1.
The patella bone:
Correct Answer(s)
A. Is a sesamoid bone
B. Brings the extensor tendon anterior to the knee joint to increase the moment of the extensor mechanism and provides more strength.
C. Protects the knee joint
2.
***** In the lateral view is the fibula anterior or posterior to the tibia?
Correct Answer
B. Posterior
3.
What is the 2nd largest bone in the skeleton?
Correct Answer
C. Tibia
4.
The number one surgical procedure in USA is:
Correct Answer
C. Medial meniscus repair
5.
Which of the following are knee joint bursae?
Correct Answer(s)
A. Suprapatellar
B. Infrapatellar
C. Popliteus, anserine
D. Gastroc & semimembranous
6.
Which meniscus is more rounded or looks like a closed C, and is more mobile?
Correct Answer
B. Lateral meniscus
7.
In an injury the most likely injury will occur to the:
Correct Answer
B. Medial meniscus
8.
Which bursae is deep to the quads and communicates with the joint cavity?
Correct Answer
A. Suprapatellar
9.
Which bursa is the common site of housemaid's knee?
Correct Answer
C. Prepatellar
10.
Which muscles insert on the pes anserine?
Correct Answer(s)
A. Sartorius
B. Gracilis
D. Semitendinosus
11.
Which ligament resists varus stress?
Correct Answer
A. Lateral collateral ligament
12.
Which ligament is tight in extension?
Correct Answer
A. LCL
13.
Is the MCL attached to the medial meniscus?
Correct Answer
A. Yes
14.
The blood supply of the meniscus is only on the inner margin of the meniscus.True or false?
Correct Answer
B. False
Explanation
It is only on the outer margin
15.
What ligament is responsible for:
expansion of semimembranous tendon
resists hyperextension
Correct Answer
A. Oblique popliteal
16.
Does the arcuate popliteal cover the popliteal tendon and strengthen the posterior capsule?
Correct Answer
A. Yes
17.
Which ligaments connect the medial meniscus to the depp portion of the MCL?
Correct Answer
D. Coronary ligaments
18.
Which ligament stabilizes the lateral meniscus to the PCL?
Correct Answer
A. Ligament of HumpHry (anterior)
19.
The transverse meniscal ligament basically stabilizes the meniscus. True or false?
Correct Answer
A. True
20.
What is the ligament of Wriseberg's function?
Correct Answer
A. Stabilizes lateral meniscus to PCL
21.
The ACL is most taught in extension or flexion?
Correct Answer
A. Extension
Explanation
It resists forward motion of hte tibia
22.
When is the PCL ligament most taught?
Correct Answer
B. In flexion
23.
Does the ACL go posterior to anterior or anterior to posterior?
Correct Answer
B. Posterior to anterior
24.
What nerve innervates the ACL?
Correct Answer
C. Tibial nerve
25.
The ACL limits:
Correct Answer
B. Hyperextension
26.
When the knee is flexed 90 degrees is the ACL tight?
Correct Answer
B. No
27.
The meniscus is made of type _ collagen
Correct Answer
A. 1
28.
What are the functions of the meniscus?
Correct Answer(s)
A. Load bearing
B. Shock absorption
C. Joint lubrication
29.
The medial meniscus has 2x the excursion of the lateral meniscus during knee range of motion. True or false?
Correct Answer
B. False
Explanation
the lateral meniscus is much stronger than the medial meniscus.
30.
Why are the meniscal fibers radial, and longitudinal?
Correct Answer
B. To dissipate hoop stress
31.
In which of the following situations should a knee x-ray be done?
Correct Answer(s)
A. Age less than 12 years or greater than 50
B. Blunt trauma or fall as the mechanism of injury
C. Open growth plates
D. Inability to walk four weight bearing steps int he ER
32.
The normal range of motion of the knee is
Correct Answer
C. 0-150 degrees
33.
ROM against gravity with some resistance: What is the grading?
Correct Answer
E. 4/5
Explanation
5 – ROM against gravity with full resistance
4 – ROM against gravity with some resistance
3 – ROM against gravity
2 – ROM with gravity eliminated
1 – Evidence of slight contractility, no motion
0 – No evidence of contractility
34.
What test do you do to test for patellar instability?
Correct Answer
A. Apprehension test
35.
A lesion of the tibia with protruding fragements:
Correct Answer
C. Osgood schlatter
36.
Injury to the osteochondral structure
Most common in the medial femoral condyle
Trauma – ischemia - Genetics
Predominately effects males
Not osteonecrosis (rich underlying blood supply
Correct Answer
B. Osteochondritis dissecans
37.
Which of the following are treatments for osteochondritis dessicans?
Correct Answer(s)
A. Conservative
B. Removal of fragment
C. Bone drilling
D. Osteoarticular transfer system
38.
Very common problem
Young patients (athletes)
Defined as anterior knee pain
Associated with increased patellofemoral forces
Pain worsened with running, squatting
Correct Answer
C. Patellofemoral syndrome
39.
Pallatofemoral syndrome can be caused by:
Correct Answer(s)
A. Increased valgus
B. Muscle imbalance
C. Anterior incongruity of p-f joint
D. Lateral subluxation of the patella
E. Patella tendinitis
40.
Is patellofemoral syndrome usually self limiting?
Correct Answer
A. Yes, but you can also treat with braces, injections, nsaids or quad exercises
41.
*** A quadriceps tendon rupture will manifest as a low or high riding patella?
Correct Answer
A. Low riding patella or patella baja
Explanation
patella alta is a high riding patella
42.
What injuries occur when bones of the leg twist in opposite directions under full body weight?
Correct Answer
C. ACL
43.
Total knee replacements are always an option for degenerative knee diseases. True or false?
Correct Answer
A. True
44.
In both patella baja and alta the extremity is unable to flex or extend?
Correct Answer
B. Cannot extend
45.
The number one cause of the pain the popliteal foss is:
Correct Answer
B. Baker's cyst