ABFM ACTUAL QUESTIONS AND CORRECT
ANSWERS
◉ tow
knee pain
TTP OVER MEDIAL AND LATERAL ASPECT OF KNEE
PAIN WORSE WITH ACTIVITY
=
SQUATTING, RUNNING, STAIRS, EXTENDED SITTING
PE:
ISOLATED TENDERNESS AT MEDIAL+LATERAL ASPECT OF KNEE
GRIND TEST POSITIVE.
Answer: PATELLOFEMORAL PAIN SYNDROME
===
,WRONG ANS=
OSGOOD SCHLATTER DISEASE
=
TTP NEAR BOTTOM OF KNEE CLOSE TO TIBIAL TUBERCLE OR
DISTAL PATELLAR TENDON
◉ TX OF STRESS FRACTURE.
Answer: NON WEIGHTBEARING WITH
IMMOBILIZATION OF JOINT
=
WALKER BOOT
REST/DECREASE ACTIVITY
==
WRONG ANS:
NSAID
PT
◉ PT WHO IS A RUNNER
HAS ANTERIOR TIBIA PAIN ON RIGHT LEG
,XRAY= FAINT LUCENCY AT THIS LOCATION
TOW?
TX?.
Answer: STRESS FRACTURE
TX= WALKER BOOT
◉ ELDERLY PATIENT
DEXA- OSTEOPENIA NOT OSTEOPROSIS
SO SHE IS ONLY ON CA, VIT D
NOW HAS FALL AND HIP FRACTURE
HOW SHOULD HER BONE.
Answer: REGARDLESS OF DEXA SCAN RESULTS, SINCE
OSTEOPENIA PT NOW HAS FRACTURE/FALL
=
GIVE BISPHOSPHONATE
=
ALENDRONATE 70MG WEEKLY
, ◉ USE OF BISPHOSPHATE IS ASSOCIATED WITH
INCREASE RISK OF WHAT.
Answer: FEMORAL SHAFT FRACURES
ALSO
OSTEONECROSIS OF JAW
ESOPHAGITIS
◉ LATERAL UPPER THIGH NUMBNESS
TOW.
Answer: MERALGIA PARESTHETICA
=
IMPINGEMENT OF LATERAL FEMORAL
CUTANEOUS NERVE
=
ASSOC WITH
OBESITY
TIGHT CLOTHING IN WAIST/GROIN
◉ OBESE KID WITH PAIN IN KNEE
ANSWERS
◉ tow
knee pain
TTP OVER MEDIAL AND LATERAL ASPECT OF KNEE
PAIN WORSE WITH ACTIVITY
=
SQUATTING, RUNNING, STAIRS, EXTENDED SITTING
PE:
ISOLATED TENDERNESS AT MEDIAL+LATERAL ASPECT OF KNEE
GRIND TEST POSITIVE.
Answer: PATELLOFEMORAL PAIN SYNDROME
===
,WRONG ANS=
OSGOOD SCHLATTER DISEASE
=
TTP NEAR BOTTOM OF KNEE CLOSE TO TIBIAL TUBERCLE OR
DISTAL PATELLAR TENDON
◉ TX OF STRESS FRACTURE.
Answer: NON WEIGHTBEARING WITH
IMMOBILIZATION OF JOINT
=
WALKER BOOT
REST/DECREASE ACTIVITY
==
WRONG ANS:
NSAID
PT
◉ PT WHO IS A RUNNER
HAS ANTERIOR TIBIA PAIN ON RIGHT LEG
,XRAY= FAINT LUCENCY AT THIS LOCATION
TOW?
TX?.
Answer: STRESS FRACTURE
TX= WALKER BOOT
◉ ELDERLY PATIENT
DEXA- OSTEOPENIA NOT OSTEOPROSIS
SO SHE IS ONLY ON CA, VIT D
NOW HAS FALL AND HIP FRACTURE
HOW SHOULD HER BONE.
Answer: REGARDLESS OF DEXA SCAN RESULTS, SINCE
OSTEOPENIA PT NOW HAS FRACTURE/FALL
=
GIVE BISPHOSPHONATE
=
ALENDRONATE 70MG WEEKLY
, ◉ USE OF BISPHOSPHATE IS ASSOCIATED WITH
INCREASE RISK OF WHAT.
Answer: FEMORAL SHAFT FRACURES
ALSO
OSTEONECROSIS OF JAW
ESOPHAGITIS
◉ LATERAL UPPER THIGH NUMBNESS
TOW.
Answer: MERALGIA PARESTHETICA
=
IMPINGEMENT OF LATERAL FEMORAL
CUTANEOUS NERVE
=
ASSOC WITH
OBESITY
TIGHT CLOTHING IN WAIST/GROIN
◉ OBESE KID WITH PAIN IN KNEE