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Sports Quiz

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1 / 50

A latissimus dorsi tendon transfer is a well established procedure for treatment of massive irreparable posterosuperior rotator cuff tears. All of the following factors have been shown to result in worse clinical outcomes after a transfer EXCEPT?

2 / 50

An acute posterior shoulder dislocation should be suspected in a patient with pain and the shoulder locked in what position?

3 / 50

Which of the following should be avoided in early rehabilitation following posterior cruciate ligament (PCL) reconstruction?

4 / 50

A 60-year-old man has chronic shoulder pain and weakness. Radiographs show moderate glenohumeral arthritis and narrowing of the acromio-humeral distance. He is scheduled to undergo either hemiarthroplasty or total shoulder arthroplasty. His postoperative function will be most affected by which of the following factors?

5 / 50

In biomechanical testing, which of the following tissues has the highest maximum load to failure?

6 / 50

Tunnel malposition is thought to be a primary etiology for ACL graft failure. All of the following are true of tunnel position EXCEPT:

7 / 50

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

8 / 50

Following ACL reconstruction, which of the following tests most closely correlates with patient satisfaction with their reconstructed knee?

9 / 50

Strengthening of what muscle group most effectively counteracts the deficit seen with an incompetent PCL?

10 / 50

What is the most common finding during surgery for traumatic anterior shoulder instability?

11 / 50

Which of the following is true regarding closure of the rotator interval in patients undergoing arthroscopic shoulder stabilization?

12 / 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?

13 / 50

A 25-year-old basketball player sustains a shoulder dislocation during a game that is closed reduced. An MRI will most likely show which of the following?

14 / 50

When performing an arthroscopic distal clavicle excision for acromioclavicular joint arthrosis, which of the following structures must be preserved to prevent post-operative anteroposterior instability of the clavicle?

15 / 50

A 35-year-old male injured his right shoulder while playing basketball. He presents emergently with significant pain and his shoulder abducted at 140 degree. He is unable to lower his arm. Radiographs will most likely show that his glenohumeral joint has dislocated in what direction?

16 / 50

Which of the following radiographic views is most sensitive for detecting knee joint degenerative changes?

17 / 50

Which of the following rehabilitation exercises provides for restoration of range of motion while limiting stress on the repair of a ruptured patellar tendon?

18 / 50

Non-operative treatment of distal biceps tendon rupture results in:

19 / 50

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

20 / 50

A 37-year-old male presents with continued knee pain and instability 6 months status-post combined ACL and PCL reconstruction after a traumatic knee injury. On physical exam his ACL and PCL are intact, however he is noted to have Grade 3 posterolateral corner laxity and varus malalignment of his knee. What is next most appropriate step in management?

21 / 50

During anterior cruciate ligament (ACL) reconstruction divergence between the graft and screw fixation within the bone tunnel can lead to complications. Which of the following statements regarding graft-screw divergence is true?

22 / 50

An athlete sustains a traumatic patellar dislocation. The MRI shows a hemarthrosis with a floating osteochondral fragment. Which of the following is the most likely site of origin for loose fragment?

23 / 50

All of the following are true regarding grade III medial collateral ligament (MCL) tears of the knee EXCEPT:

24 / 50

The middle genicular artery is the primary blood supply of which of the following structures?

25 / 50

A 26-year-old outfielder undergoes arthroscopic repair of a right shoulder type 2 SLAP tear with two labral anchors in the 11 and 1 o’clock positions. Postoperative rehabilitation for this SLAP repair should include:

26 / 50

In relation to the femoral insertion of the popliteus, the femoral attachment of the lateral collateral ligament is

27 / 50

Patients may complain of numbness over the anterolateral aspect of the knee following ACL reconstruction. This is most commonly due to injury of which of the following?

28 / 50

Posterior gleno-humeral dislocations are as common as anterior dislocations in which of the following patient groups?

29 / 50

Resection of the coracoacromial ligament during shoulder arthroscopy results in which of the following?

30 / 50

A 25-year-old male injured his left knee in a motor cycle accident. During examination he is noted to have a positive reverse pivot shift test and a negative posterior drawer. What other examination finding is this patient expected to have?

31 / 50

A large rotator cuff tear is repaired through 3 trans-osseous tunnels by a mini-open approach. What is the most appropriate post-operative therapy protocol?

32 / 50

A young athlete sustains an isolated meniscal tear and undergoes arthroscopy. The surgeon performs a meniscal repair. Which of the following factors is most important in determining healing rates?

33 / 50

What nerve is the most frequently injured in the condition shown in the radiograph?

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34 / 50

A 16-year-old female field hockey player sustains a twisting injury to her knee. On exam, she cannot extend the knee past 30 degrees. Arthroscopy confirms a displaced bucket-handle tear of the lateral meniscus with a 3-mm peripheral rim. What is the most appropriate treatment?

35 / 50

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

36 / 50

Which of the following patients is the optimal candidate for a latissimus dorsi transfer?

37 / 50

Which patient has the best indication for latissimus dorsi transfer?

38 / 50

The term internal impingement is used in throwers to describe a condition where the posterior-superior glenoid labrum impinges on which structure?

39 / 50

What is the average medial-to-lateral distance of the supraspinatus tendon insertion at its footprint on the greater tuberosity?

40 / 50

Besides the biceps tendon, which of the following structures also pass through the rotator interval?

41 / 50

Posterior shoulder tightness can lead to a glenohumeral internal rotation deficit (GIRD). This has been linked most closely to which of the following shoulder pathologies?

42 / 50

Which of the following injury patterns is most appropriately managed with an immediate postoperative physical therapy regimen that includes no active flexion but does allow active extension from 90 to 0 degrees?

43 / 50

Rotator cuff tears (full thickness and partial thickness) in asymptomatic individuals are seen on MRI or ultrasound in what percentage of patients over the age of 60?

44 / 50

Which of the following best describes the radiographic landmarks on a lateral radiograph for locating the femoral attachment of the medial patellofemoral ligament (MPFL) during reconstruction?

45 / 50

Which of the following factors is the best predictor of successful non-operative management of an osteochonditis dissecans lesion in the knee?

46 / 50

The superior glenohumeral ligament is under the greatest stress when the humeral head and arm are in which of the following positions?

47 / 50

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

48 / 50

A college baseball pitcher has posterior-superior and anterior pain in his throwing shoulder. On exam, he has a 30 degree loss of internal rotation on the affected side and a positive O’Brien’s test. Radiographs and MRI are normal. While all of the following may be helpful, which of the following exercises should be emphasized most in this patient’s rehabilitation program?

49 / 50

Increased ACL injury rates in women athletes compared to male athletes may be due to muscular imbalance and relative weakness in which of the following muscle groups?

50 / 50

A patient develops anteromedial pain and altered sensation over the anterolateral infrapatellar region of the knee after autologous hamstring tendon harvest for an ACL reconstruction. Which of the following nerves has been injured?

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