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Sports Quiz

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1 / 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?

2 / 50

The saphenous nerve is most likely to be injured with which of the following steps during an anterior cruciate ligament (ACL) reconstruction with hamstring autograft?

3 / 50

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

4 / 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:

5 / 50

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

6 / 50

Mineralization of the posterior-inferior glenoid has been implicated as a possible source of pain in which athletic population?

7 / 50

Strategies which focus on increasing patient neuromuscular control are most effective at preventing which of the following female sporting injuries?

8 / 50

Which of the following best describes the anatomic relationships of the lateral collateral ligament in the posterolateral corner?

9 / 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?

10 / 50

All of the following are predisposing factors for lateral patellar dislocation in a native knee EXCEPT?

11 / 50

A 23-year-old soccer player suffers an ACL rupture and undergoes reconstruction. Postoperatively she begins a rehabilitation program and her therapist develops of series of knee conditioning exercises to help her regain strength and range of motion. Which of the following exercises places the lowest strain in this patients properly placed ACL graft?

12 / 50

A 31-year-old male is 1 year status post primary anterior cruciate ligament reconstruction. Despite adequate physical therapy, he has been unable to return to sport due to recurrent instability and elects to proceed with revision surgery. What is the most common reason for failure of his primary ACL reconstruction?

13 / 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?

14 / 50

A 27-year-old football player sustains an acute lateral patellar dislocation. Which of the following is the most likely site of injury seen on MRI?

15 / 50

A 28-year-old male presents with persistent knee symptoms 6 months following ACL reconstruction. Current radiographs are shown in Figure . Based on the location of his femoral tunnel, which of the following physical exam findings is likely present?

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16 / 50

A football player subluxes his shoulder while blocking with his arm forward flexed and internally rotated. The “Jerk” test is positive. What is his most likely pathology?

17 / 50

A 24-year-old female has moderate arthrosis of the medial facet of the patella and the medial femoral condyle. Which of the following procedures is contraindicated?

18 / 50

Which area of the knee is most likely to be affected by a juvenile osteochondritis dissecans (JOCD) lesion?

19 / 50

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

20 / 50

A 20 year-old male football player sustains a knee injury after being hit below the knee while blocking. You suspect a posterolateral corner (PLC) injury, but are also concerned about a posterior cruciate ligament (PCL) tear. Which of the following positive exam findings is indicative of a combined PLC and PCL injury?

21 / 50

What percent of shoulders have a posterior or posterior dominant attachment of the long head of the biceps onto the glenoid?

22 / 50

A 24-year-old minor league baseball pitcher presents with shoulder pain. On exam, his strength is normal. At 90 degrees of abduction, he has a total arc of motion of 150 degrees and a loss of internal rotation of 30 degrees. His scapula hangs lower than on the non-throwing shoulder. Initial management should consist of

23 / 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?

24 / 50

A football player sustains a suspected shoulder separation. In addition to a true AP and an axillary lateral, which of the following additional radiographic views is most appropriate to evaluate the AC joint?

25 / 50

What is the preferred treatment for a symptomatic acute acromioclavicular separation where there is a 20% increase in the coracoclavicular distance on AP radiograph compared to the opposite uninjured side?

26 / 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?

27 / 50

All of the following are acceptable scenarios for the use of autologous chondrocyte implantation (ACI) in the patellofemoral joint EXCEPT:

28 / 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?

29 / 50

At what angle of knee flexion should the graft be tensioned at during posterior cruciate ligament (PCL) reconstruction with a single bundle graft?

30 / 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?

31 / 50

During shoulder arthroscopy of a 58 year old female recreational golfer, the rotator cuff is examined and is seen to be intact on the articular side. After a bursectomy is performed in the subacromial space, a bursal sided tear is found measuring 1.5 cm in width and 4 mm in depth with surrounding cuff softening. What is the appropriate management?

32 / 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?

33 / 50

An 18-year-old football player sustained a twisting injury to his knee approximately 1 month ago. He complains of continued knee pain with occasional locking and catching. The figure demonstrates the injury on a T2 sagittal MRI. What physical exam finding is classically seen with this injury?

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34 / 50

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

35 / 50

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

36 / 50

What is the most common radiographic finding in reflex sympathetic dystrophy (RSD) or complex regional pain syndrome of the knee?

37 / 50

All of the following variables have a negative impact on the outcomes of isolated meniscal allograft transplantation EXCEPT?

38 / 50

A 31-year-old professional baseball pitcher has increased external rotation and a 30 degree deficit on internal rotation on his throwing shoulder compared to his non-dominant side. Motion analysis of the glenohumeral joint will show what abnormal movement of the humerus in relation to the glenoid during the cocking phase of throwing?

39 / 50

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

40 / 50

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

41 / 50

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

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42 / 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?

43 / 50

Internal impingement commonly occurs in overhead athletes and is very common amongst elite baseball pitchers. In which phase of throwing does this pathologic process occur?

44 / 50

Prophylactic hinged knee bracing for contact athletes has shown a trend towards decreased rates for which types of injuries?

45 / 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?

46 / 50

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

47 / 50

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

48 / 50

While recent studies have failed to demonstrate a significant clinical difference, proximal biceps tenodesis compared to tenotomy is felt to possibly result in a lower incidence of which of the following?

49 / 50

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

50 / 50

A high school girls basketball player sustains a non-contact knee injury and develops an acute hemarthrosis. What is the likelihood that she has an ACL tear?

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