Ortho/Rheum 5

Fracture which compacts or crushes the epiphyseal plate, as shown in the picture below, best describes which of the following?

A fracture which crosses the epiphyseal plate and then into the shaft of the bone, as shown in the picture below, best describes which of the following?

A fracture which crosses through the shaft of the bone, the epiphyseal plate and then through the end of the bone, as shown in the picture below, best describes which of the following?

A 12-year-old boy who has sickle cell disease has acute severe pain in his right hip without history of trauma. Examination shows normal vital signs and local tenderness in the hip. Hemoglobin is 9 g/dL. White blood count is 6400/microL. Which of the following is the most likely pathophysiologic basis of the hip pain?

Eighteen hours after having sustained a traumatic fracture of the pelvis, a 27-year-old woman has dyspnea and confusion. A generalized petechial rash is noted. Systemic arterial oxygen level is 56 mm Hg. Which of the following is the most likely diagnosis?

A 34-year-old woman has gradually worsening stiffness and pain in her fingers, wrists, toes, and elbows. Presence of which of the following is most specific for rheumatoid arthritis?

A 32-year-old woman has an acute inflammatory arthritis. Malar rash is present. Which of the following serum antibodies is considered to be most specific for systemic lupus erythematosus?

A 7-year-old boy has a 2 week history of pain in both hips without trauma. Vital signs are normal. The patient walks with a limp. Plain radiography of the hips is normal, but bone scan shows reduced perfusion to the femoral heads. Which of the following is the most likely diagnosis?

A 42-year-old woman who has sarcoidosis has a 2 day history of a painful red eye and blurred vision in her left eye. She is most likely to have which of the following eye disorders?

Two weeks after having had urethritis a 24-year-old man has painful swelling and redness of his left knee and right ankle, soreness in his mouth, and a rash on his penis. Examination shows an erosion on the hard palate, conjunctivitis, erythema of the conjunctivae, and warm swelling of the affected joints. Which of the following is the most likely diagnosis?

Which of the following physical examination findings is indicative of congenital hip dysplasia?

A 35-year-old woman presents with numbness and tingling of the right shoulder radiating to the forearm, which is aggravated by lifting. On physical examination, numbness to the small and ring fingers is present and is reproducible with abduction of the shoulder. The patient has no neck complaints. Which of the following is the most likely diagnosis?

Which of the following tendons most often develops tendinitis in rotator cuff tendinitis?

A 25-year-old man arrives at the office with urethral discharge, sudden onset of left knee pain, and blurry vision in the right eye. Physical examination discloses purulent penile discharge, swelling in the left knee, buccal ulceration, and infection in the right eye. Which of the following is the most likely diagnosis?

What is the standard treatment for a patient with a non displaced fractured radial head?

What is the most likely diagnosis of a patient with narrowing of the hip joint, large degenerative synovial cysts and osteophyte formation in both acetabulum and femoral head on x-ray?

What is the most likely diagnosis of the patients with this radiograph?

Which of the following best describes the pathology of rheumatoid arthritis?

Which of the following is a characteristic of gouty arthritis?

A 55-year-old diabetic male with history of shoulder injuries presents with pain in the left shoulder. Physical examination reveals restricted glenohumeral movement. Arthrography reveals decreased volume of the joint capsule and capsular contraction. Based on the patient’s presentation, which of the following is the most appropriate diagnosis?

A 45-year-old female presents with pain in the right wrist. She states the pain occurs even through the night. She also complains of loss of coordination and loss of strength in her right hand. Physical examination reveals a positive Tinel’s sign and positive Phalen’s test. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?

A 38-year-old male presents with pain in the pelvis, femurs, and tibias. Blood work reveals normal calcium, normal phosphates, and an elevated alkaline phosphatase. Nuclear medicine bone scan reveals increased radiotracer uptake in the pelvis and lower extremities confirming the diagnosis of Paget’s disease. Which of the following medications would you prescribe to treat this disorder?

Which of the following muscles is affected in “tennis elbow”?

A 40-year-old male sustains a scaphoid fracture with displacement greater than 1 mm. Which of the following treatment options would you suggest for treatment of this patient?

A 15-year-old boy is diagnosed with slipped capital femoral epiphysis. Which of the following treatments would you suggest for treatment of this disorder?

A 53-year-old male is diagnosed with aseptic necrosis of the hip. Which of the following medications would you prescribe for maintenance therapy to avoid collapse of the femoral head?

A 44-year-old diabetic female presents with pain in the wrist and base of the thumb, with radiation into the forearm. Physical examination reveals swelling and thickening of the tendon sheath. The examination also reveals a positive Finkelstein’s test. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?

A 40-year-old male presents with recurrent, abrupt attacks of pain and swelling in the wrists and knees. Joint aspiration reveals rhomboid-shaped crystals that are negatively birefringent. Radiographs performed on the affected areas reveal chondro-calcinosis. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?

A 6-year-old female presents with pain in the distal radius after falling on her outstretched hand. Her X-ray depicts a buckle or bulge on one side of the distal radius, about 3 cm from the end. Based on the type of injury and the radiographic evidence, which of the following types of fractures is illustrated on this girl’s X-ray?

Which of the following is not a risk factor for DVT?