Red Flag Case Scenarios WGU D223
QUESTIONS WITH VERIFIED
ANSWERS
\Q\.A 75 y.o. woman presents to the clinic with pain in her R groin/hip region. She states that
she recently fell while walking into the grocery store. During the gait analysis you noticed that
she stands in ER; her limb appears shortened.
What would you be concerned about? - ANSWERS✔-Pathological Fracture of Femoral Neck
\Q\.An 8 y.o. boy with groin/thigh pain who complains when you move him into hip ABD/IR is at
risk for? - ANSWERS✔-Pegg-Calves-Perthes Disease
\Q\.A 48 y.o. woman presents to clinic with pain across her lower leg. She recently scratched
her leg while working out at the gym. You notice that there are advancing, irregular margins of
erythema and reddish streaks. What are you concerned about? - ANSWERS✔-Cellulitis
\Q\.A 55 y.o. male reports to the clinic for back pain. He reports some unexplained weight loss
over the past 2 months and states that he occasionally has blood/black stool. Upon palpation of
his **abdomen**, he has tenderness. You decide to listen to his bowels and you hear
**nothing**. What type of disease do you start thinking about? - ANSWERS✔-Colon Cancer
\Q\.48 y.o. woman reports to the clinic with gradual onset of pain that refers to her groin/thigh
area. Upon standing, she grimaces bc weight-bearing is so painful. During your examination, you
move her into flexion & IR and you notice how limited and stiff she feels. She states that she
suffered from the same injury on the contralateral hip 2 years ago. You ask the patient if she has
had a history __________________ usage or a recent trauma. What do you think this is? -
ANSWERS✔-Corticosteroid use
, **Osteonecrosis of femoral head** (Avascular necrosis)
\Q\.14 y.o. overweight boy comes to the clinic with complaints of pain in his groin region. You
notice that his leg is held in ER. Upon ROM, you find limitations w/ IR. What are you suspecting?
- ANSWERS✔-Slipped Capital Femoral Epiphysis
\Q\.What are the red flags for a DVT? - ANSWERS✔-Recent immobilization/surgery/pregnancy
Calf pain/edema/tenderness/warmth
Calf pain intensified w/ standing or walking & relieved with rest/elevation
Possible pallor and loss of dorsalis pedis pulse
\Q\.What are the red flags in a persons history for Peripheral Arterial Occlusive Disease? -
ANSWERS✔-Age >60
Hx Type 2 diabetes
Hx of ischemic heart disease
Hx of smoking
sedentary
concurrent intermittent claudication
\Q\.During the physical examination, you see red flags for a peripheral arterial occlusive
disease. What are these red flags? - ANSWERS✔-Unilaterally cool extremity
Prolonged capillary refill time (>2s)
QUESTIONS WITH VERIFIED
ANSWERS
\Q\.A 75 y.o. woman presents to the clinic with pain in her R groin/hip region. She states that
she recently fell while walking into the grocery store. During the gait analysis you noticed that
she stands in ER; her limb appears shortened.
What would you be concerned about? - ANSWERS✔-Pathological Fracture of Femoral Neck
\Q\.An 8 y.o. boy with groin/thigh pain who complains when you move him into hip ABD/IR is at
risk for? - ANSWERS✔-Pegg-Calves-Perthes Disease
\Q\.A 48 y.o. woman presents to clinic with pain across her lower leg. She recently scratched
her leg while working out at the gym. You notice that there are advancing, irregular margins of
erythema and reddish streaks. What are you concerned about? - ANSWERS✔-Cellulitis
\Q\.A 55 y.o. male reports to the clinic for back pain. He reports some unexplained weight loss
over the past 2 months and states that he occasionally has blood/black stool. Upon palpation of
his **abdomen**, he has tenderness. You decide to listen to his bowels and you hear
**nothing**. What type of disease do you start thinking about? - ANSWERS✔-Colon Cancer
\Q\.48 y.o. woman reports to the clinic with gradual onset of pain that refers to her groin/thigh
area. Upon standing, she grimaces bc weight-bearing is so painful. During your examination, you
move her into flexion & IR and you notice how limited and stiff she feels. She states that she
suffered from the same injury on the contralateral hip 2 years ago. You ask the patient if she has
had a history __________________ usage or a recent trauma. What do you think this is? -
ANSWERS✔-Corticosteroid use
, **Osteonecrosis of femoral head** (Avascular necrosis)
\Q\.14 y.o. overweight boy comes to the clinic with complaints of pain in his groin region. You
notice that his leg is held in ER. Upon ROM, you find limitations w/ IR. What are you suspecting?
- ANSWERS✔-Slipped Capital Femoral Epiphysis
\Q\.What are the red flags for a DVT? - ANSWERS✔-Recent immobilization/surgery/pregnancy
Calf pain/edema/tenderness/warmth
Calf pain intensified w/ standing or walking & relieved with rest/elevation
Possible pallor and loss of dorsalis pedis pulse
\Q\.What are the red flags in a persons history for Peripheral Arterial Occlusive Disease? -
ANSWERS✔-Age >60
Hx Type 2 diabetes
Hx of ischemic heart disease
Hx of smoking
sedentary
concurrent intermittent claudication
\Q\.During the physical examination, you see red flags for a peripheral arterial occlusive
disease. What are these red flags? - ANSWERS✔-Unilaterally cool extremity
Prolonged capillary refill time (>2s)
