EMQs in Clinical Medicine.pdf - Peshawar Medical College

Knee problems 121
51 Knee problems
A
B
C
D
E
F
genu varum
collateral ligament rupture
suprapatellar bursitis
Baker’s cyst
pre-patellar bursitis
meniscal tear
G
H
I
J
K
L
dislocation of patella
genu valgum
osteoarthritis
anterior cruciate ligament tear
meniscal cyst
Osgood-Schlatter disease
For each clinical scenario below, give the most likely cause for the clinical findings.
Each option may be used only once.
1 A 22-year-old figure-skater presents with a painful locked knee with limited
extension after a twisting injury.
2 A 24-year-old footballer presents with a painful knee after a tackle from behind.
With the quadriceps relaxed, the anterior glide of the tibia on the femur is
1.0 cm.
3 A 14-year-old girl successfully treated for rickets 3 years ago shows bow-legged
deformity.
4 A 16-year-old boy complains of a painful knee after exercise and a tender lump
over the tibial tuberosity.
5 A 50-year-old carpet layer presents with a swelling directly over the patella. The
joint is normal.
Answers: see page 134.