PANRE Orthopedics 3

Question 1

A 16-year-old male presents with knee pain after playing basketball. Examination reveals tenderness at the tibial tuberosity. X-ray shows soft tissue swelling with irregular ossification. What is the diagnosis?

Accepted Answer

Osgood-Schlatter disease

Answer

Osgood-Schlatter disease is a traction apophysitis at the tibial tuberosity common in adolescent athletes, caused by repetitive quadriceps contraction.

Question 2

Which of the following is the gold standard for diagnosing a meniscal tear?

Accepted Answer

MRI

Answer

MRI is the gold standard for diagnosing meniscal tears, with sensitivity and specificity both exceeding 90%.

Question 3

A 35-year-old female presents with wrist pain. Finkelstein test is positive. What tendons are involved?

Accepted Answer

Abductor pollicis longus and extensor pollicis brevis

Answer

De Quervain tenosynovitis affects the abductor pollicis longus and extensor pollicis brevis tendons in the first dorsal compartment, confirmed by the Finkelstein test.

Question 4

A 50-year-old diabetic male presents with painless swelling, deformity, and instability of the ankle without history of trauma. Radiographs show joint destruction, fragmentation, and new bone formation. What is the most likely diagnosis?

Accepted Answer

Charcot arthropathy

Answer

Charcot arthropathy (neuropathic joint) occurs in patients with peripheral neuropathy, causing progressive joint destruction due to loss of protective sensation.

Question 5

Which test is used to diagnose carpal tunnel syndrome at the bedside?

Accepted Answer

Phalen test and Tinel sign

Answer

Phalen test (wrist flexion for 60 seconds reproducing symptoms) and Tinel sign (percussion over carpal tunnel) are classic bedside tests for carpal tunnel syndrome.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Orthopedics 3