LE

Question 1

Complaint of instability of the knee you should think what?

Answer 1

Chronic ACL damage

Question 2

Complaint of painful locking of the knee you should think what?

Answer 2

Meniscus tear

Question 3

What injury of the knee would result from hyperextension?

Answer 3

ACL tear or patellar dislocation

Question 4

What injury of the knee would result from hyperflexion?

Answer 4

PCL tear and or associated ACL tear

Question 5

What injury of the knee would result from sudden deceleration ?

Answer 5

ACL tear

Question 6

What injury of the knee would result from a vagus force?

Answer 6

MCL

Question 7

What injury of the knee would result from vagus force with rotation ?

Answer 7

ACL, MCL and menisci

Question 8

What injury of the knee would result from a blow to the flexed knee?

Answer 8

Contusion, patellar Fx, PCL tear

Question 9

Tests for ACL ?

Answer 9

Lachmans, Ant drawer, pivot shift

Question 10

Meniscus tests?

Answer 10

Compression/distraction, mchmurrarys

Question 11

What are the Ottawa knee rules?

Answer 11

Patient over 55, iso tenderness or the patella and fibular head, cant flex knee to 90, cant bear weight immediately or take 4 steps.

Question 12

What fx is associated with a ACL tear?

Answer 12

Segonds fx

Question 13

The ACL lines in what plane

Answer 13

10-15 degrees externally rotated to the sagittal plane

Question 14

What is the name of the triad and what are the 3 things it involves when talking about the knee?

Answer 14

O’Donohues triad, ACL, MCL, medial meniscus.

Question 15

What sign is associated with a PCL?

Answer 15

SAG sign

Question 16

Segonds fx indicate a tear of the ACL what percent of the time?

Answer 16

75-100%

Question 17

If you see a segonds fx what do you need to next?

Answer 17

Take an MRI

Question 18

If someone says their knee gives away what do you think is wrong?

Answer 18

Meniscus tear

Question 19

Meniscal tears appear how ?

Answer 19

Extending to the articular outside surfaces

Question 20

What is another name for osgood schlatters?

Answer 20

Traction apophysitis

Question 21

Is a osgood schlatters a clinical diagnosis or a radiograpic one?

Answer 21

CLINICAL FINDINGS**

Question 22

A young patient comes in with insidious onset of anterior knee pain with a limp what are you thinking ?

Answer 22

Osteochondroma desicacans

Question 23

What is the most common cause of an intra articular loose body?

Answer 23

Osteochondritis desiccans

Question 24

Osteochondritis desiccans most commonly affects what parts?

Answer 24

Lateral portion of th medial femoral condyle

Question 25

What kind of fractures cause leakage of blow nad marrow into the joint which causes what?

Answer 25

Intra-articular, FBI

Question 26

What does a FBI sign indicate / /. /> ?

Answer 26

Lipohemarthrosis

Question 27

What should the suprapatellar bursa measure?

Answer 27

5 mm or less

Question 28

In older patients, calf pain should always suggest a possibitly of what?

Answer 28

DVT

Question 29

What test best tells you if someone has a DVT?

Answer 29

Doppler ultrasound

Question 30

How do you evaluate for vascular claudication ?

Answer 30

Walking for 10 min

Question 31

Leg pain that occurs come waking and is revleived with rest the patient probably has what?

Answer 31

Claudication (vascular or neurogenic)

Question 32

Neurogenic claudication is secondary to what?

Answer 32

Spinal stenosis

Question 33

Patients with neurogenic claudication are more likely to be able to walk or ride a bike further before the onset of leg pain in a _________position.

Answer 33

Flexed

Question 34

What is the most common cause of vascular claudication?

Answer 34

Atherosclerotic blockages

Question 35

Rest gives relief from pain immediately in what lower leg complaint/

Answer 35

Intermittent claudication

Question 36

Localized swelling in the leg is suggestive of what?

Answer 36

DVT

Question 37

What test will help determine between vascular and neurogenic claudication ?

Answer 37

Bicycle test

Question 38

What type of claudication usually effects the back, and rarely the butt. ?

Answer 38

Neurogenic claudication

Question 39

Walking down hill? Up hill for neurogenic claudication.

Answer 39

Worse down, better up

Question 40

What nerve is effected in Morton’s neuroma?

Answer 40

Plantar digital nerve

Question 41

What type of compression my increase Morton’s neuroma pain?

Answer 41

Transverse

Question 42

Where does entrapment occur most commonly in Morton’s?

Answer 42

Plantar surface by the intermetatrasal lig

Question 43

What kind of sprains damage the deltoid lig?

Answer 43

Eversion

Question 44

What are the Ottawa ankle rules/

Answer 44

Main in the malleolar region and either tenderness at either malleolus or cant bear weight

Question 45

What problem is classically described and seen in ballet dancers?

Answer 45

Os trigonum, PAI

Question 46

What type of salter tx is mc ?

Answer 46

Type 2 `

Question 47

There is a sign associated with a salter fx what one is it associated with and what is it called?

Answer 47

Type 2, thirsten holland sign

Question 48

What type of ankle injury will cause a lateral malleolar fx?

Answer 48

Inversion

Question 49

What type of ankle injury will cause a medial malleolar fx?

Answer 49

Eversion

Question 50

Boelers angle should what?

Answer 50

Not be less than 28 degrees

Question 51

Where is kagers fat pad?

Answer 51

By the Achilles

Question 52

A jones/dancer fracture is a result from what?

Answer 52

Plantar relaxation and inversion

Question 53

What tendon is effected in a jones/dancers fx ?

Answer 53

Peroneus brevis

Question 54

Is a jones/dancers fracture transverse or vertical ?

Answer 54

Transverse (vertical is normal)

Question 55

If you think someone has chondrocalcinosis what is it like due from?

Answer 55

CPPD