƀ. wearing dorsiflexion night splints
Ɓ. Open bladder
Ƃ. Bilateral “hitchhiker’s” thumbs
Ƃ. Bilateral defects in the midclavicles
Ƅ. Rhizomelic shortening of the extremities
Ƅ. Radiographic fragmentation of all major epiphyses
Ɔ. Medial patellotibial
Ƈ. Medial patellofemoral
Ƈ. Medial patellomeniscal
Ɖ. Lateral patellofemoral
Ɗ. Lateral patellotibial
Ƌ. Heat
Ƌ. Gentle active flexion-extension exercises
ƍ. Isokinetic strengthening
Ǝ. Electrical muscle stimulation
Ə. Immobilization of the limb with the knee in full flexion
Ɛ. Distal chevron osteotomy with soft-tissue release
Ƒ. Distal soft-tissue realignment only
Ƒ. Closing wedge osteotomy (Aken) of the proximal phalanx
Ɠ. Proximal first metatarsal osteotomy only
Ɣ. Soft-tissue realignment with a proximal metatarsal osteotomy
Ƕ. Vagus
Ɩ. Phrenic
Ɨ. Hypoglossal
Ƙ. Recurrent laryngeal
Ƙ. Inferior thyroid
Ƚ. Surgical exploration
ƛ. Application of leeches
Ɯ. Stellate ganglion blocks
Ɲ. Intra-arterial streptokinase
Ƞ. Elevation and reevaluation in 1 hour
Ɵ. Liver profile
Ơ. Myleogram
Ơ. Platelet count
Ƣ. CT scan of the head
Ƣ. Angiogram of the extremity
Ƥ. Post spinal fusion from L5to S1
Ƥ. Primary repair with an iliac bone graft
Ʀ. Post spinal fusion of L4-5
Ƨ. A pantaloon body cast and 6 weeks of bed rest
Ƨ. Rest, NSAIDS, and limited dancing
Ʃ. Stress fracture of the proximal fifth metatarsal
ƪ. Stress fracture of the base of the second metatarsal
ƫ. Stress fracture of the neck of the second metatarsal
Ƭ. Morton’s neuroma
Ƭ. Lisfranc’s joint subluxation
Ʈ. C5 radiculopathy
Ư. Subscapularis rupture
Ư. Glenohumeral arthrosis
Ʊ. Rotator cuff arthropathy
Ʋ. Suprascapular nerve compression at the spinoglenoid notch
Ƴ. mm femoral head in combination with a metal-backed polyethylene component
Ƴ. mm femoral head in combination with an all-polyethylene acetabular component
Ƶ. mm femoral head in combination with a metal-backed polyethylene component
Ƶ. mm femoral head in combination with an all-polyethylene component
Ʒ. mm femoral head in combination with a metal-backed polyethylene component
Ƹ. Female gender
Ƹ. History of cigarette smoking
ƺ. L5-S1 spondylolisthesis on pre-employment radiography
ƻ. Decreased strength of the lower extremities on pre-employment testing
Ƽ. Decreased flexibility of the lumbar spine on pre-employment testing
Ƽ. Size of cells
ƾ. Amount of DNA in cells
Ƿ. Nucleus-cytoplasm ratio
ǀ. Specific DNA sequences
ǁ. Specific messenger RNA sequences
ǂ. Femoral and obturator nerves
ǃ. Femoral and superior gluteal nerves
DŽ. Femoral and lateral femoral cutaneous nerves
DŽ. Obturator and superior gluteal nerves
DŽ. Obturator and lateral femoral cutaneous nerves
LJ. Isotonic
LJ. Isokinetic
LJ. Isometric
NJ. Open kinetic chain
NJ. Dynamic variable resistance
NJ. Closed reduction and cast immobilization
Ǎ. Uniplanar external fixation
Ǎ. Open reduction and internal fixation with a dynamic compression plate
Ǐ. Unreamed intramedullary rod
Ǐ. Multiple plane external fixator
Ǒ. Inlet view of the pelvis
Ǒ. Outlet view of the pelvis
Ǔ. AP view of the hip
Ǔ. Ilial oblique view (external oblique) of the hip
Ǖ. Obturator oblique
Ǖ. Glycolytic pathway
Ǘ. Oxidative phosphorylation
Ǘ. Breakdown of fat
Ǚ. Breakdown of protein
Ǚ. Breakdown of adenosine triphosphate
Ǜ. an MRI scan
Ǜ. arthroscopic examination
Ǝ. AP and frog-lateral radiographs of the pelvis and hips
Ǟ. varus and valgus stress radiographs of the knee
Ǟ. physical examination of the knee under anesthesia
Ǡ. extended curettage and polymethylmethacrylate cementation
Ǡ. extra-articular resection of the knee and an allograft arthrodesis
Ǣ. wide resection of the proximal tibia and custom prosthetic replacement
Ǣ. prophylactic internal fixation and postoperative irradiation
Ǥ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
Ǥ. silicone implant joint replacement
Ǧ. metatarsophalangeal joint arthrodesis
Ǧ. metatarsophalangeal joint debridement
Ǩ. resection of the metatarsal head
Ǩ. resection of the base of the proximal phalanx
Ǫ. Fixation of the syndesmosis has failed
Ǫ. Widening of the ankle mortise has led to the failure of fixation
Ǭ. Infection around the syndesmosis screw has led to osteomyelitis
Ǭ. The syndesmosis screw is broken
Ǯ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǯ. Microcephaly
J̌. A temporal lobe cyst
DZ. An Arnold-Chiari type 1 malformation
DZ. Periventricular leukomalacia
DZ. Agnesis of the corpus callosum
Ǵ. Wolff’s
Ǵ. Hooke’s
Ƕ. Hilton’s
Ƿ. Muller-Haeckel
Ǹ. Heuter-Volkmann
Ǹ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǻ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ǻ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ǽ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ǽ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǿ. UCB orthosis
Ǿ. Rigid orthosis with a medical arch support
Ȁ. Semi-rigid orthosis with lateral forefoot posting
Ȁ. Semi-rigid orthosis with a medial arch support
Ȃ. Medial heel wedge attached to the running shoes
Ȃ. Hallux varus
Ȅ. Osteonecrosis
Ȅ. Recurrence of the hallux valgus
Ȇ. “Transfer” second metatarsalgia
Ȇ. Physeal arrest of the first metatarsal
Ȉ. Aseptic loosening in a 70-year-old patient
Ȉ. Mechanical failure of a hinged knee prosthesis
Ȋ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ȋ. Infection with soft-tissue deficit
Ȍ. A prior patellectomy
Ȍ. Knee fusion
Ȏ. Open irrigation and debridement
Ȏ. Arthroscopic irrigation and debridement
Ȑ. One-stage exchange arthroplasty
Ȑ. Two-stage exchange arthroplasty
Ȓ. Putti-platt repair
Ȓ. Open Bankart repair
Ȕ. Injection of a subacromial corticosteroid
Ȕ. Arthroscopic transglenoid capsular shift
Ȗ. Rehabilitation of the scapular and rotator cuff muscles
Ȗ. Silicone suction socket and an energy-absorbing foot
Ș. Silicone suction socket and a variable resistance ankle
Ș. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ț. Plastic socket with a hinged thigh cuff and a SACH foot
Ț. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ȝ. Parosteal
Ȝ. Periosteal
Ȟ. High-grade intramedullary
Ȟ. Osteosarcoma occurring in Paget’s disease
Ƞ. Osteosarcoma occurring in irradiated bone
ȡ. Cauda equina
Ȣ. Conus medullaris
Ȣ. Genitofemoral nerve
Ȥ. Lumbar sympathetic plexus
Ȥ. Lumbar parasympathetic plexus
Ȧ. Spinal pseudoarthrosis
Ȧ. Spinal cord traction injury with paralysis
Ȩ. Arterial and venous thromboses
Ȩ. Superior mesenteric artery syndrome
Ȫ. Crankshaft phenomenon
Ȫ. Inversion stress radiograph
Ȭ. MRI scan
Ȭ. CT scan
Ȯ. Nuclear bone scan
Ȯ. External rotation stress radiograph
Ȱ. Complex deformity with an angulation in two planes
Ȱ. Single deformity less than 20 degrees, apex posterolateral
Ȳ. Single deformity greater than 30 degrees, apex posterolateral
Ȳ. Single deformity less than 20 degrees, apex posteromedial
ȴ. Single deformity greater than 30 degrees, apex posteromedial
ȵ. Pronation of the foot during the stance phase of gait
ȶ. Heel inversion at the beginning of a single limb heel rise
ȷ. Active inversion of the nonweightbearing foot
ȸ. Active plantar flexion of the first ray against resistance
ȹ. Active plantar flexion of the foot during the push-off phase of gait
Ⱥ. Observation and repeat radiographs in 4 months
Ȼ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ȼ. Electrical stimulation at night
Ƚ. Physical therapy
Ⱦ. Begins to remodel and hypertrophy more quickly
Ȿ. Provides a better scaffold for osteoconduction
Ɀ. Reduces the risk of early fracture
Ɂ. Reduces technical difficulty
Ɂ. Lowers donor site morbidity
Ƀ. Anterior fusion of the lumbar curve
Ʉ. Anterior and posterior fusion of the thoracic curve
Ʌ. Posterior fusion of the thoracic curve
Ɇ. Posterior fusion of the thoracic and lumbar curves
Ɇ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ɉ. Subscapularis rupture
Ɉ. Type III SLAP lesion
Ɋ. Disruption of capsular shift
Ɋ. Isolated traumatic subluxation
Ɍ. Injury to the axillary nerve after dislocation
Ɍ. hypophosphatemia
Ɏ. high dietary cholesterol intake
Ɏ. deficiency of lipoprotein A
Ɐ. deficiency of protein S and protein C
Ɑ. elevated levels of antithrombin III
Ɒ. Weightbearing short leg cast
Ɓ. Nonweightbearing short leg cast
Ɔ. Removable splint and early motion
ɕ. Open reduction and internal fixation
Ɖ. Elastic compression bandage with full weightbearing
Ɗ. Breast
ɘ. Prostate
Ə. Gastrointestinal
ɚ. Kidney
Ɛ. Multiple myeloma
Ɜ. Varus stress
ɝ. Valgus stress
ɞ. Torsional loading
ɟ. Hyperextension of the knee
Ɠ. Contraction of the quadriceps while axially loaded
Ɡ. Primary internal fixation at both fracture levels
ɢ. External fixation as definitive ttt for both #
Ɣ. Skeletal traction and delayed internal fixation of both fractures
ɤ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɥ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɦ. Heel spur
ɧ. Plantar fascitis
Ɨ. Dysfunction of the tibialis posterior tendon
Ɩ. Compression of the first branch of the lateral plantar nerve
Ɪ. Compression of the calcaneal nerve
Ɫ. Displaced labral tear
Ɬ. Tear of the rotator cuff
ɭ. Fracture of the glenoid rim
ɮ. Palsy of the axillary nerve
Ɯ. Palsy of the musculocutaneus nerve
ɰ. Enchondroma
Ɱ. Osteoblastoma
Ɲ. Giant cell tumor
ɳ. Aneurysmal bone cyst
ɴ. Fibrous dysplasia
Ɵ. Arthrogram of the wrist
ɶ. MRI scan of both wrists
ɷ. CT scan of both wrists in the same position
ɸ. Radiographs of the wrist in supination and pronation
ɹ. Radiographs of the opposite wrist in the same position
ɺ. Secondary hyperparathyroidism
ɻ. Phosphate retention secondary to uremia
ɼ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
Ɽ. Aluminum deposition in bone from oral phosphate binders
ɾ. Persistent acidosis aggravating the negative calcium balance
ɿ. Posterior fusion at T10-L3 with segmental instrumentation
Ʀ. Laminectomy and fusion of T12-L2 with segmental instrumentation
ʁ. Bed rest in a hyperextension brace
Ʂ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
Ʃ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
ʄ. Positive-pressure ventilation
ʅ. An immediate radiograph of the chest
ʆ. Adjustment of the position of the endotrachael tube
Ʇ. Insertion of a large-bore needle into the pericardial space
Ʈ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
Ʉ. Allowing the ends of the fracture to touch
Ʊ. Adding a second connecting bar
Ʋ. Adding one pin to each fracture fragment
Ʌ. Increasing the pin diameter from 4 mm to 6 mm
ʍ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
ʎ. Osteomyelitis
ʏ. Malignant degeneration
ʐ. Stress fracture
ʑ. Local recurrence of the giant cell tumor
Ʒ. Bone resorption due to methylmethacrylate
ʓ. Advancement of the plantar plate
ʔ. Resection of the second metatarsal head
ʕ. Dorsiflexion osteotomy of the second metatarsal neck
ʖ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
ʗ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
ʘ. Sacral fracture
ʙ. Burst fracture of L5
ʚ. Cauda equina syndrome
ʛ. Distraction-flexion injury at L3
ʜ. Distraction-extension injury at L3
Ʝ. An MRI scan of the shoulder
Ʞ. An MRI scan of the cervical spine
ʟ. Electromyographic and nerve conduction velocity studies
ʠ. Immobilization in a sling and early passive range of motion exercises
ʡ. Immediate return to the operating room for exploration of the brachial plexus
ʢ. cerclage wiring
ʣ. tension band wiring
ʤ. removal of the patellar component
ʥ. revision of the patellar component
ʦ. immobilization of the knee and protected weightbearing
ʧ. Liposarcoma
ʨ. Nodular fasciitis
ʩ. Rabdomyosarcoma
ʪ. Malignant fibrous histiocytoma
ʫ. Extra-abdominal desmoid tumor
ʬ. Clubfeet
ʭ. Thrombocytopenia
ʮ. Congenital scoliosis
ʯ. Ventricular septal defect
ʰ. Arnold-Chiari malformation
ʱ. delayed primary closure
ʲ. free flap
ʳ. pedicle groin flap
ʴ. full-thickness skin graft
ʵ. split-thickness skin graft
ʶ. Infection
ʷ. Nonunion
ʸ. Improper screw length
ʹ. Osteonecrosis of the distal fragment
ʺ. Use of a cortical screw instead of a cancellous screw
ʻ. Infection
ʼ. Tear of the rotator cuff
ʽ. Loosening of the humeral component
ʾ. Arthritis of the glenoid
ʿ. Arthritis of the A-C joint
ˀ. Reduced morbidity
ˁ. Improved osteoinduction
˂. Improved osteoconduction
˃. More rapid revascularization
˄. Lower risk of disease transmission
˅. Manipulation Under Anesthesia
ˆ. Arthroscopic acromioplasty
ˇ. Arthroscopic debridement of G-H joint
ˈ. Replacement of the humeral head
ˉ. Lengthening of the subscapularis and release of the anterior capsule
ˊ. Bacteroides
ˋ. E. coli
ˌ. Staph. aureus
ˍ. group A streptococcus
ˎ. Clostridium perforingens
ˏ. observation and exercises
ː. bracing with a thoracolumbar orthosis
ˑ. fusion of the posterior spine
˒. fusion of the anterior spine
˓. fusion of the anterior and posterior spine
˔. Total wrist replacement and bridge grafts
˕. palmar shelf arthroplasty and tendon transfers
˖. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
˗. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
˘. Total wrist fusion and tendon transfers
˙. constrained acetabular component
˚. protrusion ring with morselized graft
˛. cemented metal backed acetabular component
˜. cemented all-polyethylene acetabular component
˝. cementless hemispherical component with screw fixation
˞. application of a hip abduction brace for 22 hours per day
˟. application of a hip spica under anesthesia
ˠ. discontinuance of all bracing and repeat radiographs in 3 months
ˡ. open reduction of the hip and application of a spica cast
ˢ. open reduction, varus osteotomy, and application of a spica cast
ˣ. Loss of skin hair on the feet
ˤ. Absent pulses on vascular examination
˥. Pain that originates proximally and spreads distally
˦. Pain that is relieved by stopping and standing
˧. Pain that is worse when the patient walks uphill rather downhill
˨. wrist flexors and finger flexors
˩. elbow flexors and wrist flexors
˪. elbow flexors and finger flexors
˫. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
ˬ. elbow extensors and wrist extensors
˭. Syndactyly
ˮ. Macrodactyly
˯. Camptodactyly
˰. Preaxial polydactyly
˱. Postaxial polydactyly
˲. Arthrodesis
˳. Rotationplasty
˴. Above-knee amputation
˵. Osteoarticular allograft
˶. Endoprosthesis (custom arthroplasty)
˷. Plantar fascia
˸. Spring ligament
˹. Deltoid ligament
˺. Intrinsic tendons
˻. Gastorcnemius-solelus complex
˼. Prevention of presynaptic release of acetylcholine
˽. Prevention of synthesis of presynaptic acetylcholine
˾. Activation of acetylcholinesterase at the motor end-plate
˿. Blockage of postsynaptic action of acetylcholine until reserves are depleted
̀. Stimulation of release of presynaptic acetylcholine until reserves are depleted
́. stiffness of the femoral component.
̂. head offset of the femoral component.
̃. femoral component material modulus of elasticity.
̄. extent of the femoral component porous coating.
̅. Presence of a femoral component collar.
̆. plantar fascia and quadratus plantae tendon.
̇. ligamentous structures connecting the tarsal bones.
̈. shape of the tarsal bones and the intervening joints.
̉. activity of the intrinsic muscles of the foot.
̊. activity of the posterior tibialis and the peroneus longus muscles.
̋. scapulothoracic fusion
̌. strengthening of the periscapular muscles
̍. pectoralis minor-fascia lata graft transfer to the scapula
̎. pectoralis major-fascia lata graft transfer to the scapula
̏. exploration of the long thoracic nerve, with sural nerve graft
̐. tricompartmental knee replacement
̑. unicompartmental knee replacement
̒. medial compartment meniscal allograft
̓. valgus-producing distal femoral osteotomy
̔. valgus-producing proximal tibial osteotomy
̕. Internal rotation of the femoral component
̖. External rotation of the tibial component
̗. Lateral placement of the femoral component
̘. Medial placement of the patellar component
̙. Excessive resection of the patella
̚. Hallux rigidus
̛. Hallux valgus
̜. Neuroma of the first web space
̝. Fracture of the sesamoid
̞. Rupture of the flexor hallucis longus
̟. Sickle cell crisis
̠. Idiopathic chondrolysis
̡. Hemophilic arthropathy
̢. Osteoid osteoma of the femoral neck
̣. Legg-Calve-Perthes disease
̤. Decreased ankle jerk and positive femoral nerve stretch test
̥. Decreased knee jerk and positive straight-leg raising sign
̦. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̧. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̨. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̩. Long-term administration of IV and oral antibiotics
̪. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̫. Immediate exchange arthroplasty with antibiotic-impregnated cement
̬. Two-stage surgical prosthetic exchange and IV antibiotics
̭. Resection arthroplasty and IV antibiotics
̮. SCFE
̯. MED
̰. Perthes disease
̱. Hypothyroidism
̲. Chondrolysis
̳. gout.
̴. osteoporosis.
̵. eosinophilic granuloma.
̶. tuberculosis of the spine.
̷. metastatic disease of the spine.
̸. water content.
̹. Synthesis of type I collagen.
̺. Proteoglycan content.
̻. Activity of chondrocytes.
̼. Synthesis of hyaluronate.
̽. Lung
̾. Breast
̿. Prostate
̀. Thyroid
́. Renal
͂. T1-low, T2-low.
̓. T1-low, T2-high.
̈́. T1-moderate, T2-low.
Ι. T1-high, T2-low.
͆. T1-high, T2-high.
͇. hypothesis is incorrect or invalid
͈. interobserver error rate is 4%.
͉. Standard deviation is 4% higher or lower than the mean.
͊. Sample size is 4% larger than required to be clinically significant.
͋. Probability that the differences noted between two study groups were due to chance alone is 4%.
͌. I
͍. II
͎. IV
͏. IX
͐. X
͑. Cranial setting
͒. Cranial subluxation
͓. Odontoid fracture
͔. Lysis of the arch of the atlas
͕. Atlantoaxial subluxation
͖. Retrograde collapse of the endoneurial tubes
͗. Irreversible atrophy of the denervated muscles
͘. Elongation of the axons across the zone of injury
͙. Sprouting of the axons at the neuromuscular junction
͚. Misdirection of the axons across the zone of injury
͛. Maximally pronated and elbow extended
͜. Maximally pronated and the elbow flexed
͝. Maximally supinated and the elbow flexed
͞. Maximally supinated and the elbow extended
͟. In neutral rotation, with the elbow extended
͠. open reduction and internal fixation
͡. buddy taping to the adjacent index finger
͢. early motion with application of a dynamic banjo splint
ͣ. application of a cast with the hand in a “safe position” for 3 weeks.
ͤ. dorsal extension block splinting
ͥ. The name of the manufacturer
ͦ. The manufacturer’s potential liability
ͧ. The physician’s clinical performance
ͨ. The physician’s materials testing data
ͩ. Any royalties the physician receives from the manufacturer
ͪ. Femoral
ͫ. Obturator
ͬ. Inferior gluteal
ͭ. Superior gluteal
ͮ. Lateral femoral cutaneous
ͯ. open biopsy and a long leg cast
Ͱ. open biopsy and wide resection of the tumor
Ͱ. a long leg cast and observation
Ͳ. intramedullary stabilization and observation
Ͳ. Triggering
ʹ. Lateral instability
͵. Swan-neck deformity
Ͷ. Boutonniere deformity
Ͷ. Loss of distal interphalangeal joint flexion
͸. Peroneus brevis to peroneus longus
͹. Peroneus tertius to extensor hallucis longus
ͺ. Peroneus tertius to superficial peroneal nerve
Ͻ. Extensor hallucis longus to deep peroneal nerve
Ͼ. Extensor hallucis longus to extensor digitorum longus
Ͽ. reassurance that Medicare will pay for the treatment.
;. consent forms that patients or their guardians are able to understand.
Ϳ. a detailed description of the device, omitting the fact that it is part of a study.
΀. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
΁. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
΂. an onlay iliac crest bone graft.
΃. limited weightbearing and observation.
΄. removal of the implant and limited weightbearing.
΅. removal of the implant and insertion of a reamed femoral nail.
Ά. removal of the implant and insertion of an unreamed femoral nail.
·. Coronal
Έ. Sagittal
Ή. Anteromedial, midway between the sagittal and the coronal
Ί. Proximal pins sagittal, distal pins coronal
΋. Proximal pins coronal, distal pins sagittal
Ό. Rheumatoid arthritis
΍. Posttraumatic arthritis
Ύ. Degenerative osteoarthritis
Ώ. Osteonecrosis of the tibial plateau
Ϊ́. Osteonecrosis of the medial femoral condyle
Α. Trapeziometacarpal arthrodesis
Β. Osteotomy of the thumb metacarpal
Γ. Arthrotomy and joint debridement
Δ. Ligament reconstruction using one half of the flexor carpi radialis
Ε. Trapezium resection, tendon interposition, and reconstruction of the ligament
Ζ. Creep
Η. Relaxation
Θ. Energy dissipation
Ι. Plastic deformation
Κ. Elastic deformation
Λ. bending
Μ. axial loading
Ν. high-speed rotation
Ξ. direct impact from anteromedial
Ο. crush from anteromedial to posterolateral
Π. Increase stiffness
Ρ. Increase fracture toughness
΢. Increase fatigue strength
Σ. Decrease mechanical strength
Τ. Decrease wear rate
Υ. disuse osteopenia
Φ. paraendocrine effect of the tumor
Χ. abnormally increased density on the right side
Ψ. side effect of the treatment of the lesion
Ω. extensive tumor involvement of the left hip
Ϊ. Sciatic nerve
Ϋ. Superior gluteal artery
Ά. Profunda femoris artery
Έ. Femoral artery and nerve
Ή. External iliac artery and vein
Ί. Length
Ϋ́. Moment arm
Α. Total volume
Β. Physiologic cross-sectional area
Γ. Distribution of slow and fast twitch fibers
Δ. decreasing initiation of action potentials.
Ε. increasing action potential amplitude.
Ζ. blocking the opening of gated sodium channels.
Η. decreasing the number of functional motor units.
Θ. slowing or stopping action potential propagation through the axon.
Ι. resection of the metatarsal heads of the first through fifth toes.
Κ. Silastic MP joint arthroplasties of the first through fifth toes.
Λ. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Μ. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Ν. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Ξ. hemiarthroplasty
Ο. open reduction and internal fixation
Π. closed reduction and percutaneous pinning
Ρ. a sling and early pedulum exercises
Σ. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Σ. open acromioplasty
Τ. open Bankart repair
Υ. open subscapularis tendon repair
Φ. inferior capsular shift
Χ. a supervised physical therapy program
Ψ. a sling and swathe, with pendulum exercises in 10 days
Ω. open reduction and internal fixation through an anterior approach
Ϊ. open reduction and internal fixation through a posterior approach
Ϋ. immobilization with a splint in 45 degrees of abduction for 6 weeks
Ό. arthroscopically assisted reduction and percutaneous screw fixation
Ύ. Repair of the rotator cuff
Ώ. Replacement of the humeral head
Ϗ. Resection arthroplasty
Β. Total shoulder arthroplasty
Θ. AP and lateral radiographs of the elbow
ϒ. Diagnositc arthroscopy
ϓ. Aspiration of joint fluid
ϔ. An erythrocyte sedimentation rate and CBC
Φ. A diagnostic lidocaine injection
Π. Insulin-like growth factor (IGF-1)
Ϗ. Fibroblast growth factor (FGF-1)
Ϙ. Platelet-derived growth factor (PDGF)
Ϙ. Transforming growth factor beta (TGF-B)
Ϛ. Bone morphogenetic proteins (BMP)
Ϛ. clinical history and radiographic findings.
Ϝ. technetium bone scan
Ϝ. flow cytometry pattern of extracted chondrocytes
Ϟ. immunohistochemical staining patterns of a biopsy specimen
Ϟ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Ϡ. Radial
Ϡ. Radial recurrent
Ϣ. Posterior interosseous
Ϣ. Superior ulnar recurrent
Ϥ. Superficial radial circumflex
Ϥ. Impaired hydroxylation of proline
Ϧ. Failure of cleavage in procollagen
Ϧ. Defective binding sites for hydroxyproline
Ϩ. Failure to incorporate glycine into the helix
Ϩ. Diminished production of collagen through the rough endoplasmic reticulum
Ϫ. Asking the legal staff to seek a court injunction
Ϫ. Copying the patient’s chart and giving it to him as he leaves
Ϭ. Having the patient sign a written legal contract that specifies acceptable behavior
Ϭ. Continuing care of the patient until an appropriate referral can be arranged
Ϯ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Ϯ. Meta-analysis
Κ. Confidence interval
Ρ. Analysis of variance (ANOVA)
Ϲ. Statistical significance (p-value)
Ϳ. Survivorship analysis (Kaplan-Meier)
ϴ. Spinal shock
Ε. Neurogenic shock
϶. Hypovolemic shock
Ϸ. Pulmonary embolism
Ϸ. Fat embolus syndrome
Ϲ. Lumbar spinal stenosis
Ϻ. Metastatic disease of the spine
Ϻ. Rheumatoid lumbar spondylitis
ϼ. Isthmic spondyloloisthesis
Ͻ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ͼ. Patella alta
Ͽ. A metal-backed patella
Ѐ. Varus malalignment of the knee
Ё. A posterior cruciate-substituting femoral component
Ђ. Lateral subluxation of the patella on a Merchant’s view
Ѓ. The sesamoids are separated
Є. The sesamoid is fractured
Ѕ. The proximal phx is on the neck of the metatarsal
І. The dislocation is dorsal and centered
Ї. The proximal phalanx is hyperextended
Ј. Patella
Љ. Tibial stem
Њ. Distal femoral interface
Ћ. Posterior femoral interface
Ќ. Sites of screw fixation for the tibia
Ѝ. Hallux rigidus
Ў. Fracture of the sesamoid
Џ. Disruption of the plantar plate
А. Osteonecrosis of the metatarsal head
Б. Rupture of the flexor hallucis longus
В. Gout
Г. Sepsis
Д. Old trauma
Е. Rheumatoid arthritis
Ж. Charcot arthroplasty
З. Aspiration and steroid injection
И. Biopsy, curettage, and allograft bone grafting
Й. Percutaneous Kirschner wire fixation
К. Percutaneous injection of autogenous bone marrow
Л. Nerve roots
М. Spinal cord
Н. Sciatic nerve
О. Peroneal nerve
П. Conus medullaris
Р. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
С. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Т. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
У. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
Ф. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Х. Early and late infection
Ц. Periprosthetic fracture of the femur
Ч. Failure of the patellofemoral and extensor mechanisms
Ш. Aseptic loosening of cementing tibial components
Щ. Asceptic loosening of cemented femoral components
Ъ. Acceptance of the current position of the ankle
Ы. Open reduction and fixation in the epiphysis only
Ь. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
Э. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
Ю. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Я. Resection arthroplasty and local radiation
А. In situ fusion of the hip
Б. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
В. Excision of heterotopic bone and local radiation
Г. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Д. Closed reduction of both fractures and immediate spica casting
Е. Bilateral skin traction for 3 weeks, followed by spica casting
Ж. External fixation of both femora
З. External fixation of the left femur and a long leg cast brace for the right femur
И. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Й. Synovial sarcoma
К. Soft-tissue abcess
Л. Rhabdomyosarcoma
М. Eosinophilic granuloma
Н. Nodular pigmented villonodular synovitis
О. Changing to a titanium nail
П. Changing to a nonslotted nail
Р. Changing the cross-sectional shape of the nail
С. Increasing the diameter of the nail by 3 mm
Т. Increasing the diameter of the interlocking screws
У. Fracture healing
Ф. Chondrosarcoma
Х. Periosteal chondroma
Ц. Periosteal osteosarcoma
Ч. Dysplasia epiphysealis hemimelica
Ш. Demonstrate competence in the subject of the case
Щ. Be fellowship trained in the subject of the case
Ъ. Be paid on a contingency basis
Ы. Be board certified by the American Board of Orthopaedic Surgery
Ь. Have been involved in the case as a consultant
Э. Diagnostic arthroscopy
Ю. Arthroscopy and subacromial decompression
Я. Reduction and fixation of the proximal humeral epiphysis
Ѐ. Temporary cessation of throwing
Ё. Physical therapy for rotator cuff strengthening
Ђ. Oblique popliteal ligament
Ѓ. Lateral capsule
Є. Popliteal tendon
Ѕ. Fibular collateral ligament
І. Posterior oblique ligament
Ї. Radial tear
Ј. Parrot-beak tear
Љ. Vertical tear in the “red-red” zone
Њ. Vertical tear in the “red-white” zone
Ћ. Vertical tear in the “white-white” zone
Ќ. 0 degrees of abduction, with neural rotation
Ѝ. 40 degrees of flexion and 60 degrees of internal rotation
Ў. 45 degrees of flexion and 45 degrees of external rotation
Џ. 90 degrees of abduction with neutral rotation
Ѡ. 90 degrees of abduction and 90 degrees of external rotation
Ѡ. Sural
Ѣ. Saphenous and its branches
Ѣ. Posterior tibial and its branches
Ѥ. Deep peroneal and its branches
Ѥ. Superficial peroneal and its branches
Ѧ. Strength
Ѧ. Stiffness
Ѩ. Shelf life
Ѩ. Antigenicity
Ѫ. Risk of HIV transmission
Ѫ. Indemnification
Ѭ. Occurrence
Ѭ. Excess liability
Ѯ. Claims-made
Ѯ. Nose
Ѱ. Lateral Y
Ѱ. Scapular AP
Ѳ. Neutral rotation AP
Ѳ. Internal rotation AP
Ѵ. External rotation AP
Ѵ. Trauma
Ѷ. Hemophilia
Ѷ. Reiter’s syndrome
Ѹ. Rheumatoid arthritis
Ѹ. Systemic lupus erythematosus
Ѻ. Cast immobilization for 6 weeks
Ѻ. Activity modification and re-evaluation in 2 months
Ѽ. Internal fixation with or without bone grafting
Ѽ. Retrograde drilling of the defect without articular cartilage penetration
Ѿ. Drilling of the defect directly through the articular cartilage
Ѿ. repair or reconstruction of the medial collateral ligament
Ҁ. repair or reconstruction of the medialand lateral collateral ligaments
Ҁ. immobilization for 5 days or less
҂. immobilization for 14 days
҃. immobilization for 25 days
҄. Cystinosis
҅. Hypophosphatemia
҆. Renal osteodystrophy
҇. Primary hyperparathyroidism
҈. Nutritional vitamin D deficiency
҉. Lateral meniscus tear
Ҋ. Popliteus tenosynovitis
Ҋ. Iliotibial band friction syndrome
Ҍ. Peroneal nerve entrapment
Ҍ. Biceps tendinitis
Ҏ. Observation
Ҏ. Removal of the prosthetic components
Ґ. Operative exploration and decompression of the peroneal nerve
Ґ. Nerve conduction velocity studies
Ғ. Loosening of the primary dressings and knee flexion to 30 degrees
Ғ. I
Ҕ. II
Ҕ. III
Җ. decreased tissue tension
Җ. decreased abductor lever arm
Ҙ. decreased joint reaction force
Ҙ. increased body weight over lever arm
Қ. increased polyethylene wear rate
Қ. recurrent traumatic anterior dislocation
Ҝ. recurrent traumatic posterior dislocation
Ҝ. traumatic subluxation with no previous dislocation
Ҟ. traumatic anterior subluxation
Ҟ. atraumatic involuntary subluxation
Ҡ. radial
Ҡ. axillary
Ң. suprascapular
Ң. thoracodorsal
Ҥ. long thoracic
Ҥ. Flexion
Ҧ. Extension
Ҧ. Axial rotation
Ҩ. Left lateral bending
Ҩ. Right lateral bending
Ҫ. Skin
Ҫ. Lung
Ҭ. Brain
Ҭ. Heart
Ү. Kidney
Ү. Thoracoacromial, lateral thoracic, subscapular
Ұ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ұ. Posterior humeral circumflex, subscapular, thoracacromial
Ҳ. Subscapular, thoracacromial, anterior humeral circumflex
Ҳ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ҵ. Respondeat superior
Ҵ. Indemnity agreement
Ҷ. Hold harmless agreement- attempt to shift liability from company to physician
Ҷ. Comparative negligence-% of involvement
Ҹ. Contributory negligence- resident contributed to the negligence
Ҹ. t-type
Һ. both column
Һ. transverse
Ҽ. anterior column
Ҽ. anterior column posterior hemitransverse
Ҿ. Posterior interosseous
Ҿ. Anterior interosseous
Ӏ. Radial
Ӂ. Median
Ӂ. Ulnar
Ӄ. Shock from hypovolemia
Ӄ. Associated rupture of the bladder
Ӆ. Arterial bleeding on pelvic angiogram
Ӆ. Presence of a hematoma in the perineum and scrotum
Ӈ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. Positive HLA-B27 antigen


Explanation

Question 4034

Topic: 10. Pathology and Oncology

  • A 7-year old boy has a painless abductor limp and limited hip abduction. Radiographs show varus of the proximal femur, with a narrow upper femoral epiphysis that has the shape of an inverted "Y". Which of the following factors best predicts the risk that the deformity will become worse?
. Length of the femoral neck
. Retroversion of the upper femur
. Size of the proximal femoral epiphysis
. Size of the greater trochanteric apophysis
. Angle between the proximal femoral physis and Hilgenreiner's line
. an onlay bone graft
. electrical stimulation
. resection of the distal clavicle
. plate fixation and a bone graft
. smooth Kirschner wire fixation and a bone graft
. 20% with cemented and uncemented sockets
. 40% with cemented and uncemented sockets
. 60% with cemented sockets
. 90% with cemented and uncemented sockets
. 90% with cemented sockets
. Intramedullary rodding
. Functional bracing
. Closed reduction and a long arm cast
. Closed reduction and application of an external fixator
. Open reduction and internal fixation with a dorsal plate
. patellar chondromalacia
. failure of meniscus repair
. arthrofibrosis
. varus-valgus instability
. anteroposterior instability
. type-I collagen
. type-II collagen
. cartilage oligomeric protein (COMP)
. fibroblast growth factor 2 (FGFR2)
. fibroblast growth factor 3 (FGFR3)
. karyotyping
. flow cytometry
!. transmission electron microscopy
". immunohistochemistry staining
#. scanning electron microscopy
$. ankle arthrodesis
%. ankle synovectomy
&. total ankle arthroplasty
'. transplant of cartilage cells
(. lengthening of the Achilles tendon
). fracture of the acetabulum
*. protrusion of the acetabulum
+. inadequate inferior coverage
,. inadequate superior coverage
-. inadequate anterior and posterior coverage
.. Myelography
/. Thermography
0. CT Scan
1. IV contrast-enhanced CT Scan
2. Gadolinium-enhanced MRI scan
3. CT scan of the chest
4. Bone marrow biopsy
5. Complete blood cell count
6. Lateral radiograph of the skull
7. Erythrocyte sedimentation rate
8. Myosin
9. Troponin
:. Tropomyosin
;. Fibrillin
<. Dystrophin
=. a skeletal survey.
>. audiometric screening.
?. physical therapy for stretching.
@. contrast studies of the upper gastrointestinal tract.
A. reassurance to the parents that there is no underlying pathology.
B. Fragmentation and subluxation of the normal joint articulation
C. Varus deformity with medial subchondral sclerosis
D. Preferential narrowing of the medial tibiofemoral compartment
E. Narrowing of the medial, lateral, and patellofemoral compartments
F. Bone proliferation at the patellar tendon and ligament insertion sites
G. Central cord syndrome
H. Anterior cord syndrome
I. Posterior cord syndrome
J. Brown-Sequard syndrome
K. Cervical nerve root injury
L. Debriding the skin edges and performing plate fixation of the fracture
M. Debriding the skin edges and intramedullary rodding of the fracture
N. Extending the wounds, debriding the bone ends, and applying distal femoral traction
O. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
P. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
Q. The cell body nucleus migrates centrally
R. Schwann cells distal to the transection die
S. Axoplasm in the proximal stump drains out
T. Myelin distal to the transection is phagocytized
U. Cell body protein synthesis decreases for the first 10 to 14 days
V. Labral repair
W. acromioplasty
X. excision of the coracoid process
Y. an arthroscopic Bankart procedure
Z. subscapularis repair
[. Clinodactyly
\. Camptodactyly
]. Symbrachtyly
^. Kirner’s deformity
_. Digiti minimi adductus
`. Cable
A. Buttress plate
B. Methylmethacrylate
C. Multiple lag screws
D. Multiple Kirschner wires
E. Sacral fracture lateral to the foramina
F. Sacral fracture medial to the foramina
G. Sacroiliac fracture-dislocation
H. Sacroiliac dislocation
I. Iliac wing fracture
J. Allograft Replacement
K. Radioulnar synostosis
L. Excision of the radial head
M. Open reduction and internal fixation
N. Silicone radial head replacement
O. T10 sensory pin-prick level
P. Retained vibratory sensation at the ankles
Q. Presence of sacral sparing
R. Retained spontaneous respiratory function
S. Priapism
T. Application of a pelvic external fixator
U. A pelvic sling
V. Angiography of the pelvis
W. Open reduction and internal fixation
X. Open packing of the pelvic hematoma
Y. Syme’s amputation
Z. Arthrodesis of the knee
{. Disarticulation of the knee
|. Centralization of the fibula
}. Prosthetic fitting to accommodate the present deformity
~. Use of regional rather than general anesthesia
. Observation of a latex-avoidance protocol
€. Latex skin allergen testing
. Premedication with corticosteroids and antihistamines
‚. Avoidance of prophylactic antibiotics derived from penicillin
ƒ. Olecranon pin traction
„. Closed reduction and pin fixation
…. Open reduction and internal fixation
†. Cast immobilization in this position
‡. An arteriogram to rule out an occult intimal tear of the brachial artery
ˆ. A
‰. B
Š. C
‹. D
Œ. E
. Follow-up in six months.
Ž. AP and lateral radiographs.
. AP and lateral radiographs, and a bone scan.
. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
‘. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
’. MRI scan
“. Bone scan
”. Arthrogram
•. Axillary lateral radiograph
–. CT arthrogram
—. Open repair of the central slip of the extensor mechanism
˜. Open repair of the terminal tendon of the extensor mechanism
™. Closed splinting with the proximal interphalangeal joint
š. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
›. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
œ. Anteriorly at 20 to 30 degrees of flexion
. Anteriorly at 70 to 90 degrees of flexion
ž. Posteriorly at 20 to 30 degrees of flexion
Ÿ. Posteriorly at 70 to 90 degrees of flexion
 . Anteriorly with the knee in full flexion
¡. Rett syndrome
¢. Cerebral palsy
£. Myotonic dystrophy
¤. Fragile-X syndrome
¥. Adrenoleukodystrophy
¦. Endurance limit
§. Failure stress
¨. Critical stress
©. Yield stress
ª. Elastic limit
«. Ewing’s sarcoma
¬. Osteogenic sarcoma
­. Multiple myeloma
®. Metastatic prostate carcinoma
¯. Metastatic breast carcinoma
°. Higher subsequent loosening rate of the femoral component
±. Higher subsequent polyethylene wear rate
². Higher subsequent dislocation rate
³. Higher infection rate
´. Unaltered subsequent survival rate of the femoral component
Μ. Crevice corrosion
¶. Oscillatory fretting
·. Oxidative degradation
¸. Adhesion and abrasion
¹. Fatigue and delamination
º. a total contact cast.
». partial calcanectomy
¼. Syme’s amputation
½. transtibial amputation.
¾. nonweightbearing and IV antibiotics.
¿. Sural artery island flap.
À. Free rectus abdominis flap.
Á. Extensor digitorum brevis flap.
Â. Staged cross leg flap.
Ã. Split-thickness skin graft.
Ä. An anterior cruciate functional knee brace.
Å. A physical therapy program.
Æ. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
Ç. Reconstruction of the posterior cruciate ligament.
È. Reconstruction of the anterior cruciate ligament.
É. Avoids the risk of marrow emboli
Ê. Avoids injury to the intramedullary nutrient vessels
Ë. Results in faster healing of fractures
Ì. Results in more secure fixation
Í. Results in faster regeneration of the endosteal blood supply
Î. Above-knee amputation
Ï. En bloc resection of the lesion and reconstruction with a bone graft
Ð. Closed reduction and immobilization in a cast
Ñ. Open reduction and internal fixation, followed by radiation therapy
Ò. Open reduction, curettage, and cementing of the lesion
Ó. Injury to the subclavian artery
Ô. Injury to the brachial plexus
Õ. Segmental fracture
Ö. 100% displacement
×. Associated displaced surgical neck fracture of the humerus
Ø. humeral arthroplasty2/. repair of the rotator cuff
Ù. closed reduction and immobilization
Ú. open reduction and immobilization
Û. open reduction and early passive motion
Ü. arthroscopic capsular release
Ý. manipulation under anesthesia
Þ. a physical therapy program
SS. an intra-articular corticosteroid injection
À. administration of high-dose oral corticosteroids
Á. adding the scores, in all five body systems
Â. adding the squares of the scores in the three most severely injured systems
Ã. doubling the cumulative score for head and chest injuries
Ä. combining the scores from the most and least injured systems
Å. correcting the score in the most severely injured system for age
Æ. traumatic femoral head fracture
Ç. osteonecrosis
È. osteoarthritis
É. neuropathic joint
Ê. rheumatoid arthritis
Ë. low-dose radiation
Ì. steroid injection
Í. a load-relieving insert and shoe modification
Î. complete excision of the mass and the entire plantar fascia
Ï. wide excision of the mass with a 2 cm margin of normal fascia
Ð. CT scan of the chest
Ñ. technetium bone scan
Ò. bone marrow aspiration
Ó. serum protein electrophoresis
Ô. lateral skull radiograph
Õ. high-grade histology of the initial tumor
Ö. multiple local recurrences after curettage
÷. previous treatment of the tumor with cryotherapy
Ø. previous treatment of the tumor with radiation therapy
Ù. extraosseous extension into two or more adjacent compartments
Ú. Dorsal rhizotomy and facet joint fusion
Û. Multilevel corpectomy and spinal stabilization
Ü. Central and lateral recess decompression and bilateral foraminotomy
Ý. Central decompression and facet joint fusion
Þ. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Ÿ. Inadequate rehabilitation
Ā. Displacement of the coronoid process fracture
Ā. Insufficiency of the lateral ulnar collateral ligament
Ă. Insufficiency of the anterior band of the medial collateral ligament
Ă. Insufficiency of the posterior band of the medial collateral ligament
Ą. Osteotomy and intramedullary rod fixation
Ą. Electrical stimulation
Ć. Strut-autografing the concavity the tibia
Ć. A patellar tendon-bearing brace
Ĉ. Percutaneous injection of demineralized bone matrix
Ĉ. digoxin
Ċ. sucralfate
Ċ. clindamycin
Č. alcohol
Č. neuromuscular blocking agents
Ď. Unrestrained roll-back
Ď. Unrestrained rotational conformity
Đ. Medial-Lateral conformity
Đ. Anteroposterior conformity in flexion
Ē. Anteroposterior conformity in extension
Ē. Arthrodesis of the MTP joint
Ĕ. A Silastic implant of the MTP joint
Ĕ. Resection arthroplasty of the MTP joint
Ė. Cheilctomy of the MTP joint
Ė. Osteotomy of the base of the proximal phalanx
Ę. Genu varum
Ę. Tarsal coalition
Ě. Degenerative ankle arthrosis
Ě. Osteochondritis dissecans of the talus
Ĝ. Hemihypertrophy of the ipsilateral lower extremity
Ĝ. Trabecular bone is preferentially resorbed in this high bone turnover state
Ğ. Loss of water content in the disk increases impact load to the vetrebral bodies
Ğ. Stress is imposed by the relative stiffness of the arthrtic facet joints
Ġ. Increased energy demands are imposed by decreased circulation to the vertebral body
Ġ. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ģ. Increased time in stance and swing phase
Ģ. Addition of a double leg float phase
Ĥ. Decreased vertical ground reaction forces
Ĥ. Decreased arc of motion in the hip, knee, and ankle
Ħ. Decreased joint reaction forces in the hip, knee, and ankle
Ħ. Talonavicular arthrodesis
Ĩ. Medial displacement calcaneal osteotomy
Ĩ. Flexor digitorum longus tendon transfer with spring ligament advancement
Ī. Triple arthrodesis
Ī. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ĭ. Lymphoma
Ĭ. Hemangioma
Į. Osteosarcoma
Į. TB of the spine
İ. Metastatic breast carcinoma
I. widening and shortening of the heel.
IJ. weakness of the gastrocnemius-soleus complex.
IJ. anterior impingement from a horizontal talus.
Ĵ. unrecognized compartment syndrome of the foot.
Ĵ. degenerative arthritis of the tibiotalar joint.
Ķ. a corrective osteotomy
Ķ. application of braces
ĸ. medial physeal stapling until the varus corrects
Ĺ. observation
Ĺ. application of corrective casts
Ļ. a total contact cast.
Ļ. electrical stimulation.
Ľ. an off the shelf fracture brace.
Ľ. an elastic compression bandage and crutches.
Ŀ. a hard soled shoe until the patient is asymptomatic.
Ŀ. Ewings tumor
Ł. Parosteal osteosarcoma
Ł. Dedifferentiated chondrosarcoma
Ń. Low grade intramedullary chondrosarcoma
Ń. High grade intramedullary osteosarcoma
Ņ. Vascular injury
Ņ. Tear of the rotator cuff
Ň. Injury to the brachial plexus
Ň. Fracture of the upper thoracic rib
ʼN. Fracture of the proximal humerus
Ŋ. Biceps
Ŋ. Trapezius
Ō. Infraspinatus
Ō. Pectoralis major
Ŏ. Serratus anterior
Ŏ. Hybrid total hip arthroplasty
Ő. Noncemental hemiarthroplasty of the hip
Ő. Closed reduction and percutaneous pin fixation
Œ. Open reduction through an anterior approach to the hip
Œ. Excision of the head fragment
Ŕ. a quadratus femoris pediclebone graft
Ŕ. a proximal femoral allograft
Ŗ. intertrochanteric osteotomy
Ŗ. total hip arthroplasty
Ř. hip hemiarthroplasty
Ř. Echocardiogram
Ś. Electrocardiogram
Ś. Radiograph of the chest
Ŝ. CT scan of the shoulder
Ŝ. Ultrasound of the shoulder
Ş. Ilioinguinal
Ş. Extended iliofemoral
Š. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Š. Kocher-Langenbeck (posterior)
Ţ. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ţ. Deltoid
Ť. Supraspinatus
Ť. Subscapularis Infraspinatus
Ŧ. Infraspinatus
Ŧ. Infraspinatus and teres minor
Ũ. an orthosis.
Ũ. observation.
Ū. electrical stimulation.
Ū. open reduction and internal fixation.
Ŭ. application of a nonweightbearing short leg cast.
Ŭ. repair of the rotator cuff.
Ů. rehabilitation of the shoulder
Ů. replacement of the humeral head.
Ű. arthroscopic acromioplasty and debridement.
Ű. immobilization is a sling until pain resolves.
Ų. Bone rotation versus torque applied
Ų. Bone deflection versus bending moment applied
Ŵ. Axial displacement versus tension applied
Ŵ. Lateral translation versus shear force applied
Ŷ. Fracture gap closing versus compressive force applied
Ŷ. steroid injection
Ÿ. stretching of the heel cord
Ź. surgical release of the plantar fascia
Ź. application of a short leg cast for 6 to 8 weeks
Ż. wearing dorsiflexion night splints
Ż. Open bladder
Ž. Bilateral “hitchhiker’s” thumbs
Ž. Bilateral defects in the midclavicles
S. Rhizomelic shortening of the extremities
Ƀ. Radiographic fragmentation of all major epiphyses
Ɓ. Medial patellotibial
Ƃ. Medial patellofemoral
Ƃ. Medial patellomeniscal
Ƅ. Lateral patellofemoral
Ƅ. Lateral patellotibial
Ɔ. Heat
Ƈ. Gentle active flexion-extension exercises
Ƈ. Isokinetic strengthening
Ɖ. Electrical muscle stimulation
Ɗ. Immobilization of the limb with the knee in full flexion
Ƌ. Distal chevron osteotomy with soft-tissue release
Ƌ. Distal soft-tissue realignment only
ƍ. Closing wedge osteotomy (Aken) of the proximal phalanx
Ǝ. Proximal first metatarsal osteotomy only
Ə. Soft-tissue realignment with a proximal metatarsal osteotomy
Ɛ. Vagus
Ƒ. Phrenic
Ƒ. Hypoglossal
Ɠ. Recurrent laryngeal
Ɣ. Inferior thyroid
Ƕ. Surgical exploration
Ɩ. Application of leeches
Ɨ. Stellate ganglion blocks
Ƙ. Intra-arterial streptokinase
Ƙ. Elevation and reevaluation in 1 hour
Ƚ. Liver profile
ƛ. Myleogram
Ɯ. Platelet count
Ɲ. CT scan of the head
Ƞ. Angiogram of the extremity
Ɵ. Post spinal fusion from L5to S1
Ơ. Primary repair with an iliac bone graft
Ơ. Post spinal fusion of L4-5
Ƣ. A pantaloon body cast and 6 weeks of bed rest
Ƣ. Rest, NSAIDS, and limited dancing
Ƥ. Stress fracture of the proximal fifth metatarsal
Ƥ. Stress fracture of the base of the second metatarsal
Ʀ. Stress fracture of the neck of the second metatarsal
Ƨ. Morton’s neuroma
Ƨ. Lisfranc’s joint subluxation
Ʃ. C5 radiculopathy
ƪ. Subscapularis rupture
ƫ. Glenohumeral arthrosis
Ƭ. Rotator cuff arthropathy
Ƭ. Suprascapular nerve compression at the spinoglenoid notch
Ʈ. mm femoral head in combination with a metal-backed polyethylene component
Ư. mm femoral head in combination with an all-polyethylene acetabular component
Ư. mm femoral head in combination with a metal-backed polyethylene component
Ʊ. mm femoral head in combination with an all-polyethylene component
Ʋ. mm femoral head in combination with a metal-backed polyethylene component
Ƴ. Female gender
Ƴ. History of cigarette smoking
Ƶ. L5-S1 spondylolisthesis on pre-employment radiography
Ƶ. Decreased strength of the lower extremities on pre-employment testing
Ʒ. Decreased flexibility of the lumbar spine on pre-employment testing
Ƹ. Size of cells
Ƹ. Amount of DNA in cells
ƺ. Nucleus-cytoplasm ratio
ƻ. Specific DNA sequences
Ƽ. Specific messenger RNA sequences
Ƽ. Femoral and obturator nerves
ƾ. Femoral and superior gluteal nerves
Ƿ. Femoral and lateral femoral cutaneous nerves
ǀ. Obturator and superior gluteal nerves
ǁ. Obturator and lateral femoral cutaneous nerves
ǂ. Isotonic
ǃ. Isokinetic
DŽ. Isometric
DŽ. Open kinetic chain
DŽ. Dynamic variable resistance
LJ. Closed reduction and cast immobilization
LJ. Uniplanar external fixation
LJ. Open reduction and internal fixation with a dynamic compression plate
NJ. Unreamed intramedullary rod
NJ. Multiple plane external fixator
NJ. Inlet view of the pelvis
Ǎ. Outlet view of the pelvis
Ǎ. AP view of the hip
Ǐ. Ilial oblique view (external oblique) of the hip
Ǐ. Obturator oblique
Ǒ. Glycolytic pathway
Ǒ. Oxidative phosphorylation
Ǔ. Breakdown of fat
Ǔ. Breakdown of protein
Ǖ. Breakdown of adenosine triphosphate
Ǖ. an MRI scan
Ǘ. arthroscopic examination
Ǘ. AP and frog-lateral radiographs of the pelvis and hips
Ǚ. varus and valgus stress radiographs of the knee
Ǚ. physical examination of the knee under anesthesia
Ǜ. extended curettage and polymethylmethacrylate cementation
Ǜ. extra-articular resection of the knee and an allograft arthrodesis
Ǝ. wide resection of the proximal tibia and custom prosthetic replacement
Ǟ. prophylactic internal fixation and postoperative irradiation
Ǟ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
Ǡ. silicone implant joint replacement
Ǡ. metatarsophalangeal joint arthrodesis
Ǣ. metatarsophalangeal joint debridement
Ǣ. resection of the metatarsal head
Ǥ. resection of the base of the proximal phalanx
Ǥ. Fixation of the syndesmosis has failed
Ǧ. Widening of the ankle mortise has led to the failure of fixation
Ǧ. Infection around the syndesmosis screw has led to osteomyelitis
Ǩ. The syndesmosis screw is broken
Ǩ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǫ. Microcephaly
Ǫ. A temporal lobe cyst
Ǭ. An Arnold-Chiari type 1 malformation
Ǭ. Periventricular leukomalacia
Ǯ. Agnesis of the corpus callosum
Ǯ. Wolff’s
J̌. Hooke’s
DZ. Hilton’s
DZ. Muller-Haeckel
DZ. Heuter-Volkmann
Ǵ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǵ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ƕ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ƿ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ǹ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǹ. UCB orthosis
Ǻ. Rigid orthosis with a medical arch support
Ǻ. Semi-rigid orthosis with lateral forefoot posting
Ǽ. Semi-rigid orthosis with a medial arch support
Ǽ. Medial heel wedge attached to the running shoes
Ǿ. Hallux varus
Ǿ. Osteonecrosis
Ȁ. Recurrence of the hallux valgus
Ȁ. “Transfer” second metatarsalgia
Ȃ. Physeal arrest of the first metatarsal
Ȃ. Aseptic loosening in a 70-year-old patient
Ȅ. Mechanical failure of a hinged knee prosthesis
Ȅ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ȇ. Infection with soft-tissue deficit
Ȇ. A prior patellectomy
Ȉ. Knee fusion
Ȉ. Open irrigation and debridement
Ȋ. Arthroscopic irrigation and debridement
Ȋ. One-stage exchange arthroplasty
Ȍ. Two-stage exchange arthroplasty
Ȍ. Putti-platt repair
Ȏ. Open Bankart repair
Ȏ. Injection of a subacromial corticosteroid
Ȑ. Arthroscopic transglenoid capsular shift
Ȑ. Rehabilitation of the scapular and rotator cuff muscles
Ȓ. Silicone suction socket and an energy-absorbing foot
Ȓ. Silicone suction socket and a variable resistance ankle
Ȕ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ȕ. Plastic socket with a hinged thigh cuff and a SACH foot
Ȗ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ȗ. Parosteal
Ș. Periosteal
Ș. High-grade intramedullary
Ț. Osteosarcoma occurring in Paget’s disease
Ț. Osteosarcoma occurring in irradiated bone
Ȝ. Cauda equina
Ȝ. Conus medullaris
Ȟ. Genitofemoral nerve
Ȟ. Lumbar sympathetic plexus
Ƞ. Lumbar parasympathetic plexus
ȡ. Spinal pseudoarthrosis
Ȣ. Spinal cord traction injury with paralysis
Ȣ. Arterial and venous thromboses
Ȥ. Superior mesenteric artery syndrome
Ȥ. Crankshaft phenomenon
Ȧ. Inversion stress radiograph
Ȧ. MRI scan
Ȩ. CT scan
Ȩ. Nuclear bone scan
Ȫ. External rotation stress radiograph
Ȫ. Complex deformity with an angulation in two planes
Ȭ. Single deformity less than 20 degrees, apex posterolateral
Ȭ. Single deformity greater than 30 degrees, apex posterolateral
Ȯ. Single deformity less than 20 degrees, apex posteromedial
Ȯ. Single deformity greater than 30 degrees, apex posteromedial
Ȱ. Pronation of the foot during the stance phase of gait
Ȱ. Heel inversion at the beginning of a single limb heel rise
Ȳ. Active inversion of the nonweightbearing foot
Ȳ. Active plantar flexion of the first ray against resistance
ȴ. Active plantar flexion of the foot during the push-off phase of gait
ȵ. Observation and repeat radiographs in 4 months
ȶ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
ȷ. Electrical stimulation at night
ȸ. Physical therapy
ȹ. Begins to remodel and hypertrophy more quickly
Ⱥ. Provides a better scaffold for osteoconduction
Ȼ. Reduces the risk of early fracture
Ȼ. Reduces technical difficulty
Ƚ. Lowers donor site morbidity
Ⱦ. Anterior fusion of the lumbar curve
Ȿ. Anterior and posterior fusion of the thoracic curve
Ɀ. Posterior fusion of the thoracic curve
Ɂ. Posterior fusion of the thoracic and lumbar curves
Ɂ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ƀ. Subscapularis rupture
Ʉ. Type III SLAP lesion
Ʌ. Disruption of capsular shift
Ɇ. Isolated traumatic subluxation
Ɇ. Injury to the axillary nerve after dislocation
Ɉ. hypophosphatemia
Ɉ. high dietary cholesterol intake
Ɋ. deficiency of lipoprotein A
Ɋ. deficiency of protein S and protein C
Ɍ. elevated levels of antithrombin III
Ɍ. Weightbearing short leg cast
Ɏ. Nonweightbearing short leg cast
Ɏ. Removable splint and early motion
Ɐ. Open reduction and internal fixation
Ɑ. Elastic compression bandage with full weightbearing
Ɒ. Breast
Ɓ. Prostate
Ɔ. Gastrointestinal
ɕ. Kidney
Ɖ. Multiple myeloma
Ɗ. Varus stress
ɘ. Valgus stress
Ə. Torsional loading
ɚ. Hyperextension of the knee
Ɛ. Contraction of the quadriceps while axially loaded
Ɜ. Primary internal fixation at both fracture levels
ɝ. External fixation as definitive ttt for both #
ɞ. Skeletal traction and delayed internal fixation of both fractures
ɟ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɠ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɡ. Heel spur
ɢ. Plantar fascitis
Ɣ. Dysfunction of the tibialis posterior tendon
ɤ. Compression of the first branch of the lateral plantar nerve
Ɥ. Compression of the calcaneal nerve
Ɦ. Displaced labral tear
ɧ. Tear of the rotator cuff
Ɨ. Fracture of the glenoid rim
Ɩ. Palsy of the axillary nerve
Ɪ. Palsy of the musculocutaneus nerve
Ɫ. Enchondroma
Ɬ. Osteoblastoma
ɭ. Giant cell tumor
ɮ. Aneurysmal bone cyst
Ɯ. Fibrous dysplasia
ɰ. Arthrogram of the wrist
Ɱ. MRI scan of both wrists
Ɲ. CT scan of both wrists in the same position
ɳ. Radiographs of the wrist in supination and pronation
ɴ. Radiographs of the opposite wrist in the same position
Ɵ. Secondary hyperparathyroidism
ɶ. Phosphate retention secondary to uremia
ɷ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
ɸ. Aluminum deposition in bone from oral phosphate binders
ɹ. Persistent acidosis aggravating the negative calcium balance
ɺ. Posterior fusion at T10-L3 with segmental instrumentation
ɻ. Laminectomy and fusion of T12-L2 with segmental instrumentation
ɼ. Bed rest in a hyperextension brace
Ɽ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
ɾ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
ɿ. Positive-pressure ventilation
Ʀ. An immediate radiograph of the chest
ʁ. Adjustment of the position of the endotrachael tube
Ʂ. Insertion of a large-bore needle into the pericardial space
Ʃ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
ʄ. Allowing the ends of the fracture to touch
ʅ. Adding a second connecting bar
ʆ. Adding one pin to each fracture fragment
Ʇ. Increasing the pin diameter from 4 mm to 6 mm
Ʈ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
Ʉ. Osteomyelitis
Ʊ. Malignant degeneration
Ʋ. Stress fracture
Ʌ. Local recurrence of the giant cell tumor
ʍ. Bone resorption due to methylmethacrylate
ʎ. Advancement of the plantar plate
ʏ. Resection of the second metatarsal head
ʐ. Dorsiflexion osteotomy of the second metatarsal neck
ʑ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
Ʒ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
ʓ. Sacral fracture
ʔ. Burst fracture of L5
ʕ. Cauda equina syndrome
ʖ. Distraction-flexion injury at L3
ʗ. Distraction-extension injury at L3
ʘ. An MRI scan of the shoulder
ʙ. An MRI scan of the cervical spine
ʚ. Electromyographic and nerve conduction velocity studies
ʛ. Immobilization in a sling and early passive range of motion exercises
ʜ. Immediate return to the operating room for exploration of the brachial plexus
Ʝ. cerclage wiring
Ʞ. tension band wiring
ʟ. removal of the patellar component
ʠ. revision of the patellar component
ʡ. immobilization of the knee and protected weightbearing
ʢ. Liposarcoma
ʣ. Nodular fasciitis
ʤ. Rabdomyosarcoma
ʥ. Malignant fibrous histiocytoma
ʦ. Extra-abdominal desmoid tumor
ʧ. Clubfeet
ʨ. Thrombocytopenia
ʩ. Congenital scoliosis
ʪ. Ventricular septal defect
ʫ. Arnold-Chiari malformation
ʬ. delayed primary closure
ʭ. free flap
ʮ. pedicle groin flap
ʯ. full-thickness skin graft
ʰ. split-thickness skin graft
ʱ. Infection
ʲ. Nonunion
ʳ. Improper screw length
ʴ. Osteonecrosis of the distal fragment
ʵ. Use of a cortical screw instead of a cancellous screw
ʶ. Infection
ʷ. Tear of the rotator cuff
ʸ. Loosening of the humeral component
ʹ. Arthritis of the glenoid
ʺ. Arthritis of the A-C joint
ʻ. Reduced morbidity
ʼ. Improved osteoinduction
ʽ. Improved osteoconduction
ʾ. More rapid revascularization
ʿ. Lower risk of disease transmission
ˀ. Manipulation Under Anesthesia
ˁ. Arthroscopic acromioplasty
˂. Arthroscopic debridement of G-H joint
˃. Replacement of the humeral head
˄. Lengthening of the subscapularis and release of the anterior capsule
˅. Bacteroides
ˆ. E. coli
ˇ. Staph. aureus
ˈ. group A streptococcus
ˉ. Clostridium perforingens
ˊ. observation and exercises
ˋ. bracing with a thoracolumbar orthosis
ˌ. fusion of the posterior spine
ˍ. fusion of the anterior spine
ˎ. fusion of the anterior and posterior spine
ˏ. Total wrist replacement and bridge grafts
ː. palmar shelf arthroplasty and tendon transfers
ˑ. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
˒. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
˓. Total wrist fusion and tendon transfers
˔. constrained acetabular component
˕. protrusion ring with morselized graft
˖. cemented metal backed acetabular component
˗. cemented all-polyethylene acetabular component
˘. cementless hemispherical component with screw fixation
˙. application of a hip abduction brace for 22 hours per day
˚. application of a hip spica under anesthesia
˛. discontinuance of all bracing and repeat radiographs in 3 months
˜. open reduction of the hip and application of a spica cast
˝. open reduction, varus osteotomy, and application of a spica cast
˞. Loss of skin hair on the feet
˟. Absent pulses on vascular examination
ˠ. Pain that originates proximally and spreads distally
ˡ. Pain that is relieved by stopping and standing
ˢ. Pain that is worse when the patient walks uphill rather downhill
ˣ. wrist flexors and finger flexors
ˤ. elbow flexors and wrist flexors
˥. elbow flexors and finger flexors
˦. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
˧. elbow extensors and wrist extensors
˨. Syndactyly
˩. Macrodactyly
˪. Camptodactyly
˫. Preaxial polydactyly
ˬ. Postaxial polydactyly
˭. Arthrodesis
ˮ. Rotationplasty
˯. Above-knee amputation
˰. Osteoarticular allograft
˱. Endoprosthesis (custom arthroplasty)
˲. Plantar fascia
˳. Spring ligament
˴. Deltoid ligament
˵. Intrinsic tendons
˶. Gastorcnemius-solelus complex
˷. Prevention of presynaptic release of acetylcholine
˸. Prevention of synthesis of presynaptic acetylcholine
˹. Activation of acetylcholinesterase at the motor end-plate
˺. Blockage of postsynaptic action of acetylcholine until reserves are depleted
˻. Stimulation of release of presynaptic acetylcholine until reserves are depleted
˼. stiffness of the femoral component.
˽. head offset of the femoral component.
˾. femoral component material modulus of elasticity.
˿. extent of the femoral component porous coating.
̀. Presence of a femoral component collar.
́. plantar fascia and quadratus plantae tendon.
̂. ligamentous structures connecting the tarsal bones.
̃. shape of the tarsal bones and the intervening joints.
̄. activity of the intrinsic muscles of the foot.
̅. activity of the posterior tibialis and the peroneus longus muscles.
̆. scapulothoracic fusion
̇. strengthening of the periscapular muscles
̈. pectoralis minor-fascia lata graft transfer to the scapula
̉. pectoralis major-fascia lata graft transfer to the scapula
̊. exploration of the long thoracic nerve, with sural nerve graft
̋. tricompartmental knee replacement
̌. unicompartmental knee replacement
̍. medial compartment meniscal allograft
̎. valgus-producing distal femoral osteotomy
̏. valgus-producing proximal tibial osteotomy
̐. Internal rotation of the femoral component
̑. External rotation of the tibial component
̒. Lateral placement of the femoral component
̓. Medial placement of the patellar component
̔. Excessive resection of the patella
̕. Hallux rigidus
̖. Hallux valgus
̗. Neuroma of the first web space
̘. Fracture of the sesamoid
̙. Rupture of the flexor hallucis longus
̚. Sickle cell crisis
̛. Idiopathic chondrolysis
̜. Hemophilic arthropathy
̝. Osteoid osteoma of the femoral neck
̞. Legg-Calve-Perthes disease
̟. Decreased ankle jerk and positive femoral nerve stretch test
̠. Decreased knee jerk and positive straight-leg raising sign
̡. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̢. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̣. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̤. Long-term administration of IV and oral antibiotics
̥. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̦. Immediate exchange arthroplasty with antibiotic-impregnated cement
̧. Two-stage surgical prosthetic exchange and IV antibiotics
̨. Resection arthroplasty and IV antibiotics
̩. SCFE
̪. MED
̫. Perthes disease
̬. Hypothyroidism
̭. Chondrolysis
̮. gout.
̯. osteoporosis.
̰. eosinophilic granuloma.
̱. tuberculosis of the spine.
̲. metastatic disease of the spine.
̳. water content.
̴. Synthesis of type I collagen.
̵. Proteoglycan content.
̶. Activity of chondrocytes.
̷. Synthesis of hyaluronate.
̸. Lung
̹. Breast
̺. Prostate
̻. Thyroid
̼. Renal
̽. T1-low, T2-low.
̾. T1-low, T2-high.
̿. T1-moderate, T2-low.
̀. T1-high, T2-low.
́. T1-high, T2-high.
͂. hypothesis is incorrect or invalid
̓. interobserver error rate is 4%.
̈́. Standard deviation is 4% higher or lower than the mean.
Ι. Sample size is 4% larger than required to be clinically significant.
͆. Probability that the differences noted between two study groups were due to chance alone is 4%.
͇. I
͈. II
͉. IV
͊. IX
͋. X
͌. Cranial setting
͍. Cranial subluxation
͎. Odontoid fracture
͏. Lysis of the arch of the atlas
͐. Atlantoaxial subluxation
͑. Retrograde collapse of the endoneurial tubes
͒. Irreversible atrophy of the denervated muscles
͓. Elongation of the axons across the zone of injury
͔. Sprouting of the axons at the neuromuscular junction
͕. Misdirection of the axons across the zone of injury
͖. Maximally pronated and elbow extended
͗. Maximally pronated and the elbow flexed
͘. Maximally supinated and the elbow flexed
͙. Maximally supinated and the elbow extended
͚. In neutral rotation, with the elbow extended
͛. open reduction and internal fixation
͜. buddy taping to the adjacent index finger
͝. early motion with application of a dynamic banjo splint
͞. application of a cast with the hand in a “safe position” for 3 weeks.
͟. dorsal extension block splinting
͠. The name of the manufacturer
͡. The manufacturer’s potential liability
͢. The physician’s clinical performance
ͣ. The physician’s materials testing data
ͤ. Any royalties the physician receives from the manufacturer
ͥ. Femoral
ͦ. Obturator
ͧ. Inferior gluteal
ͨ. Superior gluteal
ͩ. Lateral femoral cutaneous
ͪ. open biopsy and a long leg cast
ͫ. open biopsy and wide resection of the tumor
ͬ. a long leg cast and observation
ͭ. intramedullary stabilization and observation
ͮ. Triggering
ͯ. Lateral instability
Ͱ. Swan-neck deformity
Ͱ. Boutonniere deformity
Ͳ. Loss of distal interphalangeal joint flexion
Ͳ. Peroneus brevis to peroneus longus
ʹ. Peroneus tertius to extensor hallucis longus
͵. Peroneus tertius to superficial peroneal nerve
Ͷ. Extensor hallucis longus to deep peroneal nerve
Ͷ. Extensor hallucis longus to extensor digitorum longus
͸. reassurance that Medicare will pay for the treatment.
͹. consent forms that patients or their guardians are able to understand.
ͺ. a detailed description of the device, omitting the fact that it is part of a study.
Ͻ. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
Ͼ. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
Ͽ. an onlay iliac crest bone graft.
;. limited weightbearing and observation.
Ϳ. removal of the implant and limited weightbearing.
΀. removal of the implant and insertion of a reamed femoral nail.
΁. removal of the implant and insertion of an unreamed femoral nail.
΂. Coronal
΃. Sagittal
΄. Anteromedial, midway between the sagittal and the coronal
΅. Proximal pins sagittal, distal pins coronal
Ά. Proximal pins coronal, distal pins sagittal
·. Rheumatoid arthritis
Έ. Posttraumatic arthritis
Ή. Degenerative osteoarthritis
Ί. Osteonecrosis of the tibial plateau
΋. Osteonecrosis of the medial femoral condyle
Ό. Trapeziometacarpal arthrodesis
΍. Osteotomy of the thumb metacarpal
Ύ. Arthrotomy and joint debridement
Ώ. Ligament reconstruction using one half of the flexor carpi radialis
Ϊ́. Trapezium resection, tendon interposition, and reconstruction of the ligament
Α. Creep
Β. Relaxation
Γ. Energy dissipation
Δ. Plastic deformation
Ε. Elastic deformation
Ζ. bending
Η. axial loading
Θ. high-speed rotation
Ι. direct impact from anteromedial
Κ. crush from anteromedial to posterolateral
Λ. Increase stiffness
Μ. Increase fracture toughness
Ν. Increase fatigue strength
Ξ. Decrease mechanical strength
Ο. Decrease wear rate
Π. disuse osteopenia
Ρ. paraendocrine effect of the tumor
΢. abnormally increased density on the right side
Σ. side effect of the treatment of the lesion
Τ. extensive tumor involvement of the left hip
Υ. Sciatic nerve
Φ. Superior gluteal artery
Χ. Profunda femoris artery
Ψ. Femoral artery and nerve
Ω. External iliac artery and vein
Ϊ. Length
Ϋ. Moment arm
Ά. Total volume
Έ. Physiologic cross-sectional area
Ή. Distribution of slow and fast twitch fibers
Ί. decreasing initiation of action potentials.
Ϋ́. increasing action potential amplitude.
Α. blocking the opening of gated sodium channels.
Β. decreasing the number of functional motor units.
Γ. slowing or stopping action potential propagation through the axon.
Δ. resection of the metatarsal heads of the first through fifth toes.
Ε. Silastic MP joint arthroplasties of the first through fifth toes.
Ζ. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Η. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Θ. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Ι. hemiarthroplasty
Κ. open reduction and internal fixation
Λ. closed reduction and percutaneous pinning
Μ. a sling and early pedulum exercises
Ν. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Ξ. open acromioplasty
Ο. open Bankart repair
Π. open subscapularis tendon repair
Ρ. inferior capsular shift
Σ. a supervised physical therapy program
Σ. a sling and swathe, with pendulum exercises in 10 days
Τ. open reduction and internal fixation through an anterior approach
Υ. open reduction and internal fixation through a posterior approach
Φ. immobilization with a splint in 45 degrees of abduction for 6 weeks
Χ. arthroscopically assisted reduction and percutaneous screw fixation
Ψ. Repair of the rotator cuff
Ω. Replacement of the humeral head
Ϊ. Resection arthroplasty
Ϋ. Total shoulder arthroplasty
Ό. AP and lateral radiographs of the elbow
Ύ. Diagnositc arthroscopy
Ώ. Aspiration of joint fluid
Ϗ. An erythrocyte sedimentation rate and CBC
Β. A diagnostic lidocaine injection
Θ. Insulin-like growth factor (IGF-1)
ϒ. Fibroblast growth factor (FGF-1)
ϓ. Platelet-derived growth factor (PDGF)
ϔ. Transforming growth factor beta (TGF-B)
Φ. Bone morphogenetic proteins (BMP)
Π. clinical history and radiographic findings.
Ϗ. technetium bone scan
Ϙ. flow cytometry pattern of extracted chondrocytes
Ϙ. immunohistochemical staining patterns of a biopsy specimen
Ϛ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Ϛ. Radial
Ϝ. Radial recurrent
Ϝ. Posterior interosseous
Ϟ. Superior ulnar recurrent
Ϟ. Superficial radial circumflex
Ϡ. Impaired hydroxylation of proline
Ϡ. Failure of cleavage in procollagen
Ϣ. Defective binding sites for hydroxyproline
Ϣ. Failure to incorporate glycine into the helix
Ϥ. Diminished production of collagen through the rough endoplasmic reticulum
Ϥ. Asking the legal staff to seek a court injunction
Ϧ. Copying the patient’s chart and giving it to him as he leaves
Ϧ. Having the patient sign a written legal contract that specifies acceptable behavior
Ϩ. Continuing care of the patient until an appropriate referral can be arranged
Ϩ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Ϫ. Meta-analysis
Ϫ. Confidence interval
Ϭ. Analysis of variance (ANOVA)
Ϭ. Statistical significance (p-value)
Ϯ. Survivorship analysis (Kaplan-Meier)
Ϯ. Spinal shock
Κ. Neurogenic shock
Ρ. Hypovolemic shock
Ϲ. Pulmonary embolism
Ϳ. Fat embolus syndrome
ϴ. Lumbar spinal stenosis
Ε. Metastatic disease of the spine
϶. Rheumatoid lumbar spondylitis
Ϸ. Isthmic spondyloloisthesis
Ϸ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ϲ. Patella alta
Ϻ. A metal-backed patella
Ϻ. Varus malalignment of the knee
ϼ. A posterior cruciate-substituting femoral component
Ͻ. Lateral subluxation of the patella on a Merchant’s view
Ͼ. The sesamoids are separated
Ͽ. The sesamoid is fractured
Ѐ. The proximal phx is on the neck of the metatarsal
Ё. The dislocation is dorsal and centered
Ђ. The proximal phalanx is hyperextended
Ѓ. Patella
Є. Tibial stem
Ѕ. Distal femoral interface
І. Posterior femoral interface
Ї. Sites of screw fixation for the tibia
Ј. Hallux rigidus
Љ. Fracture of the sesamoid
Њ. Disruption of the plantar plate
Ћ. Osteonecrosis of the metatarsal head
Ќ. Rupture of the flexor hallucis longus
Ѝ. Gout
Ў. Sepsis
Џ. Old trauma
А. Rheumatoid arthritis
Б. Charcot arthroplasty
В. Aspiration and steroid injection
Г. Biopsy, curettage, and allograft bone grafting
Д. Percutaneous Kirschner wire fixation
Е. Percutaneous injection of autogenous bone marrow
Ж. Nerve roots
З. Spinal cord
И. Sciatic nerve
Й. Peroneal nerve
К. Conus medullaris
Л. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
М. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Н. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
О. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
П. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Р. Early and late infection
С. Periprosthetic fracture of the femur
Т. Failure of the patellofemoral and extensor mechanisms
У. Aseptic loosening of cementing tibial components
Ф. Asceptic loosening of cemented femoral components
Х. Acceptance of the current position of the ankle
Ц. Open reduction and fixation in the epiphysis only
Ч. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
Ш. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
Щ. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Ъ. Resection arthroplasty and local radiation
Ы. In situ fusion of the hip
Ь. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
Э. Excision of heterotopic bone and local radiation
Ю. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Я. Closed reduction of both fractures and immediate spica casting
А. Bilateral skin traction for 3 weeks, followed by spica casting
Б. External fixation of both femora
В. External fixation of the left femur and a long leg cast brace for the right femur
Г. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Д. Synovial sarcoma
Е. Soft-tissue abcess
Ж. Rhabdomyosarcoma
З. Eosinophilic granuloma
И. Nodular pigmented villonodular synovitis
Й. Changing to a titanium nail
К. Changing to a nonslotted nail
Л. Changing the cross-sectional shape of the nail
М. Increasing the diameter of the nail by 3 mm
Н. Increasing the diameter of the interlocking screws
О. Fracture healing
П. Chondrosarcoma
Р. Periosteal chondroma
С. Periosteal osteosarcoma
Т. Dysplasia epiphysealis hemimelica
У. Demonstrate competence in the subject of the case
Ф. Be fellowship trained in the subject of the case
Х. Be paid on a contingency basis
Ц. Be board certified by the American Board of Orthopaedic Surgery
Ч. Have been involved in the case as a consultant
Ш. Diagnostic arthroscopy
Щ. Arthroscopy and subacromial decompression
Ъ. Reduction and fixation of the proximal humeral epiphysis
Ы. Temporary cessation of throwing
Ь. Physical therapy for rotator cuff strengthening
Э. Oblique popliteal ligament
Ю. Lateral capsule
Я. Popliteal tendon
Ѐ. Fibular collateral ligament
Ё. Posterior oblique ligament
Ђ. Radial tear
Ѓ. Parrot-beak tear
Є. Vertical tear in the “red-red” zone
Ѕ. Vertical tear in the “red-white” zone
І. Vertical tear in the “white-white” zone
Ї. 0 degrees of abduction, with neural rotation
Ј. 40 degrees of flexion and 60 degrees of internal rotation
Љ. 45 degrees of flexion and 45 degrees of external rotation
Њ. 90 degrees of abduction with neutral rotation
Ћ. 90 degrees of abduction and 90 degrees of external rotation
Ќ. Sural
Ѝ. Saphenous and its branches
Ў. Posterior tibial and its branches
Џ. Deep peroneal and its branches
Ѡ. Superficial peroneal and its branches
Ѡ. Strength
Ѣ. Stiffness
Ѣ. Shelf life
Ѥ. Antigenicity
Ѥ. Risk of HIV transmission
Ѧ. Indemnification
Ѧ. Occurrence
Ѩ. Excess liability
Ѩ. Claims-made
Ѫ. Nose
Ѫ. Lateral Y
Ѭ. Scapular AP
Ѭ. Neutral rotation AP
Ѯ. Internal rotation AP
Ѯ. External rotation AP
Ѱ. Trauma
Ѱ. Hemophilia
Ѳ. Reiter’s syndrome
Ѳ. Rheumatoid arthritis
Ѵ. Systemic lupus erythematosus
Ѵ. Cast immobilization for 6 weeks
Ѷ. Activity modification and re-evaluation in 2 months
Ѷ. Internal fixation with or without bone grafting
Ѹ. Retrograde drilling of the defect without articular cartilage penetration
Ѹ. Drilling of the defect directly through the articular cartilage
Ѻ. repair or reconstruction of the medial collateral ligament
Ѻ. repair or reconstruction of the medialand lateral collateral ligaments
Ѽ. immobilization for 5 days or less
Ѽ. immobilization for 14 days
Ѿ. immobilization for 25 days
Ѿ. Cystinosis
Ҁ. Hypophosphatemia
Ҁ. Renal osteodystrophy
҂. Primary hyperparathyroidism
҃. Nutritional vitamin D deficiency
҄. Lateral meniscus tear
҅. Popliteus tenosynovitis
҆. Iliotibial band friction syndrome
҇. Peroneal nerve entrapment
҈. Biceps tendinitis
҉. Observation
Ҋ. Removal of the prosthetic components
Ҋ. Operative exploration and decompression of the peroneal nerve
Ҍ. Nerve conduction velocity studies
Ҍ. Loosening of the primary dressings and knee flexion to 30 degrees
Ҏ. I
Ҏ. II
Ґ. III
Ґ. decreased tissue tension
Ғ. decreased abductor lever arm
Ғ. decreased joint reaction force
Ҕ. increased body weight over lever arm
Ҕ. increased polyethylene wear rate
Җ. recurrent traumatic anterior dislocation
Җ. recurrent traumatic posterior dislocation
Ҙ. traumatic subluxation with no previous dislocation
Ҙ. traumatic anterior subluxation
Қ. atraumatic involuntary subluxation
Қ. radial
Ҝ. axillary
Ҝ. suprascapular
Ҟ. thoracodorsal
Ҟ. long thoracic
Ҡ. Flexion
Ҡ. Extension
Ң. Axial rotation
Ң. Left lateral bending
Ҥ. Right lateral bending
Ҥ. Skin
Ҧ. Lung
Ҧ. Brain
Ҩ. Heart
Ҩ. Kidney
Ҫ. Thoracoacromial, lateral thoracic, subscapular
Ҫ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ҭ. Posterior humeral circumflex, subscapular, thoracacromial
Ҭ. Subscapular, thoracacromial, anterior humeral circumflex
Ү. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ү. Respondeat superior
Ұ. Indemnity agreement
Ұ. Hold harmless agreement- attempt to shift liability from company to physician
Ҳ. Comparative negligence-% of involvement
Ҳ. Contributory negligence- resident contributed to the negligence
Ҵ. t-type
Ҵ. both column
Ҷ. transverse
Ҷ. anterior column
Ҹ. anterior column posterior hemitransverse
Ҹ. Posterior interosseous
Һ. Anterior interosseous
Һ. Radial
Ҽ. Median
Ҽ. Ulnar
Ҿ. Shock from hypovolemia
Ҿ. Associated rupture of the bladder
Ӏ. Arterial bleeding on pelvic angiogram
Ӂ. Presence of a hematoma in the perineum and scrotum
Ӂ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. Length of the femoral neck


Explanation

Question 4035

Topic: 10. Pathology and Oncology

  • A 17-year old boy who sustained a closed clavicle fracture after he was ejected from an all-terrain vehicle was treated with a figure-of-8 brace 1 year ago. He now reports continuous pain at the site of the fracture and is unable to actively raise his arm above his head. A radiograph is shown in Figure 1. Management should now include

. an onlay bone graft
. electrical stimulation
. resection of the distal clavicle
. plate fixation and a bone graft
. smooth Kirschner wire fixation and a bone graft
. 20% with cemented and uncemented sockets
. 40% with cemented and uncemented sockets
. 60% with cemented sockets
. 90% with cemented and uncemented sockets
. 90% with cemented sockets
. Intramedullary rodding
. Functional bracing
. Closed reduction and a long arm cast
. Closed reduction and application of an external fixator
. Open reduction and internal fixation with a dorsal plate
. patellar chondromalacia
. failure of meniscus repair
. arthrofibrosis
. varus-valgus instability
. anteroposterior instability
. type-I collagen
. type-II collagen
. cartilage oligomeric protein (COMP)
. fibroblast growth factor 2 (FGFR2)
. fibroblast growth factor 3 (FGFR3)
. karyotyping
. flow cytometry
. transmission electron microscopy
. immunohistochemistry staining
. scanning electron microscopy
. ankle arthrodesis
. ankle synovectomy
!. total ankle arthroplasty
". transplant of cartilage cells
#. lengthening of the Achilles tendon
$. fracture of the acetabulum
%. protrusion of the acetabulum
&. inadequate inferior coverage
'. inadequate superior coverage
(. inadequate anterior and posterior coverage
). Myelography
*. Thermography
+. CT Scan
,. IV contrast-enhanced CT Scan
-. Gadolinium-enhanced MRI scan
.. CT scan of the chest
/. Bone marrow biopsy
0. Complete blood cell count
1. Lateral radiograph of the skull
2. Erythrocyte sedimentation rate
3. Myosin
4. Troponin
5. Tropomyosin
6. Fibrillin
7. Dystrophin
8. a skeletal survey.
9. audiometric screening.
:. physical therapy for stretching.
;. contrast studies of the upper gastrointestinal tract.
<. reassurance to the parents that there is no underlying pathology.
=. Fragmentation and subluxation of the normal joint articulation
>. Varus deformity with medial subchondral sclerosis
?. Preferential narrowing of the medial tibiofemoral compartment
@. Narrowing of the medial, lateral, and patellofemoral compartments
A. Bone proliferation at the patellar tendon and ligament insertion sites
B. Central cord syndrome
C. Anterior cord syndrome
D. Posterior cord syndrome
E. Brown-Sequard syndrome
F. Cervical nerve root injury
G. Debriding the skin edges and performing plate fixation of the fracture
H. Debriding the skin edges and intramedullary rodding of the fracture
I. Extending the wounds, debriding the bone ends, and applying distal femoral traction
J. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
K. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
L. The cell body nucleus migrates centrally
M. Schwann cells distal to the transection die
N. Axoplasm in the proximal stump drains out
O. Myelin distal to the transection is phagocytized
P. Cell body protein synthesis decreases for the first 10 to 14 days
Q. Labral repair
R. acromioplasty
S. excision of the coracoid process
T. an arthroscopic Bankart procedure
U. subscapularis repair
V. Clinodactyly
W. Camptodactyly
X. Symbrachtyly
Y. Kirner’s deformity
Z. Digiti minimi adductus
[. Cable
\. Buttress plate
]. Methylmethacrylate
^. Multiple lag screws
_. Multiple Kirschner wires
`. Sacral fracture lateral to the foramina
A. Sacral fracture medial to the foramina
B. Sacroiliac fracture-dislocation
C. Sacroiliac dislocation
D. Iliac wing fracture
E. Allograft Replacement
F. Radioulnar synostosis
G. Excision of the radial head
H. Open reduction and internal fixation
I. Silicone radial head replacement
J. T10 sensory pin-prick level
K. Retained vibratory sensation at the ankles
L. Presence of sacral sparing
M. Retained spontaneous respiratory function
N. Priapism
O. Application of a pelvic external fixator
P. A pelvic sling
Q. Angiography of the pelvis
R. Open reduction and internal fixation
S. Open packing of the pelvic hematoma
T. Syme’s amputation
U. Arthrodesis of the knee
V. Disarticulation of the knee
W. Centralization of the fibula
X. Prosthetic fitting to accommodate the present deformity
Y. Use of regional rather than general anesthesia
Z. Observation of a latex-avoidance protocol
{. Latex skin allergen testing
|. Premedication with corticosteroids and antihistamines
}. Avoidance of prophylactic antibiotics derived from penicillin
~. Olecranon pin traction
. Closed reduction and pin fixation
€. Open reduction and internal fixation
. Cast immobilization in this position
‚. An arteriogram to rule out an occult intimal tear of the brachial artery
ƒ. A
„. B
…. C
†. D
‡. E
ˆ. Follow-up in six months.
‰. AP and lateral radiographs.
Š. AP and lateral radiographs, and a bone scan.
‹. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
Œ. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
. MRI scan
Ž. Bone scan
. Arthrogram
. Axillary lateral radiograph
‘. CT arthrogram
’. Open repair of the central slip of the extensor mechanism
“. Open repair of the terminal tendon of the extensor mechanism
”. Closed splinting with the proximal interphalangeal joint
•. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
–. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
—. Anteriorly at 20 to 30 degrees of flexion
˜. Anteriorly at 70 to 90 degrees of flexion
™. Posteriorly at 20 to 30 degrees of flexion
š. Posteriorly at 70 to 90 degrees of flexion
›. Anteriorly with the knee in full flexion
œ. Rett syndrome
. Cerebral palsy
ž. Myotonic dystrophy
Ÿ. Fragile-X syndrome
 . Adrenoleukodystrophy
¡. Endurance limit
¢. Failure stress
£. Critical stress
¤. Yield stress
¥. Elastic limit
¦. Ewing’s sarcoma
§. Osteogenic sarcoma
¨. Multiple myeloma
©. Metastatic prostate carcinoma
ª. Metastatic breast carcinoma
«. Higher subsequent loosening rate of the femoral component
¬. Higher subsequent polyethylene wear rate
­. Higher subsequent dislocation rate
®. Higher infection rate
¯. Unaltered subsequent survival rate of the femoral component
°. Crevice corrosion
±. Oscillatory fretting
². Oxidative degradation
³. Adhesion and abrasion
´. Fatigue and delamination
Μ. a total contact cast.
¶. partial calcanectomy
·. Syme’s amputation
¸. transtibial amputation.
¹. nonweightbearing and IV antibiotics.
º. Sural artery island flap.
». Free rectus abdominis flap.
¼. Extensor digitorum brevis flap.
½. Staged cross leg flap.
¾. Split-thickness skin graft.
¿. An anterior cruciate functional knee brace.
À. A physical therapy program.
Á. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
Â. Reconstruction of the posterior cruciate ligament.
Ã. Reconstruction of the anterior cruciate ligament.
Ä. Avoids the risk of marrow emboli
Å. Avoids injury to the intramedullary nutrient vessels
Æ. Results in faster healing of fractures
Ç. Results in more secure fixation
È. Results in faster regeneration of the endosteal blood supply
É. Above-knee amputation
Ê. En bloc resection of the lesion and reconstruction with a bone graft
Ë. Closed reduction and immobilization in a cast
Ì. Open reduction and internal fixation, followed by radiation therapy
Í. Open reduction, curettage, and cementing of the lesion
Î. Injury to the subclavian artery
Ï. Injury to the brachial plexus
Ð. Segmental fracture
Ñ. 100% displacement
Ò. Associated displaced surgical neck fracture of the humerus
Ó. humeral arthroplasty2/. repair of the rotator cuff
Ô. closed reduction and immobilization
Õ. open reduction and immobilization
Ö. open reduction and early passive motion
×. arthroscopic capsular release
Ø. manipulation under anesthesia
Ù. a physical therapy program
Ú. an intra-articular corticosteroid injection
Û. administration of high-dose oral corticosteroids
Ü. adding the scores, in all five body systems
Ý. adding the squares of the scores in the three most severely injured systems
Þ. doubling the cumulative score for head and chest injuries
SS. combining the scores from the most and least injured systems
À. correcting the score in the most severely injured system for age
Á. traumatic femoral head fracture
Â. osteonecrosis
Ã. osteoarthritis
Ä. neuropathic joint
Å. rheumatoid arthritis
Æ. low-dose radiation
Ç. steroid injection
È. a load-relieving insert and shoe modification
É. complete excision of the mass and the entire plantar fascia
Ê. wide excision of the mass with a 2 cm margin of normal fascia
Ë. CT scan of the chest
Ì. technetium bone scan
Í. bone marrow aspiration
Î. serum protein electrophoresis
Ï. lateral skull radiograph
Ð. high-grade histology of the initial tumor
Ñ. multiple local recurrences after curettage
Ò. previous treatment of the tumor with cryotherapy
Ó. previous treatment of the tumor with radiation therapy
Ô. extraosseous extension into two or more adjacent compartments
Õ. Dorsal rhizotomy and facet joint fusion
Ö. Multilevel corpectomy and spinal stabilization
÷. Central and lateral recess decompression and bilateral foraminotomy
Ø. Central decompression and facet joint fusion
Ù. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Ú. Inadequate rehabilitation
Û. Displacement of the coronoid process fracture
Ü. Insufficiency of the lateral ulnar collateral ligament
Ý. Insufficiency of the anterior band of the medial collateral ligament
Þ. Insufficiency of the posterior band of the medial collateral ligament
Ÿ. Osteotomy and intramedullary rod fixation
Ā. Electrical stimulation
Ā. Strut-autografing the concavity the tibia
Ă. A patellar tendon-bearing brace
Ă. Percutaneous injection of demineralized bone matrix
Ą. digoxin
Ą. sucralfate
Ć. clindamycin
Ć. alcohol
Ĉ. neuromuscular blocking agents
Ĉ. Unrestrained roll-back
Ċ. Unrestrained rotational conformity
Ċ. Medial-Lateral conformity
Č. Anteroposterior conformity in flexion
Č. Anteroposterior conformity in extension
Ď. Arthrodesis of the MTP joint
Ď. A Silastic implant of the MTP joint
Đ. Resection arthroplasty of the MTP joint
Đ. Cheilctomy of the MTP joint
Ē. Osteotomy of the base of the proximal phalanx
Ē. Genu varum
Ĕ. Tarsal coalition
Ĕ. Degenerative ankle arthrosis
Ė. Osteochondritis dissecans of the talus
Ė. Hemihypertrophy of the ipsilateral lower extremity
Ę. Trabecular bone is preferentially resorbed in this high bone turnover state
Ę. Loss of water content in the disk increases impact load to the vetrebral bodies
Ě. Stress is imposed by the relative stiffness of the arthrtic facet joints
Ě. Increased energy demands are imposed by decreased circulation to the vertebral body
Ĝ. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ĝ. Increased time in stance and swing phase
Ğ. Addition of a double leg float phase
Ğ. Decreased vertical ground reaction forces
Ġ. Decreased arc of motion in the hip, knee, and ankle
Ġ. Decreased joint reaction forces in the hip, knee, and ankle
Ģ. Talonavicular arthrodesis
Ģ. Medial displacement calcaneal osteotomy
Ĥ. Flexor digitorum longus tendon transfer with spring ligament advancement
Ĥ. Triple arthrodesis
Ħ. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ħ. Lymphoma
Ĩ. Hemangioma
Ĩ. Osteosarcoma
Ī. TB of the spine
Ī. Metastatic breast carcinoma
Ĭ. widening and shortening of the heel.
Ĭ. weakness of the gastrocnemius-soleus complex.
Į. anterior impingement from a horizontal talus.
Į. unrecognized compartment syndrome of the foot.
İ. degenerative arthritis of the tibiotalar joint.
I. a corrective osteotomy
IJ. application of braces
IJ. medial physeal stapling until the varus corrects
Ĵ. observation
Ĵ. application of corrective casts
Ķ. a total contact cast.
Ķ. electrical stimulation.
ĸ. an off the shelf fracture brace.
Ĺ. an elastic compression bandage and crutches.
Ĺ. a hard soled shoe until the patient is asymptomatic.
Ļ. Ewings tumor
Ļ. Parosteal osteosarcoma
Ľ. Dedifferentiated chondrosarcoma
Ľ. Low grade intramedullary chondrosarcoma
Ŀ. High grade intramedullary osteosarcoma
Ŀ. Vascular injury
Ł. Tear of the rotator cuff
Ł. Injury to the brachial plexus
Ń. Fracture of the upper thoracic rib
Ń. Fracture of the proximal humerus
Ņ. Biceps
Ņ. Trapezius
Ň. Infraspinatus
Ň. Pectoralis major
ʼN. Serratus anterior
Ŋ. Hybrid total hip arthroplasty
Ŋ. Noncemental hemiarthroplasty of the hip
Ō. Closed reduction and percutaneous pin fixation
Ō. Open reduction through an anterior approach to the hip
Ŏ. Excision of the head fragment
Ŏ. a quadratus femoris pediclebone graft
Ő. a proximal femoral allograft
Ő. intertrochanteric osteotomy
Œ. total hip arthroplasty
Œ. hip hemiarthroplasty
Ŕ. Echocardiogram
Ŕ. Electrocardiogram
Ŗ. Radiograph of the chest
Ŗ. CT scan of the shoulder
Ř. Ultrasound of the shoulder
Ř. Ilioinguinal
Ś. Extended iliofemoral
Ś. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ŝ. Kocher-Langenbeck (posterior)
Ŝ. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ş. Deltoid
Ş. Supraspinatus
Š. Subscapularis Infraspinatus
Š. Infraspinatus
Ţ. Infraspinatus and teres minor
Ţ. an orthosis.
Ť. observation.
Ť. electrical stimulation.
Ŧ. open reduction and internal fixation.
Ŧ. application of a nonweightbearing short leg cast.
Ũ. repair of the rotator cuff.
Ũ. rehabilitation of the shoulder
Ū. replacement of the humeral head.
Ū. arthroscopic acromioplasty and debridement.
Ŭ. immobilization is a sling until pain resolves.
Ŭ. Bone rotation versus torque applied
Ů. Bone deflection versus bending moment applied
Ů. Axial displacement versus tension applied
Ű. Lateral translation versus shear force applied
Ű. Fracture gap closing versus compressive force applied
Ų. steroid injection
Ų. stretching of the heel cord
Ŵ. surgical release of the plantar fascia
Ŵ. application of a short leg cast for 6 to 8 weeks
Ŷ. wearing dorsiflexion night splints
Ŷ. Open bladder
Ÿ. Bilateral “hitchhiker’s” thumbs
Ź. Bilateral defects in the midclavicles
Ź. Rhizomelic shortening of the extremities
Ż. Radiographic fragmentation of all major epiphyses
Ż. Medial patellotibial
Ž. Medial patellofemoral
Ž. Medial patellomeniscal
S. Lateral patellofemoral
Ƀ. Lateral patellotibial
Ɓ. Heat
Ƃ. Gentle active flexion-extension exercises
Ƃ. Isokinetic strengthening
Ƅ. Electrical muscle stimulation
Ƅ. Immobilization of the limb with the knee in full flexion
Ɔ. Distal chevron osteotomy with soft-tissue release
Ƈ. Distal soft-tissue realignment only
Ƈ. Closing wedge osteotomy (Aken) of the proximal phalanx
Ɖ. Proximal first metatarsal osteotomy only
Ɗ. Soft-tissue realignment with a proximal metatarsal osteotomy
Ƌ. Vagus
Ƌ. Phrenic
ƍ. Hypoglossal
Ǝ. Recurrent laryngeal
Ə. Inferior thyroid
Ɛ. Surgical exploration
Ƒ. Application of leeches
Ƒ. Stellate ganglion blocks
Ɠ. Intra-arterial streptokinase
Ɣ. Elevation and reevaluation in 1 hour
Ƕ. Liver profile
Ɩ. Myleogram
Ɨ. Platelet count
Ƙ. CT scan of the head
Ƙ. Angiogram of the extremity
Ƚ. Post spinal fusion from L5to S1
ƛ. Primary repair with an iliac bone graft
Ɯ. Post spinal fusion of L4-5
Ɲ. A pantaloon body cast and 6 weeks of bed rest
Ƞ. Rest, NSAIDS, and limited dancing
Ɵ. Stress fracture of the proximal fifth metatarsal
Ơ. Stress fracture of the base of the second metatarsal
Ơ. Stress fracture of the neck of the second metatarsal
Ƣ. Morton’s neuroma
Ƣ. Lisfranc’s joint subluxation
Ƥ. C5 radiculopathy
Ƥ. Subscapularis rupture
Ʀ. Glenohumeral arthrosis
Ƨ. Rotator cuff arthropathy
Ƨ. Suprascapular nerve compression at the spinoglenoid notch
Ʃ. mm femoral head in combination with a metal-backed polyethylene component
ƪ. mm femoral head in combination with an all-polyethylene acetabular component
ƫ. mm femoral head in combination with a metal-backed polyethylene component
Ƭ. mm femoral head in combination with an all-polyethylene component
Ƭ. mm femoral head in combination with a metal-backed polyethylene component
Ʈ. Female gender
Ư. History of cigarette smoking
Ư. L5-S1 spondylolisthesis on pre-employment radiography
Ʊ. Decreased strength of the lower extremities on pre-employment testing
Ʋ. Decreased flexibility of the lumbar spine on pre-employment testing
Ƴ. Size of cells
Ƴ. Amount of DNA in cells
Ƶ. Nucleus-cytoplasm ratio
Ƶ. Specific DNA sequences
Ʒ. Specific messenger RNA sequences
Ƹ. Femoral and obturator nerves
Ƹ. Femoral and superior gluteal nerves
ƺ. Femoral and lateral femoral cutaneous nerves
ƻ. Obturator and superior gluteal nerves
Ƽ. Obturator and lateral femoral cutaneous nerves
Ƽ. Isotonic
ƾ. Isokinetic
Ƿ. Isometric
ǀ. Open kinetic chain
ǁ. Dynamic variable resistance
ǂ. Closed reduction and cast immobilization
ǃ. Uniplanar external fixation
DŽ. Open reduction and internal fixation with a dynamic compression plate
DŽ. Unreamed intramedullary rod
DŽ. Multiple plane external fixator
LJ. Inlet view of the pelvis
LJ. Outlet view of the pelvis
LJ. AP view of the hip
NJ. Ilial oblique view (external oblique) of the hip
NJ. Obturator oblique
NJ. Glycolytic pathway
Ǎ. Oxidative phosphorylation
Ǎ. Breakdown of fat
Ǐ. Breakdown of protein
Ǐ. Breakdown of adenosine triphosphate
Ǒ. an MRI scan
Ǒ. arthroscopic examination
Ǔ. AP and frog-lateral radiographs of the pelvis and hips
Ǔ. varus and valgus stress radiographs of the knee
Ǖ. physical examination of the knee under anesthesia
Ǖ. extended curettage and polymethylmethacrylate cementation
Ǘ. extra-articular resection of the knee and an allograft arthrodesis
Ǘ. wide resection of the proximal tibia and custom prosthetic replacement
Ǚ. prophylactic internal fixation and postoperative irradiation
Ǚ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
Ǜ. silicone implant joint replacement
Ǜ. metatarsophalangeal joint arthrodesis
Ǝ. metatarsophalangeal joint debridement
Ǟ. resection of the metatarsal head
Ǟ. resection of the base of the proximal phalanx
Ǡ. Fixation of the syndesmosis has failed
Ǡ. Widening of the ankle mortise has led to the failure of fixation
Ǣ. Infection around the syndesmosis screw has led to osteomyelitis
Ǣ. The syndesmosis screw is broken
Ǥ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǥ. Microcephaly
Ǧ. A temporal lobe cyst
Ǧ. An Arnold-Chiari type 1 malformation
Ǩ. Periventricular leukomalacia
Ǩ. Agnesis of the corpus callosum
Ǫ. Wolff’s
Ǫ. Hooke’s
Ǭ. Hilton’s
Ǭ. Muller-Haeckel
Ǯ. Heuter-Volkmann
Ǯ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
J̌. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
DZ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
DZ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
DZ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǵ. UCB orthosis
Ǵ. Rigid orthosis with a medical arch support
Ƕ. Semi-rigid orthosis with lateral forefoot posting
Ƿ. Semi-rigid orthosis with a medial arch support
Ǹ. Medial heel wedge attached to the running shoes
Ǹ. Hallux varus
Ǻ. Osteonecrosis
Ǻ. Recurrence of the hallux valgus
Ǽ. “Transfer” second metatarsalgia
Ǽ. Physeal arrest of the first metatarsal
Ǿ. Aseptic loosening in a 70-year-old patient
Ǿ. Mechanical failure of a hinged knee prosthesis
Ȁ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ȁ. Infection with soft-tissue deficit
Ȃ. A prior patellectomy
Ȃ. Knee fusion
Ȅ. Open irrigation and debridement
Ȅ. Arthroscopic irrigation and debridement
Ȇ. One-stage exchange arthroplasty
Ȇ. Two-stage exchange arthroplasty
Ȉ. Putti-platt repair
Ȉ. Open Bankart repair
Ȋ. Injection of a subacromial corticosteroid
Ȋ. Arthroscopic transglenoid capsular shift
Ȍ. Rehabilitation of the scapular and rotator cuff muscles
Ȍ. Silicone suction socket and an energy-absorbing foot
Ȏ. Silicone suction socket and a variable resistance ankle
Ȏ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ȑ. Plastic socket with a hinged thigh cuff and a SACH foot
Ȑ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ȓ. Parosteal
Ȓ. Periosteal
Ȕ. High-grade intramedullary
Ȕ. Osteosarcoma occurring in Paget’s disease
Ȗ. Osteosarcoma occurring in irradiated bone
Ȗ. Cauda equina
Ș. Conus medullaris
Ș. Genitofemoral nerve
Ț. Lumbar sympathetic plexus
Ț. Lumbar parasympathetic plexus
Ȝ. Spinal pseudoarthrosis
Ȝ. Spinal cord traction injury with paralysis
Ȟ. Arterial and venous thromboses
Ȟ. Superior mesenteric artery syndrome
Ƞ. Crankshaft phenomenon
ȡ. Inversion stress radiograph
Ȣ. MRI scan
Ȣ. CT scan
Ȥ. Nuclear bone scan
Ȥ. External rotation stress radiograph
Ȧ. Complex deformity with an angulation in two planes
Ȧ. Single deformity less than 20 degrees, apex posterolateral
Ȩ. Single deformity greater than 30 degrees, apex posterolateral
Ȩ. Single deformity less than 20 degrees, apex posteromedial
Ȫ. Single deformity greater than 30 degrees, apex posteromedial
Ȫ. Pronation of the foot during the stance phase of gait
Ȭ. Heel inversion at the beginning of a single limb heel rise
Ȭ. Active inversion of the nonweightbearing foot
Ȯ. Active plantar flexion of the first ray against resistance
Ȯ. Active plantar flexion of the foot during the push-off phase of gait
Ȱ. Observation and repeat radiographs in 4 months
Ȱ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ȳ. Electrical stimulation at night
Ȳ. Physical therapy
ȴ. Begins to remodel and hypertrophy more quickly
ȵ. Provides a better scaffold for osteoconduction
ȶ. Reduces the risk of early fracture
ȷ. Reduces technical difficulty
ȸ. Lowers donor site morbidity
ȹ. Anterior fusion of the lumbar curve
Ⱥ. Anterior and posterior fusion of the thoracic curve
Ȼ. Posterior fusion of the thoracic curve
Ȼ. Posterior fusion of the thoracic and lumbar curves
Ƚ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ⱦ. Subscapularis rupture
Ȿ. Type III SLAP lesion
Ɀ. Disruption of capsular shift
Ɂ. Isolated traumatic subluxation
Ɂ. Injury to the axillary nerve after dislocation
Ƀ. hypophosphatemia
Ʉ. high dietary cholesterol intake
Ʌ. deficiency of lipoprotein A
Ɇ. deficiency of protein S and protein C
Ɇ. elevated levels of antithrombin III
Ɉ. Weightbearing short leg cast
Ɉ. Nonweightbearing short leg cast
Ɋ. Removable splint and early motion
Ɋ. Open reduction and internal fixation
Ɍ. Elastic compression bandage with full weightbearing
Ɍ. Breast
Ɏ. Prostate
Ɏ. Gastrointestinal
Ɐ. Kidney
Ɑ. Multiple myeloma
Ɒ. Varus stress
Ɓ. Valgus stress
Ɔ. Torsional loading
ɕ. Hyperextension of the knee
Ɖ. Contraction of the quadriceps while axially loaded
Ɗ. Primary internal fixation at both fracture levels
ɘ. External fixation as definitive ttt for both #
Ə. Skeletal traction and delayed internal fixation of both fractures
ɚ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɛ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɜ. Heel spur
ɝ. Plantar fascitis
ɞ. Dysfunction of the tibialis posterior tendon
ɟ. Compression of the first branch of the lateral plantar nerve
Ɠ. Compression of the calcaneal nerve
Ɡ. Displaced labral tear
ɢ. Tear of the rotator cuff
Ɣ. Fracture of the glenoid rim
ɤ. Palsy of the axillary nerve
Ɥ. Palsy of the musculocutaneus nerve
Ɦ. Enchondroma
ɧ. Osteoblastoma
Ɨ. Giant cell tumor
Ɩ. Aneurysmal bone cyst
Ɪ. Fibrous dysplasia
Ɫ. Arthrogram of the wrist
Ɬ. MRI scan of both wrists
ɭ. CT scan of both wrists in the same position
ɮ. Radiographs of the wrist in supination and pronation
Ɯ. Radiographs of the opposite wrist in the same position
ɰ. Secondary hyperparathyroidism
Ɱ. Phosphate retention secondary to uremia
Ɲ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
ɳ. Aluminum deposition in bone from oral phosphate binders
ɴ. Persistent acidosis aggravating the negative calcium balance
Ɵ. Posterior fusion at T10-L3 with segmental instrumentation
ɶ. Laminectomy and fusion of T12-L2 with segmental instrumentation
ɷ. Bed rest in a hyperextension brace
ɸ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
ɹ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
ɺ. Positive-pressure ventilation
ɻ. An immediate radiograph of the chest
ɼ. Adjustment of the position of the endotrachael tube
Ɽ. Insertion of a large-bore needle into the pericardial space
ɾ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
ɿ. Allowing the ends of the fracture to touch
Ʀ. Adding a second connecting bar
ʁ. Adding one pin to each fracture fragment
Ʂ. Increasing the pin diameter from 4 mm to 6 mm
Ʃ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
ʄ. Osteomyelitis
ʅ. Malignant degeneration
ʆ. Stress fracture
Ʇ. Local recurrence of the giant cell tumor
Ʈ. Bone resorption due to methylmethacrylate
Ʉ. Advancement of the plantar plate
Ʊ. Resection of the second metatarsal head
Ʋ. Dorsiflexion osteotomy of the second metatarsal neck
Ʌ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
ʍ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
ʎ. Sacral fracture
ʏ. Burst fracture of L5
ʐ. Cauda equina syndrome
ʑ. Distraction-flexion injury at L3
Ʒ. Distraction-extension injury at L3
ʓ. An MRI scan of the shoulder
ʔ. An MRI scan of the cervical spine
ʕ. Electromyographic and nerve conduction velocity studies
ʖ. Immobilization in a sling and early passive range of motion exercises
ʗ. Immediate return to the operating room for exploration of the brachial plexus
ʘ. cerclage wiring
ʙ. tension band wiring
ʚ. removal of the patellar component
ʛ. revision of the patellar component
ʜ. immobilization of the knee and protected weightbearing
Ʝ. Liposarcoma
Ʞ. Nodular fasciitis
ʟ. Rabdomyosarcoma
ʠ. Malignant fibrous histiocytoma
ʡ. Extra-abdominal desmoid tumor
ʢ. Clubfeet
ʣ. Thrombocytopenia
ʤ. Congenital scoliosis
ʥ. Ventricular septal defect
ʦ. Arnold-Chiari malformation
ʧ. delayed primary closure
ʨ. free flap
ʩ. pedicle groin flap
ʪ. full-thickness skin graft
ʫ. split-thickness skin graft
ʬ. Infection
ʭ. Nonunion
ʮ. Improper screw length
ʯ. Osteonecrosis of the distal fragment
ʰ. Use of a cortical screw instead of a cancellous screw
ʱ. Infection
ʲ. Tear of the rotator cuff
ʳ. Loosening of the humeral component
ʴ. Arthritis of the glenoid
ʵ. Arthritis of the A-C joint
ʶ. Reduced morbidity
ʷ. Improved osteoinduction
ʸ. Improved osteoconduction
ʹ. More rapid revascularization
ʺ. Lower risk of disease transmission
ʻ. Manipulation Under Anesthesia
ʼ. Arthroscopic acromioplasty
ʽ. Arthroscopic debridement of G-H joint
ʾ. Replacement of the humeral head
ʿ. Lengthening of the subscapularis and release of the anterior capsule
ˀ. Bacteroides
ˁ. E. coli
˂. Staph. aureus
˃. group A streptococcus
˄. Clostridium perforingens
˅. observation and exercises
ˆ. bracing with a thoracolumbar orthosis
ˇ. fusion of the posterior spine
ˈ. fusion of the anterior spine
ˉ. fusion of the anterior and posterior spine
ˊ. Total wrist replacement and bridge grafts
ˋ. palmar shelf arthroplasty and tendon transfers
ˌ. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
ˍ. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
ˎ. Total wrist fusion and tendon transfers
ˏ. constrained acetabular component
ː. protrusion ring with morselized graft
ˑ. cemented metal backed acetabular component
˒. cemented all-polyethylene acetabular component
˓. cementless hemispherical component with screw fixation
˔. application of a hip abduction brace for 22 hours per day
˕. application of a hip spica under anesthesia
˖. discontinuance of all bracing and repeat radiographs in 3 months
˗. open reduction of the hip and application of a spica cast
˘. open reduction, varus osteotomy, and application of a spica cast
˙. Loss of skin hair on the feet
˚. Absent pulses on vascular examination
˛. Pain that originates proximally and spreads distally
˜. Pain that is relieved by stopping and standing
˝. Pain that is worse when the patient walks uphill rather downhill
˞. wrist flexors and finger flexors
˟. elbow flexors and wrist flexors
ˠ. elbow flexors and finger flexors
ˡ. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
ˢ. elbow extensors and wrist extensors
ˣ. Syndactyly
ˤ. Macrodactyly
˥. Camptodactyly
˦. Preaxial polydactyly
˧. Postaxial polydactyly
˨. Arthrodesis
˩. Rotationplasty
˪. Above-knee amputation
˫. Osteoarticular allograft
ˬ. Endoprosthesis (custom arthroplasty)
˭. Plantar fascia
ˮ. Spring ligament
˯. Deltoid ligament
˰. Intrinsic tendons
˱. Gastorcnemius-solelus complex
˲. Prevention of presynaptic release of acetylcholine
˳. Prevention of synthesis of presynaptic acetylcholine
˴. Activation of acetylcholinesterase at the motor end-plate
˵. Blockage of postsynaptic action of acetylcholine until reserves are depleted
˶. Stimulation of release of presynaptic acetylcholine until reserves are depleted
˷. stiffness of the femoral component.
˸. head offset of the femoral component.
˹. femoral component material modulus of elasticity.
˺. extent of the femoral component porous coating.
˻. Presence of a femoral component collar.
˼. plantar fascia and quadratus plantae tendon.
˽. ligamentous structures connecting the tarsal bones.
˾. shape of the tarsal bones and the intervening joints.
˿. activity of the intrinsic muscles of the foot.
̀. activity of the posterior tibialis and the peroneus longus muscles.
́. scapulothoracic fusion
̂. strengthening of the periscapular muscles
̃. pectoralis minor-fascia lata graft transfer to the scapula
̄. pectoralis major-fascia lata graft transfer to the scapula
̅. exploration of the long thoracic nerve, with sural nerve graft
̆. tricompartmental knee replacement
̇. unicompartmental knee replacement
̈. medial compartment meniscal allograft
̉. valgus-producing distal femoral osteotomy
̊. valgus-producing proximal tibial osteotomy
̋. Internal rotation of the femoral component
̌. External rotation of the tibial component
̍. Lateral placement of the femoral component
̎. Medial placement of the patellar component
̏. Excessive resection of the patella
̐. Hallux rigidus
̑. Hallux valgus
̒. Neuroma of the first web space
̓. Fracture of the sesamoid
̔. Rupture of the flexor hallucis longus
̕. Sickle cell crisis
̖. Idiopathic chondrolysis
̗. Hemophilic arthropathy
̘. Osteoid osteoma of the femoral neck
̙. Legg-Calve-Perthes disease
̚. Decreased ankle jerk and positive femoral nerve stretch test
̛. Decreased knee jerk and positive straight-leg raising sign
̜. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̝. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̞. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̟. Long-term administration of IV and oral antibiotics
̠. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̡. Immediate exchange arthroplasty with antibiotic-impregnated cement
̢. Two-stage surgical prosthetic exchange and IV antibiotics
̣. Resection arthroplasty and IV antibiotics
̤. SCFE
̥. MED
̦. Perthes disease
̧. Hypothyroidism
̨. Chondrolysis
̩. gout.
̪. osteoporosis.
̫. eosinophilic granuloma.
̬. tuberculosis of the spine.
̭. metastatic disease of the spine.
̮. water content.
̯. Synthesis of type I collagen.
̰. Proteoglycan content.
̱. Activity of chondrocytes.
̲. Synthesis of hyaluronate.
̳. Lung
̴. Breast
̵. Prostate
̶. Thyroid
̷. Renal
̸. T1-low, T2-low.
̹. T1-low, T2-high.
̺. T1-moderate, T2-low.
̻. T1-high, T2-low.
̼. T1-high, T2-high.
̽. hypothesis is incorrect or invalid
̾. interobserver error rate is 4%.
̿. Standard deviation is 4% higher or lower than the mean.
̀. Sample size is 4% larger than required to be clinically significant.
́. Probability that the differences noted between two study groups were due to chance alone is 4%.
͂. I
̓. II
̈́. IV
Ι. IX
͆. X
͇. Cranial setting
͈. Cranial subluxation
͉. Odontoid fracture
͊. Lysis of the arch of the atlas
͋. Atlantoaxial subluxation
͌. Retrograde collapse of the endoneurial tubes
͍. Irreversible atrophy of the denervated muscles
͎. Elongation of the axons across the zone of injury
͏. Sprouting of the axons at the neuromuscular junction
͐. Misdirection of the axons across the zone of injury
͑. Maximally pronated and elbow extended
͒. Maximally pronated and the elbow flexed
͓. Maximally supinated and the elbow flexed
͔. Maximally supinated and the elbow extended
͕. In neutral rotation, with the elbow extended
͖. open reduction and internal fixation
͗. buddy taping to the adjacent index finger
͘. early motion with application of a dynamic banjo splint
͙. application of a cast with the hand in a “safe position” for 3 weeks.
͚. dorsal extension block splinting
͛. The name of the manufacturer
͜. The manufacturer’s potential liability
͝. The physician’s clinical performance
͞. The physician’s materials testing data
͟. Any royalties the physician receives from the manufacturer
͠. Femoral
͡. Obturator
͢. Inferior gluteal
ͣ. Superior gluteal
ͤ. Lateral femoral cutaneous
ͥ. open biopsy and a long leg cast
ͦ. open biopsy and wide resection of the tumor
ͧ. a long leg cast and observation
ͨ. intramedullary stabilization and observation
ͩ. Triggering
ͪ. Lateral instability
ͫ. Swan-neck deformity
ͬ. Boutonniere deformity
ͭ. Loss of distal interphalangeal joint flexion
ͮ. Peroneus brevis to peroneus longus
ͯ. Peroneus tertius to extensor hallucis longus
Ͱ. Peroneus tertius to superficial peroneal nerve
Ͱ. Extensor hallucis longus to deep peroneal nerve
Ͳ. Extensor hallucis longus to extensor digitorum longus
Ͳ. reassurance that Medicare will pay for the treatment.
ʹ. consent forms that patients or their guardians are able to understand.
͵. a detailed description of the device, omitting the fact that it is part of a study.
Ͷ. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
Ͷ. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
͸. an onlay iliac crest bone graft.
͹. limited weightbearing and observation.
ͺ. removal of the implant and limited weightbearing.
Ͻ. removal of the implant and insertion of a reamed femoral nail.
Ͼ. removal of the implant and insertion of an unreamed femoral nail.
Ͽ. Coronal
;. Sagittal
Ϳ. Anteromedial, midway between the sagittal and the coronal
΀. Proximal pins sagittal, distal pins coronal
΁. Proximal pins coronal, distal pins sagittal
΂. Rheumatoid arthritis
΃. Posttraumatic arthritis
΄. Degenerative osteoarthritis
΅. Osteonecrosis of the tibial plateau
Ά. Osteonecrosis of the medial femoral condyle
·. Trapeziometacarpal arthrodesis
Έ. Osteotomy of the thumb metacarpal
Ή. Arthrotomy and joint debridement
Ί. Ligament reconstruction using one half of the flexor carpi radialis
΋. Trapezium resection, tendon interposition, and reconstruction of the ligament
Ό. Creep
΍. Relaxation
Ύ. Energy dissipation
Ώ. Plastic deformation
Ϊ́. Elastic deformation
Α. bending
Β. axial loading
Γ. high-speed rotation
Δ. direct impact from anteromedial
Ε. crush from anteromedial to posterolateral
Ζ. Increase stiffness
Η. Increase fracture toughness
Θ. Increase fatigue strength
Ι. Decrease mechanical strength
Κ. Decrease wear rate
Λ. disuse osteopenia
Μ. paraendocrine effect of the tumor
Ν. abnormally increased density on the right side
Ξ. side effect of the treatment of the lesion
Ο. extensive tumor involvement of the left hip
Π. Sciatic nerve
Ρ. Superior gluteal artery
΢. Profunda femoris artery
Σ. Femoral artery and nerve
Τ. External iliac artery and vein
Υ. Length
Φ. Moment arm
Χ. Total volume
Ψ. Physiologic cross-sectional area
Ω. Distribution of slow and fast twitch fibers
Ϊ. decreasing initiation of action potentials.
Ϋ. increasing action potential amplitude.
Ά. blocking the opening of gated sodium channels.
Έ. decreasing the number of functional motor units.
Ή. slowing or stopping action potential propagation through the axon.
Ί. resection of the metatarsal heads of the first through fifth toes.
Ϋ́. Silastic MP joint arthroplasties of the first through fifth toes.
Α. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Β. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Γ. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Δ. hemiarthroplasty
Ε. open reduction and internal fixation
Ζ. closed reduction and percutaneous pinning
Η. a sling and early pedulum exercises
Θ. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Ι. open acromioplasty
Κ. open Bankart repair
Λ. open subscapularis tendon repair
Μ. inferior capsular shift
Ν. a supervised physical therapy program
Ξ. a sling and swathe, with pendulum exercises in 10 days
Ο. open reduction and internal fixation through an anterior approach
Π. open reduction and internal fixation through a posterior approach
Ρ. immobilization with a splint in 45 degrees of abduction for 6 weeks
Σ. arthroscopically assisted reduction and percutaneous screw fixation
Σ. Repair of the rotator cuff
Τ. Replacement of the humeral head
Υ. Resection arthroplasty
Φ. Total shoulder arthroplasty
Χ. AP and lateral radiographs of the elbow
Ψ. Diagnositc arthroscopy
Ω. Aspiration of joint fluid
Ϊ. An erythrocyte sedimentation rate and CBC
Ϋ. A diagnostic lidocaine injection
Ό. Insulin-like growth factor (IGF-1)
Ύ. Fibroblast growth factor (FGF-1)
Ώ. Platelet-derived growth factor (PDGF)
Ϗ. Transforming growth factor beta (TGF-B)
Β. Bone morphogenetic proteins (BMP)
Θ. clinical history and radiographic findings.
ϒ. technetium bone scan
ϓ. flow cytometry pattern of extracted chondrocytes
ϔ. immunohistochemical staining patterns of a biopsy specimen
Φ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Π. Radial
Ϗ. Radial recurrent
Ϙ. Posterior interosseous
Ϙ. Superior ulnar recurrent
Ϛ. Superficial radial circumflex
Ϛ. Impaired hydroxylation of proline
Ϝ. Failure of cleavage in procollagen
Ϝ. Defective binding sites for hydroxyproline
Ϟ. Failure to incorporate glycine into the helix
Ϟ. Diminished production of collagen through the rough endoplasmic reticulum
Ϡ. Asking the legal staff to seek a court injunction
Ϡ. Copying the patient’s chart and giving it to him as he leaves
Ϣ. Having the patient sign a written legal contract that specifies acceptable behavior
Ϣ. Continuing care of the patient until an appropriate referral can be arranged
Ϥ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Ϥ. Meta-analysis
Ϧ. Confidence interval
Ϧ. Analysis of variance (ANOVA)
Ϩ. Statistical significance (p-value)
Ϩ. Survivorship analysis (Kaplan-Meier)
Ϫ. Spinal shock
Ϫ. Neurogenic shock
Ϭ. Hypovolemic shock
Ϭ. Pulmonary embolism
Ϯ. Fat embolus syndrome
Ϯ. Lumbar spinal stenosis
Κ. Metastatic disease of the spine
Ρ. Rheumatoid lumbar spondylitis
Ϲ. Isthmic spondyloloisthesis
Ϳ. Degenerative spondylolisthesis at L4-5 and L5-S1
ϴ. Patella alta
Ε. A metal-backed patella
϶. Varus malalignment of the knee
Ϸ. A posterior cruciate-substituting femoral component
Ϸ. Lateral subluxation of the patella on a Merchant’s view
Ϲ. The sesamoids are separated
Ϻ. The sesamoid is fractured
Ϻ. The proximal phx is on the neck of the metatarsal
ϼ. The dislocation is dorsal and centered
Ͻ. The proximal phalanx is hyperextended
Ͼ. Patella
Ͽ. Tibial stem
Ѐ. Distal femoral interface
Ё. Posterior femoral interface
Ђ. Sites of screw fixation for the tibia
Ѓ. Hallux rigidus
Є. Fracture of the sesamoid
Ѕ. Disruption of the plantar plate
І. Osteonecrosis of the metatarsal head
Ї. Rupture of the flexor hallucis longus
Ј. Gout
Љ. Sepsis
Њ. Old trauma
Ћ. Rheumatoid arthritis
Ќ. Charcot arthroplasty
Ѝ. Aspiration and steroid injection
Ў. Biopsy, curettage, and allograft bone grafting
Џ. Percutaneous Kirschner wire fixation
А. Percutaneous injection of autogenous bone marrow
Б. Nerve roots
В. Spinal cord
Г. Sciatic nerve
Д. Peroneal nerve
Е. Conus medullaris
Ж. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
З. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
И. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Й. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
К. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Л. Early and late infection
М. Periprosthetic fracture of the femur
Н. Failure of the patellofemoral and extensor mechanisms
О. Aseptic loosening of cementing tibial components
П. Asceptic loosening of cemented femoral components
Р. Acceptance of the current position of the ankle
С. Open reduction and fixation in the epiphysis only
Т. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
У. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
Ф. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Х. Resection arthroplasty and local radiation
Ц. In situ fusion of the hip
Ч. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
Ш. Excision of heterotopic bone and local radiation
Щ. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Ъ. Closed reduction of both fractures and immediate spica casting
Ы. Bilateral skin traction for 3 weeks, followed by spica casting
Ь. External fixation of both femora
Э. External fixation of the left femur and a long leg cast brace for the right femur
Ю. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Я. Synovial sarcoma
А. Soft-tissue abcess
Б. Rhabdomyosarcoma
В. Eosinophilic granuloma
Г. Nodular pigmented villonodular synovitis
Д. Changing to a titanium nail
Е. Changing to a nonslotted nail
Ж. Changing the cross-sectional shape of the nail
З. Increasing the diameter of the nail by 3 mm
И. Increasing the diameter of the interlocking screws
Й. Fracture healing
К. Chondrosarcoma
Л. Periosteal chondroma
М. Periosteal osteosarcoma
Н. Dysplasia epiphysealis hemimelica
О. Demonstrate competence in the subject of the case
П. Be fellowship trained in the subject of the case
Р. Be paid on a contingency basis
С. Be board certified by the American Board of Orthopaedic Surgery
Т. Have been involved in the case as a consultant
У. Diagnostic arthroscopy
Ф. Arthroscopy and subacromial decompression
Х. Reduction and fixation of the proximal humeral epiphysis
Ц. Temporary cessation of throwing
Ч. Physical therapy for rotator cuff strengthening
Ш. Oblique popliteal ligament
Щ. Lateral capsule
Ъ. Popliteal tendon
Ы. Fibular collateral ligament
Ь. Posterior oblique ligament
Э. Radial tear
Ю. Parrot-beak tear
Я. Vertical tear in the “red-red” zone
Ѐ. Vertical tear in the “red-white” zone
Ё. Vertical tear in the “white-white” zone
Ђ. 0 degrees of abduction, with neural rotation
Ѓ. 40 degrees of flexion and 60 degrees of internal rotation
Є. 45 degrees of flexion and 45 degrees of external rotation
Ѕ. 90 degrees of abduction with neutral rotation
І. 90 degrees of abduction and 90 degrees of external rotation
Ї. Sural
Ј. Saphenous and its branches
Љ. Posterior tibial and its branches
Њ. Deep peroneal and its branches
Ћ. Superficial peroneal and its branches
Ќ. Strength
Ѝ. Stiffness
Ў. Shelf life
Џ. Antigenicity
Ѡ. Risk of HIV transmission
Ѡ. Indemnification
Ѣ. Occurrence
Ѣ. Excess liability
Ѥ. Claims-made
Ѥ. Nose
Ѧ. Lateral Y
Ѧ. Scapular AP
Ѩ. Neutral rotation AP
Ѩ. Internal rotation AP
Ѫ. External rotation AP
Ѫ. Trauma
Ѭ. Hemophilia
Ѭ. Reiter’s syndrome
Ѯ. Rheumatoid arthritis
Ѯ. Systemic lupus erythematosus
Ѱ. Cast immobilization for 6 weeks
Ѱ. Activity modification and re-evaluation in 2 months
Ѳ. Internal fixation with or without bone grafting
Ѳ. Retrograde drilling of the defect without articular cartilage penetration
Ѵ. Drilling of the defect directly through the articular cartilage
Ѵ. repair or reconstruction of the medial collateral ligament
Ѷ. repair or reconstruction of the medialand lateral collateral ligaments
Ѷ. immobilization for 5 days or less
Ѹ. immobilization for 14 days
Ѹ. immobilization for 25 days
Ѻ. Cystinosis
Ѻ. Hypophosphatemia
Ѽ. Renal osteodystrophy
Ѽ. Primary hyperparathyroidism
Ѿ. Nutritional vitamin D deficiency
Ѿ. Lateral meniscus tear
Ҁ. Popliteus tenosynovitis
Ҁ. Iliotibial band friction syndrome
҂. Peroneal nerve entrapment
҃. Biceps tendinitis
҄. Observation
҅. Removal of the prosthetic components
҆. Operative exploration and decompression of the peroneal nerve
҇. Nerve conduction velocity studies
҈. Loosening of the primary dressings and knee flexion to 30 degrees
҉. I
Ҋ. II
Ҋ. III
Ҍ. decreased tissue tension
Ҍ. decreased abductor lever arm
Ҏ. decreased joint reaction force
Ҏ. increased body weight over lever arm
Ґ. increased polyethylene wear rate
Ґ. recurrent traumatic anterior dislocation
Ғ. recurrent traumatic posterior dislocation
Ғ. traumatic subluxation with no previous dislocation
Ҕ. traumatic anterior subluxation
Ҕ. atraumatic involuntary subluxation
Җ. radial
Җ. axillary
Ҙ. suprascapular
Ҙ. thoracodorsal
Қ. long thoracic
Қ. Flexion
Ҝ. Extension
Ҝ. Axial rotation
Ҟ. Left lateral bending
Ҟ. Right lateral bending
Ҡ. Skin
Ҡ. Lung
Ң. Brain
Ң. Heart
Ҥ. Kidney
Ҥ. Thoracoacromial, lateral thoracic, subscapular
Ҧ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ҧ. Posterior humeral circumflex, subscapular, thoracacromial
Ҩ. Subscapular, thoracacromial, anterior humeral circumflex
Ҩ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ҫ. Respondeat superior
Ҫ. Indemnity agreement
Ҭ. Hold harmless agreement- attempt to shift liability from company to physician
Ҭ. Comparative negligence-% of involvement
Ү. Contributory negligence- resident contributed to the negligence
Ү. t-type
Ұ. both column
Ұ. transverse
Ҳ. anterior column
Ҳ. anterior column posterior hemitransverse
Ҵ. Posterior interosseous
Ҵ. Anterior interosseous
Ҷ. Radial
Ҷ. Median
Ҹ. Ulnar
Ҹ. Shock from hypovolemia
Һ. Associated rupture of the bladder
Һ. Arterial bleeding on pelvic angiogram
Ҽ. Presence of a hematoma in the perineum and scrotum
Ҽ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. an onlay bone graft


Explanation

Question 4036

Topic: 10. Pathology and Oncology

  • In revision hip arthroplasty, which of the following is the 5- to 10-year reported graft failure rate when using structural acetabular allografts in the repair of acetabular deficiencies?
. 20% with cemented and uncemented sockets
. 40% with cemented and uncemented sockets
. 60% with cemented sockets
. 90% with cemented and uncemented sockets
. 90% with cemented sockets
. Intramedullary rodding
. Functional bracing
. Closed reduction and a long arm cast
. Closed reduction and application of an external fixator
. Open reduction and internal fixation with a dorsal plate
. patellar chondromalacia
. failure of meniscus repair
. arthrofibrosis
. varus-valgus instability
. anteroposterior instability
. type-I collagen
. type-II collagen
. cartilage oligomeric protein (COMP)
. fibroblast growth factor 2 (FGFR2)
. fibroblast growth factor 3 (FGFR3)
. karyotyping
. flow cytometry
. transmission electron microscopy
. immunohistochemistry staining
. scanning electron microscopy
. ankle arthrodesis
. ankle synovectomy
. total ankle arthroplasty
. transplant of cartilage cells
. lengthening of the Achilles tendon
. fracture of the acetabulum
. protrusion of the acetabulum
!. inadequate inferior coverage
". inadequate superior coverage
#. inadequate anterior and posterior coverage
$. Myelography
%. Thermography
&. CT Scan
'. IV contrast-enhanced CT Scan
(. Gadolinium-enhanced MRI scan
). CT scan of the chest
*. Bone marrow biopsy
+. Complete blood cell count
,. Lateral radiograph of the skull
-. Erythrocyte sedimentation rate
.. Myosin
/. Troponin
0. Tropomyosin
1. Fibrillin
2. Dystrophin
3. a skeletal survey.
4. audiometric screening.
5. physical therapy for stretching.
6. contrast studies of the upper gastrointestinal tract.
7. reassurance to the parents that there is no underlying pathology.
8. Fragmentation and subluxation of the normal joint articulation
9. Varus deformity with medial subchondral sclerosis
:. Preferential narrowing of the medial tibiofemoral compartment
;. Narrowing of the medial, lateral, and patellofemoral compartments
<. Bone proliferation at the patellar tendon and ligament insertion sites
=. Central cord syndrome
>. Anterior cord syndrome
?. Posterior cord syndrome
@. Brown-Sequard syndrome
A. Cervical nerve root injury
B. Debriding the skin edges and performing plate fixation of the fracture
C. Debriding the skin edges and intramedullary rodding of the fracture
D. Extending the wounds, debriding the bone ends, and applying distal femoral traction
E. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
F. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
G. The cell body nucleus migrates centrally
H. Schwann cells distal to the transection die
I. Axoplasm in the proximal stump drains out
J. Myelin distal to the transection is phagocytized
K. Cell body protein synthesis decreases for the first 10 to 14 days
L. Labral repair
M. acromioplasty
N. excision of the coracoid process
O. an arthroscopic Bankart procedure
P. subscapularis repair
Q. Clinodactyly
R. Camptodactyly
S. Symbrachtyly
T. Kirner’s deformity
U. Digiti minimi adductus
V. Cable
W. Buttress plate
X. Methylmethacrylate
Y. Multiple lag screws
Z. Multiple Kirschner wires
[. Sacral fracture lateral to the foramina
\. Sacral fracture medial to the foramina
]. Sacroiliac fracture-dislocation
^. Sacroiliac dislocation
_. Iliac wing fracture
`. Allograft Replacement
A. Radioulnar synostosis
B. Excision of the radial head
C. Open reduction and internal fixation
D. Silicone radial head replacement
E. T10 sensory pin-prick level
F. Retained vibratory sensation at the ankles
G. Presence of sacral sparing
H. Retained spontaneous respiratory function
I. Priapism
J. Application of a pelvic external fixator
K. A pelvic sling
L. Angiography of the pelvis
M. Open reduction and internal fixation
N. Open packing of the pelvic hematoma
O. Syme’s amputation
P. Arthrodesis of the knee
Q. Disarticulation of the knee
R. Centralization of the fibula
S. Prosthetic fitting to accommodate the present deformity
T. Use of regional rather than general anesthesia
U. Observation of a latex-avoidance protocol
V. Latex skin allergen testing
W. Premedication with corticosteroids and antihistamines
X. Avoidance of prophylactic antibiotics derived from penicillin
Y. Olecranon pin traction
Z. Closed reduction and pin fixation
{. Open reduction and internal fixation
|. Cast immobilization in this position
}. An arteriogram to rule out an occult intimal tear of the brachial artery
~. A
. B
€. C
. D
‚. E
ƒ. Follow-up in six months.
„. AP and lateral radiographs.
…. AP and lateral radiographs, and a bone scan.
†. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
‡. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
ˆ. MRI scan
‰. Bone scan
Š. Arthrogram
‹. Axillary lateral radiograph
Œ. CT arthrogram
. Open repair of the central slip of the extensor mechanism
Ž. Open repair of the terminal tendon of the extensor mechanism
. Closed splinting with the proximal interphalangeal joint
. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
‘. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
’. Anteriorly at 20 to 30 degrees of flexion
“. Anteriorly at 70 to 90 degrees of flexion
”. Posteriorly at 20 to 30 degrees of flexion
•. Posteriorly at 70 to 90 degrees of flexion
–. Anteriorly with the knee in full flexion
—. Rett syndrome
˜. Cerebral palsy
™. Myotonic dystrophy
š. Fragile-X syndrome
›. Adrenoleukodystrophy
œ. Endurance limit
. Failure stress
ž. Critical stress
Ÿ. Yield stress
 . Elastic limit
¡. Ewing’s sarcoma
¢. Osteogenic sarcoma
£. Multiple myeloma
¤. Metastatic prostate carcinoma
¥. Metastatic breast carcinoma
¦. Higher subsequent loosening rate of the femoral component
§. Higher subsequent polyethylene wear rate
¨. Higher subsequent dislocation rate
©. Higher infection rate
ª. Unaltered subsequent survival rate of the femoral component
«. Crevice corrosion
¬. Oscillatory fretting
­. Oxidative degradation
®. Adhesion and abrasion
¯. Fatigue and delamination
°. a total contact cast.
±. partial calcanectomy
². Syme’s amputation
³. transtibial amputation.
´. nonweightbearing and IV antibiotics.
Μ. Sural artery island flap.
¶. Free rectus abdominis flap.
·. Extensor digitorum brevis flap.
¸. Staged cross leg flap.
¹. Split-thickness skin graft.
º. An anterior cruciate functional knee brace.
». A physical therapy program.
¼. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
½. Reconstruction of the posterior cruciate ligament.
¾. Reconstruction of the anterior cruciate ligament.
¿. Avoids the risk of marrow emboli
À. Avoids injury to the intramedullary nutrient vessels
Á. Results in faster healing of fractures
Â. Results in more secure fixation
Ã. Results in faster regeneration of the endosteal blood supply
Ä. Above-knee amputation
Å. En bloc resection of the lesion and reconstruction with a bone graft
Æ. Closed reduction and immobilization in a cast
Ç. Open reduction and internal fixation, followed by radiation therapy
È. Open reduction, curettage, and cementing of the lesion
É. Injury to the subclavian artery
Ê. Injury to the brachial plexus
Ë. Segmental fracture
Ì. 100% displacement
Í. Associated displaced surgical neck fracture of the humerus
Î. humeral arthroplasty2/. repair of the rotator cuff
Ï. closed reduction and immobilization
Ð. open reduction and immobilization
Ñ. open reduction and early passive motion
Ò. arthroscopic capsular release
Ó. manipulation under anesthesia
Ô. a physical therapy program
Õ. an intra-articular corticosteroid injection
Ö. administration of high-dose oral corticosteroids
×. adding the scores, in all five body systems
Ø. adding the squares of the scores in the three most severely injured systems
Ù. doubling the cumulative score for head and chest injuries
Ú. combining the scores from the most and least injured systems
Û. correcting the score in the most severely injured system for age
Ü. traumatic femoral head fracture
Ý. osteonecrosis
Þ. osteoarthritis
SS. neuropathic joint
À. rheumatoid arthritis
Á. low-dose radiation
Â. steroid injection
Ã. a load-relieving insert and shoe modification
Ä. complete excision of the mass and the entire plantar fascia
Å. wide excision of the mass with a 2 cm margin of normal fascia
Æ. CT scan of the chest
Ç. technetium bone scan
È. bone marrow aspiration
É. serum protein electrophoresis
Ê. lateral skull radiograph
Ë. high-grade histology of the initial tumor
Ì. multiple local recurrences after curettage
Í. previous treatment of the tumor with cryotherapy
Î. previous treatment of the tumor with radiation therapy
Ï. extraosseous extension into two or more adjacent compartments
Ð. Dorsal rhizotomy and facet joint fusion
Ñ. Multilevel corpectomy and spinal stabilization
Ò. Central and lateral recess decompression and bilateral foraminotomy
Ó. Central decompression and facet joint fusion
Ô. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Õ. Inadequate rehabilitation
Ö. Displacement of the coronoid process fracture
÷. Insufficiency of the lateral ulnar collateral ligament
Ø. Insufficiency of the anterior band of the medial collateral ligament
Ù. Insufficiency of the posterior band of the medial collateral ligament
Ú. Osteotomy and intramedullary rod fixation
Û. Electrical stimulation
Ü. Strut-autografing the concavity the tibia
Ý. A patellar tendon-bearing brace
Þ. Percutaneous injection of demineralized bone matrix
Ÿ. digoxin
Ā. sucralfate
Ā. clindamycin
Ă. alcohol
Ă. neuromuscular blocking agents
Ą. Unrestrained roll-back
Ą. Unrestrained rotational conformity
Ć. Medial-Lateral conformity
Ć. Anteroposterior conformity in flexion
Ĉ. Anteroposterior conformity in extension
Ĉ. Arthrodesis of the MTP joint
Ċ. A Silastic implant of the MTP joint
Ċ. Resection arthroplasty of the MTP joint
Č. Cheilctomy of the MTP joint
Č. Osteotomy of the base of the proximal phalanx
Ď. Genu varum
Ď. Tarsal coalition
Đ. Degenerative ankle arthrosis
Đ. Osteochondritis dissecans of the talus
Ē. Hemihypertrophy of the ipsilateral lower extremity
Ē. Trabecular bone is preferentially resorbed in this high bone turnover state
Ĕ. Loss of water content in the disk increases impact load to the vetrebral bodies
Ĕ. Stress is imposed by the relative stiffness of the arthrtic facet joints
Ė. Increased energy demands are imposed by decreased circulation to the vertebral body
Ė. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ę. Increased time in stance and swing phase
Ę. Addition of a double leg float phase
Ě. Decreased vertical ground reaction forces
Ě. Decreased arc of motion in the hip, knee, and ankle
Ĝ. Decreased joint reaction forces in the hip, knee, and ankle
Ĝ. Talonavicular arthrodesis
Ğ. Medial displacement calcaneal osteotomy
Ğ. Flexor digitorum longus tendon transfer with spring ligament advancement
Ġ. Triple arthrodesis
Ġ. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ģ. Lymphoma
Ģ. Hemangioma
Ĥ. Osteosarcoma
Ĥ. TB of the spine
Ħ. Metastatic breast carcinoma
Ħ. widening and shortening of the heel.
Ĩ. weakness of the gastrocnemius-soleus complex.
Ĩ. anterior impingement from a horizontal talus.
Ī. unrecognized compartment syndrome of the foot.
Ī. degenerative arthritis of the tibiotalar joint.
Ĭ. a corrective osteotomy
Ĭ. application of braces
Į. medial physeal stapling until the varus corrects
Į. observation
İ. application of corrective casts
I. a total contact cast.
IJ. electrical stimulation.
IJ. an off the shelf fracture brace.
Ĵ. an elastic compression bandage and crutches.
Ĵ. a hard soled shoe until the patient is asymptomatic.
Ķ. Ewings tumor
Ķ. Parosteal osteosarcoma
ĸ. Dedifferentiated chondrosarcoma
Ĺ. Low grade intramedullary chondrosarcoma
Ĺ. High grade intramedullary osteosarcoma
Ļ. Vascular injury
Ļ. Tear of the rotator cuff
Ľ. Injury to the brachial plexus
Ľ. Fracture of the upper thoracic rib
Ŀ. Fracture of the proximal humerus
Ŀ. Biceps
Ł. Trapezius
Ł. Infraspinatus
Ń. Pectoralis major
Ń. Serratus anterior
Ņ. Hybrid total hip arthroplasty
Ņ. Noncemental hemiarthroplasty of the hip
Ň. Closed reduction and percutaneous pin fixation
Ň. Open reduction through an anterior approach to the hip
ʼN. Excision of the head fragment
Ŋ. a quadratus femoris pediclebone graft
Ŋ. a proximal femoral allograft
Ō. intertrochanteric osteotomy
Ō. total hip arthroplasty
Ŏ. hip hemiarthroplasty
Ŏ. Echocardiogram
Ő. Electrocardiogram
Ő. Radiograph of the chest
Œ. CT scan of the shoulder
Œ. Ultrasound of the shoulder
Ŕ. Ilioinguinal
Ŕ. Extended iliofemoral
Ŗ. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ŗ. Kocher-Langenbeck (posterior)
Ř. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ř. Deltoid
Ś. Supraspinatus
Ś. Subscapularis Infraspinatus
Ŝ. Infraspinatus
Ŝ. Infraspinatus and teres minor
Ş. an orthosis.
Ş. observation.
Š. electrical stimulation.
Š. open reduction and internal fixation.
Ţ. application of a nonweightbearing short leg cast.
Ţ. repair of the rotator cuff.
Ť. rehabilitation of the shoulder
Ť. replacement of the humeral head.
Ŧ. arthroscopic acromioplasty and debridement.
Ŧ. immobilization is a sling until pain resolves.
Ũ. Bone rotation versus torque applied
Ũ. Bone deflection versus bending moment applied
Ū. Axial displacement versus tension applied
Ū. Lateral translation versus shear force applied
Ŭ. Fracture gap closing versus compressive force applied
Ŭ. steroid injection
Ů. stretching of the heel cord
Ů. surgical release of the plantar fascia
Ű. application of a short leg cast for 6 to 8 weeks
Ű. wearing dorsiflexion night splints
Ų. Open bladder
Ų. Bilateral “hitchhiker’s” thumbs
Ŵ. Bilateral defects in the midclavicles
Ŵ. Rhizomelic shortening of the extremities
Ŷ. Radiographic fragmentation of all major epiphyses
Ŷ. Medial patellotibial
Ÿ. Medial patellofemoral
Ź. Medial patellomeniscal
Ź. Lateral patellofemoral
Ż. Lateral patellotibial
Ż. Heat
Ž. Gentle active flexion-extension exercises
Ž. Isokinetic strengthening
S. Electrical muscle stimulation
Ƀ. Immobilization of the limb with the knee in full flexion
Ɓ. Distal chevron osteotomy with soft-tissue release
Ƃ. Distal soft-tissue realignment only
Ƃ. Closing wedge osteotomy (Aken) of the proximal phalanx
Ƅ. Proximal first metatarsal osteotomy only
Ƅ. Soft-tissue realignment with a proximal metatarsal osteotomy
Ɔ. Vagus
Ƈ. Phrenic
Ƈ. Hypoglossal
Ɖ. Recurrent laryngeal
Ɗ. Inferior thyroid
Ƌ. Surgical exploration
Ƌ. Application of leeches
ƍ. Stellate ganglion blocks
Ǝ. Intra-arterial streptokinase
Ə. Elevation and reevaluation in 1 hour
Ɛ. Liver profile
Ƒ. Myleogram
Ƒ. Platelet count
Ɠ. CT scan of the head
Ɣ. Angiogram of the extremity
Ƕ. Post spinal fusion from L5to S1
Ɩ. Primary repair with an iliac bone graft
Ɨ. Post spinal fusion of L4-5
Ƙ. A pantaloon body cast and 6 weeks of bed rest
Ƙ. Rest, NSAIDS, and limited dancing
Ƚ. Stress fracture of the proximal fifth metatarsal
ƛ. Stress fracture of the base of the second metatarsal
Ɯ. Stress fracture of the neck of the second metatarsal
Ɲ. Morton’s neuroma
Ƞ. Lisfranc’s joint subluxation
Ɵ. C5 radiculopathy
Ơ. Subscapularis rupture
Ơ. Glenohumeral arthrosis
Ƣ. Rotator cuff arthropathy
Ƣ. Suprascapular nerve compression at the spinoglenoid notch
Ƥ. mm femoral head in combination with a metal-backed polyethylene component
Ƥ. mm femoral head in combination with an all-polyethylene acetabular component
Ʀ. mm femoral head in combination with a metal-backed polyethylene component
Ƨ. mm femoral head in combination with an all-polyethylene component
Ƨ. mm femoral head in combination with a metal-backed polyethylene component
Ʃ. Female gender
ƪ. History of cigarette smoking
ƫ. L5-S1 spondylolisthesis on pre-employment radiography
Ƭ. Decreased strength of the lower extremities on pre-employment testing
Ƭ. Decreased flexibility of the lumbar spine on pre-employment testing
Ʈ. Size of cells
Ư. Amount of DNA in cells
Ư. Nucleus-cytoplasm ratio
Ʊ. Specific DNA sequences
Ʋ. Specific messenger RNA sequences
Ƴ. Femoral and obturator nerves
Ƴ. Femoral and superior gluteal nerves
Ƶ. Femoral and lateral femoral cutaneous nerves
Ƶ. Obturator and superior gluteal nerves
Ʒ. Obturator and lateral femoral cutaneous nerves
Ƹ. Isotonic
Ƹ. Isokinetic
ƺ. Isometric
ƻ. Open kinetic chain
Ƽ. Dynamic variable resistance
Ƽ. Closed reduction and cast immobilization
ƾ. Uniplanar external fixation
Ƿ. Open reduction and internal fixation with a dynamic compression plate
ǀ. Unreamed intramedullary rod
ǁ. Multiple plane external fixator
ǂ. Inlet view of the pelvis
ǃ. Outlet view of the pelvis
DŽ. AP view of the hip
DŽ. Ilial oblique view (external oblique) of the hip
DŽ. Obturator oblique
LJ. Glycolytic pathway
LJ. Oxidative phosphorylation
LJ. Breakdown of fat
NJ. Breakdown of protein
NJ. Breakdown of adenosine triphosphate
NJ. an MRI scan
Ǎ. arthroscopic examination
Ǎ. AP and frog-lateral radiographs of the pelvis and hips
Ǐ. varus and valgus stress radiographs of the knee
Ǐ. physical examination of the knee under anesthesia
Ǒ. extended curettage and polymethylmethacrylate cementation
Ǒ. extra-articular resection of the knee and an allograft arthrodesis
Ǔ. wide resection of the proximal tibia and custom prosthetic replacement
Ǔ. prophylactic internal fixation and postoperative irradiation
Ǖ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
Ǖ. silicone implant joint replacement
Ǘ. metatarsophalangeal joint arthrodesis
Ǘ. metatarsophalangeal joint debridement
Ǚ. resection of the metatarsal head
Ǚ. resection of the base of the proximal phalanx
Ǜ. Fixation of the syndesmosis has failed
Ǜ. Widening of the ankle mortise has led to the failure of fixation
Ǝ. Infection around the syndesmosis screw has led to osteomyelitis
Ǟ. The syndesmosis screw is broken
Ǟ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǡ. Microcephaly
Ǡ. A temporal lobe cyst
Ǣ. An Arnold-Chiari type 1 malformation
Ǣ. Periventricular leukomalacia
Ǥ. Agnesis of the corpus callosum
Ǥ. Wolff’s
Ǧ. Hooke’s
Ǧ. Hilton’s
Ǩ. Muller-Haeckel
Ǩ. Heuter-Volkmann
Ǫ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǫ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ǭ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ǭ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ǯ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǯ. UCB orthosis
J̌. Rigid orthosis with a medical arch support
DZ. Semi-rigid orthosis with lateral forefoot posting
DZ. Semi-rigid orthosis with a medial arch support
DZ. Medial heel wedge attached to the running shoes
Ǵ. Hallux varus
Ǵ. Osteonecrosis
Ƕ. Recurrence of the hallux valgus
Ƿ. “Transfer” second metatarsalgia
Ǹ. Physeal arrest of the first metatarsal
Ǹ. Aseptic loosening in a 70-year-old patient
Ǻ. Mechanical failure of a hinged knee prosthesis
Ǻ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ǽ. Infection with soft-tissue deficit
Ǽ. A prior patellectomy
Ǿ. Knee fusion
Ǿ. Open irrigation and debridement
Ȁ. Arthroscopic irrigation and debridement
Ȁ. One-stage exchange arthroplasty
Ȃ. Two-stage exchange arthroplasty
Ȃ. Putti-platt repair
Ȅ. Open Bankart repair
Ȅ. Injection of a subacromial corticosteroid
Ȇ. Arthroscopic transglenoid capsular shift
Ȇ. Rehabilitation of the scapular and rotator cuff muscles
Ȉ. Silicone suction socket and an energy-absorbing foot
Ȉ. Silicone suction socket and a variable resistance ankle
Ȋ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ȋ. Plastic socket with a hinged thigh cuff and a SACH foot
Ȍ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ȍ. Parosteal
Ȏ. Periosteal
Ȏ. High-grade intramedullary
Ȑ. Osteosarcoma occurring in Paget’s disease
Ȑ. Osteosarcoma occurring in irradiated bone
Ȓ. Cauda equina
Ȓ. Conus medullaris
Ȕ. Genitofemoral nerve
Ȕ. Lumbar sympathetic plexus
Ȗ. Lumbar parasympathetic plexus
Ȗ. Spinal pseudoarthrosis
Ș. Spinal cord traction injury with paralysis
Ș. Arterial and venous thromboses
Ț. Superior mesenteric artery syndrome
Ț. Crankshaft phenomenon
Ȝ. Inversion stress radiograph
Ȝ. MRI scan
Ȟ. CT scan
Ȟ. Nuclear bone scan
Ƞ. External rotation stress radiograph
ȡ. Complex deformity with an angulation in two planes
Ȣ. Single deformity less than 20 degrees, apex posterolateral
Ȣ. Single deformity greater than 30 degrees, apex posterolateral
Ȥ. Single deformity less than 20 degrees, apex posteromedial
Ȥ. Single deformity greater than 30 degrees, apex posteromedial
Ȧ. Pronation of the foot during the stance phase of gait
Ȧ. Heel inversion at the beginning of a single limb heel rise
Ȩ. Active inversion of the nonweightbearing foot
Ȩ. Active plantar flexion of the first ray against resistance
Ȫ. Active plantar flexion of the foot during the push-off phase of gait
Ȫ. Observation and repeat radiographs in 4 months
Ȭ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ȭ. Electrical stimulation at night
Ȯ. Physical therapy
Ȯ. Begins to remodel and hypertrophy more quickly
Ȱ. Provides a better scaffold for osteoconduction
Ȱ. Reduces the risk of early fracture
Ȳ. Reduces technical difficulty
Ȳ. Lowers donor site morbidity
ȴ. Anterior fusion of the lumbar curve
ȵ. Anterior and posterior fusion of the thoracic curve
ȶ. Posterior fusion of the thoracic curve
ȷ. Posterior fusion of the thoracic and lumbar curves
ȸ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
ȹ. Subscapularis rupture
Ⱥ. Type III SLAP lesion
Ȼ. Disruption of capsular shift
Ȼ. Isolated traumatic subluxation
Ƚ. Injury to the axillary nerve after dislocation
Ⱦ. hypophosphatemia
Ȿ. high dietary cholesterol intake
Ɀ. deficiency of lipoprotein A
Ɂ. deficiency of protein S and protein C
Ɂ. elevated levels of antithrombin III
Ƀ. Weightbearing short leg cast
Ʉ. Nonweightbearing short leg cast
Ʌ. Removable splint and early motion
Ɇ. Open reduction and internal fixation
Ɇ. Elastic compression bandage with full weightbearing
Ɉ. Breast
Ɉ. Prostate
Ɋ. Gastrointestinal
Ɋ. Kidney
Ɍ. Multiple myeloma
Ɍ. Varus stress
Ɏ. Valgus stress
Ɏ. Torsional loading
Ɐ. Hyperextension of the knee
Ɑ. Contraction of the quadriceps while axially loaded
Ɒ. Primary internal fixation at both fracture levels
Ɓ. External fixation as definitive ttt for both #
Ɔ. Skeletal traction and delayed internal fixation of both fractures
ɕ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɖ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɗ. Heel spur
ɘ. Plantar fascitis
Ə. Dysfunction of the tibialis posterior tendon
ɚ. Compression of the first branch of the lateral plantar nerve
Ɛ. Compression of the calcaneal nerve
Ɜ. Displaced labral tear
ɝ. Tear of the rotator cuff
ɞ. Fracture of the glenoid rim
ɟ. Palsy of the axillary nerve
Ɠ. Palsy of the musculocutaneus nerve
Ɡ. Enchondroma
ɢ. Osteoblastoma
Ɣ. Giant cell tumor
ɤ. Aneurysmal bone cyst
Ɥ. Fibrous dysplasia
Ɦ. Arthrogram of the wrist
ɧ. MRI scan of both wrists
Ɨ. CT scan of both wrists in the same position
Ɩ. Radiographs of the wrist in supination and pronation
Ɪ. Radiographs of the opposite wrist in the same position
Ɫ. Secondary hyperparathyroidism
Ɬ. Phosphate retention secondary to uremia
ɭ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
ɮ. Aluminum deposition in bone from oral phosphate binders
Ɯ. Persistent acidosis aggravating the negative calcium balance
ɰ. Posterior fusion at T10-L3 with segmental instrumentation
Ɱ. Laminectomy and fusion of T12-L2 with segmental instrumentation
Ɲ. Bed rest in a hyperextension brace
ɳ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
ɴ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
Ɵ. Positive-pressure ventilation
ɶ. An immediate radiograph of the chest
ɷ. Adjustment of the position of the endotrachael tube
ɸ. Insertion of a large-bore needle into the pericardial space
ɹ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
ɺ. Allowing the ends of the fracture to touch
ɻ. Adding a second connecting bar
ɼ. Adding one pin to each fracture fragment
Ɽ. Increasing the pin diameter from 4 mm to 6 mm
ɾ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
ɿ. Osteomyelitis
Ʀ. Malignant degeneration
ʁ. Stress fracture
Ʂ. Local recurrence of the giant cell tumor
Ʃ. Bone resorption due to methylmethacrylate
ʄ. Advancement of the plantar plate
ʅ. Resection of the second metatarsal head
ʆ. Dorsiflexion osteotomy of the second metatarsal neck
Ʇ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
Ʈ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
Ʉ. Sacral fracture
Ʊ. Burst fracture of L5
Ʋ. Cauda equina syndrome
Ʌ. Distraction-flexion injury at L3
ʍ. Distraction-extension injury at L3
ʎ. An MRI scan of the shoulder
ʏ. An MRI scan of the cervical spine
ʐ. Electromyographic and nerve conduction velocity studies
ʑ. Immobilization in a sling and early passive range of motion exercises
Ʒ. Immediate return to the operating room for exploration of the brachial plexus
ʓ. cerclage wiring
ʔ. tension band wiring
ʕ. removal of the patellar component
ʖ. revision of the patellar component
ʗ. immobilization of the knee and protected weightbearing
ʘ. Liposarcoma
ʙ. Nodular fasciitis
ʚ. Rabdomyosarcoma
ʛ. Malignant fibrous histiocytoma
ʜ. Extra-abdominal desmoid tumor
Ʝ. Clubfeet
Ʞ. Thrombocytopenia
ʟ. Congenital scoliosis
ʠ. Ventricular septal defect
ʡ. Arnold-Chiari malformation
ʢ. delayed primary closure
ʣ. free flap
ʤ. pedicle groin flap
ʥ. full-thickness skin graft
ʦ. split-thickness skin graft
ʧ. Infection
ʨ. Nonunion
ʩ. Improper screw length
ʪ. Osteonecrosis of the distal fragment
ʫ. Use of a cortical screw instead of a cancellous screw
ʬ. Infection
ʭ. Tear of the rotator cuff
ʮ. Loosening of the humeral component
ʯ. Arthritis of the glenoid
ʰ. Arthritis of the A-C joint
ʱ. Reduced morbidity
ʲ. Improved osteoinduction
ʳ. Improved osteoconduction
ʴ. More rapid revascularization
ʵ. Lower risk of disease transmission
ʶ. Manipulation Under Anesthesia
ʷ. Arthroscopic acromioplasty
ʸ. Arthroscopic debridement of G-H joint
ʹ. Replacement of the humeral head
ʺ. Lengthening of the subscapularis and release of the anterior capsule
ʻ. Bacteroides
ʼ. E. coli
ʽ. Staph. aureus
ʾ. group A streptococcus
ʿ. Clostridium perforingens
ˀ. observation and exercises
ˁ. bracing with a thoracolumbar orthosis
˂. fusion of the posterior spine
˃. fusion of the anterior spine
˄. fusion of the anterior and posterior spine
˅. Total wrist replacement and bridge grafts
ˆ. palmar shelf arthroplasty and tendon transfers
ˇ. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
ˈ. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
ˉ. Total wrist fusion and tendon transfers
ˊ. constrained acetabular component
ˋ. protrusion ring with morselized graft
ˌ. cemented metal backed acetabular component
ˍ. cemented all-polyethylene acetabular component
ˎ. cementless hemispherical component with screw fixation
ˏ. application of a hip abduction brace for 22 hours per day
ː. application of a hip spica under anesthesia
ˑ. discontinuance of all bracing and repeat radiographs in 3 months
˒. open reduction of the hip and application of a spica cast
˓. open reduction, varus osteotomy, and application of a spica cast
˔. Loss of skin hair on the feet
˕. Absent pulses on vascular examination
˖. Pain that originates proximally and spreads distally
˗. Pain that is relieved by stopping and standing
˘. Pain that is worse when the patient walks uphill rather downhill
˙. wrist flexors and finger flexors
˚. elbow flexors and wrist flexors
˛. elbow flexors and finger flexors
˜. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
˝. elbow extensors and wrist extensors
˞. Syndactyly
˟. Macrodactyly
ˠ. Camptodactyly
ˡ. Preaxial polydactyly
ˢ. Postaxial polydactyly
ˣ. Arthrodesis
ˤ. Rotationplasty
˥. Above-knee amputation
˦. Osteoarticular allograft
˧. Endoprosthesis (custom arthroplasty)
˨. Plantar fascia
˩. Spring ligament
˪. Deltoid ligament
˫. Intrinsic tendons
ˬ. Gastorcnemius-solelus complex
˭. Prevention of presynaptic release of acetylcholine
ˮ. Prevention of synthesis of presynaptic acetylcholine
˯. Activation of acetylcholinesterase at the motor end-plate
˰. Blockage of postsynaptic action of acetylcholine until reserves are depleted
˱. Stimulation of release of presynaptic acetylcholine until reserves are depleted
˲. stiffness of the femoral component.
˳. head offset of the femoral component.
˴. femoral component material modulus of elasticity.
˵. extent of the femoral component porous coating.
˶. Presence of a femoral component collar.
˷. plantar fascia and quadratus plantae tendon.
˸. ligamentous structures connecting the tarsal bones.
˹. shape of the tarsal bones and the intervening joints.
˺. activity of the intrinsic muscles of the foot.
˻. activity of the posterior tibialis and the peroneus longus muscles.
˼. scapulothoracic fusion
˽. strengthening of the periscapular muscles
˾. pectoralis minor-fascia lata graft transfer to the scapula
˿. pectoralis major-fascia lata graft transfer to the scapula
̀. exploration of the long thoracic nerve, with sural nerve graft
́. tricompartmental knee replacement
̂. unicompartmental knee replacement
̃. medial compartment meniscal allograft
̄. valgus-producing distal femoral osteotomy
̅. valgus-producing proximal tibial osteotomy
̆. Internal rotation of the femoral component
̇. External rotation of the tibial component
̈. Lateral placement of the femoral component
̉. Medial placement of the patellar component
̊. Excessive resection of the patella
̋. Hallux rigidus
̌. Hallux valgus
̍. Neuroma of the first web space
̎. Fracture of the sesamoid
̏. Rupture of the flexor hallucis longus
̐. Sickle cell crisis
̑. Idiopathic chondrolysis
̒. Hemophilic arthropathy
̓. Osteoid osteoma of the femoral neck
̔. Legg-Calve-Perthes disease
̕. Decreased ankle jerk and positive femoral nerve stretch test
̖. Decreased knee jerk and positive straight-leg raising sign
̗. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̘. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̙. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̚. Long-term administration of IV and oral antibiotics
̛. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̜. Immediate exchange arthroplasty with antibiotic-impregnated cement
̝. Two-stage surgical prosthetic exchange and IV antibiotics
̞. Resection arthroplasty and IV antibiotics
̟. SCFE
̠. MED
̡. Perthes disease
̢. Hypothyroidism
̣. Chondrolysis
̤. gout.
̥. osteoporosis.
̦. eosinophilic granuloma.
̧. tuberculosis of the spine.
̨. metastatic disease of the spine.
̩. water content.
̪. Synthesis of type I collagen.
̫. Proteoglycan content.
̬. Activity of chondrocytes.
̭. Synthesis of hyaluronate.
̮. Lung
̯. Breast
̰. Prostate
̱. Thyroid
̲. Renal
̳. T1-low, T2-low.
̴. T1-low, T2-high.
̵. T1-moderate, T2-low.
̶. T1-high, T2-low.
̷. T1-high, T2-high.
̸. hypothesis is incorrect or invalid
̹. interobserver error rate is 4%.
̺. Standard deviation is 4% higher or lower than the mean.
̻. Sample size is 4% larger than required to be clinically significant.
̼. Probability that the differences noted between two study groups were due to chance alone is 4%.
̽. I
̾. II
̿. IV
̀. IX
́. X
͂. Cranial setting
̓. Cranial subluxation
̈́. Odontoid fracture
Ι. Lysis of the arch of the atlas
͆. Atlantoaxial subluxation
͇. Retrograde collapse of the endoneurial tubes
͈. Irreversible atrophy of the denervated muscles
͉. Elongation of the axons across the zone of injury
͊. Sprouting of the axons at the neuromuscular junction
͋. Misdirection of the axons across the zone of injury
͌. Maximally pronated and elbow extended
͍. Maximally pronated and the elbow flexed
͎. Maximally supinated and the elbow flexed
͏. Maximally supinated and the elbow extended
͐. In neutral rotation, with the elbow extended
͑. open reduction and internal fixation
͒. buddy taping to the adjacent index finger
͓. early motion with application of a dynamic banjo splint
͔. application of a cast with the hand in a “safe position” for 3 weeks.
͕. dorsal extension block splinting
͖. The name of the manufacturer
͗. The manufacturer’s potential liability
͘. The physician’s clinical performance
͙. The physician’s materials testing data
͚. Any royalties the physician receives from the manufacturer
͛. Femoral
͜. Obturator
͝. Inferior gluteal
͞. Superior gluteal
͟. Lateral femoral cutaneous
͠. open biopsy and a long leg cast
͡. open biopsy and wide resection of the tumor
͢. a long leg cast and observation
ͣ. intramedullary stabilization and observation
ͤ. Triggering
ͥ. Lateral instability
ͦ. Swan-neck deformity
ͧ. Boutonniere deformity
ͨ. Loss of distal interphalangeal joint flexion
ͩ. Peroneus brevis to peroneus longus
ͪ. Peroneus tertius to extensor hallucis longus
ͫ. Peroneus tertius to superficial peroneal nerve
ͬ. Extensor hallucis longus to deep peroneal nerve
ͭ. Extensor hallucis longus to extensor digitorum longus
ͮ. reassurance that Medicare will pay for the treatment.
ͯ. consent forms that patients or their guardians are able to understand.
Ͱ. a detailed description of the device, omitting the fact that it is part of a study.
Ͱ. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
Ͳ. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
Ͳ. an onlay iliac crest bone graft.
ʹ. limited weightbearing and observation.
͵. removal of the implant and limited weightbearing.
Ͷ. removal of the implant and insertion of a reamed femoral nail.
Ͷ. removal of the implant and insertion of an unreamed femoral nail.
͸. Coronal
͹. Sagittal
ͺ. Anteromedial, midway between the sagittal and the coronal
Ͻ. Proximal pins sagittal, distal pins coronal
Ͼ. Proximal pins coronal, distal pins sagittal
Ͽ. Rheumatoid arthritis
;. Posttraumatic arthritis
Ϳ. Degenerative osteoarthritis
΀. Osteonecrosis of the tibial plateau
΁. Osteonecrosis of the medial femoral condyle
΂. Trapeziometacarpal arthrodesis
΃. Osteotomy of the thumb metacarpal
΄. Arthrotomy and joint debridement
΅. Ligament reconstruction using one half of the flexor carpi radialis
Ά. Trapezium resection, tendon interposition, and reconstruction of the ligament
·. Creep
Έ. Relaxation
Ή. Energy dissipation
Ί. Plastic deformation
΋. Elastic deformation
Ό. bending
΍. axial loading
Ύ. high-speed rotation
Ώ. direct impact from anteromedial
Ϊ́. crush from anteromedial to posterolateral
Α. Increase stiffness
Β. Increase fracture toughness
Γ. Increase fatigue strength
Δ. Decrease mechanical strength
Ε. Decrease wear rate
Ζ. disuse osteopenia
Η. paraendocrine effect of the tumor
Θ. abnormally increased density on the right side
Ι. side effect of the treatment of the lesion
Κ. extensive tumor involvement of the left hip
Λ. Sciatic nerve
Μ. Superior gluteal artery
Ν. Profunda femoris artery
Ξ. Femoral artery and nerve
Ο. External iliac artery and vein
Π. Length
Ρ. Moment arm
΢. Total volume
Σ. Physiologic cross-sectional area
Τ. Distribution of slow and fast twitch fibers
Υ. decreasing initiation of action potentials.
Φ. increasing action potential amplitude.
Χ. blocking the opening of gated sodium channels.
Ψ. decreasing the number of functional motor units.
Ω. slowing or stopping action potential propagation through the axon.
Ϊ. resection of the metatarsal heads of the first through fifth toes.
Ϋ. Silastic MP joint arthroplasties of the first through fifth toes.
Ά. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Έ. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Ή. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Ί. hemiarthroplasty
Ϋ́. open reduction and internal fixation
Α. closed reduction and percutaneous pinning
Β. a sling and early pedulum exercises
Γ. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Δ. open acromioplasty
Ε. open Bankart repair
Ζ. open subscapularis tendon repair
Η. inferior capsular shift
Θ. a supervised physical therapy program
Ι. a sling and swathe, with pendulum exercises in 10 days
Κ. open reduction and internal fixation through an anterior approach
Λ. open reduction and internal fixation through a posterior approach
Μ. immobilization with a splint in 45 degrees of abduction for 6 weeks
Ν. arthroscopically assisted reduction and percutaneous screw fixation
Ξ. Repair of the rotator cuff
Ο. Replacement of the humeral head
Π. Resection arthroplasty
Ρ. Total shoulder arthroplasty
Σ. AP and lateral radiographs of the elbow
Σ. Diagnositc arthroscopy
Τ. Aspiration of joint fluid
Υ. An erythrocyte sedimentation rate and CBC
Φ. A diagnostic lidocaine injection
Χ. Insulin-like growth factor (IGF-1)
Ψ. Fibroblast growth factor (FGF-1)
Ω. Platelet-derived growth factor (PDGF)
Ϊ. Transforming growth factor beta (TGF-B)
Ϋ. Bone morphogenetic proteins (BMP)
Ό. clinical history and radiographic findings.
Ύ. technetium bone scan
Ώ. flow cytometry pattern of extracted chondrocytes
Ϗ. immunohistochemical staining patterns of a biopsy specimen
Β. histologic features of a biopsy specimen stained with hematoxylin-cosin
Θ. Radial
ϒ. Radial recurrent
ϓ. Posterior interosseous
ϔ. Superior ulnar recurrent
Φ. Superficial radial circumflex
Π. Impaired hydroxylation of proline
Ϗ. Failure of cleavage in procollagen
Ϙ. Defective binding sites for hydroxyproline
Ϙ. Failure to incorporate glycine into the helix
Ϛ. Diminished production of collagen through the rough endoplasmic reticulum
Ϛ. Asking the legal staff to seek a court injunction
Ϝ. Copying the patient’s chart and giving it to him as he leaves
Ϝ. Having the patient sign a written legal contract that specifies acceptable behavior
Ϟ. Continuing care of the patient until an appropriate referral can be arranged
Ϟ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Ϡ. Meta-analysis
Ϡ. Confidence interval
Ϣ. Analysis of variance (ANOVA)
Ϣ. Statistical significance (p-value)
Ϥ. Survivorship analysis (Kaplan-Meier)
Ϥ. Spinal shock
Ϧ. Neurogenic shock
Ϧ. Hypovolemic shock
Ϩ. Pulmonary embolism
Ϩ. Fat embolus syndrome
Ϫ. Lumbar spinal stenosis
Ϫ. Metastatic disease of the spine
Ϭ. Rheumatoid lumbar spondylitis
Ϭ. Isthmic spondyloloisthesis
Ϯ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ϯ. Patella alta
Κ. A metal-backed patella
Ρ. Varus malalignment of the knee
Ϲ. A posterior cruciate-substituting femoral component
Ϳ. Lateral subluxation of the patella on a Merchant’s view
ϴ. The sesamoids are separated
Ε. The sesamoid is fractured
϶. The proximal phx is on the neck of the metatarsal
Ϸ. The dislocation is dorsal and centered
Ϸ. The proximal phalanx is hyperextended
Ϲ. Patella
Ϻ. Tibial stem
Ϻ. Distal femoral interface
ϼ. Posterior femoral interface
Ͻ. Sites of screw fixation for the tibia
Ͼ. Hallux rigidus
Ͽ. Fracture of the sesamoid
Ѐ. Disruption of the plantar plate
Ё. Osteonecrosis of the metatarsal head
Ђ. Rupture of the flexor hallucis longus
Ѓ. Gout
Є. Sepsis
Ѕ. Old trauma
І. Rheumatoid arthritis
Ї. Charcot arthroplasty
Ј. Aspiration and steroid injection
Љ. Biopsy, curettage, and allograft bone grafting
Њ. Percutaneous Kirschner wire fixation
Ћ. Percutaneous injection of autogenous bone marrow
Ќ. Nerve roots
Ѝ. Spinal cord
Ў. Sciatic nerve
Џ. Peroneal nerve
А. Conus medullaris
Б. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
В. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Г. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Д. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
Е. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Ж. Early and late infection
З. Periprosthetic fracture of the femur
И. Failure of the patellofemoral and extensor mechanisms
Й. Aseptic loosening of cementing tibial components
К. Asceptic loosening of cemented femoral components
Л. Acceptance of the current position of the ankle
М. Open reduction and fixation in the epiphysis only
Н. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
О. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
П. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Р. Resection arthroplasty and local radiation
С. In situ fusion of the hip
Т. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
У. Excision of heterotopic bone and local radiation
Ф. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Х. Closed reduction of both fractures and immediate spica casting
Ц. Bilateral skin traction for 3 weeks, followed by spica casting
Ч. External fixation of both femora
Ш. External fixation of the left femur and a long leg cast brace for the right femur
Щ. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Ъ. Synovial sarcoma
Ы. Soft-tissue abcess
Ь. Rhabdomyosarcoma
Э. Eosinophilic granuloma
Ю. Nodular pigmented villonodular synovitis
Я. Changing to a titanium nail
А. Changing to a nonslotted nail
Б. Changing the cross-sectional shape of the nail
В. Increasing the diameter of the nail by 3 mm
Г. Increasing the diameter of the interlocking screws
Д. Fracture healing
Е. Chondrosarcoma
Ж. Periosteal chondroma
З. Periosteal osteosarcoma
И. Dysplasia epiphysealis hemimelica
Й. Demonstrate competence in the subject of the case
К. Be fellowship trained in the subject of the case
Л. Be paid on a contingency basis
М. Be board certified by the American Board of Orthopaedic Surgery
Н. Have been involved in the case as a consultant
О. Diagnostic arthroscopy
П. Arthroscopy and subacromial decompression
Р. Reduction and fixation of the proximal humeral epiphysis
С. Temporary cessation of throwing
Т. Physical therapy for rotator cuff strengthening
У. Oblique popliteal ligament
Ф. Lateral capsule
Х. Popliteal tendon
Ц. Fibular collateral ligament
Ч. Posterior oblique ligament
Ш. Radial tear
Щ. Parrot-beak tear
Ъ. Vertical tear in the “red-red” zone
Ы. Vertical tear in the “red-white” zone
Ь. Vertical tear in the “white-white” zone
Э. 0 degrees of abduction, with neural rotation
Ю. 40 degrees of flexion and 60 degrees of internal rotation
Я. 45 degrees of flexion and 45 degrees of external rotation
Ѐ. 90 degrees of abduction with neutral rotation
Ё. 90 degrees of abduction and 90 degrees of external rotation
Ђ. Sural
Ѓ. Saphenous and its branches
Є. Posterior tibial and its branches
Ѕ. Deep peroneal and its branches
І. Superficial peroneal and its branches
Ї. Strength
Ј. Stiffness
Љ. Shelf life
Њ. Antigenicity
Ћ. Risk of HIV transmission
Ќ. Indemnification
Ѝ. Occurrence
Ў. Excess liability
Џ. Claims-made
Ѡ. Nose
Ѡ. Lateral Y
Ѣ. Scapular AP
Ѣ. Neutral rotation AP
Ѥ. Internal rotation AP
Ѥ. External rotation AP
Ѧ. Trauma
Ѧ. Hemophilia
Ѩ. Reiter’s syndrome
Ѩ. Rheumatoid arthritis
Ѫ. Systemic lupus erythematosus
Ѫ. Cast immobilization for 6 weeks
Ѭ. Activity modification and re-evaluation in 2 months
Ѭ. Internal fixation with or without bone grafting
Ѯ. Retrograde drilling of the defect without articular cartilage penetration
Ѯ. Drilling of the defect directly through the articular cartilage
Ѱ. repair or reconstruction of the medial collateral ligament
Ѱ. repair or reconstruction of the medialand lateral collateral ligaments
Ѳ. immobilization for 5 days or less
Ѳ. immobilization for 14 days
Ѵ. immobilization for 25 days
Ѵ. Cystinosis
Ѷ. Hypophosphatemia
Ѷ. Renal osteodystrophy
Ѹ. Primary hyperparathyroidism
Ѹ. Nutritional vitamin D deficiency
Ѻ. Lateral meniscus tear
Ѻ. Popliteus tenosynovitis
Ѽ. Iliotibial band friction syndrome
Ѽ. Peroneal nerve entrapment
Ѿ. Biceps tendinitis
Ѿ. Observation
Ҁ. Removal of the prosthetic components
Ҁ. Operative exploration and decompression of the peroneal nerve
҂. Nerve conduction velocity studies
҃. Loosening of the primary dressings and knee flexion to 30 degrees
҄. I
҅. II
҆. III
҇. decreased tissue tension
҈. decreased abductor lever arm
҉. decreased joint reaction force
Ҋ. increased body weight over lever arm
Ҋ. increased polyethylene wear rate
Ҍ. recurrent traumatic anterior dislocation
Ҍ. recurrent traumatic posterior dislocation
Ҏ. traumatic subluxation with no previous dislocation
Ҏ. traumatic anterior subluxation
Ґ. atraumatic involuntary subluxation
Ґ. radial
Ғ. axillary
Ғ. suprascapular
Ҕ. thoracodorsal
Ҕ. long thoracic
Җ. Flexion
Җ. Extension
Ҙ. Axial rotation
Ҙ. Left lateral bending
Қ. Right lateral bending
Қ. Skin
Ҝ. Lung
Ҝ. Brain
Ҟ. Heart
Ҟ. Kidney
Ҡ. Thoracoacromial, lateral thoracic, subscapular
Ҡ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ң. Posterior humeral circumflex, subscapular, thoracacromial
Ң. Subscapular, thoracacromial, anterior humeral circumflex
Ҥ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ҥ. Respondeat superior
Ҧ. Indemnity agreement
Ҧ. Hold harmless agreement- attempt to shift liability from company to physician
Ҩ. Comparative negligence-% of involvement
Ҩ. Contributory negligence- resident contributed to the negligence
Ҫ. t-type
Ҫ. both column
Ҭ. transverse
Ҭ. anterior column
Ү. anterior column posterior hemitransverse
Ү. Posterior interosseous
Ұ. Anterior interosseous
Ұ. Radial
Ҳ. Median
Ҳ. Ulnar
Ҵ. Shock from hypovolemia
Ҵ. Associated rupture of the bladder
Ҷ. Arterial bleeding on pelvic angiogram
Ҷ. Presence of a hematoma in the perineum and scrotum
Ҹ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. 20% with cemented and uncemented sockets


Explanation

Question 4037

Topic: 10. Pathology and Oncology

  • What is the treatment of choice for an adult who has an isolated fracture of the ulna at the junction of the distal and middle thirds, with 5 degrees apex dorsal angulation and 25% displacement?
. Intramedullary rodding
. Functional bracing
. Closed reduction and a long arm cast
. Closed reduction and application of an external fixator
. Open reduction and internal fixation with a dorsal plate
. patellar chondromalacia
. failure of meniscus repair
. arthrofibrosis
. varus-valgus instability
. anteroposterior instability
. type-I collagen
. type-II collagen
. cartilage oligomeric protein (COMP)
. fibroblast growth factor 2 (FGFR2)
. fibroblast growth factor 3 (FGFR3)
. karyotyping
. flow cytometry
. transmission electron microscopy
. immunohistochemistry staining
. scanning electron microscopy
. ankle arthrodesis
. ankle synovectomy
. total ankle arthroplasty
. transplant of cartilage cells
. lengthening of the Achilles tendon
. fracture of the acetabulum
. protrusion of the acetabulum
. inadequate inferior coverage
. inadequate superior coverage
. inadequate anterior and posterior coverage
. Myelography
. Thermography
!. CT Scan
". IV contrast-enhanced CT Scan
#. Gadolinium-enhanced MRI scan
$. CT scan of the chest
%. Bone marrow biopsy
&. Complete blood cell count
'. Lateral radiograph of the skull
(. Erythrocyte sedimentation rate
). Myosin
*. Troponin
+. Tropomyosin
,. Fibrillin
-. Dystrophin
.. a skeletal survey.
/. audiometric screening.
0. physical therapy for stretching.
1. contrast studies of the upper gastrointestinal tract.
2. reassurance to the parents that there is no underlying pathology.
3. Fragmentation and subluxation of the normal joint articulation
4. Varus deformity with medial subchondral sclerosis
5. Preferential narrowing of the medial tibiofemoral compartment
6. Narrowing of the medial, lateral, and patellofemoral compartments
7. Bone proliferation at the patellar tendon and ligament insertion sites
8. Central cord syndrome
9. Anterior cord syndrome
:. Posterior cord syndrome
;. Brown-Sequard syndrome
<. Cervical nerve root injury
=. Debriding the skin edges and performing plate fixation of the fracture
>. Debriding the skin edges and intramedullary rodding of the fracture
?. Extending the wounds, debriding the bone ends, and applying distal femoral traction
@. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
A. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
B. The cell body nucleus migrates centrally
C. Schwann cells distal to the transection die
D. Axoplasm in the proximal stump drains out
E. Myelin distal to the transection is phagocytized
F. Cell body protein synthesis decreases for the first 10 to 14 days
G. Labral repair
H. acromioplasty
I. excision of the coracoid process
J. an arthroscopic Bankart procedure
K. subscapularis repair
L. Clinodactyly
M. Camptodactyly
N. Symbrachtyly
O. Kirner’s deformity
P. Digiti minimi adductus
Q. Cable
R. Buttress plate
S. Methylmethacrylate
T. Multiple lag screws
U. Multiple Kirschner wires
V. Sacral fracture lateral to the foramina
W. Sacral fracture medial to the foramina
X. Sacroiliac fracture-dislocation
Y. Sacroiliac dislocation
Z. Iliac wing fracture
[. Allograft Replacement
\. Radioulnar synostosis
]. Excision of the radial head
^. Open reduction and internal fixation
_. Silicone radial head replacement
`. T10 sensory pin-prick level
A. Retained vibratory sensation at the ankles
B. Presence of sacral sparing
C. Retained spontaneous respiratory function
D. Priapism
E. Application of a pelvic external fixator
F. A pelvic sling
G. Angiography of the pelvis
H. Open reduction and internal fixation
I. Open packing of the pelvic hematoma
J. Syme’s amputation
K. Arthrodesis of the knee
L. Disarticulation of the knee
M. Centralization of the fibula
N. Prosthetic fitting to accommodate the present deformity
O. Use of regional rather than general anesthesia
P. Observation of a latex-avoidance protocol
Q. Latex skin allergen testing
R. Premedication with corticosteroids and antihistamines
S. Avoidance of prophylactic antibiotics derived from penicillin
T. Olecranon pin traction
U. Closed reduction and pin fixation
V. Open reduction and internal fixation
W. Cast immobilization in this position
X. An arteriogram to rule out an occult intimal tear of the brachial artery
Y. A
Z. B
{. C
|. D
}. E
~. Follow-up in six months.
. AP and lateral radiographs.
€. AP and lateral radiographs, and a bone scan.
. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
‚. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
ƒ. MRI scan
„. Bone scan
…. Arthrogram
†. Axillary lateral radiograph
‡. CT arthrogram
ˆ. Open repair of the central slip of the extensor mechanism
‰. Open repair of the terminal tendon of the extensor mechanism
Š. Closed splinting with the proximal interphalangeal joint
‹. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
Œ. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
. Anteriorly at 20 to 30 degrees of flexion
Ž. Anteriorly at 70 to 90 degrees of flexion
. Posteriorly at 20 to 30 degrees of flexion
. Posteriorly at 70 to 90 degrees of flexion
‘. Anteriorly with the knee in full flexion
’. Rett syndrome
“. Cerebral palsy
”. Myotonic dystrophy
•. Fragile-X syndrome
–. Adrenoleukodystrophy
—. Endurance limit
˜. Failure stress
™. Critical stress
š. Yield stress
›. Elastic limit
œ. Ewing’s sarcoma
. Osteogenic sarcoma
ž. Multiple myeloma
Ÿ. Metastatic prostate carcinoma
 . Metastatic breast carcinoma
¡. Higher subsequent loosening rate of the femoral component
¢. Higher subsequent polyethylene wear rate
£. Higher subsequent dislocation rate
¤. Higher infection rate
¥. Unaltered subsequent survival rate of the femoral component
¦. Crevice corrosion
§. Oscillatory fretting
¨. Oxidative degradation
©. Adhesion and abrasion
ª. Fatigue and delamination
«. a total contact cast.
¬. partial calcanectomy
­. Syme’s amputation
®. transtibial amputation.
¯. nonweightbearing and IV antibiotics.
°. Sural artery island flap.
±. Free rectus abdominis flap.
². Extensor digitorum brevis flap.
³. Staged cross leg flap.
´. Split-thickness skin graft.
Μ. An anterior cruciate functional knee brace.
¶. A physical therapy program.
·. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
¸. Reconstruction of the posterior cruciate ligament.
¹. Reconstruction of the anterior cruciate ligament.
º. Avoids the risk of marrow emboli
». Avoids injury to the intramedullary nutrient vessels
¼. Results in faster healing of fractures
½. Results in more secure fixation
¾. Results in faster regeneration of the endosteal blood supply
¿. Above-knee amputation
À. En bloc resection of the lesion and reconstruction with a bone graft
Á. Closed reduction and immobilization in a cast
Â. Open reduction and internal fixation, followed by radiation therapy
Ã. Open reduction, curettage, and cementing of the lesion
Ä. Injury to the subclavian artery
Å. Injury to the brachial plexus
Æ. Segmental fracture
Ç. 100% displacement
È. Associated displaced surgical neck fracture of the humerus
É. humeral arthroplasty2/. repair of the rotator cuff
Ê. closed reduction and immobilization
Ë. open reduction and immobilization
Ì. open reduction and early passive motion
Í. arthroscopic capsular release
Î. manipulation under anesthesia
Ï. a physical therapy program
Ð. an intra-articular corticosteroid injection
Ñ. administration of high-dose oral corticosteroids
Ò. adding the scores, in all five body systems
Ó. adding the squares of the scores in the three most severely injured systems
Ô. doubling the cumulative score for head and chest injuries
Õ. combining the scores from the most and least injured systems
Ö. correcting the score in the most severely injured system for age
×. traumatic femoral head fracture
Ø. osteonecrosis
Ù. osteoarthritis
Ú. neuropathic joint
Û. rheumatoid arthritis
Ü. low-dose radiation
Ý. steroid injection
Þ. a load-relieving insert and shoe modification
SS. complete excision of the mass and the entire plantar fascia
À. wide excision of the mass with a 2 cm margin of normal fascia
Á. CT scan of the chest
Â. technetium bone scan
Ã. bone marrow aspiration
Ä. serum protein electrophoresis
Å. lateral skull radiograph
Æ. high-grade histology of the initial tumor
Ç. multiple local recurrences after curettage
È. previous treatment of the tumor with cryotherapy
É. previous treatment of the tumor with radiation therapy
Ê. extraosseous extension into two or more adjacent compartments
Ë. Dorsal rhizotomy and facet joint fusion
Ì. Multilevel corpectomy and spinal stabilization
Í. Central and lateral recess decompression and bilateral foraminotomy
Î. Central decompression and facet joint fusion
Ï. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Ð. Inadequate rehabilitation
Ñ. Displacement of the coronoid process fracture
Ò. Insufficiency of the lateral ulnar collateral ligament
Ó. Insufficiency of the anterior band of the medial collateral ligament
Ô. Insufficiency of the posterior band of the medial collateral ligament
Õ. Osteotomy and intramedullary rod fixation
Ö. Electrical stimulation
÷. Strut-autografing the concavity the tibia
Ø. A patellar tendon-bearing brace
Ù. Percutaneous injection of demineralized bone matrix
Ú. digoxin
Û. sucralfate
Ü. clindamycin
Ý. alcohol
Þ. neuromuscular blocking agents
Ÿ. Unrestrained roll-back
Ā. Unrestrained rotational conformity
Ā. Medial-Lateral conformity
Ă. Anteroposterior conformity in flexion
Ă. Anteroposterior conformity in extension
Ą. Arthrodesis of the MTP joint
Ą. A Silastic implant of the MTP joint
Ć. Resection arthroplasty of the MTP joint
Ć. Cheilctomy of the MTP joint
Ĉ. Osteotomy of the base of the proximal phalanx
Ĉ. Genu varum
Ċ. Tarsal coalition
Ċ. Degenerative ankle arthrosis
Č. Osteochondritis dissecans of the talus
Č. Hemihypertrophy of the ipsilateral lower extremity
Ď. Trabecular bone is preferentially resorbed in this high bone turnover state
Ď. Loss of water content in the disk increases impact load to the vetrebral bodies
Đ. Stress is imposed by the relative stiffness of the arthrtic facet joints
Đ. Increased energy demands are imposed by decreased circulation to the vertebral body
Ē. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ē. Increased time in stance and swing phase
Ĕ. Addition of a double leg float phase
Ĕ. Decreased vertical ground reaction forces
Ė. Decreased arc of motion in the hip, knee, and ankle
Ė. Decreased joint reaction forces in the hip, knee, and ankle
Ę. Talonavicular arthrodesis
Ę. Medial displacement calcaneal osteotomy
Ě. Flexor digitorum longus tendon transfer with spring ligament advancement
Ě. Triple arthrodesis
Ĝ. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ĝ. Lymphoma
Ğ. Hemangioma
Ğ. Osteosarcoma
Ġ. TB of the spine
Ġ. Metastatic breast carcinoma
Ģ. widening and shortening of the heel.
Ģ. weakness of the gastrocnemius-soleus complex.
Ĥ. anterior impingement from a horizontal talus.
Ĥ. unrecognized compartment syndrome of the foot.
Ħ. degenerative arthritis of the tibiotalar joint.
Ħ. a corrective osteotomy
Ĩ. application of braces
Ĩ. medial physeal stapling until the varus corrects
Ī. observation
Ī. application of corrective casts
Ĭ. a total contact cast.
Ĭ. electrical stimulation.
Į. an off the shelf fracture brace.
Į. an elastic compression bandage and crutches.
İ. a hard soled shoe until the patient is asymptomatic.
I. Ewings tumor
IJ. Parosteal osteosarcoma
IJ. Dedifferentiated chondrosarcoma
Ĵ. Low grade intramedullary chondrosarcoma
Ĵ. High grade intramedullary osteosarcoma
Ķ. Vascular injury
Ķ. Tear of the rotator cuff
ĸ. Injury to the brachial plexus
Ĺ. Fracture of the upper thoracic rib
Ĺ. Fracture of the proximal humerus
Ļ. Biceps
Ļ. Trapezius
Ľ. Infraspinatus
Ľ. Pectoralis major
Ŀ. Serratus anterior
Ŀ. Hybrid total hip arthroplasty
Ł. Noncemental hemiarthroplasty of the hip
Ł. Closed reduction and percutaneous pin fixation
Ń. Open reduction through an anterior approach to the hip
Ń. Excision of the head fragment
Ņ. a quadratus femoris pediclebone graft
Ņ. a proximal femoral allograft
Ň. intertrochanteric osteotomy
Ň. total hip arthroplasty
ʼN. hip hemiarthroplasty
Ŋ. Echocardiogram
Ŋ. Electrocardiogram
Ō. Radiograph of the chest
Ō. CT scan of the shoulder
Ŏ. Ultrasound of the shoulder
Ŏ. Ilioinguinal
Ő. Extended iliofemoral
Ő. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Œ. Kocher-Langenbeck (posterior)
Œ. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ŕ. Deltoid
Ŕ. Supraspinatus
Ŗ. Subscapularis Infraspinatus
Ŗ. Infraspinatus
Ř. Infraspinatus and teres minor
Ř. an orthosis.
Ś. observation.
Ś. electrical stimulation.
Ŝ. open reduction and internal fixation.
Ŝ. application of a nonweightbearing short leg cast.
Ş. repair of the rotator cuff.
Ş. rehabilitation of the shoulder
Š. replacement of the humeral head.
Š. arthroscopic acromioplasty and debridement.
Ţ. immobilization is a sling until pain resolves.
Ţ. Bone rotation versus torque applied
Ť. Bone deflection versus bending moment applied
Ť. Axial displacement versus tension applied
Ŧ. Lateral translation versus shear force applied
Ŧ. Fracture gap closing versus compressive force applied
Ũ. steroid injection
Ũ. stretching of the heel cord
Ū. surgical release of the plantar fascia
Ū. application of a short leg cast for 6 to 8 weeks
Ŭ. wearing dorsiflexion night splints
Ŭ. Open bladder
Ů. Bilateral “hitchhiker’s” thumbs
Ů. Bilateral defects in the midclavicles
Ű. Rhizomelic shortening of the extremities
Ű. Radiographic fragmentation of all major epiphyses
Ų. Medial patellotibial
Ų. Medial patellofemoral
Ŵ. Medial patellomeniscal
Ŵ. Lateral patellofemoral
Ŷ. Lateral patellotibial
Ŷ. Heat
Ÿ. Gentle active flexion-extension exercises
Ź. Isokinetic strengthening
Ź. Electrical muscle stimulation
Ż. Immobilization of the limb with the knee in full flexion
Ż. Distal chevron osteotomy with soft-tissue release
Ž. Distal soft-tissue realignment only
Ž. Closing wedge osteotomy (Aken) of the proximal phalanx
S. Proximal first metatarsal osteotomy only
Ƀ. Soft-tissue realignment with a proximal metatarsal osteotomy
Ɓ. Vagus
Ƃ. Phrenic
Ƃ. Hypoglossal
Ƅ. Recurrent laryngeal
Ƅ. Inferior thyroid
Ɔ. Surgical exploration
Ƈ. Application of leeches
Ƈ. Stellate ganglion blocks
Ɖ. Intra-arterial streptokinase
Ɗ. Elevation and reevaluation in 1 hour
Ƌ. Liver profile
Ƌ. Myleogram
ƍ. Platelet count
Ǝ. CT scan of the head
Ə. Angiogram of the extremity
Ɛ. Post spinal fusion from L5to S1
Ƒ. Primary repair with an iliac bone graft
Ƒ. Post spinal fusion of L4-5
Ɠ. A pantaloon body cast and 6 weeks of bed rest
Ɣ. Rest, NSAIDS, and limited dancing
Ƕ. Stress fracture of the proximal fifth metatarsal
Ɩ. Stress fracture of the base of the second metatarsal
Ɨ. Stress fracture of the neck of the second metatarsal
Ƙ. Morton’s neuroma
Ƙ. Lisfranc’s joint subluxation
Ƚ. C5 radiculopathy
ƛ. Subscapularis rupture
Ɯ. Glenohumeral arthrosis
Ɲ. Rotator cuff arthropathy
Ƞ. Suprascapular nerve compression at the spinoglenoid notch
Ɵ. mm femoral head in combination with a metal-backed polyethylene component
Ơ. mm femoral head in combination with an all-polyethylene acetabular component
Ơ. mm femoral head in combination with a metal-backed polyethylene component
Ƣ. mm femoral head in combination with an all-polyethylene component
Ƣ. mm femoral head in combination with a metal-backed polyethylene component
Ƥ. Female gender
Ƥ. History of cigarette smoking
Ʀ. L5-S1 spondylolisthesis on pre-employment radiography
Ƨ. Decreased strength of the lower extremities on pre-employment testing
Ƨ. Decreased flexibility of the lumbar spine on pre-employment testing
Ʃ. Size of cells
ƪ. Amount of DNA in cells
ƫ. Nucleus-cytoplasm ratio
Ƭ. Specific DNA sequences
Ƭ. Specific messenger RNA sequences
Ʈ. Femoral and obturator nerves
Ư. Femoral and superior gluteal nerves
Ư. Femoral and lateral femoral cutaneous nerves
Ʊ. Obturator and superior gluteal nerves
Ʋ. Obturator and lateral femoral cutaneous nerves
Ƴ. Isotonic
Ƴ. Isokinetic
Ƶ. Isometric
Ƶ. Open kinetic chain
Ʒ. Dynamic variable resistance
Ƹ. Closed reduction and cast immobilization
Ƹ. Uniplanar external fixation
ƺ. Open reduction and internal fixation with a dynamic compression plate
ƻ. Unreamed intramedullary rod
Ƽ. Multiple plane external fixator
Ƽ. Inlet view of the pelvis
ƾ. Outlet view of the pelvis
Ƿ. AP view of the hip
ǀ. Ilial oblique view (external oblique) of the hip
ǁ. Obturator oblique
ǂ. Glycolytic pathway
ǃ. Oxidative phosphorylation
DŽ. Breakdown of fat
DŽ. Breakdown of protein
DŽ. Breakdown of adenosine triphosphate
LJ. an MRI scan
LJ. arthroscopic examination
LJ. AP and frog-lateral radiographs of the pelvis and hips
NJ. varus and valgus stress radiographs of the knee
NJ. physical examination of the knee under anesthesia
NJ. extended curettage and polymethylmethacrylate cementation
Ǎ. extra-articular resection of the knee and an allograft arthrodesis
Ǎ. wide resection of the proximal tibia and custom prosthetic replacement
Ǐ. prophylactic internal fixation and postoperative irradiation
Ǐ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
Ǒ. silicone implant joint replacement
Ǒ. metatarsophalangeal joint arthrodesis
Ǔ. metatarsophalangeal joint debridement
Ǔ. resection of the metatarsal head
Ǖ. resection of the base of the proximal phalanx
Ǖ. Fixation of the syndesmosis has failed
Ǘ. Widening of the ankle mortise has led to the failure of fixation
Ǘ. Infection around the syndesmosis screw has led to osteomyelitis
Ǚ. The syndesmosis screw is broken
Ǚ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǜ. Microcephaly
Ǜ. A temporal lobe cyst
Ǝ. An Arnold-Chiari type 1 malformation
Ǟ. Periventricular leukomalacia
Ǟ. Agnesis of the corpus callosum
Ǡ. Wolff’s
Ǡ. Hooke’s
Ǣ. Hilton’s
Ǣ. Muller-Haeckel
Ǥ. Heuter-Volkmann
Ǥ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǧ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ǧ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ǩ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ǩ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǫ. UCB orthosis
Ǫ. Rigid orthosis with a medical arch support
Ǭ. Semi-rigid orthosis with lateral forefoot posting
Ǭ. Semi-rigid orthosis with a medial arch support
Ǯ. Medial heel wedge attached to the running shoes
Ǯ. Hallux varus
J̌. Osteonecrosis
DZ. Recurrence of the hallux valgus
DZ. “Transfer” second metatarsalgia
DZ. Physeal arrest of the first metatarsal
Ǵ. Aseptic loosening in a 70-year-old patient
Ǵ. Mechanical failure of a hinged knee prosthesis
Ƕ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ƿ. Infection with soft-tissue deficit
Ǹ. A prior patellectomy
Ǹ. Knee fusion
Ǻ. Open irrigation and debridement
Ǻ. Arthroscopic irrigation and debridement
Ǽ. One-stage exchange arthroplasty
Ǽ. Two-stage exchange arthroplasty
Ǿ. Putti-platt repair
Ǿ. Open Bankart repair
Ȁ. Injection of a subacromial corticosteroid
Ȁ. Arthroscopic transglenoid capsular shift
Ȃ. Rehabilitation of the scapular and rotator cuff muscles
Ȃ. Silicone suction socket and an energy-absorbing foot
Ȅ. Silicone suction socket and a variable resistance ankle
Ȅ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ȇ. Plastic socket with a hinged thigh cuff and a SACH foot
Ȇ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ȉ. Parosteal
Ȉ. Periosteal
Ȋ. High-grade intramedullary
Ȋ. Osteosarcoma occurring in Paget’s disease
Ȍ. Osteosarcoma occurring in irradiated bone
Ȍ. Cauda equina
Ȏ. Conus medullaris
Ȏ. Genitofemoral nerve
Ȑ. Lumbar sympathetic plexus
Ȑ. Lumbar parasympathetic plexus
Ȓ. Spinal pseudoarthrosis
Ȓ. Spinal cord traction injury with paralysis
Ȕ. Arterial and venous thromboses
Ȕ. Superior mesenteric artery syndrome
Ȗ. Crankshaft phenomenon
Ȗ. Inversion stress radiograph
Ș. MRI scan
Ș. CT scan
Ț. Nuclear bone scan
Ț. External rotation stress radiograph
Ȝ. Complex deformity with an angulation in two planes
Ȝ. Single deformity less than 20 degrees, apex posterolateral
Ȟ. Single deformity greater than 30 degrees, apex posterolateral
Ȟ. Single deformity less than 20 degrees, apex posteromedial
Ƞ. Single deformity greater than 30 degrees, apex posteromedial
ȡ. Pronation of the foot during the stance phase of gait
Ȣ. Heel inversion at the beginning of a single limb heel rise
Ȣ. Active inversion of the nonweightbearing foot
Ȥ. Active plantar flexion of the first ray against resistance
Ȥ. Active plantar flexion of the foot during the push-off phase of gait
Ȧ. Observation and repeat radiographs in 4 months
Ȧ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ȩ. Electrical stimulation at night
Ȩ. Physical therapy
Ȫ. Begins to remodel and hypertrophy more quickly
Ȫ. Provides a better scaffold for osteoconduction
Ȭ. Reduces the risk of early fracture
Ȭ. Reduces technical difficulty
Ȯ. Lowers donor site morbidity
Ȯ. Anterior fusion of the lumbar curve
Ȱ. Anterior and posterior fusion of the thoracic curve
Ȱ. Posterior fusion of the thoracic curve
Ȳ. Posterior fusion of the thoracic and lumbar curves
Ȳ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
ȴ. Subscapularis rupture
ȵ. Type III SLAP lesion
ȶ. Disruption of capsular shift
ȷ. Isolated traumatic subluxation
ȸ. Injury to the axillary nerve after dislocation
ȹ. hypophosphatemia
Ⱥ. high dietary cholesterol intake
Ȼ. deficiency of lipoprotein A
Ȼ. deficiency of protein S and protein C
Ƚ. elevated levels of antithrombin III
Ⱦ. Weightbearing short leg cast
Ȿ. Nonweightbearing short leg cast
Ɀ. Removable splint and early motion
Ɂ. Open reduction and internal fixation
Ɂ. Elastic compression bandage with full weightbearing
Ƀ. Breast
Ʉ. Prostate
Ʌ. Gastrointestinal
Ɇ. Kidney
Ɇ. Multiple myeloma
Ɉ. Varus stress
Ɉ. Valgus stress
Ɋ. Torsional loading
Ɋ. Hyperextension of the knee
Ɍ. Contraction of the quadriceps while axially loaded
Ɍ. Primary internal fixation at both fracture levels
Ɏ. External fixation as definitive ttt for both #
Ɏ. Skeletal traction and delayed internal fixation of both fractures
Ɐ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɑ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɒ. Heel spur
Ɓ. Plantar fascitis
Ɔ. Dysfunction of the tibialis posterior tendon
ɕ. Compression of the first branch of the lateral plantar nerve
Ɖ. Compression of the calcaneal nerve
Ɗ. Displaced labral tear
ɘ. Tear of the rotator cuff
Ə. Fracture of the glenoid rim
ɚ. Palsy of the axillary nerve
Ɛ. Palsy of the musculocutaneus nerve
Ɜ. Enchondroma
ɝ. Osteoblastoma
ɞ. Giant cell tumor
ɟ. Aneurysmal bone cyst
Ɠ. Fibrous dysplasia
Ɡ. Arthrogram of the wrist
ɢ. MRI scan of both wrists
Ɣ. CT scan of both wrists in the same position
ɤ. Radiographs of the wrist in supination and pronation
Ɥ. Radiographs of the opposite wrist in the same position
Ɦ. Secondary hyperparathyroidism
ɧ. Phosphate retention secondary to uremia
Ɨ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
Ɩ. Aluminum deposition in bone from oral phosphate binders
Ɪ. Persistent acidosis aggravating the negative calcium balance
Ɫ. Posterior fusion at T10-L3 with segmental instrumentation
Ɬ. Laminectomy and fusion of T12-L2 with segmental instrumentation
ɭ. Bed rest in a hyperextension brace
ɮ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
Ɯ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
ɰ. Positive-pressure ventilation
Ɱ. An immediate radiograph of the chest
Ɲ. Adjustment of the position of the endotrachael tube
ɳ. Insertion of a large-bore needle into the pericardial space
ɴ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
Ɵ. Allowing the ends of the fracture to touch
ɶ. Adding a second connecting bar
ɷ. Adding one pin to each fracture fragment
ɸ. Increasing the pin diameter from 4 mm to 6 mm
ɹ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
ɺ. Osteomyelitis
ɻ. Malignant degeneration
ɼ. Stress fracture
Ɽ. Local recurrence of the giant cell tumor
ɾ. Bone resorption due to methylmethacrylate
ɿ. Advancement of the plantar plate
Ʀ. Resection of the second metatarsal head
ʁ. Dorsiflexion osteotomy of the second metatarsal neck
Ʂ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
Ʃ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
ʄ. Sacral fracture
ʅ. Burst fracture of L5
ʆ. Cauda equina syndrome
Ʇ. Distraction-flexion injury at L3
Ʈ. Distraction-extension injury at L3
Ʉ. An MRI scan of the shoulder
Ʊ. An MRI scan of the cervical spine
Ʋ. Electromyographic and nerve conduction velocity studies
Ʌ. Immobilization in a sling and early passive range of motion exercises
ʍ. Immediate return to the operating room for exploration of the brachial plexus
ʎ. cerclage wiring
ʏ. tension band wiring
ʐ. removal of the patellar component
ʑ. revision of the patellar component
Ʒ. immobilization of the knee and protected weightbearing
ʓ. Liposarcoma
ʔ. Nodular fasciitis
ʕ. Rabdomyosarcoma
ʖ. Malignant fibrous histiocytoma
ʗ. Extra-abdominal desmoid tumor
ʘ. Clubfeet
ʙ. Thrombocytopenia
ʚ. Congenital scoliosis
ʛ. Ventricular septal defect
ʜ. Arnold-Chiari malformation
Ʝ. delayed primary closure
Ʞ. free flap
ʟ. pedicle groin flap
ʠ. full-thickness skin graft
ʡ. split-thickness skin graft
ʢ. Infection
ʣ. Nonunion
ʤ. Improper screw length
ʥ. Osteonecrosis of the distal fragment
ʦ. Use of a cortical screw instead of a cancellous screw
ʧ. Infection
ʨ. Tear of the rotator cuff
ʩ. Loosening of the humeral component
ʪ. Arthritis of the glenoid
ʫ. Arthritis of the A-C joint
ʬ. Reduced morbidity
ʭ. Improved osteoinduction
ʮ. Improved osteoconduction
ʯ. More rapid revascularization
ʰ. Lower risk of disease transmission
ʱ. Manipulation Under Anesthesia
ʲ. Arthroscopic acromioplasty
ʳ. Arthroscopic debridement of G-H joint
ʴ. Replacement of the humeral head
ʵ. Lengthening of the subscapularis and release of the anterior capsule
ʶ. Bacteroides
ʷ. E. coli
ʸ. Staph. aureus
ʹ. group A streptococcus
ʺ. Clostridium perforingens
ʻ. observation and exercises
ʼ. bracing with a thoracolumbar orthosis
ʽ. fusion of the posterior spine
ʾ. fusion of the anterior spine
ʿ. fusion of the anterior and posterior spine
ˀ. Total wrist replacement and bridge grafts
ˁ. palmar shelf arthroplasty and tendon transfers
˂. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
˃. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
˄. Total wrist fusion and tendon transfers
˅. constrained acetabular component
ˆ. protrusion ring with morselized graft
ˇ. cemented metal backed acetabular component
ˈ. cemented all-polyethylene acetabular component
ˉ. cementless hemispherical component with screw fixation
ˊ. application of a hip abduction brace for 22 hours per day
ˋ. application of a hip spica under anesthesia
ˌ. discontinuance of all bracing and repeat radiographs in 3 months
ˍ. open reduction of the hip and application of a spica cast
ˎ. open reduction, varus osteotomy, and application of a spica cast
ˏ. Loss of skin hair on the feet
ː. Absent pulses on vascular examination
ˑ. Pain that originates proximally and spreads distally
˒. Pain that is relieved by stopping and standing
˓. Pain that is worse when the patient walks uphill rather downhill
˔. wrist flexors and finger flexors
˕. elbow flexors and wrist flexors
˖. elbow flexors and finger flexors
˗. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
˘. elbow extensors and wrist extensors
˙. Syndactyly
˚. Macrodactyly
˛. Camptodactyly
˜. Preaxial polydactyly
˝. Postaxial polydactyly
˞. Arthrodesis
˟. Rotationplasty
ˠ. Above-knee amputation
ˡ. Osteoarticular allograft
ˢ. Endoprosthesis (custom arthroplasty)
ˣ. Plantar fascia
ˤ. Spring ligament
˥. Deltoid ligament
˦. Intrinsic tendons
˧. Gastorcnemius-solelus complex
˨. Prevention of presynaptic release of acetylcholine
˩. Prevention of synthesis of presynaptic acetylcholine
˪. Activation of acetylcholinesterase at the motor end-plate
˫. Blockage of postsynaptic action of acetylcholine until reserves are depleted
ˬ. Stimulation of release of presynaptic acetylcholine until reserves are depleted
˭. stiffness of the femoral component.
ˮ. head offset of the femoral component.
˯. femoral component material modulus of elasticity.
˰. extent of the femoral component porous coating.
˱. Presence of a femoral component collar.
˲. plantar fascia and quadratus plantae tendon.
˳. ligamentous structures connecting the tarsal bones.
˴. shape of the tarsal bones and the intervening joints.
˵. activity of the intrinsic muscles of the foot.
˶. activity of the posterior tibialis and the peroneus longus muscles.
˷. scapulothoracic fusion
˸. strengthening of the periscapular muscles
˹. pectoralis minor-fascia lata graft transfer to the scapula
˺. pectoralis major-fascia lata graft transfer to the scapula
˻. exploration of the long thoracic nerve, with sural nerve graft
˼. tricompartmental knee replacement
˽. unicompartmental knee replacement
˾. medial compartment meniscal allograft
˿. valgus-producing distal femoral osteotomy
̀. valgus-producing proximal tibial osteotomy
́. Internal rotation of the femoral component
̂. External rotation of the tibial component
̃. Lateral placement of the femoral component
̄. Medial placement of the patellar component
̅. Excessive resection of the patella
̆. Hallux rigidus
̇. Hallux valgus
̈. Neuroma of the first web space
̉. Fracture of the sesamoid
̊. Rupture of the flexor hallucis longus
̋. Sickle cell crisis
̌. Idiopathic chondrolysis
̍. Hemophilic arthropathy
̎. Osteoid osteoma of the femoral neck
̏. Legg-Calve-Perthes disease
̐. Decreased ankle jerk and positive femoral nerve stretch test
̑. Decreased knee jerk and positive straight-leg raising sign
̒. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̓. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̔. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̕. Long-term administration of IV and oral antibiotics
̖. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̗. Immediate exchange arthroplasty with antibiotic-impregnated cement
̘. Two-stage surgical prosthetic exchange and IV antibiotics
̙. Resection arthroplasty and IV antibiotics
̚. SCFE
̛. MED
̜. Perthes disease
̝. Hypothyroidism
̞. Chondrolysis
̟. gout.
̠. osteoporosis.
̡. eosinophilic granuloma.
̢. tuberculosis of the spine.
̣. metastatic disease of the spine.
̤. water content.
̥. Synthesis of type I collagen.
̦. Proteoglycan content.
̧. Activity of chondrocytes.
̨. Synthesis of hyaluronate.
̩. Lung
̪. Breast
̫. Prostate
̬. Thyroid
̭. Renal
̮. T1-low, T2-low.
̯. T1-low, T2-high.
̰. T1-moderate, T2-low.
̱. T1-high, T2-low.
̲. T1-high, T2-high.
̳. hypothesis is incorrect or invalid
̴. interobserver error rate is 4%.
̵. Standard deviation is 4% higher or lower than the mean.
̶. Sample size is 4% larger than required to be clinically significant.
̷. Probability that the differences noted between two study groups were due to chance alone is 4%.
̸. I
̹. II
̺. IV
̻. IX
̼. X
̽. Cranial setting
̾. Cranial subluxation
̿. Odontoid fracture
̀. Lysis of the arch of the atlas
́. Atlantoaxial subluxation
͂. Retrograde collapse of the endoneurial tubes
̓. Irreversible atrophy of the denervated muscles
̈́. Elongation of the axons across the zone of injury
Ι. Sprouting of the axons at the neuromuscular junction
͆. Misdirection of the axons across the zone of injury
͇. Maximally pronated and elbow extended
͈. Maximally pronated and the elbow flexed
͉. Maximally supinated and the elbow flexed
͊. Maximally supinated and the elbow extended
͋. In neutral rotation, with the elbow extended
͌. open reduction and internal fixation
͍. buddy taping to the adjacent index finger
͎. early motion with application of a dynamic banjo splint
͏. application of a cast with the hand in a “safe position” for 3 weeks.
͐. dorsal extension block splinting
͑. The name of the manufacturer
͒. The manufacturer’s potential liability
͓. The physician’s clinical performance
͔. The physician’s materials testing data
͕. Any royalties the physician receives from the manufacturer
͖. Femoral
͗. Obturator
͘. Inferior gluteal
͙. Superior gluteal
͚. Lateral femoral cutaneous
͛. open biopsy and a long leg cast
͜. open biopsy and wide resection of the tumor
͝. a long leg cast and observation
͞. intramedullary stabilization and observation
͟. Triggering
͠. Lateral instability
͡. Swan-neck deformity
͢. Boutonniere deformity
ͣ. Loss of distal interphalangeal joint flexion
ͤ. Peroneus brevis to peroneus longus
ͥ. Peroneus tertius to extensor hallucis longus
ͦ. Peroneus tertius to superficial peroneal nerve
ͧ. Extensor hallucis longus to deep peroneal nerve
ͨ. Extensor hallucis longus to extensor digitorum longus
ͩ. reassurance that Medicare will pay for the treatment.
ͪ. consent forms that patients or their guardians are able to understand.
ͫ. a detailed description of the device, omitting the fact that it is part of a study.
ͬ. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
ͭ. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
ͮ. an onlay iliac crest bone graft.
ͯ. limited weightbearing and observation.
Ͱ. removal of the implant and limited weightbearing.
Ͱ. removal of the implant and insertion of a reamed femoral nail.
Ͳ. removal of the implant and insertion of an unreamed femoral nail.
Ͳ. Coronal
ʹ. Sagittal
͵. Anteromedial, midway between the sagittal and the coronal
Ͷ. Proximal pins sagittal, distal pins coronal
Ͷ. Proximal pins coronal, distal pins sagittal
͸. Rheumatoid arthritis
͹. Posttraumatic arthritis
ͺ. Degenerative osteoarthritis
Ͻ. Osteonecrosis of the tibial plateau
Ͼ. Osteonecrosis of the medial femoral condyle
Ͽ. Trapeziometacarpal arthrodesis
;. Osteotomy of the thumb metacarpal
Ϳ. Arthrotomy and joint debridement
΀. Ligament reconstruction using one half of the flexor carpi radialis
΁. Trapezium resection, tendon interposition, and reconstruction of the ligament
΂. Creep
΃. Relaxation
΄. Energy dissipation
΅. Plastic deformation
Ά. Elastic deformation
·. bending
Έ. axial loading
Ή. high-speed rotation
Ί. direct impact from anteromedial
΋. crush from anteromedial to posterolateral
Ό. Increase stiffness
΍. Increase fracture toughness
Ύ. Increase fatigue strength
Ώ. Decrease mechanical strength
Ϊ́. Decrease wear rate
Α. disuse osteopenia
Β. paraendocrine effect of the tumor
Γ. abnormally increased density on the right side
Δ. side effect of the treatment of the lesion
Ε. extensive tumor involvement of the left hip
Ζ. Sciatic nerve
Η. Superior gluteal artery
Θ. Profunda femoris artery
Ι. Femoral artery and nerve
Κ. External iliac artery and vein
Λ. Length
Μ. Moment arm
Ν. Total volume
Ξ. Physiologic cross-sectional area
Ο. Distribution of slow and fast twitch fibers
Π. decreasing initiation of action potentials.
Ρ. increasing action potential amplitude.
΢. blocking the opening of gated sodium channels.
Σ. decreasing the number of functional motor units.
Τ. slowing or stopping action potential propagation through the axon.
Υ. resection of the metatarsal heads of the first through fifth toes.
Φ. Silastic MP joint arthroplasties of the first through fifth toes.
Χ. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Ψ. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Ω. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Ϊ. hemiarthroplasty
Ϋ. open reduction and internal fixation
Ά. closed reduction and percutaneous pinning
Έ. a sling and early pedulum exercises
Ή. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Ί. open acromioplasty
Ϋ́. open Bankart repair
Α. open subscapularis tendon repair
Β. inferior capsular shift
Γ. a supervised physical therapy program
Δ. a sling and swathe, with pendulum exercises in 10 days
Ε. open reduction and internal fixation through an anterior approach
Ζ. open reduction and internal fixation through a posterior approach
Η. immobilization with a splint in 45 degrees of abduction for 6 weeks
Θ. arthroscopically assisted reduction and percutaneous screw fixation
Ι. Repair of the rotator cuff
Κ. Replacement of the humeral head
Λ. Resection arthroplasty
Μ. Total shoulder arthroplasty
Ν. AP and lateral radiographs of the elbow
Ξ. Diagnositc arthroscopy
Ο. Aspiration of joint fluid
Π. An erythrocyte sedimentation rate and CBC
Ρ. A diagnostic lidocaine injection
Σ. Insulin-like growth factor (IGF-1)
Σ. Fibroblast growth factor (FGF-1)
Τ. Platelet-derived growth factor (PDGF)
Υ. Transforming growth factor beta (TGF-B)
Φ. Bone morphogenetic proteins (BMP)
Χ. clinical history and radiographic findings.
Ψ. technetium bone scan
Ω. flow cytometry pattern of extracted chondrocytes
Ϊ. immunohistochemical staining patterns of a biopsy specimen
Ϋ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Ό. Radial
Ύ. Radial recurrent
Ώ. Posterior interosseous
Ϗ. Superior ulnar recurrent
Β. Superficial radial circumflex
Θ. Impaired hydroxylation of proline
ϒ. Failure of cleavage in procollagen
ϓ. Defective binding sites for hydroxyproline
ϔ. Failure to incorporate glycine into the helix
Φ. Diminished production of collagen through the rough endoplasmic reticulum
Π. Asking the legal staff to seek a court injunction
Ϗ. Copying the patient’s chart and giving it to him as he leaves
Ϙ. Having the patient sign a written legal contract that specifies acceptable behavior
Ϙ. Continuing care of the patient until an appropriate referral can be arranged
Ϛ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Ϛ. Meta-analysis
Ϝ. Confidence interval
Ϝ. Analysis of variance (ANOVA)
Ϟ. Statistical significance (p-value)
Ϟ. Survivorship analysis (Kaplan-Meier)
Ϡ. Spinal shock
Ϡ. Neurogenic shock
Ϣ. Hypovolemic shock
Ϣ. Pulmonary embolism
Ϥ. Fat embolus syndrome
Ϥ. Lumbar spinal stenosis
Ϧ. Metastatic disease of the spine
Ϧ. Rheumatoid lumbar spondylitis
Ϩ. Isthmic spondyloloisthesis
Ϩ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ϫ. Patella alta
Ϫ. A metal-backed patella
Ϭ. Varus malalignment of the knee
Ϭ. A posterior cruciate-substituting femoral component
Ϯ. Lateral subluxation of the patella on a Merchant’s view
Ϯ. The sesamoids are separated
Κ. The sesamoid is fractured
Ρ. The proximal phx is on the neck of the metatarsal
Ϲ. The dislocation is dorsal and centered
Ϳ. The proximal phalanx is hyperextended
ϴ. Patella
Ε. Tibial stem
϶. Distal femoral interface
Ϸ. Posterior femoral interface
Ϸ. Sites of screw fixation for the tibia
Ϲ. Hallux rigidus
Ϻ. Fracture of the sesamoid
Ϻ. Disruption of the plantar plate
ϼ. Osteonecrosis of the metatarsal head
Ͻ. Rupture of the flexor hallucis longus
Ͼ. Gout
Ͽ. Sepsis
Ѐ. Old trauma
Ё. Rheumatoid arthritis
Ђ. Charcot arthroplasty
Ѓ. Aspiration and steroid injection
Є. Biopsy, curettage, and allograft bone grafting
Ѕ. Percutaneous Kirschner wire fixation
І. Percutaneous injection of autogenous bone marrow
Ї. Nerve roots
Ј. Spinal cord
Љ. Sciatic nerve
Њ. Peroneal nerve
Ћ. Conus medullaris
Ќ. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
Ѝ. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Ў. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Џ. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
А. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Б. Early and late infection
В. Periprosthetic fracture of the femur
Г. Failure of the patellofemoral and extensor mechanisms
Д. Aseptic loosening of cementing tibial components
Е. Asceptic loosening of cemented femoral components
Ж. Acceptance of the current position of the ankle
З. Open reduction and fixation in the epiphysis only
И. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
Й. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
К. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Л. Resection arthroplasty and local radiation
М. In situ fusion of the hip
Н. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
О. Excision of heterotopic bone and local radiation
П. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Р. Closed reduction of both fractures and immediate spica casting
С. Bilateral skin traction for 3 weeks, followed by spica casting
Т. External fixation of both femora
У. External fixation of the left femur and a long leg cast brace for the right femur
Ф. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Х. Synovial sarcoma
Ц. Soft-tissue abcess
Ч. Rhabdomyosarcoma
Ш. Eosinophilic granuloma
Щ. Nodular pigmented villonodular synovitis
Ъ. Changing to a titanium nail
Ы. Changing to a nonslotted nail
Ь. Changing the cross-sectional shape of the nail
Э. Increasing the diameter of the nail by 3 mm
Ю. Increasing the diameter of the interlocking screws
Я. Fracture healing
А. Chondrosarcoma
Б. Periosteal chondroma
В. Periosteal osteosarcoma
Г. Dysplasia epiphysealis hemimelica
Д. Demonstrate competence in the subject of the case
Е. Be fellowship trained in the subject of the case
Ж. Be paid on a contingency basis
З. Be board certified by the American Board of Orthopaedic Surgery
И. Have been involved in the case as a consultant
Й. Diagnostic arthroscopy
К. Arthroscopy and subacromial decompression
Л. Reduction and fixation of the proximal humeral epiphysis
М. Temporary cessation of throwing
Н. Physical therapy for rotator cuff strengthening
О. Oblique popliteal ligament
П. Lateral capsule
Р. Popliteal tendon
С. Fibular collateral ligament
Т. Posterior oblique ligament
У. Radial tear
Ф. Parrot-beak tear
Х. Vertical tear in the “red-red” zone
Ц. Vertical tear in the “red-white” zone
Ч. Vertical tear in the “white-white” zone
Ш. 0 degrees of abduction, with neural rotation
Щ. 40 degrees of flexion and 60 degrees of internal rotation
Ъ. 45 degrees of flexion and 45 degrees of external rotation
Ы. 90 degrees of abduction with neutral rotation
Ь. 90 degrees of abduction and 90 degrees of external rotation
Э. Sural
Ю. Saphenous and its branches
Я. Posterior tibial and its branches
Ѐ. Deep peroneal and its branches
Ё. Superficial peroneal and its branches
Ђ. Strength
Ѓ. Stiffness
Є. Shelf life
Ѕ. Antigenicity
І. Risk of HIV transmission
Ї. Indemnification
Ј. Occurrence
Љ. Excess liability
Њ. Claims-made
Ћ. Nose
Ќ. Lateral Y
Ѝ. Scapular AP
Ў. Neutral rotation AP
Џ. Internal rotation AP
Ѡ. External rotation AP
Ѡ. Trauma
Ѣ. Hemophilia
Ѣ. Reiter’s syndrome
Ѥ. Rheumatoid arthritis
Ѥ. Systemic lupus erythematosus
Ѧ. Cast immobilization for 6 weeks
Ѧ. Activity modification and re-evaluation in 2 months
Ѩ. Internal fixation with or without bone grafting
Ѩ. Retrograde drilling of the defect without articular cartilage penetration
Ѫ. Drilling of the defect directly through the articular cartilage
Ѫ. repair or reconstruction of the medial collateral ligament
Ѭ. repair or reconstruction of the medialand lateral collateral ligaments
Ѭ. immobilization for 5 days or less
Ѯ. immobilization for 14 days
Ѯ. immobilization for 25 days
Ѱ. Cystinosis
Ѱ. Hypophosphatemia
Ѳ. Renal osteodystrophy
Ѳ. Primary hyperparathyroidism
Ѵ. Nutritional vitamin D deficiency
Ѵ. Lateral meniscus tear
Ѷ. Popliteus tenosynovitis
Ѷ. Iliotibial band friction syndrome
Ѹ. Peroneal nerve entrapment
Ѹ. Biceps tendinitis
Ѻ. Observation
Ѻ. Removal of the prosthetic components
Ѽ. Operative exploration and decompression of the peroneal nerve
Ѽ. Nerve conduction velocity studies
Ѿ. Loosening of the primary dressings and knee flexion to 30 degrees
Ѿ. I
Ҁ. II
Ҁ. III
҂. decreased tissue tension
҃. decreased abductor lever arm
҄. decreased joint reaction force
҅. increased body weight over lever arm
҆. increased polyethylene wear rate
҇. recurrent traumatic anterior dislocation
҈. recurrent traumatic posterior dislocation
҉. traumatic subluxation with no previous dislocation
Ҋ. traumatic anterior subluxation
Ҋ. atraumatic involuntary subluxation
Ҍ. radial
Ҍ. axillary
Ҏ. suprascapular
Ҏ. thoracodorsal
Ґ. long thoracic
Ґ. Flexion
Ғ. Extension
Ғ. Axial rotation
Ҕ. Left lateral bending
Ҕ. Right lateral bending
Җ. Skin
Җ. Lung
Ҙ. Brain
Ҙ. Heart
Қ. Kidney
Қ. Thoracoacromial, lateral thoracic, subscapular
Ҝ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ҝ. Posterior humeral circumflex, subscapular, thoracacromial
Ҟ. Subscapular, thoracacromial, anterior humeral circumflex
Ҟ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ҡ. Respondeat superior
Ҡ. Indemnity agreement
Ң. Hold harmless agreement- attempt to shift liability from company to physician
Ң. Comparative negligence-% of involvement
Ҥ. Contributory negligence- resident contributed to the negligence
Ҥ. t-type
Ҧ. both column
Ҧ. transverse
Ҩ. anterior column
Ҩ. anterior column posterior hemitransverse
Ҫ. Posterior interosseous
Ҫ. Anterior interosseous
Ҭ. Radial
Ҭ. Median
Ү. Ulnar
Ү. Shock from hypovolemia
Ұ. Associated rupture of the bladder
Ұ. Arterial bleeding on pelvic angiogram
Ҳ. Presence of a hematoma in the perineum and scrotum
Ҳ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. Intramedullary rodding


Explanation

Question 4038

Topic: 10. Pathology and Oncology

  • Physical exam of a high school soccer player who sustains a knee ligament injury reveals grade III tears of the anterior cruciate and medial collateral ligaments. In addition, an MRI scan reveals a lateral meniscus injury. Delaying an anterior cruciate ligament surgery until the patient has full, pain-free range of motion will decrease the risk of
. patellar chondromalacia
. failure of meniscus repair
. arthrofibrosis
. varus-valgus instability
. anteroposterior instability
. type-I collagen
. type-II collagen
. cartilage oligomeric protein (COMP)
. fibroblast growth factor 2 (FGFR2)
. fibroblast growth factor 3 (FGFR3)
. karyotyping
. flow cytometry
. transmission electron microscopy
. immunohistochemistry staining
. scanning electron microscopy
. ankle arthrodesis
. ankle synovectomy
. total ankle arthroplasty
. transplant of cartilage cells
. lengthening of the Achilles tendon
. fracture of the acetabulum
. protrusion of the acetabulum
. inadequate inferior coverage
. inadequate superior coverage
. inadequate anterior and posterior coverage
. Myelography
. Thermography
. CT Scan
. IV contrast-enhanced CT Scan
. Gadolinium-enhanced MRI scan
. CT scan of the chest
. Bone marrow biopsy
!. Complete blood cell count
". Lateral radiograph of the skull
#. Erythrocyte sedimentation rate
$. Myosin
%. Troponin
&. Tropomyosin
'. Fibrillin
(. Dystrophin
). a skeletal survey.
*. audiometric screening.
+. physical therapy for stretching.
,. contrast studies of the upper gastrointestinal tract.
-. reassurance to the parents that there is no underlying pathology.
.. Fragmentation and subluxation of the normal joint articulation
/. Varus deformity with medial subchondral sclerosis
0. Preferential narrowing of the medial tibiofemoral compartment
1. Narrowing of the medial, lateral, and patellofemoral compartments
2. Bone proliferation at the patellar tendon and ligament insertion sites
3. Central cord syndrome
4. Anterior cord syndrome
5. Posterior cord syndrome
6. Brown-Sequard syndrome
7. Cervical nerve root injury
8. Debriding the skin edges and performing plate fixation of the fracture
9. Debriding the skin edges and intramedullary rodding of the fracture
:. Extending the wounds, debriding the bone ends, and applying distal femoral traction
;. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
<. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
=. The cell body nucleus migrates centrally
>. Schwann cells distal to the transection die
?. Axoplasm in the proximal stump drains out
@. Myelin distal to the transection is phagocytized
A. Cell body protein synthesis decreases for the first 10 to 14 days
B. Labral repair
C. acromioplasty
D. excision of the coracoid process
E. an arthroscopic Bankart procedure
F. subscapularis repair
G. Clinodactyly
H. Camptodactyly
I. Symbrachtyly
J. Kirner’s deformity
K. Digiti minimi adductus
L. Cable
M. Buttress plate
N. Methylmethacrylate
O. Multiple lag screws
P. Multiple Kirschner wires
Q. Sacral fracture lateral to the foramina
R. Sacral fracture medial to the foramina
S. Sacroiliac fracture-dislocation
T. Sacroiliac dislocation
U. Iliac wing fracture
V. Allograft Replacement
W. Radioulnar synostosis
X. Excision of the radial head
Y. Open reduction and internal fixation
Z. Silicone radial head replacement
[. T10 sensory pin-prick level
\. Retained vibratory sensation at the ankles
]. Presence of sacral sparing
^. Retained spontaneous respiratory function
_. Priapism
`. Application of a pelvic external fixator
A. A pelvic sling
B. Angiography of the pelvis
C. Open reduction and internal fixation
D. Open packing of the pelvic hematoma
E. Syme’s amputation
F. Arthrodesis of the knee
G. Disarticulation of the knee
H. Centralization of the fibula
I. Prosthetic fitting to accommodate the present deformity
J. Use of regional rather than general anesthesia
K. Observation of a latex-avoidance protocol
L. Latex skin allergen testing
M. Premedication with corticosteroids and antihistamines
N. Avoidance of prophylactic antibiotics derived from penicillin
O. Olecranon pin traction
P. Closed reduction and pin fixation
Q. Open reduction and internal fixation
R. Cast immobilization in this position
S. An arteriogram to rule out an occult intimal tear of the brachial artery
T. A
U. B
V. C
W. D
X. E
Y. Follow-up in six months.
Z. AP and lateral radiographs.
{. AP and lateral radiographs, and a bone scan.
|. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
}. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
~. MRI scan
. Bone scan
€. Arthrogram
. Axillary lateral radiograph
‚. CT arthrogram
ƒ. Open repair of the central slip of the extensor mechanism
„. Open repair of the terminal tendon of the extensor mechanism
…. Closed splinting with the proximal interphalangeal joint
†. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
‡. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
ˆ. Anteriorly at 20 to 30 degrees of flexion
‰. Anteriorly at 70 to 90 degrees of flexion
Š. Posteriorly at 20 to 30 degrees of flexion
‹. Posteriorly at 70 to 90 degrees of flexion
Œ. Anteriorly with the knee in full flexion
. Rett syndrome
Ž. Cerebral palsy
. Myotonic dystrophy
. Fragile-X syndrome
‘. Adrenoleukodystrophy
’. Endurance limit
“. Failure stress
”. Critical stress
•. Yield stress
–. Elastic limit
—. Ewing’s sarcoma
˜. Osteogenic sarcoma
™. Multiple myeloma
š. Metastatic prostate carcinoma
›. Metastatic breast carcinoma
œ. Higher subsequent loosening rate of the femoral component
. Higher subsequent polyethylene wear rate
ž. Higher subsequent dislocation rate
Ÿ. Higher infection rate
 . Unaltered subsequent survival rate of the femoral component
¡. Crevice corrosion
¢. Oscillatory fretting
£. Oxidative degradation
¤. Adhesion and abrasion
¥. Fatigue and delamination
¦. a total contact cast.
§. partial calcanectomy
¨. Syme’s amputation
©. transtibial amputation.
ª. nonweightbearing and IV antibiotics.
«. Sural artery island flap.
¬. Free rectus abdominis flap.
­. Extensor digitorum brevis flap.
®. Staged cross leg flap.
¯. Split-thickness skin graft.
°. An anterior cruciate functional knee brace.
±. A physical therapy program.
². Reconstruction of the posterior cruciate ligament and the posterolateral corner.
³. Reconstruction of the posterior cruciate ligament.
´. Reconstruction of the anterior cruciate ligament.
Μ. Avoids the risk of marrow emboli
¶. Avoids injury to the intramedullary nutrient vessels
·. Results in faster healing of fractures
¸. Results in more secure fixation
¹. Results in faster regeneration of the endosteal blood supply
º. Above-knee amputation
». En bloc resection of the lesion and reconstruction with a bone graft
¼. Closed reduction and immobilization in a cast
½. Open reduction and internal fixation, followed by radiation therapy
¾. Open reduction, curettage, and cementing of the lesion
¿. Injury to the subclavian artery
À. Injury to the brachial plexus
Á. Segmental fracture
Â. 100% displacement
Ã. Associated displaced surgical neck fracture of the humerus
Ä. humeral arthroplasty2/. repair of the rotator cuff
Å. closed reduction and immobilization
Æ. open reduction and immobilization
Ç. open reduction and early passive motion
È. arthroscopic capsular release
É. manipulation under anesthesia
Ê. a physical therapy program
Ë. an intra-articular corticosteroid injection
Ì. administration of high-dose oral corticosteroids
Í. adding the scores, in all five body systems
Î. adding the squares of the scores in the three most severely injured systems
Ï. doubling the cumulative score for head and chest injuries
Ð. combining the scores from the most and least injured systems
Ñ. correcting the score in the most severely injured system for age
Ò. traumatic femoral head fracture
Ó. osteonecrosis
Ô. osteoarthritis
Õ. neuropathic joint
Ö. rheumatoid arthritis
×. low-dose radiation
Ø. steroid injection
Ù. a load-relieving insert and shoe modification
Ú. complete excision of the mass and the entire plantar fascia
Û. wide excision of the mass with a 2 cm margin of normal fascia
Ü. CT scan of the chest
Ý. technetium bone scan
Þ. bone marrow aspiration
SS. serum protein electrophoresis
À. lateral skull radiograph
Á. high-grade histology of the initial tumor
Â. multiple local recurrences after curettage
Ã. previous treatment of the tumor with cryotherapy
Ä. previous treatment of the tumor with radiation therapy
Å. extraosseous extension into two or more adjacent compartments
Æ. Dorsal rhizotomy and facet joint fusion
Ç. Multilevel corpectomy and spinal stabilization
È. Central and lateral recess decompression and bilateral foraminotomy
É. Central decompression and facet joint fusion
Ê. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Ë. Inadequate rehabilitation
Ì. Displacement of the coronoid process fracture
Í. Insufficiency of the lateral ulnar collateral ligament
Î. Insufficiency of the anterior band of the medial collateral ligament
Ï. Insufficiency of the posterior band of the medial collateral ligament
Ð. Osteotomy and intramedullary rod fixation
Ñ. Electrical stimulation
Ò. Strut-autografing the concavity the tibia
Ó. A patellar tendon-bearing brace
Ô. Percutaneous injection of demineralized bone matrix
Õ. digoxin
Ö. sucralfate
÷. clindamycin
Ø. alcohol
Ù. neuromuscular blocking agents
Ú. Unrestrained roll-back
Û. Unrestrained rotational conformity
Ü. Medial-Lateral conformity
Ý. Anteroposterior conformity in flexion
Þ. Anteroposterior conformity in extension
Ÿ. Arthrodesis of the MTP joint
Ā. A Silastic implant of the MTP joint
Ā. Resection arthroplasty of the MTP joint
Ă. Cheilctomy of the MTP joint
Ă. Osteotomy of the base of the proximal phalanx
Ą. Genu varum
Ą. Tarsal coalition
Ć. Degenerative ankle arthrosis
Ć. Osteochondritis dissecans of the talus
Ĉ. Hemihypertrophy of the ipsilateral lower extremity
Ĉ. Trabecular bone is preferentially resorbed in this high bone turnover state
Ċ. Loss of water content in the disk increases impact load to the vetrebral bodies
Ċ. Stress is imposed by the relative stiffness of the arthrtic facet joints
Č. Increased energy demands are imposed by decreased circulation to the vertebral body
Č. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ď. Increased time in stance and swing phase
Ď. Addition of a double leg float phase
Đ. Decreased vertical ground reaction forces
Đ. Decreased arc of motion in the hip, knee, and ankle
Ē. Decreased joint reaction forces in the hip, knee, and ankle
Ē. Talonavicular arthrodesis
Ĕ. Medial displacement calcaneal osteotomy
Ĕ. Flexor digitorum longus tendon transfer with spring ligament advancement
Ė. Triple arthrodesis
Ė. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ę. Lymphoma
Ę. Hemangioma
Ě. Osteosarcoma
Ě. TB of the spine
Ĝ. Metastatic breast carcinoma
Ĝ. widening and shortening of the heel.
Ğ. weakness of the gastrocnemius-soleus complex.
Ğ. anterior impingement from a horizontal talus.
Ġ. unrecognized compartment syndrome of the foot.
Ġ. degenerative arthritis of the tibiotalar joint.
Ģ. a corrective osteotomy
Ģ. application of braces
Ĥ. medial physeal stapling until the varus corrects
Ĥ. observation
Ħ. application of corrective casts
Ħ. a total contact cast.
Ĩ. electrical stimulation.
Ĩ. an off the shelf fracture brace.
Ī. an elastic compression bandage and crutches.
Ī. a hard soled shoe until the patient is asymptomatic.
Ĭ. Ewings tumor
Ĭ. Parosteal osteosarcoma
Į. Dedifferentiated chondrosarcoma
Į. Low grade intramedullary chondrosarcoma
İ. High grade intramedullary osteosarcoma
I. Vascular injury
IJ. Tear of the rotator cuff
IJ. Injury to the brachial plexus
Ĵ. Fracture of the upper thoracic rib
Ĵ. Fracture of the proximal humerus
Ķ. Biceps
Ķ. Trapezius
ĸ. Infraspinatus
Ĺ. Pectoralis major
Ĺ. Serratus anterior
Ļ. Hybrid total hip arthroplasty
Ļ. Noncemental hemiarthroplasty of the hip
Ľ. Closed reduction and percutaneous pin fixation
Ľ. Open reduction through an anterior approach to the hip
Ŀ. Excision of the head fragment
Ŀ. a quadratus femoris pediclebone graft
Ł. a proximal femoral allograft
Ł. intertrochanteric osteotomy
Ń. total hip arthroplasty
Ń. hip hemiarthroplasty
Ņ. Echocardiogram
Ņ. Electrocardiogram
Ň. Radiograph of the chest
Ň. CT scan of the shoulder
ʼN. Ultrasound of the shoulder
Ŋ. Ilioinguinal
Ŋ. Extended iliofemoral
Ō. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ō. Kocher-Langenbeck (posterior)
Ŏ. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ŏ. Deltoid
Ő. Supraspinatus
Ő. Subscapularis Infraspinatus
Œ. Infraspinatus
Œ. Infraspinatus and teres minor
Ŕ. an orthosis.
Ŕ. observation.
Ŗ. electrical stimulation.
Ŗ. open reduction and internal fixation.
Ř. application of a nonweightbearing short leg cast.
Ř. repair of the rotator cuff.
Ś. rehabilitation of the shoulder
Ś. replacement of the humeral head.
Ŝ. arthroscopic acromioplasty and debridement.
Ŝ. immobilization is a sling until pain resolves.
Ş. Bone rotation versus torque applied
Ş. Bone deflection versus bending moment applied
Š. Axial displacement versus tension applied
Š. Lateral translation versus shear force applied
Ţ. Fracture gap closing versus compressive force applied
Ţ. steroid injection
Ť. stretching of the heel cord
Ť. surgical release of the plantar fascia
Ŧ. application of a short leg cast for 6 to 8 weeks
Ŧ. wearing dorsiflexion night splints
Ũ. Open bladder
Ũ. Bilateral “hitchhiker’s” thumbs
Ū. Bilateral defects in the midclavicles
Ū. Rhizomelic shortening of the extremities
Ŭ. Radiographic fragmentation of all major epiphyses
Ŭ. Medial patellotibial
Ů. Medial patellofemoral
Ů. Medial patellomeniscal
Ű. Lateral patellofemoral
Ű. Lateral patellotibial
Ų. Heat
Ų. Gentle active flexion-extension exercises
Ŵ. Isokinetic strengthening
Ŵ. Electrical muscle stimulation
Ŷ. Immobilization of the limb with the knee in full flexion
Ŷ. Distal chevron osteotomy with soft-tissue release
Ÿ. Distal soft-tissue realignment only
Ź. Closing wedge osteotomy (Aken) of the proximal phalanx
Ź. Proximal first metatarsal osteotomy only
Ż. Soft-tissue realignment with a proximal metatarsal osteotomy
Ż. Vagus
Ž. Phrenic
Ž. Hypoglossal
S. Recurrent laryngeal
Ƀ. Inferior thyroid
Ɓ. Surgical exploration
Ƃ. Application of leeches
Ƃ. Stellate ganglion blocks
Ƅ. Intra-arterial streptokinase
Ƅ. Elevation and reevaluation in 1 hour
Ɔ. Liver profile
Ƈ. Myleogram
Ƈ. Platelet count
Ɖ. CT scan of the head
Ɗ. Angiogram of the extremity
Ƌ. Post spinal fusion from L5to S1
Ƌ. Primary repair with an iliac bone graft
ƍ. Post spinal fusion of L4-5
Ǝ. A pantaloon body cast and 6 weeks of bed rest
Ə. Rest, NSAIDS, and limited dancing
Ɛ. Stress fracture of the proximal fifth metatarsal
Ƒ. Stress fracture of the base of the second metatarsal
Ƒ. Stress fracture of the neck of the second metatarsal
Ɠ. Morton’s neuroma
Ɣ. Lisfranc’s joint subluxation
Ƕ. C5 radiculopathy
Ɩ. Subscapularis rupture
Ɨ. Glenohumeral arthrosis
Ƙ. Rotator cuff arthropathy
Ƙ. Suprascapular nerve compression at the spinoglenoid notch
Ƚ. mm femoral head in combination with a metal-backed polyethylene component
ƛ. mm femoral head in combination with an all-polyethylene acetabular component
Ɯ. mm femoral head in combination with a metal-backed polyethylene component
Ɲ. mm femoral head in combination with an all-polyethylene component
Ƞ. mm femoral head in combination with a metal-backed polyethylene component
Ɵ. Female gender
Ơ. History of cigarette smoking
Ơ. L5-S1 spondylolisthesis on pre-employment radiography
Ƣ. Decreased strength of the lower extremities on pre-employment testing
Ƣ. Decreased flexibility of the lumbar spine on pre-employment testing
Ƥ. Size of cells
Ƥ. Amount of DNA in cells
Ʀ. Nucleus-cytoplasm ratio
Ƨ. Specific DNA sequences
Ƨ. Specific messenger RNA sequences
Ʃ. Femoral and obturator nerves
ƪ. Femoral and superior gluteal nerves
ƫ. Femoral and lateral femoral cutaneous nerves
Ƭ. Obturator and superior gluteal nerves
Ƭ. Obturator and lateral femoral cutaneous nerves
Ʈ. Isotonic
Ư. Isokinetic
Ư. Isometric
Ʊ. Open kinetic chain
Ʋ. Dynamic variable resistance
Ƴ. Closed reduction and cast immobilization
Ƴ. Uniplanar external fixation
Ƶ. Open reduction and internal fixation with a dynamic compression plate
Ƶ. Unreamed intramedullary rod
Ʒ. Multiple plane external fixator
Ƹ. Inlet view of the pelvis
Ƹ. Outlet view of the pelvis
ƺ. AP view of the hip
ƻ. Ilial oblique view (external oblique) of the hip
Ƽ. Obturator oblique
Ƽ. Glycolytic pathway
ƾ. Oxidative phosphorylation
Ƿ. Breakdown of fat
ǀ. Breakdown of protein
ǁ. Breakdown of adenosine triphosphate
ǂ. an MRI scan
ǃ. arthroscopic examination
DŽ. AP and frog-lateral radiographs of the pelvis and hips
DŽ. varus and valgus stress radiographs of the knee
DŽ. physical examination of the knee under anesthesia
LJ. extended curettage and polymethylmethacrylate cementation
LJ. extra-articular resection of the knee and an allograft arthrodesis
LJ. wide resection of the proximal tibia and custom prosthetic replacement
NJ. prophylactic internal fixation and postoperative irradiation
NJ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
NJ. silicone implant joint replacement
Ǎ. metatarsophalangeal joint arthrodesis
Ǎ. metatarsophalangeal joint debridement
Ǐ. resection of the metatarsal head
Ǐ. resection of the base of the proximal phalanx
Ǒ. Fixation of the syndesmosis has failed
Ǒ. Widening of the ankle mortise has led to the failure of fixation
Ǔ. Infection around the syndesmosis screw has led to osteomyelitis
Ǔ. The syndesmosis screw is broken
Ǖ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǖ. Microcephaly
Ǘ. A temporal lobe cyst
Ǘ. An Arnold-Chiari type 1 malformation
Ǚ. Periventricular leukomalacia
Ǚ. Agnesis of the corpus callosum
Ǜ. Wolff’s
Ǜ. Hooke’s
Ǝ. Hilton’s
Ǟ. Muller-Haeckel
Ǟ. Heuter-Volkmann
Ǡ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǡ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ǣ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ǣ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ǥ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǥ. UCB orthosis
Ǧ. Rigid orthosis with a medical arch support
Ǧ. Semi-rigid orthosis with lateral forefoot posting
Ǩ. Semi-rigid orthosis with a medial arch support
Ǩ. Medial heel wedge attached to the running shoes
Ǫ. Hallux varus
Ǫ. Osteonecrosis
Ǭ. Recurrence of the hallux valgus
Ǭ. “Transfer” second metatarsalgia
Ǯ. Physeal arrest of the first metatarsal
Ǯ. Aseptic loosening in a 70-year-old patient
J̌. Mechanical failure of a hinged knee prosthesis
DZ. Failed knee replacement complicated by reflex sympathetic dystrophy
DZ. Infection with soft-tissue deficit
DZ. A prior patellectomy
Ǵ. Knee fusion
Ǵ. Open irrigation and debridement
Ƕ. Arthroscopic irrigation and debridement
Ƿ. One-stage exchange arthroplasty
Ǹ. Two-stage exchange arthroplasty
Ǹ. Putti-platt repair
Ǻ. Open Bankart repair
Ǻ. Injection of a subacromial corticosteroid
Ǽ. Arthroscopic transglenoid capsular shift
Ǽ. Rehabilitation of the scapular and rotator cuff muscles
Ǿ. Silicone suction socket and an energy-absorbing foot
Ǿ. Silicone suction socket and a variable resistance ankle
Ȁ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ȁ. Plastic socket with a hinged thigh cuff and a SACH foot
Ȃ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ȃ. Parosteal
Ȅ. Periosteal
Ȅ. High-grade intramedullary
Ȇ. Osteosarcoma occurring in Paget’s disease
Ȇ. Osteosarcoma occurring in irradiated bone
Ȉ. Cauda equina
Ȉ. Conus medullaris
Ȋ. Genitofemoral nerve
Ȋ. Lumbar sympathetic plexus
Ȍ. Lumbar parasympathetic plexus
Ȍ. Spinal pseudoarthrosis
Ȏ. Spinal cord traction injury with paralysis
Ȏ. Arterial and venous thromboses
Ȑ. Superior mesenteric artery syndrome
Ȑ. Crankshaft phenomenon
Ȓ. Inversion stress radiograph
Ȓ. MRI scan
Ȕ. CT scan
Ȕ. Nuclear bone scan
Ȗ. External rotation stress radiograph
Ȗ. Complex deformity with an angulation in two planes
Ș. Single deformity less than 20 degrees, apex posterolateral
Ș. Single deformity greater than 30 degrees, apex posterolateral
Ț. Single deformity less than 20 degrees, apex posteromedial
Ț. Single deformity greater than 30 degrees, apex posteromedial
Ȝ. Pronation of the foot during the stance phase of gait
Ȝ. Heel inversion at the beginning of a single limb heel rise
Ȟ. Active inversion of the nonweightbearing foot
Ȟ. Active plantar flexion of the first ray against resistance
Ƞ. Active plantar flexion of the foot during the push-off phase of gait
ȡ. Observation and repeat radiographs in 4 months
Ȣ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ȣ. Electrical stimulation at night
Ȥ. Physical therapy
Ȥ. Begins to remodel and hypertrophy more quickly
Ȧ. Provides a better scaffold for osteoconduction
Ȧ. Reduces the risk of early fracture
Ȩ. Reduces technical difficulty
Ȩ. Lowers donor site morbidity
Ȫ. Anterior fusion of the lumbar curve
Ȫ. Anterior and posterior fusion of the thoracic curve
Ȭ. Posterior fusion of the thoracic curve
Ȭ. Posterior fusion of the thoracic and lumbar curves
Ȯ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ȯ. Subscapularis rupture
Ȱ. Type III SLAP lesion
Ȱ. Disruption of capsular shift
Ȳ. Isolated traumatic subluxation
Ȳ. Injury to the axillary nerve after dislocation
ȴ. hypophosphatemia
ȵ. high dietary cholesterol intake
ȶ. deficiency of lipoprotein A
ȷ. deficiency of protein S and protein C
ȸ. elevated levels of antithrombin III
ȹ. Weightbearing short leg cast
Ⱥ. Nonweightbearing short leg cast
Ȼ. Removable splint and early motion
Ȼ. Open reduction and internal fixation
Ƚ. Elastic compression bandage with full weightbearing
Ⱦ. Breast
Ȿ. Prostate
Ɀ. Gastrointestinal
Ɂ. Kidney
Ɂ. Multiple myeloma
Ƀ. Varus stress
Ʉ. Valgus stress
Ʌ. Torsional loading
Ɇ. Hyperextension of the knee
Ɇ. Contraction of the quadriceps while axially loaded
Ɉ. Primary internal fixation at both fracture levels
Ɉ. External fixation as definitive ttt for both #
Ɋ. Skeletal traction and delayed internal fixation of both fractures
Ɋ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɍ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɍ. Heel spur
Ɏ. Plantar fascitis
Ɏ. Dysfunction of the tibialis posterior tendon
Ɐ. Compression of the first branch of the lateral plantar nerve
Ɑ. Compression of the calcaneal nerve
Ɒ. Displaced labral tear
Ɓ. Tear of the rotator cuff
Ɔ. Fracture of the glenoid rim
ɕ. Palsy of the axillary nerve
Ɖ. Palsy of the musculocutaneus nerve
Ɗ. Enchondroma
ɘ. Osteoblastoma
Ə. Giant cell tumor
ɚ. Aneurysmal bone cyst
Ɛ. Fibrous dysplasia
Ɜ. Arthrogram of the wrist
ɝ. MRI scan of both wrists
ɞ. CT scan of both wrists in the same position
ɟ. Radiographs of the wrist in supination and pronation
Ɠ. Radiographs of the opposite wrist in the same position
Ɡ. Secondary hyperparathyroidism
ɢ. Phosphate retention secondary to uremia
Ɣ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
ɤ. Aluminum deposition in bone from oral phosphate binders
Ɥ. Persistent acidosis aggravating the negative calcium balance
Ɦ. Posterior fusion at T10-L3 with segmental instrumentation
ɧ. Laminectomy and fusion of T12-L2 with segmental instrumentation
Ɨ. Bed rest in a hyperextension brace
Ɩ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
Ɪ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
Ɫ. Positive-pressure ventilation
Ɬ. An immediate radiograph of the chest
ɭ. Adjustment of the position of the endotrachael tube
ɮ. Insertion of a large-bore needle into the pericardial space
Ɯ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
ɰ. Allowing the ends of the fracture to touch
Ɱ. Adding a second connecting bar
Ɲ. Adding one pin to each fracture fragment
ɳ. Increasing the pin diameter from 4 mm to 6 mm
ɴ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
Ɵ. Osteomyelitis
ɶ. Malignant degeneration
ɷ. Stress fracture
ɸ. Local recurrence of the giant cell tumor
ɹ. Bone resorption due to methylmethacrylate
ɺ. Advancement of the plantar plate
ɻ. Resection of the second metatarsal head
ɼ. Dorsiflexion osteotomy of the second metatarsal neck
Ɽ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
ɾ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
ɿ. Sacral fracture
Ʀ. Burst fracture of L5
ʁ. Cauda equina syndrome
Ʂ. Distraction-flexion injury at L3
Ʃ. Distraction-extension injury at L3
ʄ. An MRI scan of the shoulder
ʅ. An MRI scan of the cervical spine
ʆ. Electromyographic and nerve conduction velocity studies
Ʇ. Immobilization in a sling and early passive range of motion exercises
Ʈ. Immediate return to the operating room for exploration of the brachial plexus
Ʉ. cerclage wiring
Ʊ. tension band wiring
Ʋ. removal of the patellar component
Ʌ. revision of the patellar component
ʍ. immobilization of the knee and protected weightbearing
ʎ. Liposarcoma
ʏ. Nodular fasciitis
ʐ. Rabdomyosarcoma
ʑ. Malignant fibrous histiocytoma
Ʒ. Extra-abdominal desmoid tumor
ʓ. Clubfeet
ʔ. Thrombocytopenia
ʕ. Congenital scoliosis
ʖ. Ventricular septal defect
ʗ. Arnold-Chiari malformation
ʘ. delayed primary closure
ʙ. free flap
ʚ. pedicle groin flap
ʛ. full-thickness skin graft
ʜ. split-thickness skin graft
Ʝ. Infection
Ʞ. Nonunion
ʟ. Improper screw length
ʠ. Osteonecrosis of the distal fragment
ʡ. Use of a cortical screw instead of a cancellous screw
ʢ. Infection
ʣ. Tear of the rotator cuff
ʤ. Loosening of the humeral component
ʥ. Arthritis of the glenoid
ʦ. Arthritis of the A-C joint
ʧ. Reduced morbidity
ʨ. Improved osteoinduction
ʩ. Improved osteoconduction
ʪ. More rapid revascularization
ʫ. Lower risk of disease transmission
ʬ. Manipulation Under Anesthesia
ʭ. Arthroscopic acromioplasty
ʮ. Arthroscopic debridement of G-H joint
ʯ. Replacement of the humeral head
ʰ. Lengthening of the subscapularis and release of the anterior capsule
ʱ. Bacteroides
ʲ. E. coli
ʳ. Staph. aureus
ʴ. group A streptococcus
ʵ. Clostridium perforingens
ʶ. observation and exercises
ʷ. bracing with a thoracolumbar orthosis
ʸ. fusion of the posterior spine
ʹ. fusion of the anterior spine
ʺ. fusion of the anterior and posterior spine
ʻ. Total wrist replacement and bridge grafts
ʼ. palmar shelf arthroplasty and tendon transfers
ʽ. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
ʾ. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
ʿ. Total wrist fusion and tendon transfers
ˀ. constrained acetabular component
ˁ. protrusion ring with morselized graft
˂. cemented metal backed acetabular component
˃. cemented all-polyethylene acetabular component
˄. cementless hemispherical component with screw fixation
˅. application of a hip abduction brace for 22 hours per day
ˆ. application of a hip spica under anesthesia
ˇ. discontinuance of all bracing and repeat radiographs in 3 months
ˈ. open reduction of the hip and application of a spica cast
ˉ. open reduction, varus osteotomy, and application of a spica cast
ˊ. Loss of skin hair on the feet
ˋ. Absent pulses on vascular examination
ˌ. Pain that originates proximally and spreads distally
ˍ. Pain that is relieved by stopping and standing
ˎ. Pain that is worse when the patient walks uphill rather downhill
ˏ. wrist flexors and finger flexors
ː. elbow flexors and wrist flexors
ˑ. elbow flexors and finger flexors
˒. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
˓. elbow extensors and wrist extensors
˔. Syndactyly
˕. Macrodactyly
˖. Camptodactyly
˗. Preaxial polydactyly
˘. Postaxial polydactyly
˙. Arthrodesis
˚. Rotationplasty
˛. Above-knee amputation
˜. Osteoarticular allograft
˝. Endoprosthesis (custom arthroplasty)
˞. Plantar fascia
˟. Spring ligament
ˠ. Deltoid ligament
ˡ. Intrinsic tendons
ˢ. Gastorcnemius-solelus complex
ˣ. Prevention of presynaptic release of acetylcholine
ˤ. Prevention of synthesis of presynaptic acetylcholine
˥. Activation of acetylcholinesterase at the motor end-plate
˦. Blockage of postsynaptic action of acetylcholine until reserves are depleted
˧. Stimulation of release of presynaptic acetylcholine until reserves are depleted
˨. stiffness of the femoral component.
˩. head offset of the femoral component.
˪. femoral component material modulus of elasticity.
˫. extent of the femoral component porous coating.
ˬ. Presence of a femoral component collar.
˭. plantar fascia and quadratus plantae tendon.
ˮ. ligamentous structures connecting the tarsal bones.
˯. shape of the tarsal bones and the intervening joints.
˰. activity of the intrinsic muscles of the foot.
˱. activity of the posterior tibialis and the peroneus longus muscles.
˲. scapulothoracic fusion
˳. strengthening of the periscapular muscles
˴. pectoralis minor-fascia lata graft transfer to the scapula
˵. pectoralis major-fascia lata graft transfer to the scapula
˶. exploration of the long thoracic nerve, with sural nerve graft
˷. tricompartmental knee replacement
˸. unicompartmental knee replacement
˹. medial compartment meniscal allograft
˺. valgus-producing distal femoral osteotomy
˻. valgus-producing proximal tibial osteotomy
˼. Internal rotation of the femoral component
˽. External rotation of the tibial component
˾. Lateral placement of the femoral component
˿. Medial placement of the patellar component
̀. Excessive resection of the patella
́. Hallux rigidus
̂. Hallux valgus
̃. Neuroma of the first web space
̄. Fracture of the sesamoid
̅. Rupture of the flexor hallucis longus
̆. Sickle cell crisis
̇. Idiopathic chondrolysis
̈. Hemophilic arthropathy
̉. Osteoid osteoma of the femoral neck
̊. Legg-Calve-Perthes disease
̋. Decreased ankle jerk and positive femoral nerve stretch test
̌. Decreased knee jerk and positive straight-leg raising sign
̍. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̎. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̏. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̐. Long-term administration of IV and oral antibiotics
̑. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̒. Immediate exchange arthroplasty with antibiotic-impregnated cement
̓. Two-stage surgical prosthetic exchange and IV antibiotics
̔. Resection arthroplasty and IV antibiotics
̕. SCFE
̖. MED
̗. Perthes disease
̘. Hypothyroidism
̙. Chondrolysis
̚. gout.
̛. osteoporosis.
̜. eosinophilic granuloma.
̝. tuberculosis of the spine.
̞. metastatic disease of the spine.
̟. water content.
̠. Synthesis of type I collagen.
̡. Proteoglycan content.
̢. Activity of chondrocytes.
̣. Synthesis of hyaluronate.
̤. Lung
̥. Breast
̦. Prostate
̧. Thyroid
̨. Renal
̩. T1-low, T2-low.
̪. T1-low, T2-high.
̫. T1-moderate, T2-low.
̬. T1-high, T2-low.
̭. T1-high, T2-high.
̮. hypothesis is incorrect or invalid
̯. interobserver error rate is 4%.
̰. Standard deviation is 4% higher or lower than the mean.
̱. Sample size is 4% larger than required to be clinically significant.
̲. Probability that the differences noted between two study groups were due to chance alone is 4%.
̳. I
̴. II
̵. IV
̶. IX
̷. X
̸. Cranial setting
̹. Cranial subluxation
̺. Odontoid fracture
̻. Lysis of the arch of the atlas
̼. Atlantoaxial subluxation
̽. Retrograde collapse of the endoneurial tubes
̾. Irreversible atrophy of the denervated muscles
̿. Elongation of the axons across the zone of injury
̀. Sprouting of the axons at the neuromuscular junction
́. Misdirection of the axons across the zone of injury
͂. Maximally pronated and elbow extended
̓. Maximally pronated and the elbow flexed
̈́. Maximally supinated and the elbow flexed
Ι. Maximally supinated and the elbow extended
͆. In neutral rotation, with the elbow extended
͇. open reduction and internal fixation
͈. buddy taping to the adjacent index finger
͉. early motion with application of a dynamic banjo splint
͊. application of a cast with the hand in a “safe position” for 3 weeks.
͋. dorsal extension block splinting
͌. The name of the manufacturer
͍. The manufacturer’s potential liability
͎. The physician’s clinical performance
͏. The physician’s materials testing data
͐. Any royalties the physician receives from the manufacturer
͑. Femoral
͒. Obturator
͓. Inferior gluteal
͔. Superior gluteal
͕. Lateral femoral cutaneous
͖. open biopsy and a long leg cast
͗. open biopsy and wide resection of the tumor
͘. a long leg cast and observation
͙. intramedullary stabilization and observation
͚. Triggering
͛. Lateral instability
͜. Swan-neck deformity
͝. Boutonniere deformity
͞. Loss of distal interphalangeal joint flexion
͟. Peroneus brevis to peroneus longus
͠. Peroneus tertius to extensor hallucis longus
͡. Peroneus tertius to superficial peroneal nerve
͢. Extensor hallucis longus to deep peroneal nerve
ͣ. Extensor hallucis longus to extensor digitorum longus
ͤ. reassurance that Medicare will pay for the treatment.
ͥ. consent forms that patients or their guardians are able to understand.
ͦ. a detailed description of the device, omitting the fact that it is part of a study.
ͧ. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
ͨ. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
ͩ. an onlay iliac crest bone graft.
ͪ. limited weightbearing and observation.
ͫ. removal of the implant and limited weightbearing.
ͬ. removal of the implant and insertion of a reamed femoral nail.
ͭ. removal of the implant and insertion of an unreamed femoral nail.
ͮ. Coronal
ͯ. Sagittal
Ͱ. Anteromedial, midway between the sagittal and the coronal
Ͱ. Proximal pins sagittal, distal pins coronal
Ͳ. Proximal pins coronal, distal pins sagittal
Ͳ. Rheumatoid arthritis
ʹ. Posttraumatic arthritis
͵. Degenerative osteoarthritis
Ͷ. Osteonecrosis of the tibial plateau
Ͷ. Osteonecrosis of the medial femoral condyle
͸. Trapeziometacarpal arthrodesis
͹. Osteotomy of the thumb metacarpal
ͺ. Arthrotomy and joint debridement
Ͻ. Ligament reconstruction using one half of the flexor carpi radialis
Ͼ. Trapezium resection, tendon interposition, and reconstruction of the ligament
Ͽ. Creep
;. Relaxation
Ϳ. Energy dissipation
΀. Plastic deformation
΁. Elastic deformation
΂. bending
΃. axial loading
΄. high-speed rotation
΅. direct impact from anteromedial
Ά. crush from anteromedial to posterolateral
·. Increase stiffness
Έ. Increase fracture toughness
Ή. Increase fatigue strength
Ί. Decrease mechanical strength
΋. Decrease wear rate
Ό. disuse osteopenia
΍. paraendocrine effect of the tumor
Ύ. abnormally increased density on the right side
Ώ. side effect of the treatment of the lesion
Ϊ́. extensive tumor involvement of the left hip
Α. Sciatic nerve
Β. Superior gluteal artery
Γ. Profunda femoris artery
Δ. Femoral artery and nerve
Ε. External iliac artery and vein
Ζ. Length
Η. Moment arm
Θ. Total volume
Ι. Physiologic cross-sectional area
Κ. Distribution of slow and fast twitch fibers
Λ. decreasing initiation of action potentials.
Μ. increasing action potential amplitude.
Ν. blocking the opening of gated sodium channels.
Ξ. decreasing the number of functional motor units.
Ο. slowing or stopping action potential propagation through the axon.
Π. resection of the metatarsal heads of the first through fifth toes.
Ρ. Silastic MP joint arthroplasties of the first through fifth toes.
΢. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Σ. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Τ. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Υ. hemiarthroplasty
Φ. open reduction and internal fixation
Χ. closed reduction and percutaneous pinning
Ψ. a sling and early pedulum exercises
Ω. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Ϊ. open acromioplasty
Ϋ. open Bankart repair
Ά. open subscapularis tendon repair
Έ. inferior capsular shift
Ή. a supervised physical therapy program
Ί. a sling and swathe, with pendulum exercises in 10 days
Ϋ́. open reduction and internal fixation through an anterior approach
Α. open reduction and internal fixation through a posterior approach
Β. immobilization with a splint in 45 degrees of abduction for 6 weeks
Γ. arthroscopically assisted reduction and percutaneous screw fixation
Δ. Repair of the rotator cuff
Ε. Replacement of the humeral head
Ζ. Resection arthroplasty
Η. Total shoulder arthroplasty
Θ. AP and lateral radiographs of the elbow
Ι. Diagnositc arthroscopy
Κ. Aspiration of joint fluid
Λ. An erythrocyte sedimentation rate and CBC
Μ. A diagnostic lidocaine injection
Ν. Insulin-like growth factor (IGF-1)
Ξ. Fibroblast growth factor (FGF-1)
Ο. Platelet-derived growth factor (PDGF)
Π. Transforming growth factor beta (TGF-B)
Ρ. Bone morphogenetic proteins (BMP)
Σ. clinical history and radiographic findings.
Σ. technetium bone scan
Τ. flow cytometry pattern of extracted chondrocytes
Υ. immunohistochemical staining patterns of a biopsy specimen
Φ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Χ. Radial
Ψ. Radial recurrent
Ω. Posterior interosseous
Ϊ. Superior ulnar recurrent
Ϋ. Superficial radial circumflex
Ό. Impaired hydroxylation of proline
Ύ. Failure of cleavage in procollagen
Ώ. Defective binding sites for hydroxyproline
Ϗ. Failure to incorporate glycine into the helix
Β. Diminished production of collagen through the rough endoplasmic reticulum
Θ. Asking the legal staff to seek a court injunction
ϒ. Copying the patient’s chart and giving it to him as he leaves
ϓ. Having the patient sign a written legal contract that specifies acceptable behavior
ϔ. Continuing care of the patient until an appropriate referral can be arranged
Φ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Π. Meta-analysis
Ϗ. Confidence interval
Ϙ. Analysis of variance (ANOVA)
Ϙ. Statistical significance (p-value)
Ϛ. Survivorship analysis (Kaplan-Meier)
Ϛ. Spinal shock
Ϝ. Neurogenic shock
Ϝ. Hypovolemic shock
Ϟ. Pulmonary embolism
Ϟ. Fat embolus syndrome
Ϡ. Lumbar spinal stenosis
Ϡ. Metastatic disease of the spine
Ϣ. Rheumatoid lumbar spondylitis
Ϣ. Isthmic spondyloloisthesis
Ϥ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ϥ. Patella alta
Ϧ. A metal-backed patella
Ϧ. Varus malalignment of the knee
Ϩ. A posterior cruciate-substituting femoral component
Ϩ. Lateral subluxation of the patella on a Merchant’s view
Ϫ. The sesamoids are separated
Ϫ. The sesamoid is fractured
Ϭ. The proximal phx is on the neck of the metatarsal
Ϭ. The dislocation is dorsal and centered
Ϯ. The proximal phalanx is hyperextended
Ϯ. Patella
Κ. Tibial stem
Ρ. Distal femoral interface
Ϲ. Posterior femoral interface
Ϳ. Sites of screw fixation for the tibia
ϴ. Hallux rigidus
Ε. Fracture of the sesamoid
϶. Disruption of the plantar plate
Ϸ. Osteonecrosis of the metatarsal head
Ϸ. Rupture of the flexor hallucis longus
Ϲ. Gout
Ϻ. Sepsis
Ϻ. Old trauma
ϼ. Rheumatoid arthritis
Ͻ. Charcot arthroplasty
Ͼ. Aspiration and steroid injection
Ͽ. Biopsy, curettage, and allograft bone grafting
Ѐ. Percutaneous Kirschner wire fixation
Ё. Percutaneous injection of autogenous bone marrow
Ђ. Nerve roots
Ѓ. Spinal cord
Є. Sciatic nerve
Ѕ. Peroneal nerve
І. Conus medullaris
Ї. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
Ј. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Љ. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Њ. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
Ћ. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Ќ. Early and late infection
Ѝ. Periprosthetic fracture of the femur
Ў. Failure of the patellofemoral and extensor mechanisms
Џ. Aseptic loosening of cementing tibial components
А. Asceptic loosening of cemented femoral components
Б. Acceptance of the current position of the ankle
В. Open reduction and fixation in the epiphysis only
Г. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
Д. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
Е. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Ж. Resection arthroplasty and local radiation
З. In situ fusion of the hip
И. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
Й. Excision of heterotopic bone and local radiation
К. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Л. Closed reduction of both fractures and immediate spica casting
М. Bilateral skin traction for 3 weeks, followed by spica casting
Н. External fixation of both femora
О. External fixation of the left femur and a long leg cast brace for the right femur
П. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Р. Synovial sarcoma
С. Soft-tissue abcess
Т. Rhabdomyosarcoma
У. Eosinophilic granuloma
Ф. Nodular pigmented villonodular synovitis
Х. Changing to a titanium nail
Ц. Changing to a nonslotted nail
Ч. Changing the cross-sectional shape of the nail
Ш. Increasing the diameter of the nail by 3 mm
Щ. Increasing the diameter of the interlocking screws
Ъ. Fracture healing
Ы. Chondrosarcoma
Ь. Periosteal chondroma
Э. Periosteal osteosarcoma
Ю. Dysplasia epiphysealis hemimelica
Я. Demonstrate competence in the subject of the case
А. Be fellowship trained in the subject of the case
Б. Be paid on a contingency basis
В. Be board certified by the American Board of Orthopaedic Surgery
Г. Have been involved in the case as a consultant
Д. Diagnostic arthroscopy
Е. Arthroscopy and subacromial decompression
Ж. Reduction and fixation of the proximal humeral epiphysis
З. Temporary cessation of throwing
И. Physical therapy for rotator cuff strengthening
Й. Oblique popliteal ligament
К. Lateral capsule
Л. Popliteal tendon
М. Fibular collateral ligament
Н. Posterior oblique ligament
О. Radial tear
П. Parrot-beak tear
Р. Vertical tear in the “red-red” zone
С. Vertical tear in the “red-white” zone
Т. Vertical tear in the “white-white” zone
У. 0 degrees of abduction, with neural rotation
Ф. 40 degrees of flexion and 60 degrees of internal rotation
Х. 45 degrees of flexion and 45 degrees of external rotation
Ц. 90 degrees of abduction with neutral rotation
Ч. 90 degrees of abduction and 90 degrees of external rotation
Ш. Sural
Щ. Saphenous and its branches
Ъ. Posterior tibial and its branches
Ы. Deep peroneal and its branches
Ь. Superficial peroneal and its branches
Э. Strength
Ю. Stiffness
Я. Shelf life
Ѐ. Antigenicity
Ё. Risk of HIV transmission
Ђ. Indemnification
Ѓ. Occurrence
Є. Excess liability
Ѕ. Claims-made
І. Nose
Ї. Lateral Y
Ј. Scapular AP
Љ. Neutral rotation AP
Њ. Internal rotation AP
Ћ. External rotation AP
Ќ. Trauma
Ѝ. Hemophilia
Ў. Reiter’s syndrome
Џ. Rheumatoid arthritis
Ѡ. Systemic lupus erythematosus
Ѡ. Cast immobilization for 6 weeks
Ѣ. Activity modification and re-evaluation in 2 months
Ѣ. Internal fixation with or without bone grafting
Ѥ. Retrograde drilling of the defect without articular cartilage penetration
Ѥ. Drilling of the defect directly through the articular cartilage
Ѧ. repair or reconstruction of the medial collateral ligament
Ѧ. repair or reconstruction of the medialand lateral collateral ligaments
Ѩ. immobilization for 5 days or less
Ѩ. immobilization for 14 days
Ѫ. immobilization for 25 days
Ѫ. Cystinosis
Ѭ. Hypophosphatemia
Ѭ. Renal osteodystrophy
Ѯ. Primary hyperparathyroidism
Ѯ. Nutritional vitamin D deficiency
Ѱ. Lateral meniscus tear
Ѱ. Popliteus tenosynovitis
Ѳ. Iliotibial band friction syndrome
Ѳ. Peroneal nerve entrapment
Ѵ. Biceps tendinitis
Ѵ. Observation
Ѷ. Removal of the prosthetic components
Ѷ. Operative exploration and decompression of the peroneal nerve
Ѹ. Nerve conduction velocity studies
Ѹ. Loosening of the primary dressings and knee flexion to 30 degrees
Ѻ. I
Ѻ. II
Ѽ. III
Ѽ. decreased tissue tension
Ѿ. decreased abductor lever arm
Ѿ. decreased joint reaction force
Ҁ. increased body weight over lever arm
Ҁ. increased polyethylene wear rate
҂. recurrent traumatic anterior dislocation
҃. recurrent traumatic posterior dislocation
҄. traumatic subluxation with no previous dislocation
҅. traumatic anterior subluxation
҆. atraumatic involuntary subluxation
҇. radial
҈. axillary
҉. suprascapular
Ҋ. thoracodorsal
Ҋ. long thoracic
Ҍ. Flexion
Ҍ. Extension
Ҏ. Axial rotation
Ҏ. Left lateral bending
Ґ. Right lateral bending
Ґ. Skin
Ғ. Lung
Ғ. Brain
Ҕ. Heart
Ҕ. Kidney
Җ. Thoracoacromial, lateral thoracic, subscapular
Җ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ҙ. Posterior humeral circumflex, subscapular, thoracacromial
Ҙ. Subscapular, thoracacromial, anterior humeral circumflex
Қ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Қ. Respondeat superior
Ҝ. Indemnity agreement
Ҝ. Hold harmless agreement- attempt to shift liability from company to physician
Ҟ. Comparative negligence-% of involvement
Ҟ. Contributory negligence- resident contributed to the negligence
Ҡ. t-type
Ҡ. both column
Ң. transverse
Ң. anterior column
Ҥ. anterior column posterior hemitransverse
Ҥ. Posterior interosseous
Ҧ. Anterior interosseous
Ҧ. Radial
Ҩ. Median
Ҩ. Ulnar
Ҫ. Shock from hypovolemia
Ҫ. Associated rupture of the bladder
Ҭ. Arterial bleeding on pelvic angiogram
Ҭ. Presence of a hematoma in the perineum and scrotum
Ү. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. patellar chondromalacia


Explanation

Question 4039

Topic: 10. Pathology and Oncology

Spondyloepiphyseal dysplasia congenita and tarda, precocious osteoarthropathy, and Stickler syndrome are caused by a mutation in the gene coding for

. type-I collagen
. type-II collagen
. cartilage oligomeric protein (COMP)
. fibroblast growth factor 2 (FGFR2)
. fibroblast growth factor 3 (FGFR3)
. karyotyping
. flow cytometry
. transmission electron microscopy
. immunohistochemistry staining
. scanning electron microscopy
. ankle arthrodesis
. ankle synovectomy
. total ankle arthroplasty
. transplant of cartilage cells
. lengthening of the Achilles tendon
. fracture of the acetabulum
. protrusion of the acetabulum
. inadequate inferior coverage
. inadequate superior coverage
. inadequate anterior and posterior coverage
. Myelography
. Thermography
. CT Scan
. IV contrast-enhanced CT Scan
. Gadolinium-enhanced MRI scan
. CT scan of the chest
. Bone marrow biopsy
. Complete blood cell count
. Lateral radiograph of the skull
. Erythrocyte sedimentation rate
. Myosin
. Troponin
!. Tropomyosin
". Fibrillin
#. Dystrophin
$. a skeletal survey.
%. audiometric screening.
&. physical therapy for stretching.
'. contrast studies of the upper gastrointestinal tract.
(. reassurance to the parents that there is no underlying pathology.
). Fragmentation and subluxation of the normal joint articulation
*. Varus deformity with medial subchondral sclerosis
+. Preferential narrowing of the medial tibiofemoral compartment
,. Narrowing of the medial, lateral, and patellofemoral compartments
-. Bone proliferation at the patellar tendon and ligament insertion sites
.. Central cord syndrome
/. Anterior cord syndrome
0. Posterior cord syndrome
1. Brown-Sequard syndrome
2. Cervical nerve root injury
3. Debriding the skin edges and performing plate fixation of the fracture
4. Debriding the skin edges and intramedullary rodding of the fracture
5. Extending the wounds, debriding the bone ends, and applying distal femoral traction
6. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
7. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
8. The cell body nucleus migrates centrally
9. Schwann cells distal to the transection die
:. Axoplasm in the proximal stump drains out
;. Myelin distal to the transection is phagocytized
<. Cell body protein synthesis decreases for the first 10 to 14 days
=. Labral repair
>. acromioplasty
?. excision of the coracoid process
@. an arthroscopic Bankart procedure
A. subscapularis repair
B. Clinodactyly
C. Camptodactyly
D. Symbrachtyly
E. Kirner’s deformity
F. Digiti minimi adductus
G. Cable
H. Buttress plate
I. Methylmethacrylate
J. Multiple lag screws
K. Multiple Kirschner wires
L. Sacral fracture lateral to the foramina
M. Sacral fracture medial to the foramina
N. Sacroiliac fracture-dislocation
O. Sacroiliac dislocation
P. Iliac wing fracture
Q. Allograft Replacement
R. Radioulnar synostosis
S. Excision of the radial head
T. Open reduction and internal fixation
U. Silicone radial head replacement
V. T10 sensory pin-prick level
W. Retained vibratory sensation at the ankles
X. Presence of sacral sparing
Y. Retained spontaneous respiratory function
Z. Priapism
[. Application of a pelvic external fixator
\. A pelvic sling
]. Angiography of the pelvis
^. Open reduction and internal fixation
_. Open packing of the pelvic hematoma
`. Syme’s amputation
A. Arthrodesis of the knee
B. Disarticulation of the knee
C. Centralization of the fibula
D. Prosthetic fitting to accommodate the present deformity
E. Use of regional rather than general anesthesia
F. Observation of a latex-avoidance protocol
G. Latex skin allergen testing
H. Premedication with corticosteroids and antihistamines
I. Avoidance of prophylactic antibiotics derived from penicillin
J. Olecranon pin traction
K. Closed reduction and pin fixation
L. Open reduction and internal fixation
M. Cast immobilization in this position
N. An arteriogram to rule out an occult intimal tear of the brachial artery
O. A
P. B
Q. C
R. D
S. E
T. Follow-up in six months.
U. AP and lateral radiographs.
V. AP and lateral radiographs, and a bone scan.
W. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
X. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
Y. MRI scan
Z. Bone scan
{. Arthrogram
|. Axillary lateral radiograph
}. CT arthrogram
~. Open repair of the central slip of the extensor mechanism
. Open repair of the terminal tendon of the extensor mechanism
€. Closed splinting with the proximal interphalangeal joint
. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
‚. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
ƒ. Anteriorly at 20 to 30 degrees of flexion
„. Anteriorly at 70 to 90 degrees of flexion
…. Posteriorly at 20 to 30 degrees of flexion
†. Posteriorly at 70 to 90 degrees of flexion
‡. Anteriorly with the knee in full flexion
ˆ. Rett syndrome
‰. Cerebral palsy
Š. Myotonic dystrophy
‹. Fragile-X syndrome
Œ. Adrenoleukodystrophy
. Endurance limit
Ž. Failure stress
. Critical stress
. Yield stress
‘. Elastic limit
’. Ewing’s sarcoma
“. Osteogenic sarcoma
”. Multiple myeloma
•. Metastatic prostate carcinoma
–. Metastatic breast carcinoma
—. Higher subsequent loosening rate of the femoral component
˜. Higher subsequent polyethylene wear rate
™. Higher subsequent dislocation rate
š. Higher infection rate
›. Unaltered subsequent survival rate of the femoral component
œ. Crevice corrosion
. Oscillatory fretting
ž. Oxidative degradation
Ÿ. Adhesion and abrasion
 . Fatigue and delamination
¡. a total contact cast.
¢. partial calcanectomy
£. Syme’s amputation
¤. transtibial amputation.
¥. nonweightbearing and IV antibiotics.
¦. Sural artery island flap.
§. Free rectus abdominis flap.
¨. Extensor digitorum brevis flap.
©. Staged cross leg flap.
ª. Split-thickness skin graft.
«. An anterior cruciate functional knee brace.
¬. A physical therapy program.
­. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
®. Reconstruction of the posterior cruciate ligament.
¯. Reconstruction of the anterior cruciate ligament.
°. Avoids the risk of marrow emboli
±. Avoids injury to the intramedullary nutrient vessels
². Results in faster healing of fractures
³. Results in more secure fixation
´. Results in faster regeneration of the endosteal blood supply
Μ. Above-knee amputation
¶. En bloc resection of the lesion and reconstruction with a bone graft
·. Closed reduction and immobilization in a cast
¸. Open reduction and internal fixation, followed by radiation therapy
¹. Open reduction, curettage, and cementing of the lesion
º. Injury to the subclavian artery
». Injury to the brachial plexus
¼. Segmental fracture
½. 100% displacement
¾. Associated displaced surgical neck fracture of the humerus
¿. humeral arthroplasty2/. repair of the rotator cuff
À. closed reduction and immobilization
Á. open reduction and immobilization
Â. open reduction and early passive motion
Ã. arthroscopic capsular release
Ä. manipulation under anesthesia
Å. a physical therapy program
Æ. an intra-articular corticosteroid injection
Ç. administration of high-dose oral corticosteroids
È. adding the scores, in all five body systems
É. adding the squares of the scores in the three most severely injured systems
Ê. doubling the cumulative score for head and chest injuries
Ë. combining the scores from the most and least injured systems
Ì. correcting the score in the most severely injured system for age
Í. traumatic femoral head fracture
Î. osteonecrosis
Ï. osteoarthritis
Ð. neuropathic joint
Ñ. rheumatoid arthritis
Ò. low-dose radiation
Ó. steroid injection
Ô. a load-relieving insert and shoe modification
Õ. complete excision of the mass and the entire plantar fascia
Ö. wide excision of the mass with a 2 cm margin of normal fascia
×. CT scan of the chest
Ø. technetium bone scan
Ù. bone marrow aspiration
Ú. serum protein electrophoresis
Û. lateral skull radiograph
Ü. high-grade histology of the initial tumor
Ý. multiple local recurrences after curettage
Þ. previous treatment of the tumor with cryotherapy
SS. previous treatment of the tumor with radiation therapy
À. extraosseous extension into two or more adjacent compartments
Á. Dorsal rhizotomy and facet joint fusion
Â. Multilevel corpectomy and spinal stabilization
Ã. Central and lateral recess decompression and bilateral foraminotomy
Ä. Central decompression and facet joint fusion
Å. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Æ. Inadequate rehabilitation
Ç. Displacement of the coronoid process fracture
È. Insufficiency of the lateral ulnar collateral ligament
É. Insufficiency of the anterior band of the medial collateral ligament
Ê. Insufficiency of the posterior band of the medial collateral ligament
Ë. Osteotomy and intramedullary rod fixation
Ì. Electrical stimulation
Í. Strut-autografing the concavity the tibia
Î. A patellar tendon-bearing brace
Ï. Percutaneous injection of demineralized bone matrix
Ð. digoxin
Ñ. sucralfate
Ò. clindamycin
Ó. alcohol
Ô. neuromuscular blocking agents
Õ. Unrestrained roll-back
Ö. Unrestrained rotational conformity
÷. Medial-Lateral conformity
Ø. Anteroposterior conformity in flexion
Ù. Anteroposterior conformity in extension
Ú. Arthrodesis of the MTP joint
Û. A Silastic implant of the MTP joint
Ü. Resection arthroplasty of the MTP joint
Ý. Cheilctomy of the MTP joint
Þ. Osteotomy of the base of the proximal phalanx
Ÿ. Genu varum
Ā. Tarsal coalition
Ā. Degenerative ankle arthrosis
Ă. Osteochondritis dissecans of the talus
Ă. Hemihypertrophy of the ipsilateral lower extremity
Ą. Trabecular bone is preferentially resorbed in this high bone turnover state
Ą. Loss of water content in the disk increases impact load to the vetrebral bodies
Ć. Stress is imposed by the relative stiffness of the arthrtic facet joints
Ć. Increased energy demands are imposed by decreased circulation to the vertebral body
Ĉ. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ĉ. Increased time in stance and swing phase
Ċ. Addition of a double leg float phase
Ċ. Decreased vertical ground reaction forces
Č. Decreased arc of motion in the hip, knee, and ankle
Č. Decreased joint reaction forces in the hip, knee, and ankle
Ď. Talonavicular arthrodesis
Ď. Medial displacement calcaneal osteotomy
Đ. Flexor digitorum longus tendon transfer with spring ligament advancement
Đ. Triple arthrodesis
Ē. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ē. Lymphoma
Ĕ. Hemangioma
Ĕ. Osteosarcoma
Ė. TB of the spine
Ė. Metastatic breast carcinoma
Ę. widening and shortening of the heel.
Ę. weakness of the gastrocnemius-soleus complex.
Ě. anterior impingement from a horizontal talus.
Ě. unrecognized compartment syndrome of the foot.
Ĝ. degenerative arthritis of the tibiotalar joint.
Ĝ. a corrective osteotomy
Ğ. application of braces
Ğ. medial physeal stapling until the varus corrects
Ġ. observation
Ġ. application of corrective casts
Ģ. a total contact cast.
Ģ. electrical stimulation.
Ĥ. an off the shelf fracture brace.
Ĥ. an elastic compression bandage and crutches.
Ħ. a hard soled shoe until the patient is asymptomatic.
Ħ. Ewings tumor
Ĩ. Parosteal osteosarcoma
Ĩ. Dedifferentiated chondrosarcoma
Ī. Low grade intramedullary chondrosarcoma
Ī. High grade intramedullary osteosarcoma
Ĭ. Vascular injury
Ĭ. Tear of the rotator cuff
Į. Injury to the brachial plexus
Į. Fracture of the upper thoracic rib
İ. Fracture of the proximal humerus
I. Biceps
IJ. Trapezius
IJ. Infraspinatus
Ĵ. Pectoralis major
Ĵ. Serratus anterior
Ķ. Hybrid total hip arthroplasty
Ķ. Noncemental hemiarthroplasty of the hip
ĸ. Closed reduction and percutaneous pin fixation
Ĺ. Open reduction through an anterior approach to the hip
Ĺ. Excision of the head fragment
Ļ. a quadratus femoris pediclebone graft
Ļ. a proximal femoral allograft
Ľ. intertrochanteric osteotomy
Ľ. total hip arthroplasty
Ŀ. hip hemiarthroplasty
Ŀ. Echocardiogram
Ł. Electrocardiogram
Ł. Radiograph of the chest
Ń. CT scan of the shoulder
Ń. Ultrasound of the shoulder
Ņ. Ilioinguinal
Ņ. Extended iliofemoral
Ň. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ň. Kocher-Langenbeck (posterior)
ʼN. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ŋ. Deltoid
Ŋ. Supraspinatus
Ō. Subscapularis Infraspinatus
Ō. Infraspinatus
Ŏ. Infraspinatus and teres minor
Ŏ. an orthosis.
Ő. observation.
Ő. electrical stimulation.
Œ. open reduction and internal fixation.
Œ. application of a nonweightbearing short leg cast.
Ŕ. repair of the rotator cuff.
Ŕ. rehabilitation of the shoulder
Ŗ. replacement of the humeral head.
Ŗ. arthroscopic acromioplasty and debridement.
Ř. immobilization is a sling until pain resolves.
Ř. Bone rotation versus torque applied
Ś. Bone deflection versus bending moment applied
Ś. Axial displacement versus tension applied
Ŝ. Lateral translation versus shear force applied
Ŝ. Fracture gap closing versus compressive force applied
Ş. steroid injection
Ş. stretching of the heel cord
Š. surgical release of the plantar fascia
Š. application of a short leg cast for 6 to 8 weeks
Ţ. wearing dorsiflexion night splints
Ţ. Open bladder
Ť. Bilateral “hitchhiker’s” thumbs
Ť. Bilateral defects in the midclavicles
Ŧ. Rhizomelic shortening of the extremities
Ŧ. Radiographic fragmentation of all major epiphyses
Ũ. Medial patellotibial
Ũ. Medial patellofemoral
Ū. Medial patellomeniscal
Ū. Lateral patellofemoral
Ŭ. Lateral patellotibial
Ŭ. Heat
Ů. Gentle active flexion-extension exercises
Ů. Isokinetic strengthening
Ű. Electrical muscle stimulation
Ű. Immobilization of the limb with the knee in full flexion
Ų. Distal chevron osteotomy with soft-tissue release
Ų. Distal soft-tissue realignment only
Ŵ. Closing wedge osteotomy (Aken) of the proximal phalanx
Ŵ. Proximal first metatarsal osteotomy only
Ŷ. Soft-tissue realignment with a proximal metatarsal osteotomy
Ŷ. Vagus
Ÿ. Phrenic
Ź. Hypoglossal
Ź. Recurrent laryngeal
Ż. Inferior thyroid
Ż. Surgical exploration
Ž. Application of leeches
Ž. Stellate ganglion blocks
S. Intra-arterial streptokinase
Ƀ. Elevation and reevaluation in 1 hour
Ɓ. Liver profile
Ƃ. Myleogram
Ƃ. Platelet count
Ƅ. CT scan of the head
Ƅ. Angiogram of the extremity
Ɔ. Post spinal fusion from L5to S1
Ƈ. Primary repair with an iliac bone graft
Ƈ. Post spinal fusion of L4-5
Ɖ. A pantaloon body cast and 6 weeks of bed rest
Ɗ. Rest, NSAIDS, and limited dancing
Ƌ. Stress fracture of the proximal fifth metatarsal
Ƌ. Stress fracture of the base of the second metatarsal
ƍ. Stress fracture of the neck of the second metatarsal
Ǝ. Morton’s neuroma
Ə. Lisfranc’s joint subluxation
Ɛ. C5 radiculopathy
Ƒ. Subscapularis rupture
Ƒ. Glenohumeral arthrosis
Ɠ. Rotator cuff arthropathy
Ɣ. Suprascapular nerve compression at the spinoglenoid notch
Ƕ. mm femoral head in combination with a metal-backed polyethylene component
Ɩ. mm femoral head in combination with an all-polyethylene acetabular component
Ɨ. mm femoral head in combination with a metal-backed polyethylene component
Ƙ. mm femoral head in combination with an all-polyethylene component
Ƙ. mm femoral head in combination with a metal-backed polyethylene component
Ƚ. Female gender
ƛ. History of cigarette smoking
Ɯ. L5-S1 spondylolisthesis on pre-employment radiography
Ɲ. Decreased strength of the lower extremities on pre-employment testing
Ƞ. Decreased flexibility of the lumbar spine on pre-employment testing
Ɵ. Size of cells
Ơ. Amount of DNA in cells
Ơ. Nucleus-cytoplasm ratio
Ƣ. Specific DNA sequences
Ƣ. Specific messenger RNA sequences
Ƥ. Femoral and obturator nerves
Ƥ. Femoral and superior gluteal nerves
Ʀ. Femoral and lateral femoral cutaneous nerves
Ƨ. Obturator and superior gluteal nerves
Ƨ. Obturator and lateral femoral cutaneous nerves
Ʃ. Isotonic
ƪ. Isokinetic
ƫ. Isometric
Ƭ. Open kinetic chain
Ƭ. Dynamic variable resistance
Ʈ. Closed reduction and cast immobilization
Ư. Uniplanar external fixation
Ư. Open reduction and internal fixation with a dynamic compression plate
Ʊ. Unreamed intramedullary rod
Ʋ. Multiple plane external fixator
Ƴ. Inlet view of the pelvis
Ƴ. Outlet view of the pelvis
Ƶ. AP view of the hip
Ƶ. Ilial oblique view (external oblique) of the hip
Ʒ. Obturator oblique
Ƹ. Glycolytic pathway
Ƹ. Oxidative phosphorylation
ƺ. Breakdown of fat
ƻ. Breakdown of protein
Ƽ. Breakdown of adenosine triphosphate
Ƽ. an MRI scan
ƾ. arthroscopic examination
Ƿ. AP and frog-lateral radiographs of the pelvis and hips
ǀ. varus and valgus stress radiographs of the knee
ǁ. physical examination of the knee under anesthesia
ǂ. extended curettage and polymethylmethacrylate cementation
ǃ. extra-articular resection of the knee and an allograft arthrodesis
DŽ. wide resection of the proximal tibia and custom prosthetic replacement
DŽ. prophylactic internal fixation and postoperative irradiation
DŽ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
LJ. silicone implant joint replacement
LJ. metatarsophalangeal joint arthrodesis
LJ. metatarsophalangeal joint debridement
NJ. resection of the metatarsal head
NJ. resection of the base of the proximal phalanx
NJ. Fixation of the syndesmosis has failed
Ǎ. Widening of the ankle mortise has led to the failure of fixation
Ǎ. Infection around the syndesmosis screw has led to osteomyelitis
Ǐ. The syndesmosis screw is broken
Ǐ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
Ǒ. Microcephaly
Ǒ. A temporal lobe cyst
Ǔ. An Arnold-Chiari type 1 malformation
Ǔ. Periventricular leukomalacia
Ǖ. Agnesis of the corpus callosum
Ǖ. Wolff’s
Ǘ. Hooke’s
Ǘ. Hilton’s
Ǚ. Muller-Haeckel
Ǚ. Heuter-Volkmann
Ǜ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǜ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ǝ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ǟ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ǟ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǡ. UCB orthosis
Ǡ. Rigid orthosis with a medical arch support
Ǣ. Semi-rigid orthosis with lateral forefoot posting
Ǣ. Semi-rigid orthosis with a medial arch support
Ǥ. Medial heel wedge attached to the running shoes
Ǥ. Hallux varus
Ǧ. Osteonecrosis
Ǧ. Recurrence of the hallux valgus
Ǩ. “Transfer” second metatarsalgia
Ǩ. Physeal arrest of the first metatarsal
Ǫ. Aseptic loosening in a 70-year-old patient
Ǫ. Mechanical failure of a hinged knee prosthesis
Ǭ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ǭ. Infection with soft-tissue deficit
Ǯ. A prior patellectomy
Ǯ. Knee fusion
J̌. Open irrigation and debridement
DZ. Arthroscopic irrigation and debridement
DZ. One-stage exchange arthroplasty
DZ. Two-stage exchange arthroplasty
Ǵ. Putti-platt repair
Ǵ. Open Bankart repair
Ƕ. Injection of a subacromial corticosteroid
Ƿ. Arthroscopic transglenoid capsular shift
Ǹ. Rehabilitation of the scapular and rotator cuff muscles
Ǹ. Silicone suction socket and an energy-absorbing foot
Ǻ. Silicone suction socket and a variable resistance ankle
Ǻ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ǽ. Plastic socket with a hinged thigh cuff and a SACH foot
Ǽ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ǿ. Parosteal
Ǿ. Periosteal
Ȁ. High-grade intramedullary
Ȁ. Osteosarcoma occurring in Paget’s disease
Ȃ. Osteosarcoma occurring in irradiated bone
Ȃ. Cauda equina
Ȅ. Conus medullaris
Ȅ. Genitofemoral nerve
Ȇ. Lumbar sympathetic plexus
Ȇ. Lumbar parasympathetic plexus
Ȉ. Spinal pseudoarthrosis
Ȉ. Spinal cord traction injury with paralysis
Ȋ. Arterial and venous thromboses
Ȋ. Superior mesenteric artery syndrome
Ȍ. Crankshaft phenomenon
Ȍ. Inversion stress radiograph
Ȏ. MRI scan
Ȏ. CT scan
Ȑ. Nuclear bone scan
Ȑ. External rotation stress radiograph
Ȓ. Complex deformity with an angulation in two planes
Ȓ. Single deformity less than 20 degrees, apex posterolateral
Ȕ. Single deformity greater than 30 degrees, apex posterolateral
Ȕ. Single deformity less than 20 degrees, apex posteromedial
Ȗ. Single deformity greater than 30 degrees, apex posteromedial
Ȗ. Pronation of the foot during the stance phase of gait
Ș. Heel inversion at the beginning of a single limb heel rise
Ș. Active inversion of the nonweightbearing foot
Ț. Active plantar flexion of the first ray against resistance
Ț. Active plantar flexion of the foot during the push-off phase of gait
Ȝ. Observation and repeat radiographs in 4 months
Ȝ. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ȟ. Electrical stimulation at night
Ȟ. Physical therapy
Ƞ. Begins to remodel and hypertrophy more quickly
ȡ. Provides a better scaffold for osteoconduction
Ȣ. Reduces the risk of early fracture
Ȣ. Reduces technical difficulty
Ȥ. Lowers donor site morbidity
Ȥ. Anterior fusion of the lumbar curve
Ȧ. Anterior and posterior fusion of the thoracic curve
Ȧ. Posterior fusion of the thoracic curve
Ȩ. Posterior fusion of the thoracic and lumbar curves
Ȩ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ȫ. Subscapularis rupture
Ȫ. Type III SLAP lesion
Ȭ. Disruption of capsular shift
Ȭ. Isolated traumatic subluxation
Ȯ. Injury to the axillary nerve after dislocation
Ȯ. hypophosphatemia
Ȱ. high dietary cholesterol intake
Ȱ. deficiency of lipoprotein A
Ȳ. deficiency of protein S and protein C
Ȳ. elevated levels of antithrombin III
ȴ. Weightbearing short leg cast
ȵ. Nonweightbearing short leg cast
ȶ. Removable splint and early motion
ȷ. Open reduction and internal fixation
ȸ. Elastic compression bandage with full weightbearing
ȹ. Breast
Ⱥ. Prostate
Ȼ. Gastrointestinal
Ȼ. Kidney
Ƚ. Multiple myeloma
Ⱦ. Varus stress
Ȿ. Valgus stress
Ɀ. Torsional loading
Ɂ. Hyperextension of the knee
Ɂ. Contraction of the quadriceps while axially loaded
Ƀ. Primary internal fixation at both fracture levels
Ʉ. External fixation as definitive ttt for both #
Ʌ. Skeletal traction and delayed internal fixation of both fractures
Ɇ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɇ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ɉ. Heel spur
Ɉ. Plantar fascitis
Ɋ. Dysfunction of the tibialis posterior tendon
Ɋ. Compression of the first branch of the lateral plantar nerve
Ɍ. Compression of the calcaneal nerve
Ɍ. Displaced labral tear
Ɏ. Tear of the rotator cuff
Ɏ. Fracture of the glenoid rim
Ɐ. Palsy of the axillary nerve
Ɑ. Palsy of the musculocutaneus nerve
Ɒ. Enchondroma
Ɓ. Osteoblastoma
Ɔ. Giant cell tumor
ɕ. Aneurysmal bone cyst
Ɖ. Fibrous dysplasia
Ɗ. Arthrogram of the wrist
ɘ. MRI scan of both wrists
Ə. CT scan of both wrists in the same position
ɚ. Radiographs of the wrist in supination and pronation
Ɛ. Radiographs of the opposite wrist in the same position
Ɜ. Secondary hyperparathyroidism
ɝ. Phosphate retention secondary to uremia
ɞ. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
ɟ. Aluminum deposition in bone from oral phosphate binders
Ɠ. Persistent acidosis aggravating the negative calcium balance
Ɡ. Posterior fusion at T10-L3 with segmental instrumentation
ɢ. Laminectomy and fusion of T12-L2 with segmental instrumentation
Ɣ. Bed rest in a hyperextension brace
ɤ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
Ɥ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
Ɦ. Positive-pressure ventilation
ɧ. An immediate radiograph of the chest
Ɨ. Adjustment of the position of the endotrachael tube
Ɩ. Insertion of a large-bore needle into the pericardial space
Ɪ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
Ɫ. Allowing the ends of the fracture to touch
Ɬ. Adding a second connecting bar
ɭ. Adding one pin to each fracture fragment
ɮ. Increasing the pin diameter from 4 mm to 6 mm
Ɯ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
ɰ. Osteomyelitis
Ɱ. Malignant degeneration
Ɲ. Stress fracture
ɳ. Local recurrence of the giant cell tumor
ɴ. Bone resorption due to methylmethacrylate
Ɵ. Advancement of the plantar plate
ɶ. Resection of the second metatarsal head
ɷ. Dorsiflexion osteotomy of the second metatarsal neck
ɸ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
ɹ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
ɺ. Sacral fracture
ɻ. Burst fracture of L5
ɼ. Cauda equina syndrome
Ɽ. Distraction-flexion injury at L3
ɾ. Distraction-extension injury at L3
ɿ. An MRI scan of the shoulder
Ʀ. An MRI scan of the cervical spine
ʁ. Electromyographic and nerve conduction velocity studies
Ʂ. Immobilization in a sling and early passive range of motion exercises
Ʃ. Immediate return to the operating room for exploration of the brachial plexus
ʄ. cerclage wiring
ʅ. tension band wiring
ʆ. removal of the patellar component
Ʇ. revision of the patellar component
Ʈ. immobilization of the knee and protected weightbearing
Ʉ. Liposarcoma
Ʊ. Nodular fasciitis
Ʋ. Rabdomyosarcoma
Ʌ. Malignant fibrous histiocytoma
ʍ. Extra-abdominal desmoid tumor
ʎ. Clubfeet
ʏ. Thrombocytopenia
ʐ. Congenital scoliosis
ʑ. Ventricular septal defect
Ʒ. Arnold-Chiari malformation
ʓ. delayed primary closure
ʔ. free flap
ʕ. pedicle groin flap
ʖ. full-thickness skin graft
ʗ. split-thickness skin graft
ʘ. Infection
ʙ. Nonunion
ʚ. Improper screw length
ʛ. Osteonecrosis of the distal fragment
ʜ. Use of a cortical screw instead of a cancellous screw
Ʝ. Infection
Ʞ. Tear of the rotator cuff
ʟ. Loosening of the humeral component
ʠ. Arthritis of the glenoid
ʡ. Arthritis of the A-C joint
ʢ. Reduced morbidity
ʣ. Improved osteoinduction
ʤ. Improved osteoconduction
ʥ. More rapid revascularization
ʦ. Lower risk of disease transmission
ʧ. Manipulation Under Anesthesia
ʨ. Arthroscopic acromioplasty
ʩ. Arthroscopic debridement of G-H joint
ʪ. Replacement of the humeral head
ʫ. Lengthening of the subscapularis and release of the anterior capsule
ʬ. Bacteroides
ʭ. E. coli
ʮ. Staph. aureus
ʯ. group A streptococcus
ʰ. Clostridium perforingens
ʱ. observation and exercises
ʲ. bracing with a thoracolumbar orthosis
ʳ. fusion of the posterior spine
ʴ. fusion of the anterior spine
ʵ. fusion of the anterior and posterior spine
ʶ. Total wrist replacement and bridge grafts
ʷ. palmar shelf arthroplasty and tendon transfers
ʸ. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
ʹ. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
ʺ. Total wrist fusion and tendon transfers
ʻ. constrained acetabular component
ʼ. protrusion ring with morselized graft
ʽ. cemented metal backed acetabular component
ʾ. cemented all-polyethylene acetabular component
ʿ. cementless hemispherical component with screw fixation
ˀ. application of a hip abduction brace for 22 hours per day
ˁ. application of a hip spica under anesthesia
˂. discontinuance of all bracing and repeat radiographs in 3 months
˃. open reduction of the hip and application of a spica cast
˄. open reduction, varus osteotomy, and application of a spica cast
˅. Loss of skin hair on the feet
ˆ. Absent pulses on vascular examination
ˇ. Pain that originates proximally and spreads distally
ˈ. Pain that is relieved by stopping and standing
ˉ. Pain that is worse when the patient walks uphill rather downhill
ˊ. wrist flexors and finger flexors
ˋ. elbow flexors and wrist flexors
ˌ. elbow flexors and finger flexors
ˍ. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
ˎ. elbow extensors and wrist extensors
ˏ. Syndactyly
ː. Macrodactyly
ˑ. Camptodactyly
˒. Preaxial polydactyly
˓. Postaxial polydactyly
˔. Arthrodesis
˕. Rotationplasty
˖. Above-knee amputation
˗. Osteoarticular allograft
˘. Endoprosthesis (custom arthroplasty)
˙. Plantar fascia
˚. Spring ligament
˛. Deltoid ligament
˜. Intrinsic tendons
˝. Gastorcnemius-solelus complex
˞. Prevention of presynaptic release of acetylcholine
˟. Prevention of synthesis of presynaptic acetylcholine
ˠ. Activation of acetylcholinesterase at the motor end-plate
ˡ. Blockage of postsynaptic action of acetylcholine until reserves are depleted
ˢ. Stimulation of release of presynaptic acetylcholine until reserves are depleted
ˣ. stiffness of the femoral component.
ˤ. head offset of the femoral component.
˥. femoral component material modulus of elasticity.
˦. extent of the femoral component porous coating.
˧. Presence of a femoral component collar.
˨. plantar fascia and quadratus plantae tendon.
˩. ligamentous structures connecting the tarsal bones.
˪. shape of the tarsal bones and the intervening joints.
˫. activity of the intrinsic muscles of the foot.
ˬ. activity of the posterior tibialis and the peroneus longus muscles.
˭. scapulothoracic fusion
ˮ. strengthening of the periscapular muscles
˯. pectoralis minor-fascia lata graft transfer to the scapula
˰. pectoralis major-fascia lata graft transfer to the scapula
˱. exploration of the long thoracic nerve, with sural nerve graft
˲. tricompartmental knee replacement
˳. unicompartmental knee replacement
˴. medial compartment meniscal allograft
˵. valgus-producing distal femoral osteotomy
˶. valgus-producing proximal tibial osteotomy
˷. Internal rotation of the femoral component
˸. External rotation of the tibial component
˹. Lateral placement of the femoral component
˺. Medial placement of the patellar component
˻. Excessive resection of the patella
˼. Hallux rigidus
˽. Hallux valgus
˾. Neuroma of the first web space
˿. Fracture of the sesamoid
̀. Rupture of the flexor hallucis longus
́. Sickle cell crisis
̂. Idiopathic chondrolysis
̃. Hemophilic arthropathy
̄. Osteoid osteoma of the femoral neck
̅. Legg-Calve-Perthes disease
̆. Decreased ankle jerk and positive femoral nerve stretch test
̇. Decreased knee jerk and positive straight-leg raising sign
̈. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̉. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̊. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̋. Long-term administration of IV and oral antibiotics
̌. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̍. Immediate exchange arthroplasty with antibiotic-impregnated cement
̎. Two-stage surgical prosthetic exchange and IV antibiotics
̏. Resection arthroplasty and IV antibiotics
̐. SCFE
̑. MED
̒. Perthes disease
̓. Hypothyroidism
̔. Chondrolysis
̕. gout.
̖. osteoporosis.
̗. eosinophilic granuloma.
̘. tuberculosis of the spine.
̙. metastatic disease of the spine.
̚. water content.
̛. Synthesis of type I collagen.
̜. Proteoglycan content.
̝. Activity of chondrocytes.
̞. Synthesis of hyaluronate.
̟. Lung
̠. Breast
̡. Prostate
̢. Thyroid
̣. Renal
̤. T1-low, T2-low.
̥. T1-low, T2-high.
̦. T1-moderate, T2-low.
̧. T1-high, T2-low.
̨. T1-high, T2-high.
̩. hypothesis is incorrect or invalid
̪. interobserver error rate is 4%.
̫. Standard deviation is 4% higher or lower than the mean.
̬. Sample size is 4% larger than required to be clinically significant.
̭. Probability that the differences noted between two study groups were due to chance alone is 4%.
̮. I
̯. II
̰. IV
̱. IX
̲. X
̳. Cranial setting
̴. Cranial subluxation
̵. Odontoid fracture
̶. Lysis of the arch of the atlas
̷. Atlantoaxial subluxation
̸. Retrograde collapse of the endoneurial tubes
̹. Irreversible atrophy of the denervated muscles
̺. Elongation of the axons across the zone of injury
̻. Sprouting of the axons at the neuromuscular junction
̼. Misdirection of the axons across the zone of injury
̽. Maximally pronated and elbow extended
̾. Maximally pronated and the elbow flexed
̿. Maximally supinated and the elbow flexed
̀. Maximally supinated and the elbow extended
́. In neutral rotation, with the elbow extended
͂. open reduction and internal fixation
̓. buddy taping to the adjacent index finger
̈́. early motion with application of a dynamic banjo splint
Ι. application of a cast with the hand in a “safe position” for 3 weeks.
͆. dorsal extension block splinting
͇. The name of the manufacturer
͈. The manufacturer’s potential liability
͉. The physician’s clinical performance
͊. The physician’s materials testing data
͋. Any royalties the physician receives from the manufacturer
͌. Femoral
͍. Obturator
͎. Inferior gluteal
͏. Superior gluteal
͐. Lateral femoral cutaneous
͑. open biopsy and a long leg cast
͒. open biopsy and wide resection of the tumor
͓. a long leg cast and observation
͔. intramedullary stabilization and observation
͕. Triggering
͖. Lateral instability
͗. Swan-neck deformity
͘. Boutonniere deformity
͙. Loss of distal interphalangeal joint flexion
͚. Peroneus brevis to peroneus longus
͛. Peroneus tertius to extensor hallucis longus
͜. Peroneus tertius to superficial peroneal nerve
͝. Extensor hallucis longus to deep peroneal nerve
͞. Extensor hallucis longus to extensor digitorum longus
͟. reassurance that Medicare will pay for the treatment.
͠. consent forms that patients or their guardians are able to understand.
͡. a detailed description of the device, omitting the fact that it is part of a study.
͢. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
ͣ. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
ͤ. an onlay iliac crest bone graft.
ͥ. limited weightbearing and observation.
ͦ. removal of the implant and limited weightbearing.
ͧ. removal of the implant and insertion of a reamed femoral nail.
ͨ. removal of the implant and insertion of an unreamed femoral nail.
ͩ. Coronal
ͪ. Sagittal
ͫ. Anteromedial, midway between the sagittal and the coronal
ͬ. Proximal pins sagittal, distal pins coronal
ͭ. Proximal pins coronal, distal pins sagittal
ͮ. Rheumatoid arthritis
ͯ. Posttraumatic arthritis
Ͱ. Degenerative osteoarthritis
Ͱ. Osteonecrosis of the tibial plateau
Ͳ. Osteonecrosis of the medial femoral condyle
Ͳ. Trapeziometacarpal arthrodesis
ʹ. Osteotomy of the thumb metacarpal
͵. Arthrotomy and joint debridement
Ͷ. Ligament reconstruction using one half of the flexor carpi radialis
Ͷ. Trapezium resection, tendon interposition, and reconstruction of the ligament
͸. Creep
͹. Relaxation
ͺ. Energy dissipation
Ͻ. Plastic deformation
Ͼ. Elastic deformation
Ͽ. bending
;. axial loading
Ϳ. high-speed rotation
΀. direct impact from anteromedial
΁. crush from anteromedial to posterolateral
΂. Increase stiffness
΃. Increase fracture toughness
΄. Increase fatigue strength
΅. Decrease mechanical strength
Ά. Decrease wear rate
·. disuse osteopenia
Έ. paraendocrine effect of the tumor
Ή. abnormally increased density on the right side
Ί. side effect of the treatment of the lesion
΋. extensive tumor involvement of the left hip
Ό. Sciatic nerve
΍. Superior gluteal artery
Ύ. Profunda femoris artery
Ώ. Femoral artery and nerve
Ϊ́. External iliac artery and vein
Α. Length
Β. Moment arm
Γ. Total volume
Δ. Physiologic cross-sectional area
Ε. Distribution of slow and fast twitch fibers
Ζ. decreasing initiation of action potentials.
Η. increasing action potential amplitude.
Θ. blocking the opening of gated sodium channels.
Ι. decreasing the number of functional motor units.
Κ. slowing or stopping action potential propagation through the axon.
Λ. resection of the metatarsal heads of the first through fifth toes.
Μ. Silastic MP joint arthroplasties of the first through fifth toes.
Ν. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Ξ. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Ο. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Π. hemiarthroplasty
Ρ. open reduction and internal fixation
΢. closed reduction and percutaneous pinning
Σ. a sling and early pedulum exercises
Τ. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Υ. open acromioplasty
Φ. open Bankart repair
Χ. open subscapularis tendon repair
Ψ. inferior capsular shift
Ω. a supervised physical therapy program
Ϊ. a sling and swathe, with pendulum exercises in 10 days
Ϋ. open reduction and internal fixation through an anterior approach
Ά. open reduction and internal fixation through a posterior approach
Έ. immobilization with a splint in 45 degrees of abduction for 6 weeks
Ή. arthroscopically assisted reduction and percutaneous screw fixation
Ί. Repair of the rotator cuff
Ϋ́. Replacement of the humeral head
Α. Resection arthroplasty
Β. Total shoulder arthroplasty
Γ. AP and lateral radiographs of the elbow
Δ. Diagnositc arthroscopy
Ε. Aspiration of joint fluid
Ζ. An erythrocyte sedimentation rate and CBC
Η. A diagnostic lidocaine injection
Θ. Insulin-like growth factor (IGF-1)
Ι. Fibroblast growth factor (FGF-1)
Κ. Platelet-derived growth factor (PDGF)
Λ. Transforming growth factor beta (TGF-B)
Μ. Bone morphogenetic proteins (BMP)
Ν. clinical history and radiographic findings.
Ξ. technetium bone scan
Ο. flow cytometry pattern of extracted chondrocytes
Π. immunohistochemical staining patterns of a biopsy specimen
Ρ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Σ. Radial
Σ. Radial recurrent
Τ. Posterior interosseous
Υ. Superior ulnar recurrent
Φ. Superficial radial circumflex
Χ. Impaired hydroxylation of proline
Ψ. Failure of cleavage in procollagen
Ω. Defective binding sites for hydroxyproline
Ϊ. Failure to incorporate glycine into the helix
Ϋ. Diminished production of collagen through the rough endoplasmic reticulum
Ό. Asking the legal staff to seek a court injunction
Ύ. Copying the patient’s chart and giving it to him as he leaves
Ώ. Having the patient sign a written legal contract that specifies acceptable behavior
Ϗ. Continuing care of the patient until an appropriate referral can be arranged
Β. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Θ. Meta-analysis
ϒ. Confidence interval
ϓ. Analysis of variance (ANOVA)
ϔ. Statistical significance (p-value)
Φ. Survivorship analysis (Kaplan-Meier)
Π. Spinal shock
Ϗ. Neurogenic shock
Ϙ. Hypovolemic shock
Ϙ. Pulmonary embolism
Ϛ. Fat embolus syndrome
Ϛ. Lumbar spinal stenosis
Ϝ. Metastatic disease of the spine
Ϝ. Rheumatoid lumbar spondylitis
Ϟ. Isthmic spondyloloisthesis
Ϟ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ϡ. Patella alta
Ϡ. A metal-backed patella
Ϣ. Varus malalignment of the knee
Ϣ. A posterior cruciate-substituting femoral component
Ϥ. Lateral subluxation of the patella on a Merchant’s view
Ϥ. The sesamoids are separated
Ϧ. The sesamoid is fractured
Ϧ. The proximal phx is on the neck of the metatarsal
Ϩ. The dislocation is dorsal and centered
Ϩ. The proximal phalanx is hyperextended
Ϫ. Patella
Ϫ. Tibial stem
Ϭ. Distal femoral interface
Ϭ. Posterior femoral interface
Ϯ. Sites of screw fixation for the tibia
Ϯ. Hallux rigidus
Κ. Fracture of the sesamoid
Ρ. Disruption of the plantar plate
Ϲ. Osteonecrosis of the metatarsal head
Ϳ. Rupture of the flexor hallucis longus
ϴ. Gout
Ε. Sepsis
϶. Old trauma
Ϸ. Rheumatoid arthritis
Ϸ. Charcot arthroplasty
Ϲ. Aspiration and steroid injection
Ϻ. Biopsy, curettage, and allograft bone grafting
Ϻ. Percutaneous Kirschner wire fixation
ϼ. Percutaneous injection of autogenous bone marrow
Ͻ. Nerve roots
Ͼ. Spinal cord
Ͽ. Sciatic nerve
Ѐ. Peroneal nerve
Ё. Conus medullaris
Ђ. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
Ѓ. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Є. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Ѕ. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
І. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Ї. Early and late infection
Ј. Periprosthetic fracture of the femur
Љ. Failure of the patellofemoral and extensor mechanisms
Њ. Aseptic loosening of cementing tibial components
Ћ. Asceptic loosening of cemented femoral components
Ќ. Acceptance of the current position of the ankle
Ѝ. Open reduction and fixation in the epiphysis only
Ў. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
Џ. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
А. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Б. Resection arthroplasty and local radiation
В. In situ fusion of the hip
Г. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
Д. Excision of heterotopic bone and local radiation
Е. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Ж. Closed reduction of both fractures and immediate spica casting
З. Bilateral skin traction for 3 weeks, followed by spica casting
И. External fixation of both femora
Й. External fixation of the left femur and a long leg cast brace for the right femur
К. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Л. Synovial sarcoma
М. Soft-tissue abcess
Н. Rhabdomyosarcoma
О. Eosinophilic granuloma
П. Nodular pigmented villonodular synovitis
Р. Changing to a titanium nail
С. Changing to a nonslotted nail
Т. Changing the cross-sectional shape of the nail
У. Increasing the diameter of the nail by 3 mm
Ф. Increasing the diameter of the interlocking screws
Х. Fracture healing
Ц. Chondrosarcoma
Ч. Periosteal chondroma
Ш. Periosteal osteosarcoma
Щ. Dysplasia epiphysealis hemimelica
Ъ. Demonstrate competence in the subject of the case
Ы. Be fellowship trained in the subject of the case
Ь. Be paid on a contingency basis
Э. Be board certified by the American Board of Orthopaedic Surgery
Ю. Have been involved in the case as a consultant
Я. Diagnostic arthroscopy
А. Arthroscopy and subacromial decompression
Б. Reduction and fixation of the proximal humeral epiphysis
В. Temporary cessation of throwing
Г. Physical therapy for rotator cuff strengthening
Д. Oblique popliteal ligament
Е. Lateral capsule
Ж. Popliteal tendon
З. Fibular collateral ligament
И. Posterior oblique ligament
Й. Radial tear
К. Parrot-beak tear
Л. Vertical tear in the “red-red” zone
М. Vertical tear in the “red-white” zone
Н. Vertical tear in the “white-white” zone
О. 0 degrees of abduction, with neural rotation
П. 40 degrees of flexion and 60 degrees of internal rotation
Р. 45 degrees of flexion and 45 degrees of external rotation
С. 90 degrees of abduction with neutral rotation
Т. 90 degrees of abduction and 90 degrees of external rotation
У. Sural
Ф. Saphenous and its branches
Х. Posterior tibial and its branches
Ц. Deep peroneal and its branches
Ч. Superficial peroneal and its branches
Ш. Strength
Щ. Stiffness
Ъ. Shelf life
Ы. Antigenicity
Ь. Risk of HIV transmission
Э. Indemnification
Ю. Occurrence
Я. Excess liability
Ѐ. Claims-made
Ё. Nose
Ђ. Lateral Y
Ѓ. Scapular AP
Є. Neutral rotation AP
Ѕ. Internal rotation AP
І. External rotation AP
Ї. Trauma
Ј. Hemophilia
Љ. Reiter’s syndrome
Њ. Rheumatoid arthritis
Ћ. Systemic lupus erythematosus
Ќ. Cast immobilization for 6 weeks
Ѝ. Activity modification and re-evaluation in 2 months
Ў. Internal fixation with or without bone grafting
Џ. Retrograde drilling of the defect without articular cartilage penetration
Ѡ. Drilling of the defect directly through the articular cartilage
Ѡ. repair or reconstruction of the medial collateral ligament
Ѣ. repair or reconstruction of the medialand lateral collateral ligaments
Ѣ. immobilization for 5 days or less
Ѥ. immobilization for 14 days
Ѥ. immobilization for 25 days
Ѧ. Cystinosis
Ѧ. Hypophosphatemia
Ѩ. Renal osteodystrophy
Ѩ. Primary hyperparathyroidism
Ѫ. Nutritional vitamin D deficiency
Ѫ. Lateral meniscus tear
Ѭ. Popliteus tenosynovitis
Ѭ. Iliotibial band friction syndrome
Ѯ. Peroneal nerve entrapment
Ѯ. Biceps tendinitis
Ѱ. Observation
Ѱ. Removal of the prosthetic components
Ѳ. Operative exploration and decompression of the peroneal nerve
Ѳ. Nerve conduction velocity studies
Ѵ. Loosening of the primary dressings and knee flexion to 30 degrees
Ѵ. I
Ѷ. II
Ѷ. III
Ѹ. decreased tissue tension
Ѹ. decreased abductor lever arm
Ѻ. decreased joint reaction force
Ѻ. increased body weight over lever arm
Ѽ. increased polyethylene wear rate
Ѽ. recurrent traumatic anterior dislocation
Ѿ. recurrent traumatic posterior dislocation
Ѿ. traumatic subluxation with no previous dislocation
Ҁ. traumatic anterior subluxation
Ҁ. atraumatic involuntary subluxation
҂. radial
҃. axillary
҄. suprascapular
҅. thoracodorsal
҆. long thoracic
҇. Flexion
҈. Extension
҉. Axial rotation
Ҋ. Left lateral bending
Ҋ. Right lateral bending
Ҍ. Skin
Ҍ. Lung
Ҏ. Brain
Ҏ. Heart
Ґ. Kidney
Ґ. Thoracoacromial, lateral thoracic, subscapular
Ғ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ғ. Posterior humeral circumflex, subscapular, thoracacromial
Ҕ. Subscapular, thoracacromial, anterior humeral circumflex
Ҕ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Җ. Respondeat superior
Җ. Indemnity agreement
Ҙ. Hold harmless agreement- attempt to shift liability from company to physician
Ҙ. Comparative negligence-% of involvement
Қ. Contributory negligence- resident contributed to the negligence
Қ. t-type
Ҝ. both column
Ҝ. transverse
Ҟ. anterior column
Ҟ. anterior column posterior hemitransverse
Ҡ. Posterior interosseous
Ҡ. Anterior interosseous
Ң. Radial
Ң. Median
Ҥ. Ulnar
Ҥ. Shock from hypovolemia
Ҧ. Associated rupture of the bladder
Ҧ. Arterial bleeding on pelvic angiogram
Ҩ. Presence of a hematoma in the perineum and scrotum
Ҩ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. type-I collagen


Explanation

Question 4040

Topic: 10. Pathology and Oncology

Which of the following techniques is most commonly used to classify tissue type in soft-tissue tumors?

. karyotyping
. flow cytometry
. transmission electron microscopy
. immunohistochemistry staining
. scanning electron microscopy
. ankle arthrodesis
. ankle synovectomy
. total ankle arthroplasty
. transplant of cartilage cells
. lengthening of the Achilles tendon
. fracture of the acetabulum
. protrusion of the acetabulum
. inadequate inferior coverage
. inadequate superior coverage
. inadequate anterior and posterior coverage
. Myelography
. Thermography
. CT Scan
. IV contrast-enhanced CT Scan
. Gadolinium-enhanced MRI scan
. CT scan of the chest
. Bone marrow biopsy
. Complete blood cell count
. Lateral radiograph of the skull
. Erythrocyte sedimentation rate
. Myosin
. Troponin
. Tropomyosin
. Fibrillin
. Dystrophin
. a skeletal survey.
. audiometric screening.
!. physical therapy for stretching.
". contrast studies of the upper gastrointestinal tract.
#. reassurance to the parents that there is no underlying pathology.
$. Fragmentation and subluxation of the normal joint articulation
%. Varus deformity with medial subchondral sclerosis
&. Preferential narrowing of the medial tibiofemoral compartment
'. Narrowing of the medial, lateral, and patellofemoral compartments
(. Bone proliferation at the patellar tendon and ligament insertion sites
). Central cord syndrome
*. Anterior cord syndrome
+. Posterior cord syndrome
,. Brown-Sequard syndrome
-. Cervical nerve root injury
.. Debriding the skin edges and performing plate fixation of the fracture
/. Debriding the skin edges and intramedullary rodding of the fracture
0. Extending the wounds, debriding the bone ends, and applying distal femoral traction
1. Extending the wounds, debriding the bone ends, and performing plate fixation of the fracture
2. Extending the wounds, debriding the bone ends, and intramedullary rodding of the fracture
3. The cell body nucleus migrates centrally
4. Schwann cells distal to the transection die
5. Axoplasm in the proximal stump drains out
6. Myelin distal to the transection is phagocytized
7. Cell body protein synthesis decreases for the first 10 to 14 days
8. Labral repair
9. acromioplasty
:. excision of the coracoid process
;. an arthroscopic Bankart procedure
<. subscapularis repair
=. Clinodactyly
>. Camptodactyly
?. Symbrachtyly
@. Kirner’s deformity
A. Digiti minimi adductus
B. Cable
C. Buttress plate
D. Methylmethacrylate
E. Multiple lag screws
F. Multiple Kirschner wires
G. Sacral fracture lateral to the foramina
H. Sacral fracture medial to the foramina
I. Sacroiliac fracture-dislocation
J. Sacroiliac dislocation
K. Iliac wing fracture
L. Allograft Replacement
M. Radioulnar synostosis
N. Excision of the radial head
O. Open reduction and internal fixation
P. Silicone radial head replacement
Q. T10 sensory pin-prick level
R. Retained vibratory sensation at the ankles
S. Presence of sacral sparing
T. Retained spontaneous respiratory function
U. Priapism
V. Application of a pelvic external fixator
W. A pelvic sling
X. Angiography of the pelvis
Y. Open reduction and internal fixation
Z. Open packing of the pelvic hematoma
[. Syme’s amputation
\. Arthrodesis of the knee
]. Disarticulation of the knee
^. Centralization of the fibula
_. Prosthetic fitting to accommodate the present deformity
`. Use of regional rather than general anesthesia
A. Observation of a latex-avoidance protocol
B. Latex skin allergen testing
C. Premedication with corticosteroids and antihistamines
D. Avoidance of prophylactic antibiotics derived from penicillin
E. Olecranon pin traction
F. Closed reduction and pin fixation
G. Open reduction and internal fixation
H. Cast immobilization in this position
I. An arteriogram to rule out an occult intimal tear of the brachial artery
J. A
K. B
L. C
M. D
N. E
O. Follow-up in six months.
P. AP and lateral radiographs.
Q. AP and lateral radiographs, and a bone scan.
R. AP and lateral radiographs, and serum levels for ca, ph, and creatinine.
S. AP and lateral radiographs, blood serum levels for calcium, phosphate, and creatinine, and a 24-hour urine collection for vitamin D metabolites.
T. MRI scan
U. Bone scan
V. Arthrogram
W. Axillary lateral radiograph
X. CT arthrogram
Y. Open repair of the central slip of the extensor mechanism
Z. Open repair of the terminal tendon of the extensor mechanism
{. Closed splinting with the proximal interphalangeal joint
|. Closed splinting with the proximal interphalangeal joint in 30 degrees of flexion
}. Closed splinting with the proximal interphalangeal joint in 45 degrees of flexion
~. Anteriorly at 20 to 30 degrees of flexion
. Anteriorly at 70 to 90 degrees of flexion
€. Posteriorly at 20 to 30 degrees of flexion
. Posteriorly at 70 to 90 degrees of flexion
‚. Anteriorly with the knee in full flexion
ƒ. Rett syndrome
„. Cerebral palsy
…. Myotonic dystrophy
†. Fragile-X syndrome
‡. Adrenoleukodystrophy
ˆ. Endurance limit
‰. Failure stress
Š. Critical stress
‹. Yield stress
Œ. Elastic limit
. Ewing’s sarcoma
Ž. Osteogenic sarcoma
. Multiple myeloma
. Metastatic prostate carcinoma
‘. Metastatic breast carcinoma
’. Higher subsequent loosening rate of the femoral component
“. Higher subsequent polyethylene wear rate
”. Higher subsequent dislocation rate
•. Higher infection rate
–. Unaltered subsequent survival rate of the femoral component
—. Crevice corrosion
˜. Oscillatory fretting
™. Oxidative degradation
š. Adhesion and abrasion
›. Fatigue and delamination
œ. a total contact cast.
. partial calcanectomy
ž. Syme’s amputation
Ÿ. transtibial amputation.
 . nonweightbearing and IV antibiotics.
¡. Sural artery island flap.
¢. Free rectus abdominis flap.
£. Extensor digitorum brevis flap.
¤. Staged cross leg flap.
¥. Split-thickness skin graft.
¦. An anterior cruciate functional knee brace.
§. A physical therapy program.
¨. Reconstruction of the posterior cruciate ligament and the posterolateral corner.
©. Reconstruction of the posterior cruciate ligament.
ª. Reconstruction of the anterior cruciate ligament.
«. Avoids the risk of marrow emboli
¬. Avoids injury to the intramedullary nutrient vessels
­. Results in faster healing of fractures
®. Results in more secure fixation
¯. Results in faster regeneration of the endosteal blood supply
°. Above-knee amputation
±. En bloc resection of the lesion and reconstruction with a bone graft
². Closed reduction and immobilization in a cast
³. Open reduction and internal fixation, followed by radiation therapy
´. Open reduction, curettage, and cementing of the lesion
Μ. Injury to the subclavian artery
¶. Injury to the brachial plexus
·. Segmental fracture
¸. 100% displacement
¹. Associated displaced surgical neck fracture of the humerus
º. humeral arthroplasty2/. repair of the rotator cuff
». closed reduction and immobilization
¼. open reduction and immobilization
½. open reduction and early passive motion
¾. arthroscopic capsular release
¿. manipulation under anesthesia
À. a physical therapy program
Á. an intra-articular corticosteroid injection
Â. administration of high-dose oral corticosteroids
Ã. adding the scores, in all five body systems
Ä. adding the squares of the scores in the three most severely injured systems
Å. doubling the cumulative score for head and chest injuries
Æ. combining the scores from the most and least injured systems
Ç. correcting the score in the most severely injured system for age
È. traumatic femoral head fracture
É. osteonecrosis
Ê. osteoarthritis
Ë. neuropathic joint
Ì. rheumatoid arthritis
Í. low-dose radiation
Î. steroid injection
Ï. a load-relieving insert and shoe modification
Ð. complete excision of the mass and the entire plantar fascia
Ñ. wide excision of the mass with a 2 cm margin of normal fascia
Ò. CT scan of the chest
Ó. technetium bone scan
Ô. bone marrow aspiration
Õ. serum protein electrophoresis
Ö. lateral skull radiograph
×. high-grade histology of the initial tumor
Ø. multiple local recurrences after curettage
Ù. previous treatment of the tumor with cryotherapy
Ú. previous treatment of the tumor with radiation therapy
Û. extraosseous extension into two or more adjacent compartments
Ü. Dorsal rhizotomy and facet joint fusion
Ý. Multilevel corpectomy and spinal stabilization
Þ. Central and lateral recess decompression and bilateral foraminotomy
SS. Central decompression and facet joint fusion
À. Central decompression, foraminotomy, and spinal fusion from L2 to L5.
Á. Inadequate rehabilitation
Â. Displacement of the coronoid process fracture
Ã. Insufficiency of the lateral ulnar collateral ligament
Ä. Insufficiency of the anterior band of the medial collateral ligament
Å. Insufficiency of the posterior band of the medial collateral ligament
Æ. Osteotomy and intramedullary rod fixation
Ç. Electrical stimulation
È. Strut-autografing the concavity the tibia
É. A patellar tendon-bearing brace
Ê. Percutaneous injection of demineralized bone matrix
Ë. digoxin
Ì. sucralfate
Í. clindamycin
Î. alcohol
Ï. neuromuscular blocking agents
Ð. Unrestrained roll-back
Ñ. Unrestrained rotational conformity
Ò. Medial-Lateral conformity
Ó. Anteroposterior conformity in flexion
Ô. Anteroposterior conformity in extension
Õ. Arthrodesis of the MTP joint
Ö. A Silastic implant of the MTP joint
÷. Resection arthroplasty of the MTP joint
Ø. Cheilctomy of the MTP joint
Ù. Osteotomy of the base of the proximal phalanx
Ú. Genu varum
Û. Tarsal coalition
Ü. Degenerative ankle arthrosis
Ý. Osteochondritis dissecans of the talus
Þ. Hemihypertrophy of the ipsilateral lower extremity
Ÿ. Trabecular bone is preferentially resorbed in this high bone turnover state
Ā. Loss of water content in the disk increases impact load to the vetrebral bodies
Ā. Stress is imposed by the relative stiffness of the arthrtic facet joints
Ă. Increased energy demands are imposed by decreased circulation to the vertebral body
Ă. The thick cortical bone found in the vertebral body resorbs rapidly following estrogen withdrawal
Ą. Increased time in stance and swing phase
Ą. Addition of a double leg float phase
Ć. Decreased vertical ground reaction forces
Ć. Decreased arc of motion in the hip, knee, and ankle
Ĉ. Decreased joint reaction forces in the hip, knee, and ankle
Ĉ. Talonavicular arthrodesis
Ċ. Medial displacement calcaneal osteotomy
Ċ. Flexor digitorum longus tendon transfer with spring ligament advancement
Č. Triple arthrodesis
Č. Calcaneocuboid distraction arthrodesis and repair of the posterior tibial tendon
Ď. Lymphoma
Ď. Hemangioma
Đ. Osteosarcoma
Đ. TB of the spine
Ē. Metastatic breast carcinoma
Ē. widening and shortening of the heel.
Ĕ. weakness of the gastrocnemius-soleus complex.
Ĕ. anterior impingement from a horizontal talus.
Ė. unrecognized compartment syndrome of the foot.
Ė. degenerative arthritis of the tibiotalar joint.
Ę. a corrective osteotomy
Ę. application of braces
Ě. medial physeal stapling until the varus corrects
Ě. observation
Ĝ. application of corrective casts
Ĝ. a total contact cast.
Ğ. electrical stimulation.
Ğ. an off the shelf fracture brace.
Ġ. an elastic compression bandage and crutches.
Ġ. a hard soled shoe until the patient is asymptomatic.
Ģ. Ewings tumor
Ģ. Parosteal osteosarcoma
Ĥ. Dedifferentiated chondrosarcoma
Ĥ. Low grade intramedullary chondrosarcoma
Ħ. High grade intramedullary osteosarcoma
Ħ. Vascular injury
Ĩ. Tear of the rotator cuff
Ĩ. Injury to the brachial plexus
Ī. Fracture of the upper thoracic rib
Ī. Fracture of the proximal humerus
Ĭ. Biceps
Ĭ. Trapezius
Į. Infraspinatus
Į. Pectoralis major
İ. Serratus anterior
I. Hybrid total hip arthroplasty
IJ. Noncemental hemiarthroplasty of the hip
IJ. Closed reduction and percutaneous pin fixation
Ĵ. Open reduction through an anterior approach to the hip
Ĵ. Excision of the head fragment
Ķ. a quadratus femoris pediclebone graft
Ķ. a proximal femoral allograft
ĸ. intertrochanteric osteotomy
Ĺ. total hip arthroplasty
Ĺ. hip hemiarthroplasty
Ļ. Echocardiogram
Ļ. Electrocardiogram
Ľ. Radiograph of the chest
Ľ. CT scan of the shoulder
Ŀ. Ultrasound of the shoulder
Ŀ. Ilioinguinal
Ł. Extended iliofemoral
Ł. Combined ilioinguinal and Kocher-Langenbeck (posterior)
Ń. Kocher-Langenbeck (posterior)
Ń. Kocher-Langenbeck (posterior) with trochanteric osteotomy
Ņ. Deltoid
Ņ. Supraspinatus
Ň. Subscapularis Infraspinatus
Ň. Infraspinatus
ʼN. Infraspinatus and teres minor
Ŋ. an orthosis.
Ŋ. observation.
Ō. electrical stimulation.
Ō. open reduction and internal fixation.
Ŏ. application of a nonweightbearing short leg cast.
Ŏ. repair of the rotator cuff.
Ő. rehabilitation of the shoulder
Ő. replacement of the humeral head.
Œ. arthroscopic acromioplasty and debridement.
Œ. immobilization is a sling until pain resolves.
Ŕ. Bone rotation versus torque applied
Ŕ. Bone deflection versus bending moment applied
Ŗ. Axial displacement versus tension applied
Ŗ. Lateral translation versus shear force applied
Ř. Fracture gap closing versus compressive force applied
Ř. steroid injection
Ś. stretching of the heel cord
Ś. surgical release of the plantar fascia
Ŝ. application of a short leg cast for 6 to 8 weeks
Ŝ. wearing dorsiflexion night splints
Ş. Open bladder
Ş. Bilateral “hitchhiker’s” thumbs
Š. Bilateral defects in the midclavicles
Š. Rhizomelic shortening of the extremities
Ţ. Radiographic fragmentation of all major epiphyses
Ţ. Medial patellotibial
Ť. Medial patellofemoral
Ť. Medial patellomeniscal
Ŧ. Lateral patellofemoral
Ŧ. Lateral patellotibial
Ũ. Heat
Ũ. Gentle active flexion-extension exercises
Ū. Isokinetic strengthening
Ū. Electrical muscle stimulation
Ŭ. Immobilization of the limb with the knee in full flexion
Ŭ. Distal chevron osteotomy with soft-tissue release
Ů. Distal soft-tissue realignment only
Ů. Closing wedge osteotomy (Aken) of the proximal phalanx
Ű. Proximal first metatarsal osteotomy only
Ű. Soft-tissue realignment with a proximal metatarsal osteotomy
Ų. Vagus
Ų. Phrenic
Ŵ. Hypoglossal
Ŵ. Recurrent laryngeal
Ŷ. Inferior thyroid
Ŷ. Surgical exploration
Ÿ. Application of leeches
Ź. Stellate ganglion blocks
Ź. Intra-arterial streptokinase
Ż. Elevation and reevaluation in 1 hour
Ż. Liver profile
Ž. Myleogram
Ž. Platelet count
S. CT scan of the head
Ƀ. Angiogram of the extremity
Ɓ. Post spinal fusion from L5to S1
Ƃ. Primary repair with an iliac bone graft
Ƃ. Post spinal fusion of L4-5
Ƅ. A pantaloon body cast and 6 weeks of bed rest
Ƅ. Rest, NSAIDS, and limited dancing
Ɔ. Stress fracture of the proximal fifth metatarsal
Ƈ. Stress fracture of the base of the second metatarsal
Ƈ. Stress fracture of the neck of the second metatarsal
Ɖ. Morton’s neuroma
Ɗ. Lisfranc’s joint subluxation
Ƌ. C5 radiculopathy
Ƌ. Subscapularis rupture
ƍ. Glenohumeral arthrosis
Ǝ. Rotator cuff arthropathy
Ə. Suprascapular nerve compression at the spinoglenoid notch
Ɛ. mm femoral head in combination with a metal-backed polyethylene component
Ƒ. mm femoral head in combination with an all-polyethylene acetabular component
Ƒ. mm femoral head in combination with a metal-backed polyethylene component
Ɠ. mm femoral head in combination with an all-polyethylene component
Ɣ. mm femoral head in combination with a metal-backed polyethylene component
Ƕ. Female gender
Ɩ. History of cigarette smoking
Ɨ. L5-S1 spondylolisthesis on pre-employment radiography
Ƙ. Decreased strength of the lower extremities on pre-employment testing
Ƙ. Decreased flexibility of the lumbar spine on pre-employment testing
Ƚ. Size of cells
ƛ. Amount of DNA in cells
Ɯ. Nucleus-cytoplasm ratio
Ɲ. Specific DNA sequences
Ƞ. Specific messenger RNA sequences
Ɵ. Femoral and obturator nerves
Ơ. Femoral and superior gluteal nerves
Ơ. Femoral and lateral femoral cutaneous nerves
Ƣ. Obturator and superior gluteal nerves
Ƣ. Obturator and lateral femoral cutaneous nerves
Ƥ. Isotonic
Ƥ. Isokinetic
Ʀ. Isometric
Ƨ. Open kinetic chain
Ƨ. Dynamic variable resistance
Ʃ. Closed reduction and cast immobilization
ƪ. Uniplanar external fixation
ƫ. Open reduction and internal fixation with a dynamic compression plate
Ƭ. Unreamed intramedullary rod
Ƭ. Multiple plane external fixator
Ʈ. Inlet view of the pelvis
Ư. Outlet view of the pelvis
Ư. AP view of the hip
Ʊ. Ilial oblique view (external oblique) of the hip
Ʋ. Obturator oblique
Ƴ. Glycolytic pathway
Ƴ. Oxidative phosphorylation
Ƶ. Breakdown of fat
Ƶ. Breakdown of protein
Ʒ. Breakdown of adenosine triphosphate
Ƹ. an MRI scan
Ƹ. arthroscopic examination
ƺ. AP and frog-lateral radiographs of the pelvis and hips
ƻ. varus and valgus stress radiographs of the knee
Ƽ. physical examination of the knee under anesthesia
Ƽ. extended curettage and polymethylmethacrylate cementation
ƾ. extra-articular resection of the knee and an allograft arthrodesis
Ƿ. wide resection of the proximal tibia and custom prosthetic replacement
ǀ. prophylactic internal fixation and postoperative irradiation
ǁ. excision of the lateral condyle and reconstruction with a hemicondylar allograft
ǂ. silicone implant joint replacement
ǃ. metatarsophalangeal joint arthrodesis
DŽ. metatarsophalangeal joint debridement
DŽ. resection of the metatarsal head
DŽ. resection of the base of the proximal phalanx
LJ. Fixation of the syndesmosis has failed
LJ. Widening of the ankle mortise has led to the failure of fixation
LJ. Infection around the syndesmosis screw has led to osteomyelitis
NJ. The syndesmosis screw is broken
NJ. Motion between the tibia and fibula has caused loosening of the syndesmosis screw
NJ. Microcephaly
Ǎ. A temporal lobe cyst
Ǎ. An Arnold-Chiari type 1 malformation
Ǐ. Periventricular leukomalacia
Ǐ. Agnesis of the corpus callosum
Ǒ. Wolff’s
Ǒ. Hooke’s
Ǔ. Hilton’s
Ǔ. Muller-Haeckel
Ǖ. Heuter-Volkmann
Ǖ. Both the anterolateral and posteromedial bands are isometric and do not significantly change with flexion
Ǘ. The anterolateral band is lax and becomes tight in flexion, while the posteromedial band is tight, and becomes lax in flexion
Ǘ. The anterolateral band is tight and becomes lax in flexion, while the posteromedial band is lax and becomes tight in flexion
Ǚ. Both the anterolateral and posteromedial bands are lax and become tight in flexion
Ǚ. Both the anterolateral and posteromedial bands are tight and become lax as the knee is flexed
Ǜ. UCB orthosis
Ǜ. Rigid orthosis with a medical arch support
Ǝ. Semi-rigid orthosis with lateral forefoot posting
Ǟ. Semi-rigid orthosis with a medial arch support
Ǟ. Medial heel wedge attached to the running shoes
Ǡ. Hallux varus
Ǡ. Osteonecrosis
Ǣ. Recurrence of the hallux valgus
Ǣ. “Transfer” second metatarsalgia
Ǥ. Physeal arrest of the first metatarsal
Ǥ. Aseptic loosening in a 70-year-old patient
Ǧ. Mechanical failure of a hinged knee prosthesis
Ǧ. Failed knee replacement complicated by reflex sympathetic dystrophy
Ǩ. Infection with soft-tissue deficit
Ǩ. A prior patellectomy
Ǫ. Knee fusion
Ǫ. Open irrigation and debridement
Ǭ. Arthroscopic irrigation and debridement
Ǭ. One-stage exchange arthroplasty
Ǯ. Two-stage exchange arthroplasty
Ǯ. Putti-platt repair
J̌. Open Bankart repair
DZ. Injection of a subacromial corticosteroid
DZ. Arthroscopic transglenoid capsular shift
DZ. Rehabilitation of the scapular and rotator cuff muscles
Ǵ. Silicone suction socket and an energy-absorbing foot
Ǵ. Silicone suction socket and a variable resistance ankle
Ƕ. Plastic suction socket, telescoping pylon, and a solid ankle cushioned heel (SACH) foot
Ƿ. Plastic socket with a hinged thigh cuff and a SACH foot
Ǹ. Patellar tendon-bearing suction socket and a uniaxial hydraulic ankle
Ǹ. Parosteal
Ǻ. Periosteal
Ǻ. High-grade intramedullary
Ǽ. Osteosarcoma occurring in Paget’s disease
Ǽ. Osteosarcoma occurring in irradiated bone
Ǿ. Cauda equina
Ǿ. Conus medullaris
Ȁ. Genitofemoral nerve
Ȁ. Lumbar sympathetic plexus
Ȃ. Lumbar parasympathetic plexus
Ȃ. Spinal pseudoarthrosis
Ȅ. Spinal cord traction injury with paralysis
Ȅ. Arterial and venous thromboses
Ȇ. Superior mesenteric artery syndrome
Ȇ. Crankshaft phenomenon
Ȉ. Inversion stress radiograph
Ȉ. MRI scan
Ȋ. CT scan
Ȋ. Nuclear bone scan
Ȍ. External rotation stress radiograph
Ȍ. Complex deformity with an angulation in two planes
Ȏ. Single deformity less than 20 degrees, apex posterolateral
Ȏ. Single deformity greater than 30 degrees, apex posterolateral
Ȑ. Single deformity less than 20 degrees, apex posteromedial
Ȑ. Single deformity greater than 30 degrees, apex posteromedial
Ȓ. Pronation of the foot during the stance phase of gait
Ȓ. Heel inversion at the beginning of a single limb heel rise
Ȕ. Active inversion of the nonweightbearing foot
Ȕ. Active plantar flexion of the first ray against resistance
Ȗ. Active plantar flexion of the foot during the push-off phase of gait
Ȗ. Observation and repeat radiographs in 4 months
Ș. Application of a thoracolumbalsacral orthosis for 22 to 24 hours per day
Ș. Electrical stimulation at night
Ț. Physical therapy
Ț. Begins to remodel and hypertrophy more quickly
Ȝ. Provides a better scaffold for osteoconduction
Ȝ. Reduces the risk of early fracture
Ȟ. Reduces technical difficulty
Ȟ. Lowers donor site morbidity
Ƞ. Anterior fusion of the lumbar curve
ȡ. Anterior and posterior fusion of the thoracic curve
Ȣ. Posterior fusion of the thoracic curve
Ȣ. Posterior fusion of the thoracic and lumbar curves
Ȥ. Application of a brace until the iliac apophyses are Risser 4 or 5, followed by surgical correction
Ȥ. Subscapularis rupture
Ȧ. Type III SLAP lesion
Ȧ. Disruption of capsular shift
Ȩ. Isolated traumatic subluxation
Ȩ. Injury to the axillary nerve after dislocation
Ȫ. hypophosphatemia
Ȫ. high dietary cholesterol intake
Ȭ. deficiency of lipoprotein A
Ȭ. deficiency of protein S and protein C
Ȯ. elevated levels of antithrombin III
Ȯ. Weightbearing short leg cast
Ȱ. Nonweightbearing short leg cast
Ȱ. Removable splint and early motion
Ȳ. Open reduction and internal fixation
Ȳ. Elastic compression bandage with full weightbearing
ȴ. Breast
ȵ. Prostate
ȶ. Gastrointestinal
ȷ. Kidney
ȸ. Multiple myeloma
ȹ. Varus stress
Ⱥ. Valgus stress
Ȼ. Torsional loading
Ȼ. Hyperextension of the knee
Ƚ. Contraction of the quadriceps while axially loaded
Ⱦ. Primary internal fixation at both fracture levels
Ȿ. External fixation as definitive ttt for both #
Ɀ. Skeletal traction and delayed internal fixation of both fractures
Ɂ. Primary internal fixation of the proximal fracture and delayed fixation of the femoral fracture
Ɂ. Primary internal fixation of the femoral shaft fracture and delayed fixation of the proximal #
Ƀ. Heel spur
Ʉ. Plantar fascitis
Ʌ. Dysfunction of the tibialis posterior tendon
Ɇ. Compression of the first branch of the lateral plantar nerve
Ɇ. Compression of the calcaneal nerve
Ɉ. Displaced labral tear
Ɉ. Tear of the rotator cuff
Ɋ. Fracture of the glenoid rim
Ɋ. Palsy of the axillary nerve
Ɍ. Palsy of the musculocutaneus nerve
Ɍ. Enchondroma
Ɏ. Osteoblastoma
Ɏ. Giant cell tumor
Ɐ. Aneurysmal bone cyst
Ɑ. Fibrous dysplasia
Ɒ. Arthrogram of the wrist
Ɓ. MRI scan of both wrists
Ɔ. CT scan of both wrists in the same position
ɕ. Radiographs of the wrist in supination and pronation
Ɖ. Radiographs of the opposite wrist in the same position
Ɗ. Secondary hyperparathyroidism
ɘ. Phosphate retention secondary to uremia
Ə. Insufficient renal synthesis of 1, 25 dihydroxy vitamin D
ɚ. Aluminum deposition in bone from oral phosphate binders
Ɛ. Persistent acidosis aggravating the negative calcium balance
Ɜ. Posterior fusion at T10-L3 with segmental instrumentation
ɝ. Laminectomy and fusion of T12-L2 with segmental instrumentation
ɞ. Bed rest in a hyperextension brace
ɟ. L1 vertebrectomy and anterior decompression with strut graft fusion and instrumentation
Ɠ. Progressive ambulation as tolerated in a custom-molded thoracolumbosacral orthosis
Ɡ. Positive-pressure ventilation
ɢ. An immediate radiograph of the chest
Ɣ. Adjustment of the position of the endotrachael tube
ɤ. Insertion of a large-bore needle into the pericardial space
Ɥ. Insertion of a large-bore needle in the right second intercostal space, midclavicular line
Ɦ. Allowing the ends of the fracture to touch
ɧ. Adding a second connecting bar
Ɨ. Adding one pin to each fracture fragment
Ɩ. Increasing the pin diameter from 4 mm to 6 mm
Ɪ. Decreasing the connecting bar-to-bone distance from 6 cm to 4 cm
Ɫ. Osteomyelitis
Ɬ. Malignant degeneration
ɭ. Stress fracture
ɮ. Local recurrence of the giant cell tumor
Ɯ. Bone resorption due to methylmethacrylate
ɰ. Advancement of the plantar plate
Ɱ. Resection of the second metatarsal head
Ɲ. Dorsiflexion osteotomy of the second metatarsal neck
ɳ. Transfer of the flexor digitorum longus tendon to the dorsum of the toe
ɴ. Transfer of the extensor digitorum comminus tendon to the metatarsal neck
Ɵ. Sacral fracture
ɶ. Burst fracture of L5
ɷ. Cauda equina syndrome
ɸ. Distraction-flexion injury at L3
ɹ. Distraction-extension injury at L3
ɺ. An MRI scan of the shoulder
ɻ. An MRI scan of the cervical spine
ɼ. Electromyographic and nerve conduction velocity studies
Ɽ. Immobilization in a sling and early passive range of motion exercises
ɾ. Immediate return to the operating room for exploration of the brachial plexus
ɿ. cerclage wiring
Ʀ. tension band wiring
ʁ. removal of the patellar component
Ʂ. revision of the patellar component
Ʃ. immobilization of the knee and protected weightbearing
ʄ. Liposarcoma
ʅ. Nodular fasciitis
ʆ. Rabdomyosarcoma
Ʇ. Malignant fibrous histiocytoma
Ʈ. Extra-abdominal desmoid tumor
Ʉ. Clubfeet
Ʊ. Thrombocytopenia
Ʋ. Congenital scoliosis
Ʌ. Ventricular septal defect
ʍ. Arnold-Chiari malformation
ʎ. delayed primary closure
ʏ. free flap
ʐ. pedicle groin flap
ʑ. full-thickness skin graft
Ʒ. split-thickness skin graft
ʓ. Infection
ʔ. Nonunion
ʕ. Improper screw length
ʖ. Osteonecrosis of the distal fragment
ʗ. Use of a cortical screw instead of a cancellous screw
ʘ. Infection
ʙ. Tear of the rotator cuff
ʚ. Loosening of the humeral component
ʛ. Arthritis of the glenoid
ʜ. Arthritis of the A-C joint
Ʝ. Reduced morbidity
Ʞ. Improved osteoinduction
ʟ. Improved osteoconduction
ʠ. More rapid revascularization
ʡ. Lower risk of disease transmission
ʢ. Manipulation Under Anesthesia
ʣ. Arthroscopic acromioplasty
ʤ. Arthroscopic debridement of G-H joint
ʥ. Replacement of the humeral head
ʦ. Lengthening of the subscapularis and release of the anterior capsule
ʧ. Bacteroides
ʨ. E. coli
ʩ. Staph. aureus
ʪ. group A streptococcus
ʫ. Clostridium perforingens
ʬ. observation and exercises
ʭ. bracing with a thoracolumbar orthosis
ʮ. fusion of the posterior spine
ʯ. fusion of the anterior spine
ʰ. fusion of the anterior and posterior spine
ʱ. Total wrist replacement and bridge grafts
ʲ. palmar shelf arthroplasty and tendon transfers
ʳ. Darrach distal ulna resection, dorsal tenosynosynovectomy, and tendon transfers
ʴ. Radioscaphate fusion, extensor tenodesis, and Darrach distal ulna resection
ʵ. Total wrist fusion and tendon transfers
ʶ. constrained acetabular component
ʷ. protrusion ring with morselized graft
ʸ. cemented metal backed acetabular component
ʹ. cemented all-polyethylene acetabular component
ʺ. cementless hemispherical component with screw fixation
ʻ. application of a hip abduction brace for 22 hours per day
ʼ. application of a hip spica under anesthesia
ʽ. discontinuance of all bracing and repeat radiographs in 3 months
ʾ. open reduction of the hip and application of a spica cast
ʿ. open reduction, varus osteotomy, and application of a spica cast
ˀ. Loss of skin hair on the feet
ˁ. Absent pulses on vascular examination
˂. Pain that originates proximally and spreads distally
˃. Pain that is relieved by stopping and standing
˄. Pain that is worse when the patient walks uphill rather downhill
˅. wrist flexors and finger flexors
ˆ. elbow flexors and wrist flexors
ˇ. elbow flexors and finger flexors
ˈ. elbow extensors and wrist flexorst Level Key Muscles4 DiaphragmDeltoid, elbow flexors, diaphragmElbow flexors, wrist extensorsElbow extensors, wrist flexorsFinger flexors (distal phalanx of middlefinger)Finger abductors (5th digit), intrinsics of hand2 Segmental innervation to intercostal muscles, abdominal and paraspinal muscles) L1, L2, L3 Hip flexors3, L4 QuadricepsTibialis anteriorToe extensors, hip abductorsAnkle plantarflexors, peronei
ˉ. elbow extensors and wrist extensors
ˊ. Syndactyly
ˋ. Macrodactyly
ˌ. Camptodactyly
ˍ. Preaxial polydactyly
ˎ. Postaxial polydactyly
ˏ. Arthrodesis
ː. Rotationplasty
ˑ. Above-knee amputation
˒. Osteoarticular allograft
˓. Endoprosthesis (custom arthroplasty)
˔. Plantar fascia
˕. Spring ligament
˖. Deltoid ligament
˗. Intrinsic tendons
˘. Gastorcnemius-solelus complex
˙. Prevention of presynaptic release of acetylcholine
˚. Prevention of synthesis of presynaptic acetylcholine
˛. Activation of acetylcholinesterase at the motor end-plate
˜. Blockage of postsynaptic action of acetylcholine until reserves are depleted
˝. Stimulation of release of presynaptic acetylcholine until reserves are depleted
˞. stiffness of the femoral component.
˟. head offset of the femoral component.
ˠ. femoral component material modulus of elasticity.
ˡ. extent of the femoral component porous coating.
ˢ. Presence of a femoral component collar.
ˣ. plantar fascia and quadratus plantae tendon.
ˤ. ligamentous structures connecting the tarsal bones.
˥. shape of the tarsal bones and the intervening joints.
˦. activity of the intrinsic muscles of the foot.
˧. activity of the posterior tibialis and the peroneus longus muscles.
˨. scapulothoracic fusion
˩. strengthening of the periscapular muscles
˪. pectoralis minor-fascia lata graft transfer to the scapula
˫. pectoralis major-fascia lata graft transfer to the scapula
ˬ. exploration of the long thoracic nerve, with sural nerve graft
˭. tricompartmental knee replacement
ˮ. unicompartmental knee replacement
˯. medial compartment meniscal allograft
˰. valgus-producing distal femoral osteotomy
˱. valgus-producing proximal tibial osteotomy
˲. Internal rotation of the femoral component
˳. External rotation of the tibial component
˴. Lateral placement of the femoral component
˵. Medial placement of the patellar component
˶. Excessive resection of the patella
˷. Hallux rigidus
˸. Hallux valgus
˹. Neuroma of the first web space
˺. Fracture of the sesamoid
˻. Rupture of the flexor hallucis longus
˼. Sickle cell crisis
˽. Idiopathic chondrolysis
˾. Hemophilic arthropathy
˿. Osteoid osteoma of the femoral neck
̀. Legg-Calve-Perthes disease
́. Decreased ankle jerk and positive femoral nerve stretch test
̂. Decreased knee jerk and positive straight-leg raising sign
̃. Gastrocnemius-soleus complex weakness and positive straight-leg raising sign
̄. Weakness of the extensor hallucis longus and positive straight-leg raising sign
̅. Weakness of the extensor hallucis longus and positive femoral nerve stretch test
̆. Long-term administration of IV and oral antibiotics
̇. Open soft-tissue debridement, retention of prosthetic components, and IV antibiotics
̈. Immediate exchange arthroplasty with antibiotic-impregnated cement
̉. Two-stage surgical prosthetic exchange and IV antibiotics
̊. Resection arthroplasty and IV antibiotics
̋. SCFE
̌. MED
̍. Perthes disease
̎. Hypothyroidism
̏. Chondrolysis
̐. gout.
̑. osteoporosis.
̒. eosinophilic granuloma.
̓. tuberculosis of the spine.
̔. metastatic disease of the spine.
̕. water content.
̖. Synthesis of type I collagen.
̗. Proteoglycan content.
̘. Activity of chondrocytes.
̙. Synthesis of hyaluronate.
̚. Lung
̛. Breast
̜. Prostate
̝. Thyroid
̞. Renal
̟. T1-low, T2-low.
̠. T1-low, T2-high.
̡. T1-moderate, T2-low.
̢. T1-high, T2-low.
̣. T1-high, T2-high.
̤. hypothesis is incorrect or invalid
̥. interobserver error rate is 4%.
̦. Standard deviation is 4% higher or lower than the mean.
̧. Sample size is 4% larger than required to be clinically significant.
̨. Probability that the differences noted between two study groups were due to chance alone is 4%.
̩. I
̪. II
̫. IV
̬. IX
̭. X
̮. Cranial setting
̯. Cranial subluxation
̰. Odontoid fracture
̱. Lysis of the arch of the atlas
̲. Atlantoaxial subluxation
̳. Retrograde collapse of the endoneurial tubes
̴. Irreversible atrophy of the denervated muscles
̵. Elongation of the axons across the zone of injury
̶. Sprouting of the axons at the neuromuscular junction
̷. Misdirection of the axons across the zone of injury
̸. Maximally pronated and elbow extended
̹. Maximally pronated and the elbow flexed
̺. Maximally supinated and the elbow flexed
̻. Maximally supinated and the elbow extended
̼. In neutral rotation, with the elbow extended
̽. open reduction and internal fixation
̾. buddy taping to the adjacent index finger
̿. early motion with application of a dynamic banjo splint
̀. application of a cast with the hand in a “safe position” for 3 weeks.
́. dorsal extension block splinting
͂. The name of the manufacturer
̓. The manufacturer’s potential liability
̈́. The physician’s clinical performance
Ι. The physician’s materials testing data
͆. Any royalties the physician receives from the manufacturer
͇. Femoral
͈. Obturator
͉. Inferior gluteal
͊. Superior gluteal
͋. Lateral femoral cutaneous
͌. open biopsy and a long leg cast
͍. open biopsy and wide resection of the tumor
͎. a long leg cast and observation
͏. intramedullary stabilization and observation
͐. Triggering
͑. Lateral instability
͒. Swan-neck deformity
͓. Boutonniere deformity
͔. Loss of distal interphalangeal joint flexion
͕. Peroneus brevis to peroneus longus
͖. Peroneus tertius to extensor hallucis longus
͗. Peroneus tertius to superficial peroneal nerve
͘. Extensor hallucis longus to deep peroneal nerve
͙. Extensor hallucis longus to extensor digitorum longus
͚. reassurance that Medicare will pay for the treatment.
͛. consent forms that patients or their guardians are able to understand.
͜. a detailed description of the device, omitting the fact that it is part of a study.
͝. a provision that the patient’s care will be discontinued if he or she does not enroll in the study.
͞. a provision that the study will be carried out to completion, whether or not the device is as effective as those currently in existence.
͟. an onlay iliac crest bone graft.
͠. limited weightbearing and observation.
͡. removal of the implant and limited weightbearing.
͢. removal of the implant and insertion of a reamed femoral nail.
ͣ. removal of the implant and insertion of an unreamed femoral nail.
ͤ. Coronal
ͥ. Sagittal
ͦ. Anteromedial, midway between the sagittal and the coronal
ͧ. Proximal pins sagittal, distal pins coronal
ͨ. Proximal pins coronal, distal pins sagittal
ͩ. Rheumatoid arthritis
ͪ. Posttraumatic arthritis
ͫ. Degenerative osteoarthritis
ͬ. Osteonecrosis of the tibial plateau
ͭ. Osteonecrosis of the medial femoral condyle
ͮ. Trapeziometacarpal arthrodesis
ͯ. Osteotomy of the thumb metacarpal
Ͱ. Arthrotomy and joint debridement
Ͱ. Ligament reconstruction using one half of the flexor carpi radialis
Ͳ. Trapezium resection, tendon interposition, and reconstruction of the ligament
Ͳ. Creep
ʹ. Relaxation
͵. Energy dissipation
Ͷ. Plastic deformation
Ͷ. Elastic deformation
͸. bending
͹. axial loading
ͺ. high-speed rotation
Ͻ. direct impact from anteromedial
Ͼ. crush from anteromedial to posterolateral
Ͽ. Increase stiffness
;. Increase fracture toughness
Ϳ. Increase fatigue strength
΀. Decrease mechanical strength
΁. Decrease wear rate
΂. disuse osteopenia
΃. paraendocrine effect of the tumor
΄. abnormally increased density on the right side
΅. side effect of the treatment of the lesion
Ά. extensive tumor involvement of the left hip
·. Sciatic nerve
Έ. Superior gluteal artery
Ή. Profunda femoris artery
Ί. Femoral artery and nerve
΋. External iliac artery and vein
Ό. Length
΍. Moment arm
Ύ. Total volume
Ώ. Physiologic cross-sectional area
Ϊ́. Distribution of slow and fast twitch fibers
Α. decreasing initiation of action potentials.
Β. increasing action potential amplitude.
Γ. blocking the opening of gated sodium channels.
Δ. decreasing the number of functional motor units.
Ε. slowing or stopping action potential propagation through the axon.
Ζ. resection of the metatarsal heads of the first through fifth toes.
Η. Silastic MP joint arthroplasties of the first through fifth toes.
Θ. fusion of the hallux MP joint and resection arthroplasty of the 2nd through fifth metatarsal heads.
Ι. fusion of hallux MP joint and distal osteotomy of the 2nd through 5th MT.
Κ. plantar condylectomy of the 2nd through 5th MT heads & resection of proximal phx of the hallux.
Λ. hemiarthroplasty
Μ. open reduction and internal fixation
Ν. closed reduction and percutaneous pinning
Ξ. a sling and early pedulum exercises
Ο. a sling and swathe for 6 weeks, followed by shoulder rehabilitation
Π. open acromioplasty
Ρ. open Bankart repair
΢. open subscapularis tendon repair
Σ. inferior capsular shift
Τ. a supervised physical therapy program
Υ. a sling and swathe, with pendulum exercises in 10 days
Φ. open reduction and internal fixation through an anterior approach
Χ. open reduction and internal fixation through a posterior approach
Ψ. immobilization with a splint in 45 degrees of abduction for 6 weeks
Ω. arthroscopically assisted reduction and percutaneous screw fixation
Ϊ. Repair of the rotator cuff
Ϋ. Replacement of the humeral head
Ά. Resection arthroplasty
Έ. Total shoulder arthroplasty
Ή. AP and lateral radiographs of the elbow
Ί. Diagnositc arthroscopy
Ϋ́. Aspiration of joint fluid
Α. An erythrocyte sedimentation rate and CBC
Β. A diagnostic lidocaine injection
Γ. Insulin-like growth factor (IGF-1)
Δ. Fibroblast growth factor (FGF-1)
Ε. Platelet-derived growth factor (PDGF)
Ζ. Transforming growth factor beta (TGF-B)
Η. Bone morphogenetic proteins (BMP)
Θ. clinical history and radiographic findings.
Ι. technetium bone scan
Κ. flow cytometry pattern of extracted chondrocytes
Λ. immunohistochemical staining patterns of a biopsy specimen
Μ. histologic features of a biopsy specimen stained with hematoxylin-cosin
Ν. Radial
Ξ. Radial recurrent
Ο. Posterior interosseous
Π. Superior ulnar recurrent
Ρ. Superficial radial circumflex
Σ. Impaired hydroxylation of proline
Σ. Failure of cleavage in procollagen
Τ. Defective binding sites for hydroxyproline
Υ. Failure to incorporate glycine into the helix
Φ. Diminished production of collagen through the rough endoplasmic reticulum
Χ. Asking the legal staff to seek a court injunction
Ψ. Copying the patient’s chart and giving it to him as he leaves
Ω. Having the patient sign a written legal contract that specifies acceptable behavior
Ϊ. Continuing care of the patient until an appropriate referral can be arranged
Ϋ. Transferring the patient to another orthopaedic surgeon without disclosing the realreason for why the patient is being transferred
Ό. Meta-analysis
Ύ. Confidence interval
Ώ. Analysis of variance (ANOVA)
Ϗ. Statistical significance (p-value)
Β. Survivorship analysis (Kaplan-Meier)
Θ. Spinal shock
ϒ. Neurogenic shock
ϓ. Hypovolemic shock
ϔ. Pulmonary embolism
Φ. Fat embolus syndrome
Π. Lumbar spinal stenosis
Ϗ. Metastatic disease of the spine
Ϙ. Rheumatoid lumbar spondylitis
Ϙ. Isthmic spondyloloisthesis
Ϛ. Degenerative spondylolisthesis at L4-5 and L5-S1
Ϛ. Patella alta
Ϝ. A metal-backed patella
Ϝ. Varus malalignment of the knee
Ϟ. A posterior cruciate-substituting femoral component
Ϟ. Lateral subluxation of the patella on a Merchant’s view
Ϡ. The sesamoids are separated
Ϡ. The sesamoid is fractured
Ϣ. The proximal phx is on the neck of the metatarsal
Ϣ. The dislocation is dorsal and centered
Ϥ. The proximal phalanx is hyperextended
Ϥ. Patella
Ϧ. Tibial stem
Ϧ. Distal femoral interface
Ϩ. Posterior femoral interface
Ϩ. Sites of screw fixation for the tibia
Ϫ. Hallux rigidus
Ϫ. Fracture of the sesamoid
Ϭ. Disruption of the plantar plate
Ϭ. Osteonecrosis of the metatarsal head
Ϯ. Rupture of the flexor hallucis longus
Ϯ. Gout
Κ. Sepsis
Ρ. Old trauma
Ϲ. Rheumatoid arthritis
Ϳ. Charcot arthroplasty
ϴ. Aspiration and steroid injection
Ε. Biopsy, curettage, and allograft bone grafting
϶. Percutaneous Kirschner wire fixation
Ϸ. Percutaneous injection of autogenous bone marrow
Ϸ. Nerve roots
Ϲ. Spinal cord
Ϻ. Sciatic nerve
Ϻ. Peroneal nerve
ϼ. Conus medullaris
Ͻ. Extent of bone penetrated by reaming, prosthetic components, or acrylic cement
Ͼ. Periprosthetic regions that are accessible to joint fluid and particulate wear debris
Ͽ. Enveloping pseudocapsular scar tissue that develops around a prosthetic hip following surgical capsulectomy
Ѐ. Soft tissue and bone that are potentially contaminated with bacteria in the setting of a prosthetic joint infection
Ё. Potential intrapelvic joint space communication created by acetabular fixation screws or intrapelvic extruded acrylic cement
Ђ. Early and late infection
Ѓ. Periprosthetic fracture of the femur
Є. Failure of the patellofemoral and extensor mechanisms
Ѕ. Aseptic loosening of cementing tibial components
І. Asceptic loosening of cemented femoral components
Ї. Acceptance of the current position of the ankle
Ј. Open reduction and fixation in the epiphysis only
Љ. ORIF with a small-fragment T-plate from the malleolus up to the metaphysis
Њ. Closed reduction by eversion of the ankle and application of a bivalved long leg cast
Ћ. CRUGA and fixation with a malleolar screw from the malleolus into the metaphysis
Ќ. Resection arthroplasty and local radiation
Ѝ. In situ fusion of the hip
Ў. Excision of heterotopic bone, total hip arthroplasty, and oral indomethacin
Џ. Excision of heterotopic bone and local radiation
А. Excision of heterotopic bone, hemiarthroplasty, and oral indomethacin
Б. Closed reduction of both fractures and immediate spica casting
В. Bilateral skin traction for 3 weeks, followed by spica casting
Г. External fixation of both femora
Д. External fixation of the left femur and a long leg cast brace for the right femur
Е. External fixation of the left femur and use of a reamed intramedullary nail in the right femur
Ж. Synovial sarcoma
З. Soft-tissue abcess
И. Rhabdomyosarcoma
Й. Eosinophilic granuloma
К. Nodular pigmented villonodular synovitis
Л. Changing to a titanium nail
М. Changing to a nonslotted nail
Н. Changing the cross-sectional shape of the nail
О. Increasing the diameter of the nail by 3 mm
П. Increasing the diameter of the interlocking screws
Р. Fracture healing
С. Chondrosarcoma
Т. Periosteal chondroma
У. Periosteal osteosarcoma
Ф. Dysplasia epiphysealis hemimelica
Х. Demonstrate competence in the subject of the case
Ц. Be fellowship trained in the subject of the case
Ч. Be paid on a contingency basis
Ш. Be board certified by the American Board of Orthopaedic Surgery
Щ. Have been involved in the case as a consultant
Ъ. Diagnostic arthroscopy
Ы. Arthroscopy and subacromial decompression
Ь. Reduction and fixation of the proximal humeral epiphysis
Э. Temporary cessation of throwing
Ю. Physical therapy for rotator cuff strengthening
Я. Oblique popliteal ligament
А. Lateral capsule
Б. Popliteal tendon
В. Fibular collateral ligament
Г. Posterior oblique ligament
Д. Radial tear
Е. Parrot-beak tear
Ж. Vertical tear in the “red-red” zone
З. Vertical tear in the “red-white” zone
И. Vertical tear in the “white-white” zone
Й. 0 degrees of abduction, with neural rotation
К. 40 degrees of flexion and 60 degrees of internal rotation
Л. 45 degrees of flexion and 45 degrees of external rotation
М. 90 degrees of abduction with neutral rotation
Н. 90 degrees of abduction and 90 degrees of external rotation
О. Sural
П. Saphenous and its branches
Р. Posterior tibial and its branches
С. Deep peroneal and its branches
Т. Superficial peroneal and its branches
У. Strength
Ф. Stiffness
Х. Shelf life
Ц. Antigenicity
Ч. Risk of HIV transmission
Ш. Indemnification
Щ. Occurrence
Ъ. Excess liability
Ы. Claims-made
Ь. Nose
Э. Lateral Y
Ю. Scapular AP
Я. Neutral rotation AP
Ѐ. Internal rotation AP
Ё. External rotation AP
Ђ. Trauma
Ѓ. Hemophilia
Є. Reiter’s syndrome
Ѕ. Rheumatoid arthritis
І. Systemic lupus erythematosus
Ї. Cast immobilization for 6 weeks
Ј. Activity modification and re-evaluation in 2 months
Љ. Internal fixation with or without bone grafting
Њ. Retrograde drilling of the defect without articular cartilage penetration
Ћ. Drilling of the defect directly through the articular cartilage
Ќ. repair or reconstruction of the medial collateral ligament
Ѝ. repair or reconstruction of the medialand lateral collateral ligaments
Ў. immobilization for 5 days or less
Џ. immobilization for 14 days
Ѡ. immobilization for 25 days
Ѡ. Cystinosis
Ѣ. Hypophosphatemia
Ѣ. Renal osteodystrophy
Ѥ. Primary hyperparathyroidism
Ѥ. Nutritional vitamin D deficiency
Ѧ. Lateral meniscus tear
Ѧ. Popliteus tenosynovitis
Ѩ. Iliotibial band friction syndrome
Ѩ. Peroneal nerve entrapment
Ѫ. Biceps tendinitis
Ѫ. Observation
Ѭ. Removal of the prosthetic components
Ѭ. Operative exploration and decompression of the peroneal nerve
Ѯ. Nerve conduction velocity studies
Ѯ. Loosening of the primary dressings and knee flexion to 30 degrees
Ѱ. I
Ѱ. II
Ѳ. III
Ѳ. decreased tissue tension
Ѵ. decreased abductor lever arm
Ѵ. decreased joint reaction force
Ѷ. increased body weight over lever arm
Ѷ. increased polyethylene wear rate
Ѹ. recurrent traumatic anterior dislocation
Ѹ. recurrent traumatic posterior dislocation
Ѻ. traumatic subluxation with no previous dislocation
Ѻ. traumatic anterior subluxation
Ѽ. atraumatic involuntary subluxation
Ѽ. radial
Ѿ. axillary
Ѿ. suprascapular
Ҁ. thoracodorsal
Ҁ. long thoracic
҂. Flexion
҃. Extension
҄. Axial rotation
҅. Left lateral bending
҆. Right lateral bending
҇. Skin
҈. Lung
҉. Brain
Ҋ. Heart
Ҋ. Kidney
Ҍ. Thoracoacromial, lateral thoracic, subscapular
Ҍ. Thoracoacromial, anterior humeral circumflex, posterior humeral circumflex
Ҏ. Posterior humeral circumflex, subscapular, thoracacromial
Ҏ. Subscapular, thoracacromial, anterior humeral circumflex
Ґ. Lateral thoracic, anterior humeral circumflex, thoracacromial
Ґ. Respondeat superior
Ғ. Indemnity agreement
Ғ. Hold harmless agreement- attempt to shift liability from company to physician
Ҕ. Comparative negligence-% of involvement
Ҕ. Contributory negligence- resident contributed to the negligence
Җ. t-type
Җ. both column
Ҙ. transverse
Ҙ. anterior column
Қ. anterior column posterior hemitransverse
Қ. Posterior interosseous
Ҝ. Anterior interosseous
Ҝ. Radial
Ҟ. Median
Ҟ. Ulnar
Ҡ. Shock from hypovolemia
Ҡ. Associated rupture of the bladder
Ң. Arterial bleeding on pelvic angiogram
Ң. Presence of a hematoma in the perineum and scrotum
Ҥ. Fractures of both the anterior and posterior pelvic ring

Correct Answer & Explanation

. karyotyping


Explanation