APEA- Management Orthopedics || all solved.
A 55-year-old male patient describes severe pain at the base of his left first toe. He is limping and
says he can't remember hurting his toe. Which symptom below suggests something other than
gout?
Pain
Elevated sedimentation rate
Erythema
Fever correct answers fever
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 medial malleolus and 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
Nonweightbearing for 3-7 days correct answers X-ray of the foot and ankle
rule out fracture before allowing patient is allowed to walk
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 correct answers Trochanteric bursitis
A 75-year-old has pain from osteoarthritis in her right knee. What intervention is considered first
line to treat her pain?
, Exercise
Acetaminophen
Ibuprofen
Tramadol correct answers exercise
An older adult with a complaint of shoulder pain has a positive "drop arm" test. What is his
likely diagnosis?
Peripheral neuropathy
Shingles
Broken clavicle
Torn rotator cuff correct answers torn rotator cuff
What medication is recommended by the American College of Rheumatology as a first line agent
for a patient who has been unsuccessful with nonpharmacologic interventions for osteoarthritis
pain?
Metaxalone
Acetaminophen
Ibuprofen
Tramadol correct answers ibuprofen
NSAID is first line after exercise in treatment of OA pain
A 14-year-old male client reports dull anterior knee pain, exacerbated by kneeling. What is the
likely etiology?
Patellar fasciitis
Osgood-Schlatter disease
Osteosarcoma of the tibia
Over developed quadriceps correct answers Osgood-Schlatter disease
A 55-year-old male patient describes severe pain at the base of his left first toe. He is limping and
says he can't remember hurting his toe. Which symptom below suggests something other than
gout?
Pain
Elevated sedimentation rate
Erythema
Fever correct answers fever
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 medial malleolus and 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
Nonweightbearing for 3-7 days correct answers X-ray of the foot and ankle
rule out fracture before allowing patient is allowed to walk
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 correct answers Trochanteric bursitis
A 75-year-old has pain from osteoarthritis in her right knee. What intervention is considered first
line to treat her pain?
, Exercise
Acetaminophen
Ibuprofen
Tramadol correct answers exercise
An older adult with a complaint of shoulder pain has a positive "drop arm" test. What is his
likely diagnosis?
Peripheral neuropathy
Shingles
Broken clavicle
Torn rotator cuff correct answers torn rotator cuff
What medication is recommended by the American College of Rheumatology as a first line agent
for a patient who has been unsuccessful with nonpharmacologic interventions for osteoarthritis
pain?
Metaxalone
Acetaminophen
Ibuprofen
Tramadol correct answers ibuprofen
NSAID is first line after exercise in treatment of OA pain
A 14-year-old male client reports dull anterior knee pain, exacerbated by kneeling. What is the
likely etiology?
Patellar fasciitis
Osgood-Schlatter disease
Osteosarcoma of the tibia
Over developed quadriceps correct answers Osgood-Schlatter disease
