Ortho Quiz

Ortho Quiz

by Steven L. Kleinfield D.C., F.A.C.O.

1. Your patient has been told he has a L3/L4 prolapsed disc that was found on MRI. Which part of your patient’s dermatome evaluation will be most informative:

a. Posterior thigh

b. Dorsum of the foot

c. Lateral aspect of the ankle

d. Medial aspect of the ankle

2. Your patient has been told he has a L3/L4 prolapsed disc that was found on MRI. Which DTR when tested will be the most informative:

a. Patella

b. Achilles

c. Lateral Hamstring

d. Medial Hamstring

3. Your patient is a 50 year old male that has a history of 1st metatarsophalangeal joint pain with redness and swelling. He notes that this seems to occur after a night of going out with his friends and drinking beer. The best working diagnosis based on this really limited bit of history would be:

a. Septic Arthritis of the 1st digit

b. Osteoarthrosis

c. Periodic Rheumatoid Arthritis Flare-ups

d. Gouty Arthritis

4. Your patient is a 63 year old male with a history of 30 years of 2 pack a day smoking cigarettes. You observe the patient’s breathing and body posture and you notice that he has what appears to be a “barrel chest” and you also notice that he seems to be using accessory muscles to aide in his labored breathing. The best working diagnosis based on this really limited bit of history:

a. Lung CA

b. Pneumonia

c. Emphysema

d. Pulmonary edema

5. Your patient is a 63 year old male with a history of 30 years of 2 pack a day smoking cigarettes. You observe the patient’s breathing and body posture and you notice that he has what appears to be a “barrel chest” and you also notice that he seems to be using accessory muscles to aide in his labored breathing. Upon auscultation of his chest you would expect to find which percussion tone:

A. Tympanic

b.Hyperresonant

c. Resonant

d. Dullness