Orthopedics Test Exam Questions And Answers Verified 100% Correct

Orthopedics Test Exam Questions And Answers Verified 100% Correct A 50 year-old patient reports acute pain in his lower back that started 2 weeks ago after working in his yard. The pain radiates into his right leg intermittently. He has been managing his pain with over the counter NSAIDs. There are no red flags in his history or exam. When should consideration be given to imaging studies? Now At 4 weeks At 8 weeks There is no need - ANSWER At 4 weeks A 70 year old patient has had intermittent back pain for more than 3 years. In the last year, it is constant (pain scale is 2-3/10) and at times is sharp. She is not a surgical candidate. What class of medication would be a good choice for improvement of chronic pain in this patient? Naproxen Codeine Amitriptyline Sertraline - ANSWER Amitriptyline A 75 year-old female, who knits daily, has a positive Finkelstein test. What is her likely diagnosis? Gamekeeper's thumb De Quervain's tenosynovitis Osteoarthritis of the thumb Trigger thumb - ANSWER De Quervain's tenosynovitis A 45 year-old male who is in good health presents with complaints of pain in his left heel. He states that the first few steps out of bed in the morning are extremely painful. He has no history of trauma. What is the likely etiology of his pain? Achilles tendinitis Plantar fasciitis Calcaneal spur Arthritis of the foot - ANSWER Plantar fasciitis A young athlete is found to have a depression of the longitudinal arch of both feet. He complains of heel pain bilaterally. The rest of his foot is normal and he has continued with his activities. What could be recommended for his heel pain? An x-ray of the foot is needed first. He needs some heel support in his shoes. NSAIDs should be used initially. Rigid orthotics could be ordered for his shoes. - ANSWER He needs some heel support in his shoes. Which of the following is true regarding metatarsus adductus? This is another term for clubfoot Mild flexible metatarsus usually spontaneously corrects X-rays are usually necessary to diagnose this Infants frequently require casting to correct - ANSWER Mild flexible metatarsus usually spontaneously corrects A patient is at increased risk of osteopenia if she uses which form of birth control? Injectable progestin Intrauterine device Oral contraceptives Natural family planning - ANSWER Injectable progestin A 66 year-old African American female has multiple risk factors for osteoporosis. Which choice listed below is NOT a risk factor for osteoporosis? Her age Her race Glucocorticoid intake Excessive alcohol intake - ANSWER Her race A 60 year-old female presents with history of low back pain of recent origin. Her gait is antalgic and she reports loss of bladder function since the onset of back pain this morning. What should be done? Order physical therapy Refer to the emergency department Refer to a neurologist Keep non-weight bearing until x-rays are completed - ANSWER Refer to the emergency department An adolescent athlete has sprained his ankle. What instruction should be given to him regarding activity? He can resume regular activities in about one week. He should be able to walk pain-free before he starts to run. His ankle should be taped prior to competition. He can resume activity when the edema has resolved. - ANSWER He should be able to walk pain-free before he starts to run. Which symptom can be used to rule out a fracture? Degree of pain Extent of mobility Degree of swelling No symptom can rule out a fracture - ANSWER No symptom can rule out a fracture An adolescent complains of knee pain. He is diagnosed with Osgood-Schlatter disease. What assessment finding is typical? The pain is always bilateral. Pain worsens with quadriceps contraction. There will be an avulsion of the quadriceps tendon. Assessments vary. An x-ray can be used for diagnosis. - ANSWER Pain worsens with quadriceps contraction A 75 year-old female who is otherwise healthy has osteoarthritis in her right knee. She complains of pain not relieved by acetaminophen 2000 mg daily. What should be done? Increase her acetaminophen to 4 grams daily Consider an NSAID Continue acetaminophen and order physical therapy Continue acetaminophen and refer to orthopedics - ANSWER Continue acetaminophen and order physical therapy A positive Trendelenburg's test could be used to identify a child with: scoliosis. Osgood-Schlatter disease. nursemaid's elbow. slipped capital femoral epiphysis. - ANSWER slipped capital femoral epiphysis. Explanation: A characteristic of rheumatoid arthritis not typical in osteoarthritis is: weight loss. morning stiffness.