Week 6 - Quiz

Which of the following is FALSE when referring to anterior knee pain? Typically it is not due to injury to the patellar articular cartilage It can be caused by biomechanical dysfunction of the lower quarter Requires patient to have pain around patella with a weight bearing activity It is caused by a weak VMO or increased firing of the Vastus Lateralis

It is caused by a weak VMO or increased firing of the Vastus Lateralis

A soccer player sustains a blow to the lateral aspect of the leg when the leg was planted. What anatomical structure is most likely to be injured with this mechanism of injury? Medial Collateral Ligament Posterior Cruciate Ligament Anterior Cruciate Ligament Lateral Collateral Ligament

Medial Collateral Ligament

Dr. K. shows shows up for lab immersion stating that he was playing fetch with his dog and someone else's dog ran into the outside of his right knee, causing his knee to buckle medially. Based on this limited information, what ligament do you suspect he injured? Medial Collateral Ligament I am too tired from this week's last Synch Session Anterior Cruciate Ligament Lateral Collateral Ligament Posterior Cruciate Ligament

Medial Collateral Ligament

Which type of surgery is typically performed to repair an articular cartilage lesion which is less than 2.5 cm deep for a younger highly functional individual? Microfracture Debridement Osteochondral Graft (OATS) Autologous Chondrocyte Implantation

Microfracture

Which type of surgery is typically performed to repair a grade I articular cartilage lesion? Debridement Microfracture Autologous Chondrocyte Implantation Osteochondral Graft No surgery is indicated

No surgery is indicated

You get home from your first day of your final clinical and your 13 yr old sister tells you that her knee pain of 3 months duration (gradual onset) and her PT could not find much with the physical examination today. She is a cross-country runner and has been without a break in training for > 1 yr. Symptoms are medial knee pain, slight loss of ROM, and mild effusion. Symptoms increase with running activities. What is the most likely diagnosis? Patellofemoral Pain Syndrome Osteochondritis Dissecans Osteoarthiris Medial meniscus tear

Osteochondritis Dissecans

The signs and symptoms of a meniscal tear and anterior knee pain/patellofemoral dysfunction may often appear similar. Which of the following conditions is indicative of BOTH of these injuries? Locking of the knee Pain while performing a squat Pain in the anterior knee with activity Pain of the lateral joint line

Pain while performing a squat

What is the name of the condition that TYPICALLY presents around the ages of 10-14 years old and will involve pain/tenderness at the area just distal to the inferior pole of the patella? Pes Anserine Bursitis Plica Syndrome Osgood-Schlatter's Disease Sinding Larsen Johansson Syndrome

Sinding Larsen Johansson Syndrome

Clinical examination is just as good, if not slightly better, than MRIs when it comes to isolated knee injuries of the cruciate ligaments and menisci True False

True

Dr. Cutrone complains of anterior knee pain following a fall onto his knee while jumping off the stage during the last lab immersion. Which of the following is not part of the Ottawa Knee Rule for determining the need for x-rays? Unable to extend the knee beyond 90 degrees Tenderness over the fibular head Isolated tenderness of the patella Unable to weight bear immediately or upon seeing you a couple hours later

Unable to extend the knee beyond 90 degrees

Inferior glide of the patella will increase knee motion in what direction? Adduction Flexion Abduction Extension

Flexion

What percentage of OA may be attributable to genetic risk factors? 10-20% >70% 40-65% 15-30%

40-65%

Which of the following surgeries are you allowed WBAT immediately following the procedure? Osteochondral Graft (OATS) Microfracture Debridement Autologous Chondrocyte Implantation

Debridement

You are examining a 44 yr old male who is reporting sudden onset posterior knee and calf pain and cramping sensations of 2 days duration. Symptoms began insidiously after returning from a vacation to Europe. What is the most likely diagnosis? Grastrocnemius strain Deep vein thrombosis (DVT) Meniscus tear Posterior Cruciate Ligament (PCL) tear

Deep vein thrombosis (DVT)

Anterior glide of the tibia on the femur will increase what motion at the knee in the open chain? Extension Abduction FLexion Adduction

Extension

Which of the following criteria would lead you to refer this gentleman to his physician for further testing? Thigh and calf swelling on the affected side, tenderness along deep venous system, pitting edema Tenderness along deep venous system, limited knee ROM, weakness of calf Pitting edema, over the age of 55, surgery < 4 weeks ago Active cancer, alternative diagnosis is as likely as that of DVT, collateral superficial veins (no varicosities)

Thigh and calf swelling on the affected side, tenderness along deep venous system, pitting edema