2. Trauma MCQs

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  Figure 67 shows the AP radiograph of both knees of a 26-year-old woman. A review of the patient’s medical record will most likely reveal a history of

Figure 68 shows the MRI scan of a 13-year-old boy who has had knee pain and swelling following training lessons for ski racing for the past 6 months. The only abnormal finding on physical examination is an effusion. Management should consist of

• 
  Following closed reduction for the injury shown in Figures 69a and 69b, treatment should consist of
  

A 3-year old child from an isolated mountain area is evaluated for multiple medical problems, including vomiting, loss of appetite, polyuria, and failure to thrive. History reveals the child was normal at birth. The parents, who appear healthy, are second cousins and have two other children who are normal. The parents state that they know of another family member who died at age 6 years after a similar medical history. Radiographs of the lower extremities show bowing of the long bones with cupping and widening of the physes. What is the most likely diagnosis?

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  A 26 year-old marathon runner reports lateral knee pain after hill training. Examination reveals no effusion; and results of Ober’s test are positive. What is the most likely diagnosis?

A patient in the recovery room has weakness of the extensor hallucis longus and tibialis anterior muscles following a total knee replacement. Initial management should consist of

A 45-year-old woman has a deep soft-tissue mass in the thigh. The MRI scan Shows a 12-cm heterogenous mass that is deep to the fascia, and the CT scan Shows three small (5 to 10 mm) peripheral, noncalcified pulmonary nodules. What is the stage of disease according to the staging system of the Musculoskeletal Tumor Society?

1/. 1

2/. 2

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  For which of the following conditions will a rehabilitation program for shoulder instability most likely result in a satisfactory response?

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  A branch of what nerve is at risk for injury when vigorous superior/medial retraction is applied to the interval between the teres minor and the infraspinatus during a posterior approach to the shoulder?

Figures 70a and 70b show the sagittal MRI scan and axial CT of a patient who has decreased range of motion in the cervical spine. In which of the following directions would the cervical motion be most significantly limited?

A 32 yr old man with oxalosis is scheduled for a surgical treatment of spinal stenosis. Which of the following organs is most likely to show signs of systemic oxalosis during a preoperative assessment?

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  Which of the following lists the correct order of the branches of the axillary artery from proximal to distal?

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  Which of the following medicolegal relationships between an attending surgeon and a resident assistant applies when a patient files a malpractice suit relating to surgical complications following a total knee arthroplasty?

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  The radiographs shown in Figures 71a through 71c, and the CT scan shown in Figure 71d reveal an acetabular fracture that should be classified as
  
  
  
  

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  What is the most common nerve injury following a Monteggia fracture-dislocation of the forearm in adults?

A 25-year-old male presents following a high-speed MVC with a closed midshaft femur fracture, bilateral pulmonary contusions, and a GCS of 7. His arterial blood gas reveals a pH of 7.21, lactate of 4.5 mmol/L, and PaO2/FiO2 ratio of 180. Which of the following is the most appropriate initial management of his femur fracture?

A 32-year-old male sustains a closed tibia fracture and undergoes intramedullary nailing. Postoperatively, he complains of severe pain out of proportion to the injury, not relieved by opioids. Which of the following clinical signs is considered the most sensitive early indicator of acute compartment syndrome?

A 21-year-old male falls onto an outstretched hand and presents with anatomic snuffbox tenderness. Initial radiographs are negative, but repeat imaging 2 weeks later shows a non-displaced fracture of the proximal pole of the scaphoid. What is the primary reason this fracture pattern is at a high risk for avascular necrosis?

Which of the following pressure measurements is generally accepted as an absolute indication for emergent fasciotomy in a patient with a suspected acute compartment syndrome of the leg?