Orthopedic Board Review MCQs: High-Yield Case Analysis

Question 1

A 21-year-old collegiate pitcher undergoes shoulder arthroscopy for chronic pain. The image shows a Type I SLAP lesion. Which of the following best describes the pathologic anatomy of a Type I SLAP lesion?

Accepted Answer

Fraying and degeneration of the superior labrum with an intact biceps anchor.

Question 2

A 7-year-old boy with Legg-Calvé-Perthes disease presents with a painful limp and limited abduction. Radiographs demonstrate hinge abduction. What is the primary pathomechanical consequence of persistent hinge abduction if left untreated?

Accepted Answer

Prevention of femoral head remodeling by the acetabulum

Question 3

The MRI scans shown demonstrate a lipohemarthrosis in the knee. Which of the following is the most common underlying etiology for this specific MRI finding?

Accepted Answer

Intra-articular fracture

Question 4

An obese 12-year-old boy presents with left hip pain and the radiograph shown. He is diagnosed with a slipped capital femoral epiphysis (SCFE). Which of the following treatments is contraindicated due to its association with a high risk of osteonecro

Accepted Answer

Closed reduction prior to pinning

Question 5

A 23-year-old man presents with right posterolateral knee pain, worse at night and relieved by NSAIDs. Imaging and histology are shown. The histologic specimen demonstrates a cellular, vascular stroma with plump osteoblasts producing immature woven b

Accepted Answer

Percutaneous radiofrequency ablation

Question 6

A 32-year-old woman presents with right hip pain and the radiograph shown, demonstrating developmental dysplasia of the hip (DDH) with a high acetabular index. A Bernese (Ganz) periacetabular osteotomy is planned. Which of the following is a primary

Accepted Answer

Medialization of the hip joint center

Question 7

A 64-year-old woman sustains the wrist injury shown in the radiographs. The injury is a volar displaced intra-articular distal radius fracture. When utilizing a volar buttress plate for this specific fracture pattern, what is the primary biomechanica

Accepted Answer

To neutralize axial loading and volar shearing forces

Question 8

A 13-year-old girl presents with right groin pain and the imaging and histology shown. The histology reveals irregular, woven bone trabeculae in a fibrous stroma without osteoblastic rimming ('Chinese letter' pattern). This condition is associated wi

Accepted Answer

GNAS1

Question 9

A 38-year-old runner presents with right hip pain. Imaging reveals a well-circumscribed, radiolucent lesion with a sclerotic margin in the anterosuperior aspect of the femoral neck. This lesion, known as a synovial herniation pit, is most frequently

Accepted Answer

Femoroacetabular impingement

Question 10

A 22-year-old man sustains the midfoot injury shown in the radiograph. The injury involves disruption of the Lisfranc ligament complex. Which of the following best describes the anatomic attachments of the primary, strongest band of the Lisfranc liga

Accepted Answer

From the medial cuneiform to the base of the second metatarsal

Orthopedic Board Review MCQs: High-Yield Case Analysis

Orthopedic Board Review MCQs: High-Yield Case Analysis

Module Results

Guide Overview

Orthopedic Board Review MCQs: High-Yield Case Analysis

⚠️ Unanswered Questions

Module Results

Guide Overview