1. At the L4-L5 level, there is a disc herniation which involves greater than 50% of the canal on axial imaging...
a. OMG... - Call the Neurosurgeon stat and tell him/her to get the scalpel ready
b. Get the priest on the line, this is horrible
c. Whatever, surgery tomorrow, next week, whenever - it is ok so long it is eventually cut out
d. calm down padawan, it is okay, the vast majority will shrink on their own
2. If I say "there is an intraspinal extradural cyst which communicates with an intervertebral disc, I am describing a...
a. Synovial cyst
b. Discal cyst
c. Paraovarian cyst
d. Epidermoid cyst
3. Symptomatic Thoracic Disc
a. Commonly found in 65 yo men
b. Most commonly seen at T2-T3 or T3-T4
c. Giant disc herniations are commonly calcified
d. Cord infarcts are common.
4. Which of these may have a dural tear:
a. Intradural disc herniation
b. Giant calcified thoracic disc
c. Disc osseous spicule
d. All of the above
5. Process through which pluripotential mesenchymal cells are recruited from surrounding tissue and differentiate into ostoblasts
a. Osteoconduction
b. Osteoinduction
c. Osteogenesis
d. Osteosynthesis
6. Which of these is false regarding allografts
a. Balance of osteolysis and osteogenesis must be present for adequate graft incorporation
b. Can be an in vivo antibiotic delivery system
c. It has osteoinductive properties
d. Can be used for onlay graft
7. MRI obtained immediately after allograft placement is low on T1 and T2
a. Don't worry, this is a normal initial finding
b. Call the orthopedic surgeon and inform him/her that the graft will fail
c. Call the orthopedic surgeon and recommend follow up in 3 weeks
d. Tell the orthopedic surgeon that there is osteomyelitis
8. The surgeon combined the allograft with autologous platelet-rich plasma
a. This helps provide osteoconductive and osteoinductive properties
b. This provides antibiotic properties
c. This provides essential oils to the site
d. This helps provide congruity to the joint
9. There is a comminuted fracture of all four parts of the proximal humerus without displacement or angulation. How would you classify this by Neer classification:
a. 1-part
b. 2-part
c. 4-part
d. None of the above, this is actually a Wade Wilson fracture
10. This has a 97% positive predictive value for humeral head ischemia
a. Lesser tuberosity fracture with 3 cm of separation.
b. Greater tuberosity fracture with 47 degrees of angulation
c. Articular split fracture
d. Anatomical neck fracture with shorter than 8 mm medial metaphyseal segment or displacement by more than 2 mm of the attached medial metaphyseal segment
11. Anterior shoulder dislocation with torn rotator cuff is more typically seen in
a. 29 yo waitress with a single dislocation
b. 19 yo football player
c. Retired shipbuilder who fell down stairs and dislocated
d. 10 yo boy with a single dislocation.
12. Patient has a type VI glenoid fracture
a. Reverse total shoulder arthroplasty is the best option
b. Glenoid hemiarthroplasty is the best option
c. Not treated in order to preserve soft tissue supports
d. Allograft with autologous platelet rich plasma is frequently used for reconstruction.
Bonus:
Which is the best song about New York according to no one but the test giver
A. New York New York - Frank Sinatra Could it be this one?
B. Walk on the Wild Side - Lou Reed Hmmm....maybe?
C. Balloon Man - Robyn Hitchcock and the Egyptians Is it this one?
D. London Calling - The Clash Maybe it's this one
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