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50 Question

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1 / 50

Which of the following situations is appropriate for revision of a total hip arthroplasty to a constrained acetabular liner?

2 / 50

Following a medial femoral condyle osteochondral autograft mosaicplasty, which of the following statements best describes the fixation of the graft?

3 / 50

A 83 year old diabetic patient with absent peripheral pulses and a large infected wound overlying the lateral aspect of the ankle with radiographical signs of destruction of the ankle joint:

4 / 50

Which of the following clinical scenarios regarding hallux valgus could be appropriatley treated with a modified McBride procedure?

5 / 50

All of the following are risk factors for wear-related failure in total knee arthroplasty when using a polyethylene liner that underwent sterilization via gamma irradiation in air EXCEPT?

6 / 50

Which of the following decreases acetylcholine levels in the synaptic cleft by blocking the presynaptic release of acetylcholine?

7 / 50

What are the two most common lesions seen in abused children?

8 / 50

Which of the following is indicative of a patient who has been successfully resuscitated following a trauma?

9 / 50

Which of the above diagnosis is most likely: Small firm spherical mass in line with the flexor tendon at the proximal interphalangeal joint?

10 / 50

Which of the above diagnosis is most likely: Painless inability to extend the proximal interphalangeal joint?

11 / 50

In patients with incomplete spinal cord injuries what is the most important prognostic variable relating to neurologic recovery?

12 / 50

An 11-year-old female sustains a open right femoral shaft fracture and closed left both-bone forearm fracture after being struck by a motor vehicle. She is 5’1” and weighs 146 lbs. No neurovascular deficits are noted in any of her extremities. Which of the following is a contraindication to elastic intramedullary nail fixation of her femur fracture?

13 / 50

Which of the following does not contribute to the blood supply of the femoral neck/head?

14 / 50

When performing facet joint injection for the diagnosis of facet joint pain, which of the following statements is correct?

15 / 50

What factor has highest risk for recurrent instability following a traumatic anterior shoulder dislocation?

16 / 50

A 40 year old man presented to the clinic with 6 month history of plantar foot pain. If he also had history of back pain and stiffness along with tendonitis and restriction of hip and chest movements most likely diagnosis is?

17 / 50

When placing acetabular screws to supplement cementless acetabular fixation in total hip arthroplasty, placing screws in which zone poses the highest risk to damaging the external iliac vasculature?

18 / 50

The pathologic motion of the lateral tibial plateau moving posteriorly to the femoral condyle on a rotational stress examination is best described by which of the following terms?

19 / 50

A patient undergoes an MRI arthrogram for recurrent shoulder instability. Based on the imaging, the surgeon feels that arthroscopic treatment is contra-indicated and recommends open treatment. What is the most likely diagnosis?

20 / 50

Patella baja is most likely to occur after which of the following procedures?

21 / 50

A 3-month-old is brought to clinic for evaluation of a right upper extremity abnormaility present since birth. Which of the following physical exam findings is associated with the best functional outcome?

22 / 50

When comparing in situ decompression with intramuscular transposition of ulnar nerve for compressive neuropathy which of the following statements is most correct?

23 / 50

Approximately what percentage of pre-operative grip strength would be expected 3 months after carpal tunnel release?

24 / 50

Compared to arthroscopic elbow debridement, the Outerbridge-Kashiwagi procedure has been shown to result in which of the following?

25 / 50

A 38-year-old male presents with a cervical disc herniation at the C7/T1 level with associated foraminal stenosis, but no significant central stenosis. What would be the expected symptoms and physical exam findings.

26 / 50

Level 1 evidence has shown vitamin C reduces the incidence of reflex sympathetic dystrophy (RSD) or complex regional pain syndrome type I (CRPS) in patients with which of the following?

27 / 50

Which of the following statements is true regarding treatment of intertrochanteric hip fractures with an intramedullary nail versus a sliding hip screw?

28 / 50

Internal rotation of the femoral component in primary total knee arthroplasty may lead to which of the following?

29 / 50

Which of the following patients may benefit from a lesser tuberosity transfer (modified McLaughlin procedure)?

30 / 50

What MESS value has been associated with a 100% amputation rate?

31 / 50

A 10-year-old boy presents with a mobile, soft, and painless mass over the posteromedial aspect of his knee. MRI demonstrates a simple cyst. What is the most appropriate next step in treatment?

32 / 50

Anterior perforation of the distal femur from antegrade femoral nailing has been attributed to what factor?

33 / 50

Which of the following flexor tendon annular pulleys originate from palmar plates overlying joints?

34 / 50

A child with a defect in the DTDST gene would have which of the following classic phenotypes?

35 / 50

Which of the following interventions reduces osteolysis around distal portion of the femoral stem when performing a total hip arthroplasty?

36 / 50

A 32 year old butcher accidentally amputates the 3rd digit of his dominant hand. What is the proper sequence for repairing the structures during surgical re-implantation?

37 / 50

Which of the following factors concerning ACL reconstruction has demonstrated definitive evidence of adverse effect on clinical outcomes?

38 / 50

A 9-year-old boy with Duchenne muscular dystrophy has increasing difficulty with ambulation. He denies back pain, difficulty sitting in a chair, or shortness of breath. Annual screening spine radiographs demonstrate a 20 degree thoracolumbar curve. Which of the following statements best describes the appropriate treatment plan for his scoliosis?

39 / 50

Cubital tunnel syndrome is caused by compression of the ulnar nerve between what two structures as it passes posterior to the medial epicondyle?

40 / 50

Reamed femoral intramedullary nailing is associated with a higher rate of which of the following, as compared to nonreamed nailing for distal femur fractures?

41 / 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?

42 / 50

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

43 / 50

A 3-year old male falls from a table and is brought to the emergency room with neck pain, but no neurologic deficits. Cervical spine radiographs show a synchondrosis separating the odontoid process from the body of the axis. Which of the following best describes this radiographic finding?

44 / 50

Which of the following statements regarding osteoid osteomas in the spine is correct?

45 / 50

The anterolateral branch of the anterior circumflex artery supplies blood to what aspect of the proximal humerus?

46 / 50

An 8-day-old infant is admitted back to the hospital for septic arthritis of the hip. Which of the following will most likely be the causative organism by culture?

47 / 50

A 35-year-old female office worker reports 6 months of deep aching on her lateral dominant elbow which worsens with repetitive movements. The pain is located 4cm distal to the lateral epicondyle. She also complains of night pain. What is the most likely diagnosis?

48 / 50

All of the following are associated with Marfan’s Syndrome EXCEPT?

49 / 50

The muscle that is most commonly used for extensor pollicis longus repair:

50 / 50

Flexor tendons of the fingers within Zone 2 receive their primary nutritional supply from:

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