Orthopedic Board Review MCQs: High-Yield Clinical Vignettes

Question 1

A 60-year-old woman presents with medial ankle pain and a progressive flatfoot deformity. Examination reveals an inability to perform a single-limb heel rise. The primary dynamic stabilizer of the medial longitudinal arch is implicated. Which of the

Accepted Answer

Navicular tuberosity; plantarflexion and inversion

Question 2

A 62-year-old woman with a history of medial ankle pain presents with a rigid, non-reducible flatfoot deformity. She has severe pain in the subfibular region. Radiographs demonstrate talonavicular and subtalar arthritis with severe talonavicular unco

Accepted Answer

Triple arthrodesis

Question 3

A 4-year-old boy with spastic diplegia presents with a severe scissoring gait. He has excellent head and trunk control. Examination shows hyperreflexia and clonus in the lower extremities but near-normal function in the upper extremities. If a select

Accepted Answer

Spasticity interfering with mobility in a patient with good underlying motor control

Question 4

An 18-year-old football player sustains a knee injury with immediate hemarthrosis after decelerating and pivoting. Examination reveals a positive Lachman test. The injured structure consists of two distinct bundles. Which of the following statements

Accepted Answer

The anteromedial bundle is tight in flexion and is the primary restraint to anterior tibial translation at 90 degrees of flexion.

Question 5

A 19-year-old athlete undergoes evaluation for a suspected anterior cruciate ligament (ACL) tear. Magnetic resonance imaging (MRI) confirms a complete midsubstance ACL rupture. Which of the following associated meniscal injuries is most commonly seen

Accepted Answer

Lateral meniscus posterior horn tear

Question 6

A 70-year-old woman presents with pain and deformity of her great toe 2 years after a bunionectomy. Examination reveals a rigid hallux varus deformity. Which of the following intraoperative errors is the most likely cause of this complication?

Accepted Answer

Excessive lateral release and over-resection of the medial eminence

Question 7

A 72-year-old woman presents with severe first metatarsophalangeal (MTP) joint pain and a recurrent, rigid hallux valgus deformity 15 years after previous bunion surgery. Radiographs demonstrate severe osteoarthritis of the first MTP joint with a pro

Accepted Answer

10-15 degrees of valgus, 10-15 degrees of dorsiflexion relative to the floor, and neutral rotation

Question 8

A 45-year-old man presents with recurrent right-sided sciatica 6 months after a right L4-L5 microdiscectomy. He had initial relief of symptoms, but the pain returned 4 weeks ago. To differentiate between epidural fibrosis (scar tissue) and a recurren

Accepted Answer

Epidural fibrosis will enhance with gadolinium, whereas a recurrent disk herniation will not enhance.

Question 9

A 52-year-old man with poorly controlled type 2 diabetes presents with a 3-week history of purulent drainage from a plantar ulcer under the first metatarsal head. The ulcer measures 2 cm in diameter. A sterile blunt probe is easily advanced through t

Accepted Answer

It has a high positive predictive value for osteomyelitis in the setting of a clinically infected ulcer.

Question 10

A 55-year-old diabetic patient is admitted with a severe, limb-threatening diabetic foot infection and suspected osteomyelitis of the great toe. He has not received any recent antibiotics. Deep tissue cultures and a bone biopsy are obtained. Which of

Accepted Answer

Polymicrobial including aerobic Gram-positive cocci, Gram-negative bacilli, and anaerobes; treat with broad-spectrum intravenous antibiotics.

Orthopaedic Surgery Board Exam Review: ABOS Part I & AAOS OITE Prep Questions | Part 22210

Orthopedic Board Review MCQs: High-Yield Clinical Vignettes