Pediatric Orthopaedics MCQs | Exam Prep Questions & Cases

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QUESTION 1

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A 13-year-old boy who has a history of a pituitary adenoma has an unstable unilateral slipped capital femoral epiphysis. What is the indication for prophylactic pinning of the contralateral, unslipped side? ](http://www.orthobullets.com/pediatrics/4040/slipped-capital-femoral-epiphysis)Review Topic

Patient gender

Patient age

Presentation with an unstable slipped epiphysis

Coexisting endocrine disorder Endocrine disorders post the highest risk for bilateral involvement, and prophylactic pinning of the uninvolved side is most often recommended. Risk of contralateral slippage is highest in the youngest patients. In a study by Riad and associates, all girls younger than age 10 and all boys younger than age 12 presenting with a unilateral slipped capital femoral epiphysis subsequently developed a contralateral slip. Initial presentation of an unstable slip has not been shown to be an independent risk factor for later contralateral slippage. A 3-year-old boy is referred to you because of "abnormal radiographs". The child's radiographs are shown in Figures A and B. This patient is at increased risk for all of following conditions EXCEPT: ](http://www.orthobullets.com/pediatrics/4103/osteopetrosis)Review Topic

Appendicular fractures

QUESTION 2

A 26-month-old boy with a displaced spiral mid-diaphyseal femur fracture with

The newborn foot deformity seen in Figures 64a and 64b should initially treated with ](http://www.orthobullets.com/pediatrics/4061/metatarsus-adductus)Review Topic

observation with possible stretching.

serial casting.

medial surgical release.

posterior medial surgical release.

dynamic ankle-foot orthosis. Mild to moderate metatarsus adductus is best treated with observation and possible passive stretching exercises because most of these feet will self correct. Numerous types of shoes, braces, and splints have been devised but the efficacy of these have not been determined. Serial casting is reserved for severe metatarsus adductus in the infant, although a medial surgical release may be indicated if the deformity is symptomatic and persists beyond age 4 years. A 4-year-old girl falls off a swing and injures her right elbow. The radiographs are shown in Figures 88a and 88b. What is the most likely diagnosis? ](http://www.orthobullets.com/pediatrics/4010/olecranon-fractures--pediatric)Review Topic

QUESTION 3

In the first six months of life, immediately following failed cast treatment

12 months

4 years

12 years

15 years

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