PANRE Orthopedics 2

Question 1

A 55-year-old male presents with lateral elbow pain worsened by resisted wrist extension. What is the most likely diagnosis?

Accepted Answer

Lateral epicondylitis

Answer

Lateral epicondylitis (tennis elbow) causes pain at the lateral epicondyle worsened by resisted wrist extension due to extensor carpi radialis brevis tendinopathy.

Question 2

Which nerve is most commonly injured in a posterior shoulder dislocation?

Accepted Answer

Axillary nerve

Answer

The axillary nerve wraps around the surgical neck of the humerus and is most vulnerable in anterior or posterior shoulder dislocations.

Question 3

A patient has a positive Lachman test but negative McMurray test. Which structure is most likely injured?

Accepted Answer

Anterior cruciate ligament

Answer

The Lachman test specifically assesses ACL integrity by checking anterior tibial translation with the knee at 20–30 degrees flexion.

Question 4

Which organism is the most common cause of septic arthritis in adults under 30 years old?

Accepted Answer

Neisseria gonorrhoeae

Answer

Neisseria gonorrhoeae is the most common cause of septic arthritis in sexually active adults under 30 due to hematogenous dissemination.

Question 5

A 70-year-old woman with osteoporosis falls and sustains a hip fracture. Radiograph shows the fracture line passes through the femoral neck. What type of fracture is this?

Accepted Answer

Intracapsular fracture

Answer

Femoral neck fractures are intracapsular and carry risk of avascular necrosis due to disruption of the retinacular blood supply.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Orthopedics 2