APEA Management Orthopedics Practice Test

These questions are part of the practice quiz. Start practicing

• A 16-year-old complains his knees hurt with a prominent tibial tubercle. Which condition is most likely in the differential?
• What elbow imaging sign suggests an occult fracture?
• On radiographs, which finding is more typical of inflammatory arthritis than osteoarthritis?
• In suspected septic arthritis, when is MRI most appropriate?
• What crystals are seen in gout and how do they appear under polarized light?
• Which management option is reasonable for plantar fasciitis?
• For a 49-year-old migrant worker with progressive left-hip OA affecting daily activities, what is the most appropriate management plan?
• Women are commonly screened for osteoporosis at age 65 years. How should screening for osteoporosis be managed in a male this age?
• Which statement best describes the impact of smoking on healing?
• In carpal tunnel management, under what condition is surgical release considered earlier?
• Medial tibial stress syndrome versus tibial stress fracture: presentation and initial management?
• In Osgood-Schlatter disease, what assessment finding is typical?
• Which age group is most commonly affected by Osgood-Schlatter disease?
• Which laboratory findings are most consistent with rheumatoid arthritis?
• Which factor listed below is NOT considered a risk factor for development of osteoporosis?
• What is the recommended approach to DVT prophylaxis after orthopedic surgery?
• Which test is commonly used to screen for rotator cuff tears?
• Which oblique view is helpful in diagnosing spondylolysis in athletes?
• Which of the following best describes the management principle for a nondisplaced femoral neck fracture in the elderly?
• What is the hallmark presentation of adhesive capsulitis (frozen shoulder)?
• Frozen shoulder initial management and when are corticosteroid injections considered?
• In scaphoid fractures, which location has the highest risk of avascular necrosis?
• For Dupuytren disease with mild contracture, which initial management is appropriate?
• In suspected septic arthritis, what is the next step if purulence is found during joint aspiration?
• Which statement is true regarding NSAIDs for low back pain?
• In ring avulsion injuries to the finger, what is a key initial management priority?
• Which findings are most commonly associated with rheumatoid arthritis?
• Which synovial fluid finding is most characteristic of septic arthritis?
• Occipital pain and headache can occur with which injury?
• Which imaging views are recommended for screening slipped capital femoral epiphysis in adolescents?
• Which motion is especially limited in adhesive capsulitis?
• Which beverage below does not increase the risk of gout in a male who is prone to this condition?
• In suspected septic arthritis of the knee, what is the immediate step?
• Which MRI finding is typical of early osteomyelitis?
• Which imaging modality is most sensitive for early osteomyelitis?
• Multimodal analgesia to reduce opioid use after orthopedic surgery typically includes which components?
• Why is allopurinol not used during an acute gout attack?
• According to the Ottawa ankle rules, radiographs are not indicated when which condition is present?
• Bone mineral density screening in women older than 65 years is an example of which type of prevention?
• Which maneuver is most appropriate to assess ACL integrity and is considered highly sensitive?
• Distal radius fractures: which combination of imaging and radiographic finding best indicates intra-articular involvement?
• Restoring the joint surface in tibial plateau fractures aims to reduce which long-term complication?
• What is the initial reduction method for a posterior shoulder dislocation?
• Which category of foods contributes most to a high purine diet?
• Osgood-Schlatter disease is most commonly seen in which demographic group?
• Which imaging feature is typical for rheumatoid arthritis compared with osteoarthritis?
• In the management of open fracture, which step is essential besides antibiotics?
• What is the first-line nonoperative management for symptomatic knee osteoarthritis?
• What is the standard perioperative antibiotic prophylaxis for arthroplasty?
• A 12-year-old male with hip pain presents to the NP clinic. Hip pain has occurred with activity for the past 4-6 weeks, but his pain is worse and now involves the knee. There is no history of trauma. How should the workup be initiated?
• Which imaging modality is most sensitive for early detection of avascular necrosis of the femoral head?
• In rotator cuff tears, when is surgical repair indicated?
• A high purine diet can contribute to gouty arthritis. Which food contributes most to a high purine diet?
• A positive Trendelenburg test helps identify which pediatric condition?
• In an older adult with antalgic gait and hip pain with trochanteric tenderness, what is the most common cause?
• What is the recommended management for irreducible shoulder dislocation?
• A patient has suspected plantar fasciitis. The plantar fascia is best examined:
• In a patient presenting with severe pain at the base of the left big toe, which symptom most strongly suggests a diagnosis other than gout?
• What is an early warning sign of compartment syndrome?
• For a depressed tibial plateau fracture, which finding most strongly suggests the need for operative fixation?
• Which of the following is true about metatarsus adductus?
• What is the typical imaging and follow-up approach for a nondisplaced tibial fracture in a child?
• What is a reasonable analgesic option for a patient with NSAID allergy?
• Ottawa ankle rules: radiographs indicated in acute ankle injury when?
• What is the typical management difference between physiologic bowing and Blount disease in growing children?
• In suspected osteomyelitis, which statement is true?
• In ring avulsion finger injuries, what is the urgent management priority?
• A 95-year-old male has lost muscle mass as he aged. He does not have any underlying disease that has caused this loss. What is this termed?
• Which outcome measures are commonly used to assess function after orthopedic procedures?
• In pediatric femoral shaft fractures, how does treatment vary with age?
• In infants older than 3 months, which finding is a better indicator of developmental dysplasia of the hip (DDH)?
• Ankle inversion is a common complaint from a patient with a:
• Suspected septic arthritis in an adult: immediate workup and initial management?
• What is the most prevalent skeletal problem in the United States?
• In Dupuytren disease, which injectable therapy is used for contractures?
• In a mid-shaft humerus fracture, which nerve is most commonly injured and what deficits would you expect?
• Which statement best describes nonpharmacologic management of knee osteoarthritis according to the material?
• How does displacement and proximal pole location influence scaphoid fracture management and AVN risk?
• Which pharmacologic options are used for DVT prophylaxis after orthopedic surgery?
• Which of the following factors is associated with prognosis after ACL reconstruction?
• What is the standard antibiotic prophylaxis approach for open fractures?
• Name a red flag that warrants urgent imaging in a patient with back pain.
• Which scaphoid fracture pattern carries a high risk of nonunion and AVN, often prompting surgical fixation?
• A patient on NSAIDs and hydrocodone reports rectal bleeding; what is the most likely diagnosis?
• Barlow and Ortolani maneuvers are used to assess hip stability in which age group?
• Which physical exam test is commonly used to screen for rotator cuff tears?
• What is the typical management for a nondisplaced femoral neck fracture in an elderly patient?
• Bucket-handle meniscal tears classically present with which symptom, and what is the typical management?
• A patient falls from a step ladder and has point tenderness over the medial malleolus with swelling. What is the most appropriate initial step to manage this injury?
• Which combination constitutes red flags for an epidural abscess requiring prompt evaluation?
• Which management sequence is typically used for carpal tunnel syndrome, from nonoperative to operative?
• Which statement best distinguishes plantar fasciitis from Achilles tendinopathy and outlines first-line management?
• For acute gout or pseudogout presenting in the knee, what is the initial management?
• Which medication is contraindicated during an acute gout attack?
• A young athlete is found to have a depression of the longitudinal arch of both feet. He complains of bilateral heel pain. The rest of his foot is normal and he has continued with his activities. What could be recommended for his heel pain?
• Which scenario warrants pharmacologic DVT prophylaxis with LMWH or DOACs in orthopedic care?
• For an older patient with knee osteoarthritis, what intervention is considered first-line for pain relief?
• Which statement about the Galeazzi and Klisic tests is true?
• Which of the following is a recommended initial management approach for a sprained ankle?
• Which form of birth control is associated with an increased risk of osteopenia?
• What is the diagnostic threshold concept in acute compartment syndrome and the recommended management step if elevated?
• Which statement best describes the adolescent scoliosis finding?
• Which of the following scaphoid fracture patterns has the highest nonunion/AVN risk and often requires surgical fixation?
• In pediatric supracondylar humerus fractures, which neurovascular structures are of concern?
• In a multimodal analgesia plan to reduce opioid use after orthopedic surgery, which option is NOT recommended?
• Management of a sprained ankle includes:
• Does early mobilization after fracture improve outcomes?
• An older adult with knee symptoms and swelling is most likely to have which condition?
• In arthroplasty, prophylactic antibiotics are typically given within 60 minutes of incision and continued postoperatively for how long?
• What is the typical radiographic sign associated with avascular necrosis of the femoral head?
• Which is NOT a recognized risk factor for osteoporosis in the options below?
• Which Rockwood AC joint separation grades are typically managed nonoperatively?
• Posterior shoulder dislocation is most commonly due to which mechanism?
• How should DEXA results be interpreted in terms of T-scores and initial management thresholds?
• Which statement about serology is typical for rheumatoid arthritis?
• If a depressed tibial plateau fracture shows no significant depression or instability, what is the typical management?
• What is the difference between active and passive range of motion?
• What is an initial step in evaluating suspected epidural abscess?
• Regarding dental prophylaxis for patients with a knee or hip replacement, which statement is supported by the material?
• Which item is NOT listed as affecting prognosis after ACL reconstruction?
• Intra-articular corticosteroid injections are indicated for which scenario, and what precautions apply?
• How are most acute AC separations managed in practice?
• ACL tears in athletes: indications for surgical reconstruction versus nonoperative rehab?
• Cervical whiplash injury commonly follows which type of event?
• In arthroplasty, which antibiotic is commonly used for perioperative prophylaxis?
• A positive Trendelenburg test can be observed in which of the following hip conditions?
• Which test assesses hip abductor strength?
• Which of the following is NOT true regarding cervical whiplash injury?
• A long distance runner is diagnosed with a tibial stress fracture. Which statement is true about the injury?
• After closed reduction of a glenohumeral dislocation, which steps are typically performed?
• Which finding is a better indicator of developmental dysplasia of the hip (DDH) in infants?
• Clubfoot: which statement is true?
• The test of choice to confirm developmental dysplasia of the hip in a 3-month-old is which imaging modality?
• In infants with developmental dysplasia of the hip, which finding is considered diagnostic?
• Which imaging modality is used to assess DDH in a newborn as a preferred screen?
• Which imaging modality will confirm a tibial stress fracture according to the material?
• Paget disease of bone presenting with pain is initially managed with which of the following?
• Which scenario is an indication for surgical intervention in spine degenerative disease?
• What is a common initial management for a lateral ankle ligament sprain?
• In slipped capital femoral epiphysis, what is the recommended urgent management to prevent avascular necrosis?
• What is the purpose of hyaluronic acid injection in osteoarthritis?
• What is the general approach to antibiotic therapy for open fractures?
• In tibial plateau fractures, ORIF is indicated to restore the joint surface when there is a:
• In a 70-year-old patient with back pain and no cardiovascular disease, which diagnosis remains a plausible consideration based on the clinical scenario?
• An adolescent athlete has injured his ankle. He has right ankle pain, ecchymosis, and significant edema, and he is unable to bear weight at the time of the exam. Which diagnosis is least likely?
• The Pavlik harness is used to treat which condition and in which age group?
• In knee MRI, which finding confirms a meniscal tear?
• The age at which a child can first walk backwards is:
• In pediatric femur fractures, spica casting is favored for which type of fracture?
• Which statement correctly reflects first-line nonoperative management for osteoarthritis before considering hip arthroplasty?
• Which statement best describes the focus of outcome measures used after orthopedic procedures?
• In an elderly patient with osteoarthritis, which medication is associated with an increased risk of GI ulceration?
• In adolescents with hip pain and limp, which condition must be screened, and which radiographic views are recommended?
• What strategy helps prevent heterotopic ossification after hip surgery?
• In acute foot or ankle injury, what step is essential before determining whether a patient can bear weight?
• What is the typical management for a depressed tibial plateau fracture when depression is significant or there is instability?
• A patient with shoulder pain has a positive drop arm test. What is the most likely diagnosis?
• Which statement is true regarding newborn screening techniques for developmental dysplasia of the hip?
• What is the urgent management for an elderly patient with a hip fracture?
• What is the initial management principle for an open fracture?
• Red flags in low back pain requiring urgent evaluation?
• In a child with a nondisplaced tibial fracture, what is the typical treatment?
• In evaluation of occult fractures, which imaging modality is most sensitive for early detection?
• A 45-year-old man with morning heel pain and no trauma most likely has which condition?
• A 72-year-old patient complains of knee pain with climbing stairs and crepitus. What is the likely cause?
• What is included in the typical treatment sequence for plantar fasciitis?
• Why should NSAIDs be used cautiously in patients with renal impairment?
• Which tests are used to assess hip stability in newborns and infants up to 3 months of age?
• Which imaging modality is the test of choice to confirm developmental dysplasia of the hip in a 3-month-old?
• Which of the following is not a commonly used patient-reported outcome measure in orthopedics?
• In elderly patients with an acute hip fracture, what is the recommended timing for definitive surgical treatment?
• According to the American College of Rheumatology, which medication is first-line for OA pain after nonpharmacologic interventions have failed?
• In pediatric supracondylar humerus fractures, which structures are at risk along with the median nerve?
• Osteoarthritis vs rheumatoid arthritis: distinguishing features on exam and labs?
• What is the typical sequence of bone healing, and how does smoking affect it?
• What is the primary goal of fracture reduction?
• Which intra-articular therapy for knee osteoarthritis is known as viscosupplementation?
• For open fractures, what is the initial management step?
• In patient education, what improves adherence after orthopaedic surgery?
• Which of the following best describes the initial approach to a mild metatarsus adductus in infancy?
• For an acute anterior shoulder dislocation, what is the general management approach?
• Salter-Harris fracture type that involves the metaphysis and physis with sparing of the epiphysis?
• Which clinical feature most strongly suggests acute compartment syndrome requiring urgent evaluation?
• Which factor described below would most clearly increase osteoporosis risk in an older male?
• Which Salter-Harris type extends through the metaphysis, physis, and epiphysis?
• A 4-month-old is suspected of having developmental dysplasia of the hip (DDH). What test would best assess for this?
• Tarsal tunnel syndrome compression involves which nerve?
• Plantar fasciitis pain typically begins in the morning with the first steps.
• Which characteristic below would increase the risk of osteoporosis in an older adult male patient?
• How are most acute acromioclavicular (AC) separations treated?
• In open fractures, what is the initial priority in management?
• Name a common complication after total knee arthroplasty.
• An 8-year-old has a painful limp with knee pain medially and hip internal rotation pain. How should the NP manage this?
• Trendelenburg's test is used to assess the strength of which muscle group?
• Which test is used to assess developmental dysplasia of the hip in infants?
• In suspected occult fracture with negative X-ray, which imaging modality is most sensitive for early detection?
• During a positive Trendelenburg test, standing on the affected leg causes which observable change?
• Which statement best characterizes scoliosis in an adolescent?
• A 70-year-old patient presents with back and trunk pain after cardiovascular disease has been ruled out. Which diagnosis is most likely?
• In suspected septic arthritis, which imaging modality is used to guide drainage?
• Children with Legg-Calve Perthes disease should:
• A 65-year-old female complains of left medial knee pain. She has been told that she has arthritis in this knee. Where would the pain be located?
• Which test is most sensitive for diagnosing an ACL tear?
• Which radiographic feature is more characteristic of osteoarthritis than rheumatoid arthritis?
• A patient with a total knee replacement 10 months prior is scheduled for a dental procedure. Which statement is correct regarding antibiotic prophylaxis?
• What is a common risk associated with corticosteroid injections into tendons?
• Which patient should be screened for osteoporosis?
• A 6-week-old is suspected of having developmental dysplasia of the hip. Which test would best assess this?
• In a child with a supracondylar humerus fracture, which finding indicates a possible brachial artery injury requiring urgent vascular assessment?
• What is the initial management for a closed, angulated distal radius fracture after FOOSH?
• Which motor function is commonly affected by a fibular neck (common peroneal) nerve injury?
• How can you differentiate osteoarthritis from inflammatory arthritis on imaging?
• What radiographic finding is most characteristic of avascular necrosis of the femoral head?
• Which condition is most consistent with dull anterior knee pain in a 14-year-old that worsens with kneeling?
• Which symptom can be used to rule out a fracture?
• What is the best imaging modality to evaluate a suspected meniscal tear, and what adjunct imaging helps assess bone changes?
• For a 6-week-old infant with positive Barlow and Ortolani maneuvers, which test should be ordered to assess DDH?
• In Osgood-Schlatter disease, which diagnostic test can be used?
• Which of the following statements about gout and infection is most accurate according to the material?
• Which statement below is true of infants with developmental dysplasia of the hip?
• Which statement best differentiates rheumatoid arthritis from osteoarthritis?
• Which scenario is an indication for total hip arthroplasty in osteoarthritis?
• A patient complains of pain in his right heel. Over the past few weeks, heel pain has worsened. Which factor has contributed most to his worsening heel pain?
• Which statement best describes osteopenia on a DEXA scan?
• Barlow and Ortolani tests in infants to detect developmental dysplasia of the hip; which statement is correct?
• Which factor most influences the decision to surgically stabilize a Rockwood grade III AC separation?
• Which HLA allele is associated with ankylosing spondylitis?
• After reduction of a posterior shoulder dislocation, what is recommended?
• Which combination of tests is commonly ordered when evaluating a child with suspected hip pathology?
• When is a sugar-tong splint used?
• Which nerve is most commonly injured in a midshaft humerus fracture?
• When evaluating candidacy for total hip arthroplasty, which factor may be considered alongside radiographic OA?
• Is early mobilization after fracture generally recommended?
• What determines the duration of DVT prophylaxis after orthopedic surgery?
• An ankle inversion injury stretches which ligaments?
• Which combination of findings is most consistent with a periprosthetic joint infection and guides diagnostic workup?
• Which procedure is commonly performed for hallux valgus deformity?
• What combination is considered effective DVT prophylaxis after major orthopedic procedures?
• In suspected periprosthetic joint infection, which tests and steps form the core diagnostic approach?