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Rounds Quiz Questions BODY CAST Rounds Quiz Questions 1. Compartment syndrome is basically a 10. Most peripheral nerve injuries associated vascular problem. List the signs and symptoms with fractures occur as a result of fracture of compartment syndrome in sequence manipulation. according to their value as indications of A. True B. False compartment syndrome. Answer includes six 11. Os trigonum of the calcaneus often is symptoms. mistaken for fracture. 2. Periods of remission and exacerbation are A. True B. False typical of three orthopaedic condition. Name the 12. With reference to x-ray films in suspected three conditions. fracture, which of the following statements 3. Which of the following are metabolic is/are true? disorders? i. Most areas require four views for definitive A. Scurvy interpretation B. Osteoporosis ii. A film of the opposite, uninjured extremity can C. Arthritis aid diagnosis D. Gout iii. Stress views should always be taken 4. Shoulder pain referred from the neck is iv. The distal and proximal joints should be usually experienced: included whenever long-bone fracture is A. At the coracoacromial ligament suspected. B. At the subacromial bursa A. 1, 2, 3 B. 1, 3 C. 2, 4 D. 4 E 1, 2, 3, 4 C. Above the coracoacromial ligament 13. Pain from compartment syndrome is D. Over the upper border of the trapezius probably due to: 5. Which of the following statements is/are true A. Pressure on nerves regarding the normal anatomy of the shoulder? B. Muscle ischemia i. The supraspinatus arises from the scapular C. Deep tendon involvement spine D. Internal haemorrhage ii. The coracoacromial ligament is situated above 14. The most likely treatment for advanced the shoulder joint compartment syndrome with high tissue iii. The sensory nerve supply to all the shoulder pressure is: components is via the axillary and suprascapular A. Ice and elevation nerves B. Surgical fasciotomy iv. The subacromial bursa communicates with the C. Fluid aspiration glenohumeral joint. D. Extremity immobilization Answer is: 15. Reliable signs and symptoms of increased A. 1, 2, 3 B. 1, 3 C. 2, 4 D. 1, 2, 3, 4 compartment pressure are pain, muscle 6. List possible disorders which may be weakness, hypesthesia and: confused with venous thrombosis on clinical A. Prolonged capillary refill grounds. B. Coolness of skin 7. What is the last epiphysis to close in the C. Tenseness of compartment on palpation body? D. Pallor 8. Improper cast length can result in: 16. Gamekeeper’s Thumb i. Unnecessary immobilization of joints A. Is an injury to the ulnar collateral ligament of ii. Ulceration at the edge of the cast the metacarpophalangeal joint of the thumb. iii. Fracture just above or below the cast B. Causes difficulty in pinching and grasping iv. Poor positioning of the structures objects A. 1, 2, 3 B. 1, 3 C. 2, 4 D. 1, 2, 3, 4 C. Always involves an avulsion fracture 9. Contraindications to the application of a cast D. Must be treated by surgical intervention include: 17. The most common risk factor for pulmonary i. Severe dermatitis embolism is: ii. Circulatory problems due to arterial damage A. Superficial phlebitis iii. Venous insufficiency B. Venous stasis iv. Nerve injury C. Hypercoagulability A. 1, 2, 3 B. 1, 3 C. 2, 4 D. 4 E. 1, 2, 3, 4 D. Vascular wall damage 18. The Pisiform is the only carpal bone to have 29. Foot drop is caused by which one of the a tendon insertion. following entrapment syndromes? A. True B. False A. Femoral nerve 19. Severe pressure sores associated with B. Meralgia parasthetica complete quadriplegia are most commonly found C. Common peroneal nerve over the: D. Tarsal tunnel A. Heel E. Obturator nerve B. Foot 30. Which of the following is usually a late sign C. Sacrum of diabetic neuropathy? D. Scapula A. Decreased pain sensation E. Trochanter B. Decreased temperature sensation 20. Rupture of the Achilles tendon occurs most C. Decreased touch sensation commonly at the Muscutotendinous junction. D. Decreased proprioception A. True B. False E. Decreased deep tendon reflexes 21. The two movements unique to the forearm 31. In a minimally displaced fracture of the are: proximal humerus with impacted fragments, the 22. Complete the following by naming the major treatment is: functional position of the part name: A. Immobilization in hanging arm cast A. Wrist B. Immobilization in an elevated cast B. Fingers C. Immobilization with a sling and swathe C. Arm D. Early exercise 23. The most vital function of the hand is the E. Surgery ability to: 32. Tinel’s sign and Phalen’s test are useful in 24. A common cause of maceration is: diagnosing: A. Poor nutrition A. Subluxation in cervical spine B. Moisture B. “Pseudothrombophlebitis” syndrome C. Changing dressings too frequently C. Rupture of synovial cyst D. Incorrect positioning of the patient D. Tendon rupture 25. The most common site of compression of E. Carpal tunnel syndrome the tibial nerve is: 33. The leading cause of non-fatal injuries in A. The popliteal fossa Canada is: B. The soleus muscle A. Bicycle crashes C. The tarsal tunnel B. Firearms D. The plantar muscle C. Water activities E. The gastrocnemius muscle D. Falls 26. Compression of the common peroneal nerve E. Poisons may produce all but which one of the following 34. Erosions, sclerosis and ankylosis involving abnormalities? which of the following sites are the hallmark of A. Impaired dorsiflexion of the foot ankylosing spondylitis? B. Impaired eversion of the foot A. Sacroiliac joint C. Slapping gait B. Atlantoaxial joint D. Wasting of the muscle of the anterolateral C. Distal phalanges compartment of the leg D. Femoral head-neck junction E. Weakness of the posterior tibial muscle E. Acromioclaviclar joint 27. Contributing factors to the development of 35. Which is the joint most commonly injured in diabetic foot disease include: aerobic exercises? A. Decreased pain sensation A. The ankle B. Decreased proprioceptive sensation B. The knee C. Motor deficits C. The hip D. Vascular disease D. The shoulder 28. Wrist drop occurs with which one of the E. The elbow following entrapment syndromes? 36. One problem a patient may experience A. Carpal tunnel wearing a fracture brace for the knee is knee B. Pronator oedema. C. Cubital tunnel A. True B. False D. Guyon’s canal 37. The area of the hip where transient E. Posterior interosseous nerve osteoporosis is most prominent is: A. The femoral neck B. The femoral head C. The greater trochanter D. The intertrochanteric region D the acetabulum 38. The critical determinants of pressure ulcers 46. Advantages of multi-legged over single- are: legged canes include which of the following? A. Pressure (more than one answer) B. Shearing A. They stand alone C. Level of pain B. They may provide more stability than single- D. Mental status legged canes 39. Risk factors for elder abuse include: C. They are less expensive A. History of alcohol abuse D. They are superior in assisting patients up B. Caregiver facing recent life stress stairs. C. Caregiver overwhelmed by daily care of 47. Radiographic findings in osteoarthritis elderly include: D. Family history of violent behaviour A. Widening of the joint space 40. Adults who care for elderly relatives tend to B. Formation of osteophytes report all but which one of the following: C. Osteopenia in the subchondral areas of the A. Increased self esteem joint B. Depression D. Tuphaceous deposits around the joint C. Back pain 48. Which of the following is not characteristic D. Perception of improved health in themselves of joint aspirate fluid in septic arthritis? E. Increased functional somatic complaints A. High turbidity 41. The most definitive finding in thoracic spine B. Low viscosity fracture is: C. Elevated glucose level A. Misalignment of vertebrae D. Elevated white cell count B. Increased distance between pedicles 49. The most likely cause of a ruptured biceps C. A fracture line through the vertebral body tendon is: D. Decreased vertebral height A. Advanced impingement syndrome E. The appearance of bi fid rib B. Acute trauma 42. When reassuring an injured patient, an C. Infection orthopaedic technologist should NOT do which D. Intrinsic tendon weakness of the following? E. Compression from adjacent osteophytes A. Touch the patient gently 50. Which of the following injuries causes a B. Ask the patient about his/her medical Mallet finger deformity? problems A. Flexor tendon avulsion C. Explain the treatment being given B. Extensor tendon rupture (DIP) D. Explain potential complications of the patient’s C. Volar plate rupture injury D. Collateral ligament rupture 43. A cast is usually wedged to do which of the E. Central slip disruption following: 51. Evaluation of finger injuries should always A. Relieve swelling include which of the following? B. Properly align a fractured bone A. Neurovascular assessment C. Reduce skin irritation B. Range of motion examination D. Permit suture removal C. Stress testing of the affected joint 44. Which of the following muscles and its D. Assessment of rotational and angular tendons are not part of the rotator cuff? deformity A. Deltoid E. All of the above B. Supraspinatus 52. Following an injury, a Boutonniere deformity C. Infraspinatus may not be present but can develop several D. Subscapularis days or weeks later. E. Teres minor A. True B. False 45. Ambulatory stability is usually enhanced by: 53. With reference to question three, the delay in (more than one answer) the Boutonniere deformity develops as the A. Increasing the base of support lateral band drift progressively volarward. B. Lowering the centre of gravity of the patient- A. True B. False ambulation aid combination 54. Dupuytren’s contracture occurs most often C. Using hyperlordosis of the trunk in the ring and small fingers.
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