5. Sports Medicine MCQs

A 24-year-old male is undergoing an anterior cruciate ligament (ACL) reconstruction. A bone-patellar tendon-bone (BPTB) autograft is chosen. Compared to a multi-stranded hamstring autograft, the BPTB graft is statistically associated with a higher incidence of which postoperative complication?

A 22-year-old soccer player sustains a sudden twisting injury to the knee. MRI reveals an isolated, 1.5 cm longitudinal tear in the peripheral one-third of the medial meniscus. What is the most appropriate surgical management?

A 20-year-old female soccer player undergoes an anterior cruciate ligament reconstruction using a bone-patellar tendon-bone autograft. Which of the following complications is most specifically associated with this graft choice compared to hamstring autograft?

Which of the following bundles of the anterior cruciate ligament (ACL) is tightest in full knee extension and provides the primary restraint to anterior tibial translation at 0 to 20 degrees of flexion?

A 22-year-old rugby player has recurrent anterior shoulder instability. An MRI arthrogram reveals a bony Bankart lesion with 25% glenoid bone loss. Which surgical procedure is most appropriate to restore stability?

A 24-year-old female soccer player sustains a non-contact pivoting injury to her left knee. MRI confirms an isolated anterior cruciate ligament (ACL) tear. When performing an anatomic single-bundle ACL reconstruction, where should the femoral tunnel be positioned in relation to the lateral femoral condyle?

A 22-year-old professional soccer player is choosing a graft for primary anterior cruciate ligament (ACL) reconstruction. If he selects a bone-patellar tendon-bone (BPTB) autograft, he should be counseled about an increased risk of which of the following post-operative complications compared to hamstring autograft?

When performing an anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BTB) autograft, which of the following is the most frequently reported donor-site complication?

A 22-year-old male presents with recurrent anterior shoulder instability. An MRI arthrogram reveals an anterior labral tear and an engaging Hill-Sachs lesion. Which of the following procedures specifically addresses the engaging Hill-Sachs defect?

A 12-year-old female soccer player sustains a non-contact pivoting injury to her knee, resulting in an anterior cruciate ligament (ACL) tear. She is Tanner stage 2 and has significant remaining growth. Which of the following surgical techniques poses the lowest risk of physeal arrest?

A 22-year-old female undergoes ACL reconstruction using a bone-patellar tendon-bone (BPTB) autograft. Which of the following is the most frequent complication specific to this graft choice compared to a hamstring autograft?

A 25-year-old male sustains a severe knee hyperextension injury. Plain radiographs reveal an avulsion fracture of the lateral tibial capsule (Segond fracture). This radiographic finding is most highly associated with an injury to which of the following structures?

A 22-year-old female soccer player undergoes ACL reconstruction using a bone-patellar tendon-bone (BTB) autograft. Compared to a multi-strand hamstring autograft, what is the most significant disadvantage of utilizing this specific graft?

A 26-year-old male undergoes arthroscopic anterior stabilization for recurrent shoulder dislocations. Intraoperatively, he is noted to have a large, engaging Hill-Sachs lesion. Which of the following adjunctive procedures is most appropriate to prevent recurrent anterior instability?

A 25-year-old female professional soccer player undergoes anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BPTB) autograft. Compared to hamstring autograft, the BPTB autograft is associated with a statistically higher incidence of which of the following?

During an anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone autograft, the surgeon inadvertently places the femoral tunnel too anteriorly. What is the most likely postoperative clinical consequence?

A 55-year-old man presents with chronic right shoulder pain. On examination, he has notable weakness in external rotation with the arm abducted to 90 degrees, demonstrating a positive hornblower's sign. Which rotator cuff tendon is predominantly pathological?

A 29-year-old woman who is breastfeeding presents to the on-call GP with a cough productive of rust-coloured sputum. She has also had increasing fevers over the past few days. On examination, her temperature is 38.6 °C, blood pressure 110/70 mmHg and pulse 90 bpm. She has bronchial breathing at the right base on auscultation of her chest. She is allergic to penicillin.

Investigation:

Hb 12.5 g/dl

WCC 11.5 x 109/l

PLT 211 x 109/l

Sodium 139 mmol/l

Potassium 4.5 mmol/l

Creatinine 90 µmol/l A chest X-ray shows a right lower-lobe pneumonia. Which of the following would be the most appropriate antibiotic choice?

A 22-year-old football player sustains a high-energy varus blow to his knee. Examination reveals significant posterolateral corner (PLC) instability. Which peripheral nerve is most commonly injured in association with this specific injury pattern?

A 19-year-old man is reviewed a few days after admission for a spontaneous, primary pneumothorax. He is a non-smoker who plays the trumpet for a local orchestra. He was treated with a chest drain and achieved full inflation of the lung. Which of the following should he strictly avoid for at least the next 6 months?