PANRE Orthopedics 5

Question 1

A 30-year-old male presents with a 'dinner fork' deformity of the wrist after a fall on an outstretched hand. X-ray confirms a Colles fracture. What is the hallmark of this fracture?

Accepted Answer

Dorsal angulation of the distal radius with radial shortening

Answer

Colles fracture is a distal radius fracture with dorsal angulation and radial shortening, classically causing the 'dinner fork' deformity.

Question 2

Which special test is used to evaluate for rotator cuff impingement?

Accepted Answer

Neer impingement sign

Answer

The Neer impingement sign is performed by passively forward-flexing the arm with the forearm pronated; pain indicates subacromial impingement.

Question 3

A 65-year-old male with a known history of gout is found to have chalky white deposits over his Achilles tendon and ear helices. What are these deposits called?

Accepted Answer

Tophi

Answer

Tophi are deposits of monosodium urate crystals that form in chronic tophaceous gout, commonly at pressure points and cooler areas like the ear helix.

Question 4

A 5-year-old boy presents with a limp and hip pain. X-ray shows flattening and increased density of the femoral head. What is the diagnosis?

Accepted Answer

Legg-Calvé-Perthes disease

Answer

Legg-Calvé-Perthes disease is avascular necrosis of the femoral head in children aged 4–10, appearing as a flattened, sclerotic femoral head on X-ray.

Question 5

A patient sustains a proximal humerus fracture. Which nerve is at greatest risk of injury?

Accepted Answer

Axillary nerve

Answer

The axillary nerve passes inferior to the glenohumeral joint and around the surgical neck of the humerus, making it vulnerable in proximal humerus fractures.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Orthopedics 5