Ortho/Rheum 1

A 14 year old male presents complaining of pain in his right hand after punching a wall during an argument. X-rays are obtained and are shown below. Which of the following best describes the findings?

A 77 year old female suffers a fall down a flight of 3 stairs. She breaks her fall with an out stretched hand and presents with pain and deformity of her wrist. X-rays are obtained and are shown below. Which of the following best describes the findings?

A 69-year-old man has a 2 month history of worsening pain in his shoulders, wrists, elbows, and ankles. Examination shows clubbing of fingers and toes. Radiography of the affected areas shows subperiosteal new bone formation. Which of the following is the most likely diagnosis?

A 15-year-old athletic boy has a 2 week history of left knee pain. The pain is worsened by jumping and squatting. Examination shows tenderness of the tibial tuberosity and swelling of the joint, but without overlying erythema or heat. Stressing the left quadriceps reproduces the pain. Which of the following is the most likely diagnosis?

The Ortolani test involves the examination of which of the following?

A 12-month-old who just started walking presents with significant genu varum. The parents are concerned that the child’s legs are deformed and require immediate surgical intervention. Which of the following is the best clinical approach to managing this patient?

A 7-year-old presents complaining of bilateral leg pain and a limp for several weeks. Vital signs are stable. Findings on physical examination are negative except for diminished internal rotation and abduction of the hips bilaterally. Which of the following is the most likely diagnosis?

In an infant, unequal posterior thigh skin folds is suggestive of which of the following?

An epiphyseal plate fracture that extends transversely through the epiphyseal plate, then through the metaphysis on the side opposite the fracture resulting in a triangular metaphyseal fragment, is most likely classified as a:

Which of the following is the most common infecting organism in osteomyelitis?

Which of the following conditions is described as pain in the elbow area that is maximal with resisted wrist extension?

A 33-year-old man arrives at the emergency department complaining that he felt like a rock hit his ankle while playing basketball. Physical examination discloses heel pain and swelling and a positive Thompson’s test. Which of the following is the most likely diagnosis?

Which of the following conditions will demonstrate a defect in the “neck of the Scottie dog” on a lateral and oblique radiograph view of the spine?

A 28-year-old woman arrives at the clinic with numbness of her right hand. Physical examination discloses decreased sensation of the right ring and little fingers, a positive Tinel’s sign at the elbow, and a positive Froment’s sign. Which of the following is the most likely diagnosis?

Which of the following is the pathology for complex regional pain syndrome?

Which of the following clinical characteristics differentiates pronator syndrome from carpal tunnel syndrome?

Which of the following is a clinical characteristic of Dupuytren’s contracture?

Carpal tunnel syndrome is caused by entrapment of which of the following?

A positive Finkelstein’s test would indicate:

An x-ray of the shoulder with and without weights assists in diagnosing:

A 60-year-old male patient arrives at the clinic complaining of pain in his left big toe. The affected appendage appears red and swollen around the joint and is extremely sensitive to pressure. The patient says that the pain started very suddenly overnight. His health is otherwise unremarkable. Of the following diagnoses, which is the most likely to be correct?

A 63-year-old male patient arrives at the clinic complaining of pain in his left foot. He reports scaly skin lesions which preceded his joint pain. Laboratory tests reveal an elevated erythrocyte sedimentation rate and a normal rheumatoid factor. No bacterial infection is found. Radiography shows a “Pencil in Cup” deformity of the proximal phalanx. Based on this information, which of the following diagnoses is most likely to be correct?

A 44-year-old male presents with pain, swelling, and redness in the joints of the lower extremities. Joint fluid analysis reveals rod-shaped, negatively birefringent urate crystals. Blood work reveals a uric acid level of 8.9 mg/dL. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?

A 55-year-old female presents with morning joint stiffness and swelling in the hands, wrists, and ankles that has persisted for approximately 8 weeks. Blood work reveals elevated erythrocyte sedimentation rate and C-reactive protein level. Blood work was also positive for anti-cyclic citrullinated peptide antibodies. Based on the patient’s presentation and lab results, which of the following is the most appropriate diagnosis?

A 46-year-old female with a history of rheumatoid arthritis presents with dry eyes and dry mouth. Physical examination reveals enlarged parotid glands. Based on the patient’s presentation, history, and physical examination, which of the following is the most likely diagnosis?

A radiograph that reveals a “pencil in cup” deformity of the phalangeal joints is commonly associated with which musculoskeletal disorder?

A child has a history of spiking fevers, which have been as high as 40°C (104°F). She has spindle-shaped swelling of finger joints and complains of upper sternal pain. What is the most likely diagnosis?

For the past year, a 12-year-old boy has had recurrent episodes of swelling of his hands and feet, which has been getting worse recently. These episodes occur following exercise and emotional stress, last for two to three days, and resolve spontaneously. The last episode was accompanied by abdominal pain, vomiting, and diarrhea. The results of a routine laboratory workup are normal. An older sister and a maternal uncle have had similar episodes but were not told a diagnosis. The most compatible diagnosis is:

A 52-year-old female patient is seen at the clinic complaining of chronic dry eye and dry mouth. She does not present any other symptoms and appears otherwise healthy. Which of the following diagnoses is most likely to be correct?

A 48-year-old male patient has severe arthritic knee pain and shows signs of mucocutaneous lesions. He is sexually active and has been previously treated for chlamydial urethritis. His laboratory results return positive for HLA-B27. Of the following diagnoses, which is most likely to be correct?