Ambulatory Care EOR Questions with
100% Correct Answers
Most frequently injured ligament of the knee Correct Answer: Medial collateral
ligament
Osteoarthritis of the knee: presentation Correct Answer: - Age >50 years
- Morning stiffness for < 30 min
- Crepitus
- Bony tenderness (MEDIAL >LATERAL)
- Bony enlargement
- Knee pain (usually medial)
- NO warmth
Osteoarthritis: x-ray findings Correct Answer: - Asymmetrically narrowed joint
space (loss of cartiledge)
- Osteophytes
- Sclerosis
- Subchondral bone cysts
What type of crystals cause gout? Correct Answer: Sodium urate
What type of chrystals cause pseudogout? Correct Answer: Calcium
pyrophosphate
,Bursitis: presentation Correct Answer: - Exquisite focal tenderness
- Pain with motion and at rest
- Swelling, erythema and warmth
- Occasional loss of movement
Pes Anserinus: insertion site for which muscles? Correct Answer: - Gracilis
- Sartorius
- Semitendinosis
Anterior Cruciate Ligament tear: presentation Correct Answer: - Recent trauma
(usually non-contact deceleration or hyperextension) with a "pop"
- Joint instability
- Rapid swelling after injury
- Positive Lachman's, pivot or anterior drawer test
Posterior Cruciate Ligament tear: presentation Correct Answer: - Recent trauma
(usually a direct blow or fall onto the knee)
- Positive posterior drawer test
Medial collateral ligament tear: presentation Correct Answer: - Medial knee joint
pain
- Positive valgus test
- Instability with walking, pivoting or twisting
,Lateral collateral ligament tear: presentation Correct Answer: - Positive varus
test
- Usually following trauma that forced varus movement
- Lateral knee joint pain
Meniscal tear: presentation Correct Answer: - MOI: twisting of leg with foot
planted on ground
- Knee locking
Meniscal tear: diagnosis Correct Answer: - MRI or diagnostic arthroscopy
IT Band syndrome: presentation Correct Answer: - Burning or aching pain at the
site where the band courses over the lateral femoral condyle
- Seen in runners
- Clicking over lateral femoral condyle
Bone marrow or fat bodies on joint aspiration Correct Answer: - Indicates
intraarticular fracture
Ottowa rules for knee x-ray following trauma Correct Answer: Must have at least
one
- Age >55
- Isolated focal tenderness of the patella
- Tenderness of the head of the fibula
- Inability to flex knee to 90 degrees
, - Unable to bear weight for 4 steps
What imaging to use for knee injury? Correct Answer: X-ray if suspected bony
involvement
MRI if suspected soft-tissue involvement
The illusion of movement is called... Correct Answer: Vertigo
- Spinning
- Tilting
- Moving
- Worse with movement of head
- Nystagmus
- Postural instability
T/F: Vertigo is never continuous for more than a few weeks Correct Answer: True
- even if permanent the body will adapt
A sense of imbalance that occurs primarily with walking is called... Correct
Answer: Disequilibrium
Medications that can increase blood pressure Correct Answer: - Corticosteroids
- OTC cold meds and decongestants
- Estrogens (ex: OCPs)
- Caffeine
100% Correct Answers
Most frequently injured ligament of the knee Correct Answer: Medial collateral
ligament
Osteoarthritis of the knee: presentation Correct Answer: - Age >50 years
- Morning stiffness for < 30 min
- Crepitus
- Bony tenderness (MEDIAL >LATERAL)
- Bony enlargement
- Knee pain (usually medial)
- NO warmth
Osteoarthritis: x-ray findings Correct Answer: - Asymmetrically narrowed joint
space (loss of cartiledge)
- Osteophytes
- Sclerosis
- Subchondral bone cysts
What type of crystals cause gout? Correct Answer: Sodium urate
What type of chrystals cause pseudogout? Correct Answer: Calcium
pyrophosphate
,Bursitis: presentation Correct Answer: - Exquisite focal tenderness
- Pain with motion and at rest
- Swelling, erythema and warmth
- Occasional loss of movement
Pes Anserinus: insertion site for which muscles? Correct Answer: - Gracilis
- Sartorius
- Semitendinosis
Anterior Cruciate Ligament tear: presentation Correct Answer: - Recent trauma
(usually non-contact deceleration or hyperextension) with a "pop"
- Joint instability
- Rapid swelling after injury
- Positive Lachman's, pivot or anterior drawer test
Posterior Cruciate Ligament tear: presentation Correct Answer: - Recent trauma
(usually a direct blow or fall onto the knee)
- Positive posterior drawer test
Medial collateral ligament tear: presentation Correct Answer: - Medial knee joint
pain
- Positive valgus test
- Instability with walking, pivoting or twisting
,Lateral collateral ligament tear: presentation Correct Answer: - Positive varus
test
- Usually following trauma that forced varus movement
- Lateral knee joint pain
Meniscal tear: presentation Correct Answer: - MOI: twisting of leg with foot
planted on ground
- Knee locking
Meniscal tear: diagnosis Correct Answer: - MRI or diagnostic arthroscopy
IT Band syndrome: presentation Correct Answer: - Burning or aching pain at the
site where the band courses over the lateral femoral condyle
- Seen in runners
- Clicking over lateral femoral condyle
Bone marrow or fat bodies on joint aspiration Correct Answer: - Indicates
intraarticular fracture
Ottowa rules for knee x-ray following trauma Correct Answer: Must have at least
one
- Age >55
- Isolated focal tenderness of the patella
- Tenderness of the head of the fibula
- Inability to flex knee to 90 degrees
, - Unable to bear weight for 4 steps
What imaging to use for knee injury? Correct Answer: X-ray if suspected bony
involvement
MRI if suspected soft-tissue involvement
The illusion of movement is called... Correct Answer: Vertigo
- Spinning
- Tilting
- Moving
- Worse with movement of head
- Nystagmus
- Postural instability
T/F: Vertigo is never continuous for more than a few weeks Correct Answer: True
- even if permanent the body will adapt
A sense of imbalance that occurs primarily with walking is called... Correct
Answer: Disequilibrium
Medications that can increase blood pressure Correct Answer: - Corticosteroids
- OTC cold meds and decongestants
- Estrogens (ex: OCPs)
- Caffeine
