A 70 year old patient has had intermittent back pain for more than 3 years.
In the last year, it is constant (pain scale is 2-3/10) and at times is sharp.
She is not a surgical candidate. What class of medication would be a good
choice for improvement of chronic pain in this patient?
Naproxen
Codeine
Amitriptyline
Sertraline - ANS ✓Amitriptyline
A 75 year-old female, who knits daily, has a positive Finkelstein test. What
is her likely diagnosis?
Gamekeeper's thumb
De Quervain's tenosynovitis
Osteoarthritis of the thumb
Trigger thumb - ANS ✓De Quervain's tenosynovitis
A 45 year-old male who is in good health presents with complaints of pain
in his left heel. He states that the first few steps out of bed in the morning
are extremely painful. He has no history of trauma. What is the likely
etiology of his pain?
Achilles tendinitis
Plantar fasciitis
ORTHOPEDICS EXAM
, 2
ORTHO
Calcaneal spur
Arthritis of the foot - ANS ✓Plantar fasciitis
A young athlete is found to have a depression of the longitudinal arch of
both feet. He complains of heel pain bilaterally. The rest of his foot is
normal and he has continued with his activities. What could be
recommended for his heel pain?
An x-ray of the foot is needed first.
He needs some heel support in his shoes.
NSAIDs should be used initially.
Rigid orthotics could be ordered for his shoes. - ANS ✓He needs some heel
support in his shoes.
Which of the following is true regarding metatarsus adductus?
This is another term for clubfoot
Mild flexible metatarsus usually spontaneously corrects
X-rays are usually necessary to diagnose this
Infants frequently require casting to correct - ANS ✓Mild flexible metatarsus
usually spontaneously corrects
A patient is at increased risk of osteopenia if she uses which form of birth
control?
Injectable progestin
Intrauterine device
Oral contraceptives
Natural family planning - ANS ✓Injectable progestin
ORTHOPEDICS EXAM
, 3
ORTHO
A 66 year-old African American female has multiple risk factors for
osteoporosis. Which choice listed below is NOT a risk factor for
osteoporosis?
Her age
Her race
Glucocorticoid intake
Excessive alcohol intake - ANS ✓Her race
A 60 year-old female presents with history of low back pain of recent
origin. Her gait is antalgic and she reports loss of bladder function since the
onset of back pain this morning. What should be done?
Order physical therapy
Refer to the emergency department
Refer to a neurologist
Keep non-weight bearing until x-rays are completed - ANS ✓Refer to the
emergency department
An adolescent athlete has sprained his ankle. What instruction should be
given to him regarding activity?
He can resume regular activities in about one week.
He should be able to walk pain-free before he starts to run.
His ankle should be taped prior to competition.
He can resume activity when the edema has resolved. - ANS ✓He should be
able to walk pain-free before he starts to run.
Which symptom can be used to rule out a fracture?
Degree of pain
ORTHOPEDICS EXAM
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DoctorKen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
