Orthopedic Medicine Quiz
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Questions and Answers

A 30-year female has low serum calcium and low serum phosphate with elevated serum parathormone. What is your likely diagnosis?

  • Osteoporosis
  • Hypoparathyroidism (correct)
  • Volkmann's ischemia
  • Stress fracture
  • Which of the following is a diagnostic sign of fracture?

  • Elevated serum parathormone
  • Tarsometatarsal amputation (correct)
  • Low serum phosphate
  • Low serum calcium
  • Which of the following is seen in osteoporosis?

  • Elevated serum phosphate
  • Increased bone density
  • Thickened bones
  • Bone fragility (correct)
  • What is a common non-surgical method used to immobilize and support a fractured bone during the healing process?

    <p>Casting</p> Signup and view all the answers

    Which instrumental diagnostic method is commonly used for further evaluation of scaphoid fractures when conventional X-rays do not show abnormalities?

    <p>MRI</p> Signup and view all the answers

    A patient with suspected stress fractures in the lower extremities is evaluated for bone changes over time. What imaging modality is suitable for detecting stress fractures and monitoring healing progression?

    <p>Bone scan</p> Signup and view all the answers

    What nonsurgical approach is commonly used for the management of stable pelvic fractures?

    <p>Bed rest and immobilization</p> Signup and view all the answers

    A patient with a stable, non-displaced midshaft femur fracture is managed non-surgically. What technique involves the use of an adjustable device that wraps around the limb to provide stability and support?

    <p>External fixation</p> Signup and view all the answers

    What is the term for the surgical method that involves the use of screws, plates, or rods applied directly to the fractured bone to maintain alignment?

    <p>Internal fixation</p> Signup and view all the answers

    A patient with a complex tibial plateau fracture undergoes surgery where a metal plate is attached to the fractured bone to provide stability. What surgical method is employed in this scenario?

    <p>Internal fixation</p> Signup and view all the answers

    A patient with a complex pelvic fracture undergoes a surgical procedure where external devices are applied to stabilize the fractured bones. What is the name of this surgical technique?

    <p>External fixation</p> Signup and view all the answers

    A 35-year-old male presents with a history of a recent tibia fracture. He complains of numbness and tingling below the fracture site. On examination, there is decreased sensation and weakness in the dorsiflexion of the foot. What is the most likely complication?

    <p>Nerve injury</p> Signup and view all the answers

    A 25-year-old athlete sustains a midshaft femur fracture following a sports injury. Despite appropriate treatment, he continues to experience pain and difficulty walking after the fracture has healed. Imaging reveals a malunion. What functional deficits might be expected as a result of this complication?

    <p>All of the above</p> Signup and view all the answers

    The rotator cuff is a group of muscles and tendons located in which joint of the upper limb?

    <p>Shoulder joint</p> Signup and view all the answers

    A young athlete injures their shoulder after falling on an outstretched hand. Examination reveals anterior shoulder pain, a positive apprehension test, and a feeling of the shoulder 'slipping out.' What is the likely diagnosis?

    <p>Shoulder dislocation</p> Signup and view all the answers

    A 30-year-old patient with an undisplaced midshaft humerus fracture is treated conservatively. What is the primary treatment modality?

    <p>Casting or splinting</p> Signup and view all the answers

    Study Notes

    Endocrine Disorder and Bone Health

    • A 30-year-old female with low serum calcium and phosphate, but elevated parathyroid hormone, likely has hypoparathyroidism.

    Fracture Diagnosis and Management

    • A diagnostic sign of fracture is tenderness or swelling at the affected site.
    • Osteoporosis is characterized by low bone mass and structural deterioration of bone tissue.
    • Immobilization and support of a fractured bone during healing can be achieved using a cast or splint.
    • In scaphoid fractures, MRI or CT scans are used when conventional X-rays do not show abnormalities.
    • For suspected stress fractures, bone changes can be evaluated using radiographs or bone scans over time.
    • Stress fractures can be detected and monitored using radiographs or bone scans.
    • Stable pelvic fractures can be managed non-surgically using a Pelosi traction or a fixation device.
    • The technique involving an adjustable device that wraps around the limb to provide stability and support is called a cast or splint.
    • The surgical method involving the use of screws, plates, or rods applied directly to the fractured bone to maintain alignment is called internal fixation.
    • External fixation, a surgical technique, involves the application of external devices to stabilize the fractured bones.

    Complications of Fractures

    • One complication of tibia fracture is numbness and tingling below the fracture site due to common peroneal nerve injury.
    • Malunion of a fracture can result in pain, difficulty walking, and functional deficits such as abnormal gait.
    • Rotator cuff injuries occur in the shoulder joint.
    • Anterior shoulder pain, positive apprehension test, and feeling of the shoulder 'slipping out' are indicative of shoulder instability or subluxation.
    • The primary treatment modality for undisplaced midshaft humerus fracture is conservative management with immobilization.

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    Test your knowledge on orthopedic medicine with questions about long bone fracture treatment, diagnostic signs of fractures, amputation terminology, endocrine disorders related to bone health, and diagnostic criteria for osteoporosis.

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