Orthopedics In Sports Medicine (Msq Drill 174)

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  • 2. 

    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

    Correct Answer
    A. Yes
  • 3. 

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

    • True

    • False

    Correct Answer
    A. True
  • 4. 

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

    • 8 - 16 days

    • 8 -12 weeks

    • 10 -20 weeks

    • 12 -14 weeks

    Correct Answer
    A. 8 -12 weeks
    Explanation
    8-12 weeks complex problems

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  • 5. 

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

    • True

    • False

    Correct Answer
    A. True
  • 6. 

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

    • Contact

    • Non-contact

    Correct Answer
    A. Non-contact
  • 7. 

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

    • Primary

    • Secondary

    • Tertiary

    • Transient

    Correct Answer(s)
    A. Primary
    A. Secondary
    A. Tertiary
  • 8. 

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

    • Procaine (novocaine)

    • Lidocaine

    • Mepivicaine

    • Epinephrine

    Correct Answer
    A. Lidocaine
  • 9. 

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

    • Internal

    • External

    Correct Answer
    A. Internal
  • 10. 

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

    • True

    • False

    Correct Answer
    A. True
  • 11. 

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

    • Ligaments

    • Physes

    Correct Answer
    A. Ligaments
  • 12. 

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

    • True

    • False

    Correct Answer
    A. True
  • 13. 

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

    • True

    • False

    Correct Answer
    A. True
  • 14. 

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

    • Yes

    • No

    Correct Answer
    A. No
    Explanation
    Not usually, unless if it affects their living.

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  • 15. 

    In which stage is the focus on pain control?

    • Primary

    • Secondary

    • Tertiary

    Correct Answer
    A. Primary
  • 16. 

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

    • True, just use heat

    • False, just use Ice

    Correct Answer
    A. False, just use Ice
    Explanation
    Do not alternate in the acute phase.

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  • 17. 

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

    • True

    • False

    Correct Answer
    A. True
  • 18. 

    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.

    Correct Answer
    A. No, you try physical therapy first.
  • 19. 

    What ligament is affected in little league elbow?

    • Lateral collateral ligament

    • Medial/ulnar collateral ligament

    Correct Answer
    A. Medial/ulnar collateral ligament
  • 20. 

    Do steroids dissolve fat?

    • Yes

    • No

    Correct Answer
    A. Yes
    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.

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  • 21. 

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

    • Internal

    • External

    Correct Answer
    A. External
  • 22. 

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

    • A golfer

    • A swimmer

    • A soccer player

    • A baseball player

    Correct Answer
    A. A baseball player
    Explanation
    a throwing athlete

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  • 23. 

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

    • Valgus

    • Varus

    Correct Answer
    A. Valgus
  • 24. 

    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

    Correct Answer
    A. Case by case basis
    Explanation
    Under 35 - repair, over 45 non-operative.

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  • 25. 

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

    • Yes

    • No

    Correct Answer
    A. No
  • 26. 

    Can you shrink the rotator cuff by injecting it?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 27. 

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

    • On lateral compression

    • On medial compression

    Correct Answer
    A. On lateral compression
  • 28. 

    In which stage are you focusing on chronic pain control?

    • Secondary

    • Tertiary

    Correct Answer
    A. Tertiary
  • 29. 

    Is the labrum damaged in an anterior glenohumeral instability?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 30. 

    Therefore a throsing athlete may experience problems with their:

    • Lateral collateral ligament

    • Medial/ulnar collateral ligament

    Correct Answer
    A. Medial/ulnar collateral ligament
  • 31. 

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

    • X-ray

    • CAT scan

    • MRI

    • PET scan

    Correct Answer
    A. MRI
  • 32. 

    A rotatoe cuff that is irritated can lead to shoulder:

    • Impingement

    • Instability

    • Dislocation

    Correct Answer
    A. Impingement
  • 33. 

    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

    Correct Answer(s)
    A. Injection
    A. Medication
    A. Physical therapy
    A. Surgical decompression
    A. Cuff repair
  • 34. 

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

    • Acceleration

    • Deceleration

    • Internal rotation

    • Hyperextension

    • External rotation

    Correct Answer(s)
    A. Deceleration
    A. Internal rotation
    A. Hyperextension
  • 35. 

    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

    Correct Answer(s)
    A. Drawer test
    A. Pivot shift test
    A. Lachman
  • 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

    Correct Answer
    A. Apprehension test
  • 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

    Correct Answer
    A. 10-14
  • 38. 

    The problem in an anterior humeral instability is________ and _______ .

    • Anterior

    • Posterior

    • Inferior

    • Superior

    Correct Answer(s)
    A. Anterior
    A. Inferior
  • 39. 

    Primary modlities include all of the following except:

    • Heat/ice

    • Rehab

    • Pain meds & muscle relaxants

    • Rest

    • Injections

    Correct Answer(s)
    A. Heat/ice
    A. Pain meds & muscle relaxants
    A. Rest
    A. Injections
  • 40. 

    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

    Correct Answer(s)
    A. Physical therapy
    A. Surgery - reconstruction with graft
    A. No throwing for 3 months
  • 41. 

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

    • Chondromalacia

    • Loss bodies

    • Pain

    Correct Answer
    A. 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

    Correct Answer(s)
    A. Acetaminophen - caution alcohol intake and pts with liver problems
    A. NSAIDS, watch for GI upset,
    A. Narcotics, no better than NSAIDS
    Explanation
    Steroids are OK to use but only for short term use.

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  • Feb 16, 2019
    Quiz Edited by
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