Orthopedics/MSK Exam #1

A 27-year-old male presents to the emergency department after blunt trauma during a motor vehicle accident. On physical exam, he has severe pain, weakness, and shortness of breath. His vitals are unstable: blood pressure is 76/48 mmHg, his pulse is 130/min, and his respirations are 26/min. On chest x-ray, you observe ribs 1-2 and 4-7 are fractured on the right side. You also observe signs of pulmonary contusion. Which of the following is the most appropriate course of action?

A 21-year-old male presents to your primary care office with low back pain for 3 months. He had no recent trauma or accidents. SHx is notable for collegiate level basketball. He said he has never had anything like this before, and that the pain has become progressively worse with stiffness of the low back and hips. ROS: back pain is worse in the morning and improves with exercise. He has started to take ibuprofen 400mg PRN every 6 hours to treat the pain, but decided to come in today because his have become inflamed with eye pain. Which of the following is the most likely diagnosis?

A 65-year-old painter presents to your office with worsening shoulder pain for 3 months. He says he has trouble sleeping on his side at night. He complains that it is affecting his employment status. Upon physical exam, you note atrophy of the posterior shoulder muscles on the affected side. (+) drop arm test is noted, and there is pain with active ROM of shoulder abduction. He is TTP. Which of the following is the best initial test in the work up of your patient?

Lifting of the periosteum on x-ray is observed in a 5-year-old boy, which of the following fractures may be seen?

Proximal 1/3 ulna fracture and a concurrent anterior dislocation of the radial head is called which of the following?

Fracture of the distal radius with volar angulation is called which of the following?

A 37-year-old female presents with worsening thumb pain. She is diagnosed with De Quervain’s tenosynovitis. Which of the following muscles is likely affected?

Anterior shoulder pain after repetitive chronic activities. Patient has point tenderness to the anterior humerus and AC joint. (+) drop arm test appreciated. Which of the following is the most likely diagnosis?

An 18-year-old male presents with excruciating pain on the medial aspect of the knee after being hit from the side during a football game. Which of the following would properly evaluate the integrity of the medial collateral ligament?

A 13-year-old male with a BMI of 35 presents to the family medicine clinic for right hip pain. The pain has been constant for 4 weeks. He describes the pain as achy. He also complains of the pain traveling to his medial knee. The family trialed acetaminophen with no resolve. It’s beginning to affect him significantly at school and attempting to play sports and partake in physical activities. On exam, he has an antalgic gait and is tender to palpation at the anterior hip. Which of the following is the next best step in the work up of your patient?

Acute traumatic dislocation of the patella that resolved spontaneously after extending the thigh. What is the best treatment in the management of this patient?

A 34-year-old female presents with wrist drop status post a sword altercation. Which of the following nerves is likely damaged?

Humeral shaft fracture puts which of the following nerves at risk?