Boardvitals Notes APMLE Part II Questions With Complete
Solutions
___% of the time Lisfranc joint injuries are missed on initial x-
ray assessment Correct Answers 20%
1st line of treatment for Reiters syndrome? Correct Answers
NSAIDs
Accessory Soleus muscle significance Correct Answers - 6%
incidence
- mimics lipoma, hemiangioma, or sarcoma
- Clinical Sx: soft tissue prominence and pain post-exercise
- Radiographs/MRI: disruption of Kager's triangle with
increased soft tissue density (should be radiolucent)
- Tx: None usually, but can resect it or do a fasciotomy
ALL nerve fibers are sensitive to local anesthetics but have a
differential blockade
List the fibers from most sensitive to least sensitive Correct
Answers - Type B (sympathetic tone)
- Type C (Pain)
- Type A delta (Temperature)
- Type A gamma (proprioception)
- Type A beta (sensory touch and pressure)
- Type A alpha (motor)
Andersen disease is also known as what? Correct Answers
Amylopectinosis
,Anuerysmal bone cyst (ABC) appears as what on radiograph?
Correct Answers oval blown out appearance on xray with soap
bubble trabeculation in its stable phase
Apatite crystals are found in which conditions (3)? Correct
Answers - inflammatory arthritis
- OA
- calcific peri-arthritis
benign with an intracortical nidus on radiograph and patient
complains of pain that resolves with salicylates Correct Answers
Osteod osteoma
Besides bone scans, what other imaging modality is very
sensitive in showing EARLY marrow changes consistent with
osteomyelitis? Correct Answers MRI
blood cultures are positive __% of the time in cases of acute
osteomyelitis Correct Answers 50%
blood cultures may be positive in patients with disseminated
GC, however negative in patients with ____ Correct Answers
joint effusion
Calcaneal fractures are best seen on on which type of MRI?
Correct Answers T1WI
can the nerve regenerate from the following?
neuropraxia
neurotmesis
, axonotmesis Correct Answers yes to neuropraxia nad
asonotemesis
no to neurotmesis
Definition of axonotmesis Correct Answers degeneration of
distal (peripheral) segment (wallerian degeneration) without
appreciable damage to supporting structures (endoneurium,
perinerium and epineruim) at the site of injury
Definition of neuritis Correct Answers inflammation of a nerve
definition of neuromesis Correct Answers complete severance
of nerve with disruption of axon and its myelin sheath and
connective tissue elements
definition of neuropraxia Correct Answers focal nerve lesion
that produces clinical deficitis including
- localized loss of conduction along nerve without degneration
- deymlyinating but occasionaly ischemia (when of shorter tha
nfew hours duration
describe how kirschner wires can be used to provide
compression with tension band wiring Correct Answers Two K-
wires placed in parrallel across fracture site for PROVISIONAL
stability
Interosseous wire placed in figure of eight fashion on the
FRACTURE side OPPOSITE to tendon's anatomic pull
Solutions
___% of the time Lisfranc joint injuries are missed on initial x-
ray assessment Correct Answers 20%
1st line of treatment for Reiters syndrome? Correct Answers
NSAIDs
Accessory Soleus muscle significance Correct Answers - 6%
incidence
- mimics lipoma, hemiangioma, or sarcoma
- Clinical Sx: soft tissue prominence and pain post-exercise
- Radiographs/MRI: disruption of Kager's triangle with
increased soft tissue density (should be radiolucent)
- Tx: None usually, but can resect it or do a fasciotomy
ALL nerve fibers are sensitive to local anesthetics but have a
differential blockade
List the fibers from most sensitive to least sensitive Correct
Answers - Type B (sympathetic tone)
- Type C (Pain)
- Type A delta (Temperature)
- Type A gamma (proprioception)
- Type A beta (sensory touch and pressure)
- Type A alpha (motor)
Andersen disease is also known as what? Correct Answers
Amylopectinosis
,Anuerysmal bone cyst (ABC) appears as what on radiograph?
Correct Answers oval blown out appearance on xray with soap
bubble trabeculation in its stable phase
Apatite crystals are found in which conditions (3)? Correct
Answers - inflammatory arthritis
- OA
- calcific peri-arthritis
benign with an intracortical nidus on radiograph and patient
complains of pain that resolves with salicylates Correct Answers
Osteod osteoma
Besides bone scans, what other imaging modality is very
sensitive in showing EARLY marrow changes consistent with
osteomyelitis? Correct Answers MRI
blood cultures are positive __% of the time in cases of acute
osteomyelitis Correct Answers 50%
blood cultures may be positive in patients with disseminated
GC, however negative in patients with ____ Correct Answers
joint effusion
Calcaneal fractures are best seen on on which type of MRI?
Correct Answers T1WI
can the nerve regenerate from the following?
neuropraxia
neurotmesis
, axonotmesis Correct Answers yes to neuropraxia nad
asonotemesis
no to neurotmesis
Definition of axonotmesis Correct Answers degeneration of
distal (peripheral) segment (wallerian degeneration) without
appreciable damage to supporting structures (endoneurium,
perinerium and epineruim) at the site of injury
Definition of neuritis Correct Answers inflammation of a nerve
definition of neuromesis Correct Answers complete severance
of nerve with disruption of axon and its myelin sheath and
connective tissue elements
definition of neuropraxia Correct Answers focal nerve lesion
that produces clinical deficitis including
- localized loss of conduction along nerve without degneration
- deymlyinating but occasionaly ischemia (when of shorter tha
nfew hours duration
describe how kirschner wires can be used to provide
compression with tension band wiring Correct Answers Two K-
wires placed in parrallel across fracture site for PROVISIONAL
stability
Interosseous wire placed in figure of eight fashion on the
FRACTURE side OPPOSITE to tendon's anatomic pull
