Ortho 1

Question 1

causes of spinal stenosis

Answer 1

degenerative arthritis (spondylosis)
degenerative disk disease
thickening ligamentum flavum

Question 2

management of middle vs distal 1/3 clavicle fracture

Answer 2

middle: non op

distal third: ORIF

Question 3

episodic pain and tenderness in inferior patella

and what type of patient

Answer 3

patellar tendonitis

athletes

Question 4

pain elicited when extending knee and compressing patella

and what type of patient

Answer 4

patellofemoral syndrome

young female athletes

Question 5

tenderness and swelling at tibial tubercle

and what type of patient

Answer 5

osgood schlatter disease

adolescent athlete with recent growth spurt

Question 6

localized pain anteromedial tibia, no pain on valgus

Answer 6

pes anserinus pain syndrome

Question 7

acute back pain, point tenderness of vertebrae after strenuous activity

Answer 7

vertebral compression fracture (usually from loss of bone mineral density aka osteoporosis)

Question 8

paraspinal tenderness, increased pain with movement

Answer 8

ligamentous back sprain

Question 9

rotation of knee causes

Answer 9

meniscal tear

Question 10

indication for intraarticular glucocorticoid injection

Answer 10

degernative meniscal injury due to underlying osteoarthritis

Question 11

tx of Paget disease of bone

Answer 11

bisphosphonates

Question 12

features of anterior shoulder dislocation

Answer 12

prominent acromion
abnormal subacromial space
abduction and external rotation injury
axillary nerve damage causing paralysis of deltoid and teres minor, an loss of sensation over lateral arm

Question 13

acute low back pain and cord compression signs/sxs… next step

Answer 13

MRI

Question 14

acute low back pain and alarm signs, next step

• age greater than 50
• nighttime pain
• constitutional sxs
• trauma
• IVDU
• h/o malignancy
• infxn risk
• at least 1 month no improvement

Answer 14

back x rays and ESR

Question 15

back pain that gets better with exercise

Answer 15

ankylosing spondylitis

Question 16

prepatellar bursitis

• dx
• tx

Answer 16

cell count and gram stain

drainage and systemic ATBs

Question 17

sxs of patellar tendinitis

Answer 17

pain and tenderness inferior patella and patellar tendon

Question 18

suspect septic arthritis. management?

Answer 18

blood culture, arthrocentesis for synovial fluid

tx w/ atbs

Question 19

arm adducted and internally rotated, can’t externally rotate

Answer 19

posterior dislocation of shoulder

Question 20

arm adducted and externally rotated

Answer 20

anterior dislocation of shoulder

Question 21

management of scaphoid bone fracture

Answer 21

wrist immobilization for 6-10 weeks

BUT if displaced 2 mm or angulated, do ORIF

Question 22

tx of paget disease

Answer 22

bisphosphonates (alendronate, risendronate)