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Flashcards in Musculoskeletal Disorders Deck (74)
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1

Which of the following disorders is usually associated with adduction of the forefoot?
a) internal femoral torsion
b) talipes equinovarus congenita
c) genu valgum
d) internal tibial torsion

b) talipes equinovarus congenita

2

The most common rheumatoid disease of childhood is:
a) Systemic lupus erythematosus
b) Kawasaki disease
c) JRA
d) Legg-Calve-Perthes disease

c) JRA

3

Radiographic findings of disease progression and sphericity of femoral head is helpful in the diagnosis and follow-up of:
a) Transient synovitis of the hip
b) Osgood-Schlatter disease
c) Legg-Calve-Perthes disease
d) Slipped capital femoral epiphysis

c) Legg-Calve-Perthes disease

4

A 4 yo boy is brought in by his mother concerned about sudden onset of a painful limp in his right leg 2 days ago. Today he has a low-grade fever. Which of the following diagnoses is most likely?
a) Osgood-Schlatter
b) JRA
c) Osteomyelitis
d) Transient synovitis of the hip

d) Transient synovitis of the hip

5

Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip?
a) observe and reexamine at 2-week well child visit
b) triple diapering in nursery
c) pavlik harness
d) surgical reduction

c) pavlik harness

6

A physical finding not usually associated with talipes equinovarus congenita is:
a) contracture of the illiotibial bands
b) deep crease on medial border of foot
c) atrophy of calf muscles
d) small foot with limited dorsiflexion

a) contracture of the illiotibial bands

7

A characteristic feature of polyarticular JIA disease is:
a) the involvement of 5 or more inflamed joints
b) confinement to lower extremity joints, knees, and ankles
c) asymmetric involvement
d) high, daily intermittent spiking fevers

a) the involvement of 5 or more inflamed joints

8

ANA seropositivity for antibodies is:
a) a valuable diagnostic marker for JIA
b) is not positive in any other childhood diseases
c) more commonly found in older boys or in systemic disease
d) present in over 75% of cases

a) a valuable diagnostic marker for JIA

9

dislocation of the hip of a child six months or older may typically present with:
a) asymmetry of skin folds
b) atrophied hip muscles
c) positive Galeazzi sign
d) negative Trendelenburg sign

c) positive Galeazzi sign

10

For a newborn, the correct management of hip dislocation should include:
a) use of flexion-abduction device such as Pavlik harness to stabilize hip
b) follow and observe closely for 3-4 weeks then refer
c) surgical reduction
d) traction for 6 weeks

a) use of flexion-abduction device such as Pavlik harness to stabilize hip

11

Duchenne muscular dystrophy is characterized by which of the following signs and symptoms?
a) at birth, affected infants are notably hypotonic, "floppy" babies
b) earliest symptom is often refusal to bear weight
c) abnormalities of gait and posture become evident during preschool years
d) unable to keep up with peers when running by school age

c) abnormalities of gait and posture become evident during preschool years

12

Most children with Duchenne muscular dystrophy become wheel-chair dependent by what age?
a) 7-9
b) 10-12
c) 14-16
d) highly variable depending on response to treatment

b) 10-12

13

School-aged children and young adolescents involved in athletic activities may not be at increased risk for:
a) Osgood-Schlatter disease
b) Chondromalacia
c) Spondylolysis
d) Slipped capital femoral epiphysis

d) Slipped capital femoral epiphysis

14

Management of scoliosis depends on the severity of curve as well as the age of the child. Which of the following would require surgical intervention?
a) curves of 15 degrees in a child who is still growing
b) thoracic and/or lumbar curve greater than 25 degrees, even if growth is complete
c) thoracic curve greater than 30 degrees or lumbar curve greater than 40 degrees that has not progressed while in brace
d) thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees

d) thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees

15

In performing a diagnostic workup and management plan for a child with osteomyelitis, which of the following is not accurate or recommended?
a) elevated ESR confirms diagnosis
b) aspiration is usually indicated
c) antibiotic treatment for 4-6 weeks is recommended
d) surgery is recommended if abscess if present

a) elevated ESR confirms diagnosis

16

A 6 yo child presents with a limp and knee pain. the PNP finds limited passive internal rotation and abduction of the hip joint on PE. The most likely diagnosis is:
a) Slipped capital femoral epiphysis
b) Osgood-Schlatter disease
c) Transient synovitis of the hip
d) Legg-Calve-Perthes disease

d) Legg-Calve-Perthes disease

17

Which of the following statements is true about acute osteomyelitis?
a) occurs more frequently in females than males
b) peak ages are infancy (

b) peak ages are infancy (

18

Which of the following statements is not true of slipped capital femoral epiphysis?
a) thought to be precipitated by hormone changes during puberty
b) unilateral involvement is more common than bilateral
c) more common among males and African-Americans
d) thought to be caused by repetitive stresses in young athletes prior to growth spurt

d) thought to be caused by repetitive stresses in young athletes prior to growth spurt

19

Genu varum is considered an abnormal condition when:
a) extreme knock-knees continues after 7 years of age
b) extreme bowing continues after 2 years of age
c) parents are concerned about their child's appearance
d) evident before 2 years of age

b) extreme bowing continues after 2 years of age

20

Tibial torsion is commonly associated with:
a) pain
b) restricted ROM
c) internal rotation of lower extremities
d) occurance in adolescents 13-16 years of age

c) internal rotation of lower extremities

21

Which of the following diagnoses is associated with contracture of one of the sternocleidomastoid muscles?
a) lordosis
b) torticollis
c) scoliosis
d) kyphosis

b) torticollis

22

Sports injuries are commonly associated with:
a) improper training
b) higher frequency in females
c) scoliosis
d) low socioeconomic status

a) improper training

23

Initial treatment of a sprain includes which of the following?
a) Rest, ice, compression, elevation, & NSAIDs
b) Heat, ROM exercise, compression, elevation & NSAIDs
c) Rest, heat, compression, elevation, & NSAIDs
d) Rest, ice, ibuprofen, compression, & NSAIDs

a) Rest, ice, compression, elevation, & NSAIDs

24

The most definitive feature(s) for a diagnosis of "growing pains" includes:
a) exclusion of other causes of lower extremity pain
b) pain, swelling, erythema
c) loss of ambulation
d) decreased ROM

a) exclusion of other causes of lower extremity pain

25

Systemic-onset JIA is most commonly associated with:
a) high, daily intermittent spiking fevers and rash
b) single joint involvement
c) positive RF factor
d) painless joint involvement

a) high, daily intermittent spiking fevers and rash

26

Signs and symptoms associated with Duchenne muscular dystrophy are:
a) history of delayed developmental milestones
b) visual-motor disturbance, calf hypertrophy
c) delayed motor development, positive ortolani maneuver
d) history of clumsiness, visual-motor disturbance

a) history of delayed developmental milestones

27

Complications of SLE commonly include which of the following?
a) pericarditis, arthritis, nephritis
b) encephalitis, nephritis, pericarditis
c) nephritis, arthritis, rheumatic fever
d) nephritis, hemolytic anemia, contact dermatitis

a) pericarditis, arthritis, nephritis

28

Which of the following children need an orthopedic referral?
a) a 6 yo with mild bowing of the lower legs
b) a 6 mo with internal tibial torsion
c) a 3 wo with equinovarus of feet
d) a newborn with a positive pavlik sign

c) a 3 wo with equinovarus of feet

29

The PNP is seeing a newborn and notes on PE that both his feet turn in. When attempting ROM, the PNP finds that both feet move relatively freely in all directions. This pt has:
a) clubfoot
b) syndactyly
c) metatarsus adductus
d) fracture in his feet

c) metatarsus adductus

30

Which of the following is an appropriate goal for a child being treated for osteomyelitis?
a) prohibiting activities
b) complete course of antibiotic therapy
c) encouraging a low fat diet
d) restricting visitors

b) complete course of antibiotic therapy