关节外科英文试题

1.Aphysiciansuspectsthathispatientmighthavegoutyarthritis.Toconfirmhisclinicalsuspicion,thephysicianordersamicroscopicevaluationofthejointfluidforthepresenceofnegativelybirefringent,needle-shapedcrystals.Thisisknowntobeahighlyspecifictest.Relativetothephysician’sclinicaldiagnosisalone,ahighlyspecifictestwillgreatlyreducewhichofthefollowing?

(A)Falsenegatives

(B)Falsepositives

(C)Prevalence

(D)Truenegatives

(E)Truepositives

2.A26-year-oldpatientwasdiagnosedwithrheumatoidarthritis(RA)1monthago.Shereturnstoherprimarycarephysicianforafollow-upvisitandisinterestedinlearninghowRAmightaffecther,otherthanthejointdestructionitcancause.Thepatientismostlikelytodevelopwhichofthefollowing?

(A)Myocarditis

(B)Nodules

(C)Pericarditis

(D)Renalfailure

(E)Splenomegaly

3.Whicharethespecificphysicalsignsforjointdislocation?

(A)Swelling,deformityanddysfunction

(B)Tenderness,swellingandecchymosis

(C)Deformity,abnormalmovementandemptyjoint

(D)Deformity,abnormalmovementandelasticfixation

(E)Deformity,elasticfixationandemptyjoint

4.Whichoneisnotrightforshoulderdislocation?

(A)Traumahistoryofshoulder

(B)Squareshoulderdeformity

(C)Emptyglenoid

(D)Thomassign(+)

(E)Dugassign(+)

5.Whichoneisthemostcommontypeofhipdislocation?

(A)Anteriordislocation

(B)Posteriordislocation

(C)Centraldislocation

(D)Dislocationwithfemoralheadfracture

(E)Dislocationwithacetabulumfracture

6.Choosetheinappropriatematch

(A)Effusionofkneejoint:Floatingpatellatest

(B)Posteriorcruciateligamentrupture:BackdrawertestandLanchermantest

(C)Anteriorcruciateligamentrupture:BackdrawertestandLanchermantest

(D)Meniscalinjury:McMurraysign

(E)Chondromalaciapatella:Patellafrictiontest

7.Pathologicalchangeofrozenshouldermainlyoccurin

(A)Glenohumeraljoint

(B)Acromioclavicularjoint

(C)Deltoidmuscle

(D)Supraspinatus

(E)Infraspinatus

8.A25-year-oldmanhadfrictionfremitusduringkneeflexionandextension,halfsquattest(+),whichdiagnosisshouldbeconsidered?

(A)Lateralmeniscusinjury

(B)Medialmeniscusinjury

(C)Chondromalaciapatella

(D)Jointloosebodies

(E)rheumatoidarthritis

9.Elbowfunctionalposition

(A)0°

(B)30°

(C)60°

(D)90°

(E)120°

10.Carryingangleoftheelbow

(A)20~25°

(B)16~20°

(C)10~15°

(D)5~10°

(E)1~5°

11.Whichtypeoffractureisthemostcommonaftertotalhiparthroplasty?

(A)Fratureofthefemoraltrochanter

(B)Fraturebetweenthefemoraltrochanterandthedistalendoffemoralstem

(C)Fractureatthedistalendoffemoralstem

(D)Fracturebelowthedistalendoffemoralstem

(E)Fratureofthecontralateralfemur

12.Whichofthefollowingexaminationshelpdiagnosecruciateligamenttearoftheknee?

(A)Xray

(B)CT

(C)B-ultrasound

(D)ECT

(E)MRI

13.Themostreliableexaminationformeniscustearis

(A)Kneehyperextensiontest

(B)Kneehyperflexiontest

(C)Grindingtest

(D)McBurneysign

(E)Arthroscopy

14.A30-year-oldmalehorse-ridingenthusiastcomplainspainbelowleftknee.Physicalexaminationshoweda6cm*6cmregionaltendernessofmedialproximalpartofleftlowerleg.Themostprobablediagnosisis

(A)Anserinebursitis

(B)Meniscusinjury

(C)Cruciateligamentinjury

(D)Mcmedialcollateralligamenttear

(E)Infrapatellarbursitis

15.A50-year-oldfemalecomplainsofleftshoulderpain,radiatingtoleftupperextremityandlimitedmotionofleftshoulderfor1month.Thepainaggravatedandinterferedwithsleepfor1week.Physicalexaminationshowedamyotrophyoftheleftupperextremity.Activeandpassivemotionofleftshoulderislimitedespeciallyabductionandexternalrotation.Themostprobabled