Ortho/Rheum 7

Which of the following nerves is most likely to be damaged by a Monteggia fracture?

Which of the following is the mechanism of injury for scaphoid fracture?

At age 4 months a male infant is suspected of having developmental dysplasia of the hip. Which of the following is the preferred initial diagnostic test?

Methotrexate therapy is initiated in a 33-year-old woman in treatment of rheumatoid arthritis. The patient should take which of the following supplements?

The emergency department clinician suspects child abuse after examination of a 2-year-old girl. Which of the following is the most likely injury sustained by the child?

A 30-year-old woman has cold, pale, numb fingers in both hands when she holds the cold steering wheel of her automobile during a winter day. Warming the hands for 15 minutes causes the hands and fingers to be flushed. Which of the following is the most likely underlying cause?

A 52-year-old woman who has scleroderma is most likely to have which antibody positive?

Two days after major abdominal surgery, a 56-year-old man has the acute onset of painful swelling of his left knee. Examination shows swelling of the joint with overlying erythema and warmth. Serum uric acid is 5.4 mg/dL. Which of the following is the most likely diagnosis?

A young woman has early, moderately active rheumatoid arthritis. Which of the following medicines is the preferred initial disease-modifying anti-rheumatic medication?

A 26-year-old woman has pallor and pain when taking a frozen package from the freezer. Raynaud’s phenomenon is diagnosed. Which of the following is the most likely underlying disorder?

Two days after major abdominal surgery, a 66-year-old man has the acute onset of painful swelling of his left knee. Pseudogout is diagnosed. Which of the following is the preferred initial therapy?

A 57-year-old man has gout. Which of the following is the expected cutaneous sign to be noted on examination?

After a fall, a patient presents with right distal forearm pain. PA and lateral x-ray reveals a transverse fracture through the radial styloid process. These findings are consistent with which of the following?

A 22-year-old woman has a 2 week history of pallor and numbness in her fingers and hands when walking in cold weather. With warming of the hands for fifteen minutes, the pallor disappears and the fingers and hands become red. Which of the following is the most likely diagnosis?

A 50-year-old man has a 3 day history of tingling and burning discomfort in the left heel, sole of the foot, and toes. Examination shows decreased sensation in the plantar aspect of the foot. Which of the following is the most likely diagnosis?

A 15-year-old boy has a 1 day history of pain in this left elbow after playing football. Examination shows local tenderness over the medial elbow. Resisted wrist flexion increases the pain. Pulses in the wrist, arm and hand sensation, and deep tendon reflexes in the arm are normal. Which of the following is the most likely diagnosis?

One hour after major surgery, a 59-year-old woman has generalized muscular rigidity and high fever. Malignant hyperthermia is diagnosed. Which of the following is the preferred initial therapy?

A 65-year-old female fell out of her bed. She presents with pain and swelling in her right wrist and a limited range of motion. A ‘dinner fork ‘ deformity is noted on X-ray. Which of the following is the most likely diagnosis?

A 33-year-old man has a skiing accident in which he injures his thumb. Examination shows swelling and tenderness on the ulnar side of the joint. Which of the following is most likely injured?

The presence of which of the following differentiates rheumatoid arthritis from osteoarthritis?

A 34-year-old man has a vertebral fracture and is found to have osteoporosis. Which of the following is the most likely underlying condition causing the osteoporosis?

A 26-year-old woman has a 1 month history of aching in the left parotid area of her face that radiates to the ipsilateral posterior neck, preauricular area, and temporal area. The pain is worse when chewing. Examination shows tenderness of the left masseter muscle. The ears and oropharynx are normal. There is no temporal artery tenderness nor clicking with jaw movement. Which of the following is the most likely diagnosis?

A 44-year-old woman has a 3 week history of worsening dyspnea and dry cough. Sarcoidosis is diagnosed. An increased serum level of which of the following is most likely to be noted?

A 62-year-old patient is being treated with long-term glucocorticoid therapy for rheumatoid arthritis. He stopped taking the medicine because he was doing great and wanted to stop them. He now presents with weakness, fatigue, abdominal pain, severe nausea & vomiting, and altered mental status. Lab findings reveal hyponatremia and hyperkalemia. Which of the following is the most likely diagnosis?

A 25-year-old man had an acute inversion injury to his left ankle 10 days earlier. Which of the following maneuvers determines whether an anterior talofibular ligament tear has occurred?

A 12-year-old girl falls on her outstretched left hand. Examination shows tenderness in the ipsilateral anatomic snuff box. A fracture of which of the following bones is most likely?

A 22-year-old male wrestler has a 2 week history of pain in the left upper chest with tingling discomfort in the left arm in the ulnar distribution. Which of the following maneuvers is indicated in the diagnosis of thoracic outlet syndrome?

A 34-year-old woman with known Raynaud’s disease now has hypertension. Administration of which of the following is most likely to worsen the vasoconstriction of Raynaud’s disease?

A 32-year-old woman has primary Raynaud’s phenomenon not associated with any underlying disorder. Which of the following is the preferred medication to prevent future attacks?

Which of the following clinical characteristics is associated with bicipital tendonitis?