Each correct answer is worth 20 points.
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Grade | Scoring Range | Frequency | Percent |
1. |
What person's name is associated with the fracture shown below?
|
|
a. | Monteggia | |
b. | Bennett | |
c. | Jones | |
d. | Colle | |
e. | Smith |
Correct Answer: | Colle |
Your Answer: |
%$Q1M% |
Explanation There is a fracture of the distal radius with dorsal angulation of the distal fracture fragment. This is a Colle's fracture. Colle's fractures usually occur when an adult falls on a hyperextended, outstretched hand. There is frequently an associated fracture of the ulnar styloid. Although Colle's fractures are not intra-articular fractures, secondary degenerative arthritis may develop at the wrist joint. |
2. |
What person's name is associated with the fracture shown below?
|
|
a. | Monteggia | |
b. | Bennett | |
c. | Jones | |
d. | Colle | |
e. | Smith |
Correct Answer: | Jones |
Your Answer: |
%$Q2M% |
Explanation There is a transverse fracture of the base of the fifth metatarsal. This is the site of attachment of the peroneus brevis tendon and a common site for avulsion-type fractures of the foot. This is a Jones fracture. This fracture occurs when there is plantar flexion of the foot and inversion of the ankle, such as would occur when missing a step off a curb. |
3. |
What person's name is associated with the fracture shown below?
|
|
a. | Monteggia | |
b. | Bennett | |
c. | Jones | |
d. | Colle | |
e. | Smith |
Correct Answer: | Smith |
Your Answer: |
%$Q3M% |
Explanation There is a transverse fracture of the distal radius with palmar (volar) angulation of the major distal radial fracture fragment. This is a Smith's fracture and is caused by a fall on a hyperflexed, outstretched hand. It is sometimes referred to as a "reverse Colle's fracture." |
4. |
What person's name is associated with the fracture shown below?
|
|
a. | Monteggia | |
b. | Bennett | |
c. | Jones | |
d. | Colle | |
e. | Smith |
Correct Answer: | Monteggia |
Your Answer: |
%$Q4M% |
Explanation Although already immobilized, you can still see a fracture of the ulna with angulation and, most importantly, shortening. When one of the two bones in the arm or leg (tibia and fibula) fracture accompanied by shortening, something must happen to allow shortening of the other bone. It can fracture, tendons can tear, or there can be a dislocation. In a Monteggia fracture-dislocation, the radial head dislocates, usually anteriorly. This is recognizable because a line drawn through the shaft of the radius fails to intersect the capitellum, which it should do in every projection in a normal elbow. |
5. |
What person's name is associated with the fracture shown below?
|
|
a. | Monteggia | |
b. | Bennett | |
c. | Jones | |
d. | Colle | |
e. | Smith |
Correct Answer: | Bennett |
Your Answer: |
%$Q5M% |
Explanation There is a fracture through the metacarpal of the thumb with a single fragment and the fracture is seen to extend to the joint space. In addition, there is also a dislocation of the base of the first metacarpal although a fragment continues to articulate with the trapezium. These features describe a Bennett's fracture, which is caused by forced abduction of the thumb. A Rolando fracture is similar, but the fracture is comminuted. |
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