Orthopedics APEA Peds Questions
and Answers 2024
A patient with sciatica is most likely to describe relief of symptoms with:
sitting.
standing.
side lying or standing.
walking. - ✔✔ANSW✔✔..side lying or standing.
The ability to get out of a chair easily - ✔✔ANSW✔✔..Medications taken a few hours
before the fall
A 4 year-old was brought into the clinic by her mother who reports that she pulled her
arms upward to pick her up and now the child won't use her right arm. A nursemaid's
elbow is suspected. Which statement below is correct?
The child is crying because her arm hurts.
She will need to be admitted to the hospital for fracture reduction.
Her arm is slightly flexed and held close to her body.
Her elbow is held straight at her side and her fingers are in a fist. - ✔✔ANSW✔✔..Her
arm is slightly flexed and held close to her body
A man fell off a 3-foot stepladder while working at home. He presents to your office with
complaints of foot pain. He has point tenderness over the lateral malleolus, swelling, but
he is able to ambulate. How should this be managed?
ACE wrap and rest
Rest, ice, compression, and elevation
X-ray of the foot and ankle
Non-weight bearing for 3-7 days - ✔✔ANSW✔✔..X-ray of the foot and ankle
A 16 year-old complains that his knees hurt. His mother states that he has complained
of knee pain for the past 2 weeks. He has a prominent tibial tubercle. What should be
part of the differential diagnosis?
Osgood-Schlatter disease
Growing pains
Acute lymphocytic leukemia (ALL)
Psychogenic pain - ✔✔ANSW✔✔..Osgood-Schlatter disease
, Explanation:
A 70 year-old African American male complains of pain in his back and trunk.
Cardiovascular disease is ruled out. He has a normocytic normochromic anemia with
hypercalcemia. A likely diagnosis is:
multiple myeloma.
lymphoma.
leukemia.
prostate cancer. - ✔✔ANSW✔✔..multiple myeloma.
E
A 49 year-old patient has osteoarthritis in the lumbar spine and hip. His hip x-ray
demonstrates bone on bone. What can be done to resolve his complaints of pain in his
hip?
Acetaminophen onlyAn NSAID onlyAcetaminophen and physical therapy
IncorrectAcetaminophen and a referral to orthopedics - ✔✔ANSW✔✔..Acetaminophen
and a referral to orthopedics
E
What joints are least commonly involved in osteoarthritis?
Fingers
Wrists
Hips
Knees - ✔✔ANSW✔✔..Wrists
A patient has suspected plantar fasciitis. The plantar fascia is best examined:
with the great toe dorsiflexed.
with the foot in neutral position.
while the patient stands.
with the ankle at a 90 degree angle. - ✔✔ANSW✔✔..with the great toe dorsiflexed.
A 60 year-old adult with an antalgic gait and complaints of hip pain is examined. He has
trochanteric tenderness. What is the most common cause of this?
Bone cancer
Trochanteric strain
Trochanteric bursitis
Osteoarthritis - ✔✔ANSW✔✔..Trochanteric bursitis
Women are commonly screened for osteoporosis at age 65 years. How should
screening for osteoporosis be managed in a male this age?
and Answers 2024
A patient with sciatica is most likely to describe relief of symptoms with:
sitting.
standing.
side lying or standing.
walking. - ✔✔ANSW✔✔..side lying or standing.
The ability to get out of a chair easily - ✔✔ANSW✔✔..Medications taken a few hours
before the fall
A 4 year-old was brought into the clinic by her mother who reports that she pulled her
arms upward to pick her up and now the child won't use her right arm. A nursemaid's
elbow is suspected. Which statement below is correct?
The child is crying because her arm hurts.
She will need to be admitted to the hospital for fracture reduction.
Her arm is slightly flexed and held close to her body.
Her elbow is held straight at her side and her fingers are in a fist. - ✔✔ANSW✔✔..Her
arm is slightly flexed and held close to her body
A man fell off a 3-foot stepladder while working at home. He presents to your office with
complaints of foot pain. He has point tenderness over the lateral malleolus, swelling, but
he is able to ambulate. How should this be managed?
ACE wrap and rest
Rest, ice, compression, and elevation
X-ray of the foot and ankle
Non-weight bearing for 3-7 days - ✔✔ANSW✔✔..X-ray of the foot and ankle
A 16 year-old complains that his knees hurt. His mother states that he has complained
of knee pain for the past 2 weeks. He has a prominent tibial tubercle. What should be
part of the differential diagnosis?
Osgood-Schlatter disease
Growing pains
Acute lymphocytic leukemia (ALL)
Psychogenic pain - ✔✔ANSW✔✔..Osgood-Schlatter disease
, Explanation:
A 70 year-old African American male complains of pain in his back and trunk.
Cardiovascular disease is ruled out. He has a normocytic normochromic anemia with
hypercalcemia. A likely diagnosis is:
multiple myeloma.
lymphoma.
leukemia.
prostate cancer. - ✔✔ANSW✔✔..multiple myeloma.
E
A 49 year-old patient has osteoarthritis in the lumbar spine and hip. His hip x-ray
demonstrates bone on bone. What can be done to resolve his complaints of pain in his
hip?
Acetaminophen onlyAn NSAID onlyAcetaminophen and physical therapy
IncorrectAcetaminophen and a referral to orthopedics - ✔✔ANSW✔✔..Acetaminophen
and a referral to orthopedics
E
What joints are least commonly involved in osteoarthritis?
Fingers
Wrists
Hips
Knees - ✔✔ANSW✔✔..Wrists
A patient has suspected plantar fasciitis. The plantar fascia is best examined:
with the great toe dorsiflexed.
with the foot in neutral position.
while the patient stands.
with the ankle at a 90 degree angle. - ✔✔ANSW✔✔..with the great toe dorsiflexed.
A 60 year-old adult with an antalgic gait and complaints of hip pain is examined. He has
trochanteric tenderness. What is the most common cause of this?
Bone cancer
Trochanteric strain
Trochanteric bursitis
Osteoarthritis - ✔✔ANSW✔✔..Trochanteric bursitis
Women are commonly screened for osteoporosis at age 65 years. How should
screening for osteoporosis be managed in a male this age?
