Lower Limb Imaging - Part 2 (Msq Drill 186)


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Lower Limb Imaging - Part 2 (Msq Drill 186) - Quiz


http://www. Medicalschoolquizzes. Com by DrKash


Questions and Answers
  • 1. 

    To see the SI joints on X-ray, which is the best view to use?

    • A.

      AP

    • B.

      Oblique

    Correct Answer
    B. Oblique
  • 2. 

    A pelvis is a ring structure, so a pelvic fracture will almost always involve ______ fracture points.

    • A.

      1

    • B.

      2

    • C.

      3

    • D.

      4

    Correct Answer
    B. 2
  • 3. 

    Most pelvic avulsion fractures occur where the muscles attach to the pelvis. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 4. 

    The end of the long bone is kown as the:

    • A.

      Epiphysis

    • B.

      Diaphysis

    • C.

      Costochondral ridge

    Correct Answer
    A. EpipHysis
  • 5. 

    An apophysis is a secondary ossification center that contributes to the growth of the bone, is it part of the joint?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
  • 6. 

    Which of the following characteristics will you find in a patient diagnosed with a slipped capital epiphysis?

    • A.

      Active

    • B.

      Involves epiphyseal plate in adolescents

    • C.

      More common in boys betwee 10-17

    • D.

      Can lead to leg length discrepancy

    • E.

      Obese

    Correct Answer(s)
    A. Active
    B. Involves epipHyseal plate in adolescents
    C. More common in boys betwee 10-17
    D. Can lead to leg length discrepancy
    E. Obese
  • 7. 

    The slip in a slipped capital epiphysis is usually in a

    • A.

      Posterior lateral direction

    • B.

      Anterior posterior direction

    • C.

      Posterior medial direction

    Correct Answer
    C. Posterior medial direction
  • 8. 

    Legg-calve perthes disease has the following characteristics

    • A.

      May be caused by avascular necrosis

    • B.

      Involves the femoral capital bone

    • C.

      May be caused by drugs

    • D.

      Affects the people who may have had trauma, surgery or have taken steroid

    • E.

      Sicke cell anemia patients

    Correct Answer(s)
    A. May be caused by avascular necrosis
    B. Involves the femoral capital bone
    C. May be caused by drugs
    D. Affects the people who may have had trauma, surgery or have taken steroid
    E. Sicke cell anemia patients
    Explanation
    usually between ages 4-8, head eventually flattens out, sclerotic border.

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  • 9. 

    Do patients with Legg-calve-perthess usually present with pain or with a limp or with bone

    • A.

      Pain only

    • B.

      Limp only

    • C.

      Pain and limp at times

    Correct Answer
    C. Pain and limp at times
  • 10. 

    What test would you use for Legg-calve-perthes disease?

    • A.

      CT

    • B.

      MRI

    Correct Answer
    B. MRI
  • 11. 

    Congential hip dysplasia usually occurs in:

    • A.

      Toddlers

    • B.

      Preschool children

    • C.

      Newborns

    Correct Answer
    C. Newborns
  • 12. 

    Can you do ultrasound for congenital hip dysplasia as well?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 13. 

    Avascular necrosis in an adult is usually primary or secondary?

    • A.

      Primary

    • B.

      Secondary

    Correct Answer
    B. Secondary
  • 14. 

    What is the easiest way to diagnose avascular necrosis in an adult?

    • A.

      CT

    • B.

      MRI

    Correct Answer
    B. MRI
  • 15. 

    What joint is most frequently affected by avascular necrosis?

    • A.

      Elbow

    • B.

      Hip

    • C.

      Knee

    • D.

      Ankle mortise

    Correct Answer
    B. Hip
  • 16. 

    What is the weakest part of the femur. It is usually the site of femoral fractures?

    • A.

      Body

    • B.

      Head

    • C.

      Neck

    Correct Answer
    C. Neck
  • 17. 

    Bone scans are highly sensitive to:

    • A.

      Bone degeneration processes

    • B.

      Bone healing processes

    Correct Answer
    B. Bone healing processes
  • 18. 

    To look for joint effusions in the knee which view is the best?

    • A.

      AP

    • B.

      Lateral

    • C.

      PA

    Correct Answer
    B. Lateral
  • 19. 

    Can you see bony fragments floating in the joint space in a patient with osteocondritis dessicans?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 20. 

    Patients with neuropathic Charcot have lost their _________ sensation?

    • A.

      Temperature

    • B.

      Vibration

    • C.

      Pain

    Correct Answer
    C. Pain
  • 21. 

    The most frequent cause of Neuropathic Charcot is __________ .

    • A.

      Smoking

    • B.

      Excessive exercise

    • C.

      Aging

    • D.

      Diabetes

    Correct Answer
    D. Diabetes
  • 22. 

    Are Charcot arthropathic joints usually osteoporotic?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
    Explanation
    No because the patients don't feel any pain so they keep using the joints.

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  • 23. 

    An early sign of Osgood schlatter is:

    • A.

      Uncontrollable pain

    • B.

      Soft tissue swelling

    • C.

      Bruising

    Correct Answer
    B. Soft tissue swelling
  • 24. 

    Calcification of the cartillage is known as:

    • A.

      Osteocalcinosis

    • B.

      Ossification

    • C.

      Chrondrocalcinosis

    Correct Answer
    C. Chrondrocalcinosis
  • 25. 

    *** A maisonneuve fracture affects the medial or lateral malleolus?

    • A.

      Medial malleolus

    • B.

      Lateral malleolus

    • C.

      Neither

    Correct Answer
    A. Medial malleolus
  • 26. 

    Do not forget to look for a fracture in the ___________ in the patient with a maissoneve fracture?

    • A.

      Distal fibula

    • B.

      Proximal fibular

    • C.

      Distal femur

    Correct Answer
    A. Distal fibula
  • 27. 

    A trimalleolar fracture can just be splinted.True or false?

    • A.

      True

    • B.

      False, it is an unstable fracture that cannot just be splinted.

    Correct Answer
    B. False, it is an unstable fracture that cannot just be splinted.
  • 28. 

    What is the most frequent fracture in the foot?

    • A.

      Talus fracture

    • B.

      Subtalar fracture

    • C.

      Jones fracture

    Correct Answer
    C. Jones fracture
  • 29. 

    Most of the fractures in the foot run in which direction?

    • A.

      Transverse

    • B.

      Vertical

    • C.

      Horizontal

    Correct Answer
    A. Transverse
    Explanation
    This has implications because of growth plates

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  • 30. 

    A fracture that goes through the base of the metatarsals is known as a:

    • A.

      Metatarsalis fracture

    • B.

      Lisfrac fracture

    • C.

      Colle's fractures

    Correct Answer
    B. Lisfrac fracture

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