Diagnosing Lisfranc Foot Fracture

A doctor will perform a physical examination, manipulating the foot to assess the level
of pain and the site of injury.  A circular motion with the foot (heel held steady) will
produce significant pain with a Lisfranc injury but minimal pain with a sprain.  A doctor
will also order diagnostic tests—x-ray, CT scan, or MRI, to determine the precise nature
of the injury, the type of fracture and its severity.

Q2
Treatment for Erb’s Palsy that does not spontaneously recover generally consists of
exercise and physical therapy. In 80% of the babies born with Erb’s palsy recovery will
occur without a surgical intervention.

The question is at any age most effective operation in Erb’s Palsy. (one correct answer)

A) From birth to 3 months age

B) From 5 to 12 months age
C) From 3 to 5 years
D) All above true
E) All above false

Surgery is found to be most effective in Erb’s Palsy children that are between the ages of
5 and 12 months; beyond this age group, surgery will not be as effective.

http://orthoinfo.aaos.org/figures/A00077F01.jpg

Q3 what is the most common primary bone cancer.

a) Ewing's Sarcoma

b) Osteosarcom

c) Multiple Myeloma

d) Chondrosarcoma

e) CHORDOMA

Multiple myeloma is the most common primary bone cancer. It is a malignant tumor of bone marrow. Multiple
myeloma affects approximately five to seven people per 100,000 each year. 

http://www.healthnewsflash.com/images/conditions/myl3.gif
Q4

All the following are diaphyseal tumors except

a) Ewing sarcoma

b) Lymphoma

c) Fibrous dysplasia

d) Giant cell tumor

e) admantinoma

Epiphyseal Lesions
   Chondroblastoma (age 10-25)
   Giant cell tumor (age 20-40)
   Clear cell chondrosarcoma (rare)

Q5 Baker cysts can be treated with:

1) Knee joint aspiration

2)  Cortisone injection

3) Surgical operation

4) Arthroscopic surgery

5) All of above

Baker cysts often resolve with removal of excess knee fluid in conjunction with cortisone injection.
Medications are sometimes given to relieve pain and inflammation.
When cartilage tears or other internal knee problems are associated, surgery can be the best treatment
option. During a surgical operation, the surgeon can remove the swollen tissue ( synovium ) that leads to
the cyst formation. This is most commonly done with arthroscopic surgery.

http://stemcelldoc.files.wordpress.com/2011/01/bakers-cyst.jpg

Q6  Most common type of arthritis in adult associated with Baker cysts

1) Osteoarthritis
2) Juvenile arthritis
3)  Rheumatoid arthritis
4) Septic arthritis
5) Psoriatic arthritis
Baker cysts are not uncommon and can be caused by virtually any type of arthritis. The excess joint
synovial fluid bulges to the back of the knee to form the Baker cyst. The most common type of arthritis
associated with Baker cysts is osteoarthritis, also called degenerative arthritis. Baker cysts can occur in
children with juvenile arthritis of the knee. Baker cysts also can result from cartilage tears (such as a
torn meniscus), rheumatoid arthritis, and other knee problems.

http://www.thaimedicalnews.com/wp-content/uploads/popliteal-cyst-diagram.jpg