Clinical management scenarios for common orthopedic injuries and dermatologic conditions tested on USMLE Step 2 CK.
40 cards · mixed cards · AI-written, checked twice. Edit anything.
- A patient has anatomic snuffbox tenderness after falling on an outstretched hand, but the initial wrist X-ray is normal. What is the next step in management?
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Immobilize in a thumb spica splint and repeat imaging in 1 to 2 weeks (presumed scaphoid fracture).- A fall onto an outstretched hand classically causes a ____, a dorsally displaced fracture of the distal radius.
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Colles fracture- What is the earliest and most reliable clinical sign of compartment syndrome?
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Pain out of proportion to the injury, worsened by passive stretch of the involved muscles.- What is the definitive treatment for acute compartment syndrome?
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Emergent fasciotomy.- Which nerve is most commonly injured in an anterior shoulder dislocation?
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The axillary nerve.- A posterior shoulder dislocation should raise suspicion for which two causes?
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Seizure or electrical shock.- How does a patient with a displaced hip fracture typically present on exam?
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The affected leg is shortened and externally rotated.- What is the classic patient profile for slipped capital femoral epiphysis (SCFE)?
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An obese adolescent presenting with hip, thigh, or knee pain.- What hip exam finding is characteristic of SCFE?
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Obligate external rotation of the hip with passive flexion.- What is Legg-Calve-Perthes disease?
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Idiopathic avascular necrosis of the femoral head in a young child.- What is Osgood-Schlatter disease?
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Traction apophysitis of the tibial tubercle from repetitive quadriceps pull, common in active adolescents.- Where do most clavicle fractures occur?
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The middle third of the clavicle.- What is the purpose of the Ottawa ankle rules?
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To determine whether an ankle X-ray is needed after acute injury, reducing unnecessary imaging.- What test assesses for a suspected Achilles tendon rupture?
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Thompson test (squeezing the calf produces no plantarflexion if ruptured).- An anterior cruciate ligament tear classically occurs after a ____ injury with an audible pop and rapid knee swelling.
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noncontact pivoting
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