Orthopedics In Sports Medicine (Msq Drill 174)

1. On X-ray you may see a widened plate ina patient with a little league elbow. True or false?

True

False

2. Can OMM improve joint function?

Yes

No

3. If the ligaments are stronger than the physis in children can their medial collateral ligament pul on the medial epicondyle and therefore cause pain?

Yes

No

4. The primary phase of complex problems can last up to ___________ .

8 - 16 days

8 -12 weeks

10 -20 weeks

12 -14 weeks

8-12 weeks complex problems

Explanation

8-12 weeks complex problems

5. Focus in the secondary phase or after 12 days is on preventing long term deconditioning. True or false?

True

False

6. Is ACL injury usually due to contact or it is usually non-contact?

Contact

Non-contact

7. What are the three phases of care in orthopedic sports medicine?

Primary

Secondary

Tertiary

Transient

Submit

8. If the patient is 55 years old, is surgery the first option in an ACL injury?

Yes

No

Not usually, unless if it affects their living.

Explanation

Not usually, unless if it affects their living.

9. A bone/tendon/bone graft can be done to repair the ACL. True or false?

True

False

10. What is stronger in very young childres, their ligaments or they physis?

Ligaments

Physes

11. You decide to inject a steroid, what can you use to prevent steroid flare?

Procaine (novocaine)

Lidocaine

Mepivicaine

Epinephrine

12. So, usually ligaments will not tear in children. True or false?

True

False

13. If the labrum is causing the rotator cuff impingment is this considered an internal or external cuase?

Internal

External

14. The bony structures around the rotator cuff contribute to external impingement. True or false?

True

False

15. A SLAP lesion is Superior labrum anterior and posterior. Is surgical repair first line of treatment?

Yes, this is a medical emergency

No, you try physical therapy first.

16. In which stage is the focus on pain control?

Primary

Secondary

Tertiary

17. What ligament is affected in little league elbow?

Lateral collateral ligament

Medial/ulnar collateral ligament

18. If the labrum is torn the patient will feel pain with humeral head movement. True or false?

True

False

19. During the first 72 hours after an injury just use heat. True or false?

True, just use heat

False, just use Ice

Do not alternate in the acute phase.

Explanation

Do not alternate in the acute phase.

20. If the patient is 36 years old. What will you do if the patient has an ACL injury?

Surgery right away

Case by case basis

No surgery indicated

Under 35 - repair, over 45 non-operative.

Explanation

Under 35 - repair, over 45 non-operative.

21. A throwing athlete complains of elbow pain. When you are throwing what stress are you exerting, a valgus or varus stress?

Valgus

Varus

22. Which athlete would be more at risk for an anterior glenohumeral instability?

A golfer

A swimmer

A soccer player

A baseball player

a throwing athlete

Explanation

a throwing athlete

23. Which is more common in the non-athlete, an internal or external impingment?

Internal

External

24. Do steroids dissolve fat?

Yes

No

Make sure the needle is in the right place or else the patient will suffer loss of pigmentation and fat at the site of the injection.

Explanation

Make sure the needle is in the right place or else the patient will suffer loss of pigmentation and fat at the site of the injection.

25. Does ultrasound electrical stimulation have an effect on the clinical outcome?

Yes

No

26. If a patient has a strain of their medial collateral ligament when is the discomfort felt?

On lateral compression

On medial compression

27. Can you shrink the rotator cuff by injecting it?

Yes

No

28. In which stage are you focusing on chronic pain control?

Secondary

Tertiary

29. Is the labrum damaged in an anterior glenohumeral instability?

Yes

No

30. Therefore a throsing athlete may experience problems with their:

Lateral collateral ligament

Medial/ulnar collateral ligament

31. If you anticipate an ACL injury what test do you order first?

X-ray

CAT scan

MRI

PET scan

32. Which of hte following are all modalities that can be used in an external rotator cuff impingement?

Injection

Medication

Physical therapy

Surgical decompression

Cuff repair

Submit

33. Which of the following can you use to test the intergrity of the ACL?

Drawer test

Pivot shift test

Lachman

Straight leg test

McMurray test

Submit

34. A rotatoe cuff that is irritated can lead to shoulder:

Impingement

Instability

Dislocation

35. Which of the following make up the tibial profile of the mechanism of injury of the ACL?

Acceleration

Deceleration

Internal rotation

Hyperextension

External rotation

Submit

36. A sbuluxation or incomplete dislocation of the humeral head resulting in glenohumeral instability.What test can you use to assess this?

Empty can test

Apprehension test

Speed's test

Yergason's test

Spurling's maneouvre

37. The primary or acute stage lasts for about how many days in patients with sprains or strains?

4-5

6-8

10-20

10-14

14-21

38. The problem in an anterior humeral instability is__ and _ .

Inferior

Superior

Submit

39. Which of the following are appropriate in an elbow medial collateral ligament strain?

Physical therapy

Surgery - reconstruction with graft

No throwing for 3 months

No throwing for 3 weeks

Submit

40. Primary modlities include all of the following except:

Heat/ice

Rehab

Pain meds & muscle relaxants

Rest

Injections

Submit

41. Which of the following is the most common cause of elbow medial collateral ligament discomfort?

Chondromalacia

Loss bodies

Pain

42. The following are modalities used in all phases of care.

Acetaminophen - caution alcohol intake and pts with liver problems

NSAIDS, watch for GI upset,

Steroids, ok to use long term

Narcotics, no better than NSAIDS

Steroids are OK to use but only for short term use.

Explanation

Steroids are OK to use but only for short term use.

Submit

Orthopedics In Sports Medicine (Msq Drill 174)

1. On X-ray you may see a widened plate ina patient with a little league elbow. True or false?

2.

What first name or nickname would you like us to use?

2. Can OMM improve joint function?

3. If the ligaments are stronger than the physis in children can their medial collateral ligament pul on the medial epicondyle and therefore cause pain?

4. The primary phase of complex problems can last up to ___________ .

5. Focus in the secondary phase or after 12 days is on preventing long term deconditioning. True or false?

6. Is ACL injury usually due to contact or it is usually non-contact?

7. What are the three phases of care in orthopedic sports medicine?

8. If the patient is 55 years old, is surgery the first option in an ACL injury?

9. A bone/tendon/bone graft can be done to repair the ACL. True or false?

10. What is stronger in very young childres, their ligaments or they physis?

11. You decide to inject a steroid, what can you use to prevent steroid flare?

12. So, usually ligaments will not tear in children. True or false?

13. If the labrum is causing the rotator cuff impingment is this considered an internal or external cuase?

14. The bony structures around the rotator cuff contribute to external impingement. True or false?

15. A SLAP lesion is Superior labrum anterior and posterior. Is surgical repair first line of treatment?

16. In which stage is the focus on pain control?

17. What ligament is affected in little league elbow?

18. If the labrum is torn the patient will feel pain with humeral head movement. True or false?

19. During the first 72 hours after an injury just use heat. True or false?

20. If the patient is 36 years old. What will you do if the patient has an ACL injury?

21. A throwing athlete complains of elbow pain. When you are throwing what stress are you exerting, a valgus or varus stress?

22. Which athlete would be more at risk for an anterior glenohumeral instability?

23. Which is more common in the non-athlete, an internal or external impingment?

24. Do steroids dissolve fat?

25. Does ultrasound electrical stimulation have an effect on the clinical outcome?

26. If a patient has a strain of their medial collateral ligament when is the discomfort felt?

27. Can you shrink the rotator cuff by injecting it?

28. In which stage are you focusing on chronic pain control?

29. Is the labrum damaged in an anterior glenohumeral instability?

30. Therefore a throsing athlete may experience problems with their:

31. If you anticipate an ACL injury what test do you order first?

32. Which of hte following are all modalities that can be used in an external rotator cuff impingement?

33. Which of the following can you use to test the intergrity of the ACL?

34. A rotatoe cuff that is irritated can lead to shoulder:

35. Which of the following make up the tibial profile of the mechanism of injury of the ACL?

36. A sbuluxation or incomplete dislocation of the humeral head resulting in glenohumeral instability.What test can you use to assess this?

37. The primary or acute stage lasts for about how many days in patients with sprains or strains?

38. The problem in an anterior humeral instability is________ and _______ .

39. Which of the following are appropriate in an elbow medial collateral ligament strain?

40. Primary modlities include all of the following except:

41. Which of the following is the most common cause of elbow medial collateral ligament discomfort?

42. The following are modalities used in all phases of care.

38. The problem in an anterior humeral instability is__ and _ .