MSFinals-4024
In elderly patients with acute limb compartment syndrome, which symptom is a late sign indicating a poor prognosis and is associated with local tissue hypoxia caused by increased pressure within an unyielding osseo-fascial compartment?
In elderly patients with acute limb compartment syndrome, which symptom is a late sign indicating a poor prognosis and is associated with local tissue hypoxia caused by increased pressure within an unyielding osseo-fascial compartment?
A 23-year-old woman slipped and fell on her left hand, resulting in injury to her left anatomical snuffbox. Which structures are more likely to be affected by an injury to the anatomical snuffbox?
A 35-year-old man falls and injures his thumb while skiing. On examination, there is significant pain and laxity of the thumb on valgus stress and weakness of the pinch grasp.
Which one of the following is the most likely injury?
A 48-year-old motorcyclist experiences a minor motor vehicle accident and damages his left shoulder. During the physical examination, he exhibits a positive belly press and lift-off test, as well as internal rotation weakness and heightened passive external rotation of the left arm.
What is the probable diagnosis?
A 70-year-old woman fell down some stairs and fractured the neck of her right femur. Fracture of the femoral neck may lead to avascular necrosis of the femoral head as a result of the interruption of which artery?
A 14-year-old boy comes to the Emergency Department with a suddenly hot and swollen knee joint. The issue began approximately 24 hours ago. His temperature is currently 38.2°C and blood cultures have been collected and sent for testing. During the examination, the knee is extremely sensitive, and the pain is causing limited mobility. This patient has no significant medical history and this is his first occurrence of this type of problem.
What would be your next course of action?
Given that John, an 18-year-old rugby player, has suffered a complete tear in his anterior cruciate ligament (ACL) after being tackled sideways, what would be the most effective course of treatment for him? He experienced a popping sound and now has a swollen, unstable and painful knee that cannot bear weight. MRI results confirmed the injury.
A 25-year-old rugby player injured his shoulder after a heavy tackle during a match. He arrived at the Emergency Department in visible discomfort with a deformed right shoulder that appeared flattened and drooped lower than his left. An X-ray revealed an anterior dislocation.
What is the name of the nerve that passes around the surgical neck of the humerus?
A 78-year-old man experiences a sensation of something ‘giving way’ in his right arm while lifting a heavy bag of garden waste. The arm is visibly bruised, and upon flexing the elbow, a lump appears in the middle of the anterior aspect of the arm. The diagnosis is a rupture of the tendon of the long head of the biceps brachii. Where does this tendon typically attach to a bony point?
A 7-year-old girl tripped while playing outside. She suffered a fall on an outstretched hand and immediately grabbed her right elbow in pain. She was taken to Accident and Emergency and an X-ray revealed a right humeral supracondylar fracture. The skin is intact and there is only minor swelling below the elbow, with normal distal pulses.
Which of the following problems is this child most likely to experience?