Orthopedics Questions And Answers 2022

Orthopedics Questions And Answers 2022 A patient with sciatica is most likely to describe relief of symptoms with: sitting. standing. side lying or standing. walking. - ANS-side lying or standing. A patient has cut himself on a fence post while working outside. He has not had a tetanus shot in more than 10 years. How long can he wait before getting the immunization and still prevent tetanus? 24 hours 48 hours 72 hours 5 days - ANS-72 hours Which of the following is NOT true regarding cervical whiplash injury? This occurs after a traumatic event. It may be accompanied by severe pain, spasm. Is identifiable on MRI or CT, but not x-ray. Occipital pain and headache can occur. - ANS-Is identifiable on MRI or CT, but not x-ray. An 80 year-old patient is very active but presents today with posterior hip pain for the past week. Which of the following is least likely part of the differential diagnosis? Osteoarthritis Sacroiliac joint disease Lumbar radiculopathy Herpes zoster - ANS-Osteoarthritis . An elderly patient had a total knee replacement (TKR) 10 months ago. He is doing well. What information should he be given regarding the knee replacement? He should take an aspirin daily for the first year. He should receive an antibiotic prior to dental procedures. He should take the flu shot annually. There are no recommendations 6 months after his surgery. - ANS-He should receive an antibiotic prior to dental The average age of pubertal growth spurt in North American boys is: 9.5 - 11.5 years. 10 - 12 years. 12 - 14 years. 14 - 16 years. - ANS-12 - 14 years. A 12 year-old male with hip pain presents to the NP clinic. Hip pain has occurred with activity for the past 4-6 weeks but his pain is worse and now involves the knee. There is no history of trauma. How should the work-up be initiated? Order a hip and knee x-ray Order a hip x-ray and a sed rate Perform Trendelenburg's test in the office Have the child squat in the office to assess the hips - ANS-Perform Trendelenburg's test in the office A patient presents with right shoulder pain (7/10 on the pain scale) after an acute shoulder injury yesterday. He fell against a brick wall while working at his home. He reports pain that radiates into his upper arm. How should this be managed? Immobilize the right shoulder for 3 days Rest, ice, and naproxen for one week Order an x-ray of the right shoulder Prescribe physical therapy for the patient - ANS-Order an x-ray of the right shoulder A nurse practitioner has successfully reduced a nursemaid's elbow. How can the NP know that it was successful? X-rays Child moves the affected arm at the elbow A click is heard The deformity has resolved - ANS-Child moves the affected arm at the elbow Ankle inversion is a common complaint from a patient with a: medial ankle sprain. lateral ankle sprain. severely torn ligament. fracture of the medial malleolus. - ANS-lateral ankle sprain Management of a sprained ankle includes: x-rays. rest, ice, compression, elevation. anti-inflammatory medications. activity as tolerated. - ANS-rest, ice, compression, elevation 75 year-old patient has osteoarthritis and pain. Which of the following medications increases the risk of a GI related ulceration? Celecoxib Warfarin Tramadol Amitriptyline - ANS-Celecoxib The drop arm test is used to assess patients with suspected: cervical injury. rotator cuff injury. impingement syndrome. malingering. - ANS-rotator cuff injury 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 - ANS-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 - ANS-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 - ANS-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 - ANS-Plantar fasciitis...