Practice Test Nbpme Part Ii

Front 1

most common location for achilles tendon rupture

Back 1

2 to 6 cm proximal to its insertion

Front 2

75 yr old pt with bowel incontinence and infected heel decubitus ulcer, what is the pathogen

Back 2

e. coli

Front 3

four elements of the tort of medical malpractice

Back 3

duty, breach, causation, damages

Front 4

primary goal of implant 1st MTPJ surgery is to

Back 4

eliminate joint pain

Front 5

what provides best compression and alignment for an austin

Back 5

cancellous screws

Front 6

inflammatory arthritis associated with hemophilia most commonly affects which of the following joints?

Back 6

knee

Front 7

nutrient artery of the 1st met enters the midshaft

Back 7

laterally

Front 8

asymptomatic, fragmented, irregular, scelerotic, calcaneal apophysis in an 8 yr old is most indicative of:

Back 8

normal anatomic variant

Front 9

somatization disorder of neurotic illness characterized by:

Back 9

-dramatic emotional presentation of complaints
-multiple, vague complaints referable to any part of the body
-dissatisfaction with care from one physician to the next

Front 10

56 yr woman seen for painful right ankle. mild-to moderate pain across her mid foot and her ankle with increased activity. on single heel test, unable to invert right hind foot. tx for this includes:

Back 10

-walking brace
-prescription foot orhthosis
-NSAIDS

Front 11

23 yr man for dx right ankle frx. vascular shows absent pulses below knee. closed reduction not successful. patient just ate; most appropriate anesthesia

Back 11

spinal

Front 12

what is assoc with paget's

Back 12

increase osteoblast and osteoclast

Front 13

most common damage in inversion ankle sprain

Back 13

anterior talofibular

Front 14

radiographic findings of freibergs joint space

Back 14

widening followed by long-term increase in subchondral bone density

Front 15

multiple sclerosis is characterized by signs and symptoms

Back 15

-ataxia
-impaired vision
-bladder dysfunction

Front 16

68 yr woman undergoes complex rear foot surgical procedure w/ GA. w/in 48 hours pt develops dyspnea, tachypnea and temp 101.8

Back 16

pulmonary emboli

Front 17

melanocytes are located in which layer:

Back 17

in basal layer of epidermis

Front 18

chronic inflammtory dz characterized by proliferative synovitis with bony erosion and destruction of bony erosion and destruction of articular cartilage?

Back 18

rheumatoid arthritis

Front 19

dense bone surrounding lytic central nidus

Back 19

osteoid osteoma

Front 20

lesser digit arthroplasty how should it be splinted?
MTPJ - PIPJ - DIPJ

Back 20

MTPJ - slightly PF-ed
PIPJ - Straight
DIPJ - Straight

Front 21

which salter harris frx has best prognosis

Back 21

1

Front 22

of the following which are found dorsal to DTML
lumbrical
abductor tendon
plantar interos
dorsal interos

Back 22

not lumbrical

Front 23

GA most likely to sensitize the myocardium to catecholamines?

Back 23

halothane

Front 24

most characteristic of venous stasis ulcerations

Back 24

red, granulating base

Front 25

physical finding of right sided congestive heart failure...

Back 25

lower extremity dependent edema

Front 26

orthopedic shoe with a steel shank from heel to toe and rocker bar treat's

Back 26

arthritic ankle and stj joint

Front 27

normchromic and normocytic anemia

Back 27

hemolysis

Front 28

which of the follow caused delayed relaxation of a chiles reflexes

Back 28

hypothyroidism, reflexes delayed

Front 29

emergency treatment of acute MI includes all except
thrombolysis
heparin
angioplasty
warfarin

Back 29

warfarin, no direct effect on established thrombi

Front 30

thromboplebitis of small veins occurs with administration of what GA

Back 30

diazepam

Front 31

adverse rxns assoc with NSAID are all the following except
nausea
interstitial nephritis
respiratory depression, ulcerative colitis

Back 31

respiratory depression

Front 32

an avulsion fracture of the anterior process of the calcaneus is assoc w/ which of the following lig

Back 32

bifurcate

Front 33

68yr old man reports coldness and numbness of both feet for 6 months and leg pain w/ increased activity. skin cool and shiny to touch.

Back 33

arteriosclerosis obliterans

Front 34

Posta anesthesia is associated with what type of anesthesia:

Back 34

spinal

Front 35

chest compression
adults
infants

Back 35

adults- 2.o inches
infant- 0.5-1.0 in

Front 36

skin lesion derived from distinctive cell line of melanized

Back 36

blue nevus

Front 37

side effects of glucocorticoids
which of following isn't
psychosis
edema
hypokalemia
chronic active hepatitis

Back 37

chronic active hepatitis