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1 / 50

During primary total knee arthroplasty, the trial components are in place. The extensor space is tight, but flexion space is normal. What is the best gap balancing solution?

2 / 50

Which of the following risk factors is felt to contribute greatest to the higher rate of ACL rupture in female compared to male athletes?

3 / 50

What is the preferred treatment for newly diagnosed irreducible congenital vertical talus in a toddler?

4 / 50

The cavus deformity in Charcot-Marie-Tooth disease is caused by what muscular imbalance?

5 / 50

A 14-year-old boy has complete growth arrest of his left proximal tibia after a skateboarding injury. He currently has a 3mm leg-length discrepancy with left shorter than the right. A radiograph of the patients left hand, wrist, and fingers demonstrate a bone-age of 14 years. What is the most appropriate management of this patient?

6 / 50

A 21-year-old man presents with a destructive lesion in his distal femur. A chest radiograph reveals multiple lung nodules. Which of the following tumors has the highest rate of lung metastases?

7 / 50

The thumb carpo-metacarpal joint type is:

8 / 50

During an anterior diskectomy and fusion at C2-3 there is concern for an injury to the left hypoglossal nerve. What physical findings would be expected if this were the case?

9 / 50

A 25-year-old male is one year status post anterior cruciate ligament (ACL) reconstruction using patellar bone-tendon-bone (BTB) autograft. He complains of persistent instability with certain activities. His operative dictation notes excellent stability intra-operatively with femoral fixation at the 12 o’clock position. Based on his femoral tunnel position, his history and examination are most likely to reveal which of the following?

10 / 50

All of the following are true regarding Friedreich’s ataxia EXCEPT?

11 / 50

The single rocker sole shoe modification is best indicated for relief of pain in patients with what foot or ankle pathology?

12 / 50

Which of the following statements is true about force transmission based on wrist position?

13 / 50

In patients who have corrective surgery for adult scoliosis, what is the most reliable predictor of clinical symptoms postoperatively?

14 / 50

A 44-year-old man presents with ulnar-sided right wrist pain and mild constant tingling in the fourth and fifth digits after injuring his wrist while playing golf. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Which of the following should initially be obtained in this patient to aide in the diagnosis?

15 / 50

An infant is born with total brachial plexus palsy and Horner’s syndrome after a difficult vaginal delivery. What is the prognosis for spontaneous recovery of motor function in the involved arm by 3 months?

16 / 50

The anterior cruciate ligament is most likely deficient in patients with which of the following abnormalities?

17 / 50

Which patient would be ideal for an open shoulder reduction and glenoid bone augmentation?

18 / 50

A 30-year-old professional ballet dancer presents with persistant ankle pain after an ankle sprain 6 months ago. Physical therapy and NSAID’s have not alleviated the symptoms. Physical exam reveals some joint swelling but no ligamentous instability. Radiographs are unremarkable. What is the next appropriate step in the management of this patient?

19 / 50

Risk factors for a motor nerve palsy following primary total hip arthroplasty include all of the following EXCEPT?

20 / 50

When utilizing the pectoralis major tendon as a reference for restoring humeral height during shoulder hemiarthroplasty, at what level cephalad to the proximal edge of the tendon should the top of the prosthesis sit?

21 / 50

All of the following are predictive findings for correctly diagnosing carpal tunnel syndrome EXCEPT:

22 / 50

A 24-year-old female presents with a transverse midshaft humerus fracture. Which of the following implants would create the most compression on both the far and near cortices?

23 / 50

Commonest cause of failure of arthrography is:

24 / 50

A 65-year old healthy male has just undergone primary total knee arthroplasty. Which of the following is associated with use of a closed suction drain in this procedure?

25 / 50

What is the earliest sign of Volkmann’s ischaemia:

26 / 50

After insertion of trial components in a total knee replacement, the surgeon finds that he is unable to fully extend the knee and that the tibial tray lifts-off in flexion greater than 90 degrees. What intervention should be taken to acheive a knee that is balanced in flexion and extension?

27 / 50

A 2-year-old child falls down a flight of stairs and is found to have spinal cord injury without radiographic abnormality (SCIWORA). What is the most important predictor of her neurologic outcome?

28 / 50

Hypercalcaemia can be caused by all of the following conditions EXCEPT:

29 / 50

During anterior cruciate ligament reconstruction, a graft that is tight in flexion but lax in extension may be due to which technical error?

30 / 50

When performing a saline load test to evaluate for a traumatic arthrotomy of the knee, a mininum of how much saline should be utilized?

31 / 50

The median nerve lies immediately ulnar to which of the following structures at the level of the distal radioulnar joint?

32 / 50

The knee joint receives sensory fibres from :

33 / 50

A football player sustains an isolated posterior cruciate ligament (PCL) tear. Which of the following mechanisms is most likely to have caused this injury?

34 / 50

Replantation is indicated for which of the following amputations.

35 / 50

Which of the following descriptions of muscle activity during normal gait is correct?

36 / 50

A “double PCL sign” seen on a sagittal MRI image of a knee is indicative of which of the following conditions?

37 / 50

Which of the following must be done whenever a non-ambulatory infant presents to the ER with a diaphyseal long bone fracture?

38 / 50

Doxorubicin, a common chemotherapeutic agent used in the treatment of osteosarcoma, has which of the following major dose-limiting toxicities?

39 / 50

Which is the most avascular disc?

40 / 50

An 3-year-old girl developed torticollis after a severe respiratory tract infection 8 months ago. A dynamic computed tomographic (CT) is performed and shows fixed relation of C1 and C2 despite maximum rotation of the head. What is the most appropriate next step in management?

41 / 50

Patients with symptomatic spinal stenosis treated with surgical decompression compared to those treated nonoperatively have what clinical outcomes.

42 / 50

A 14-year-old boy is brought to the emergency department after falling onto his right shoulder. Radiographs are shown in Figure A. Which of the following is most likely to occur with curettage and bone grafting of this lesion?

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43 / 50

A patient with ankylosing spondylitis and a hip flexion contracture undergoes uneventful right total hip replacement using a Kocher (posterior) approach. This patient is at increased risk for which of the following complications post-operatively?

44 / 50

Which of the following is true regarding apoptosis?

45 / 50

Which ligament connects the medial cuneiform to the base of the second metatarsal?

46 / 50

Which of the following elbow apophyses is the last to fuse during growth?

47 / 50

At what range of motion do seated leg extension exercises place the greatest amount of stress on the anterior cruciate ligament?

48 / 50

Based on the Young and Burgess classification of pelvic ring injuries, an anterior-posterior compression type II injury does not result in disruption of which of the following?

49 / 50

The lift-off test evaluates internal rotation of the shoulder with the hand placed behind the back. During this test, which muscle exhibits the highest percent of maximal contraction?

50 / 50

Which of the following does not predispose to hallux rigidus?

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