06-16-2007, 08:56 PM
For each patient with chronic knee pain, select the most appropriate next step in management.
O A) Anterior cruciate ligament reconstruction
O B) Arthroscopic partial meniscectomy
O C) Quadriceps strengthening exercises
O D) Sympathetic blockade
O E) Total knee replacement
O F) Upper tibial osteotomy
29. An 18-year-old woman comes to the physician because of knee pain that has been present for 5 years. The pain is made worse by prolonged sitting and by going up and down steps. She has 10 degrees of hyperextension of both elbows. She becomes apprehensive when laterally directed pressure is applied to the patella. X-ray films show no abnormalities.
30. A 70-year-old man comes to the physician because of knee pain that has been present for 10 years. He is unable to comfortably walk further than one block and has difficulty sleeping because of the pain. He has pain on both medial and lateral sides of the knee. Range of motion is from 15 to 100 degrees, there is a bowleg deformity when he stands
What's your dx and answer
O A) Anterior cruciate ligament reconstruction
O B) Arthroscopic partial meniscectomy
O C) Quadriceps strengthening exercises
O D) Sympathetic blockade
O E) Total knee replacement
O F) Upper tibial osteotomy
29. An 18-year-old woman comes to the physician because of knee pain that has been present for 5 years. The pain is made worse by prolonged sitting and by going up and down steps. She has 10 degrees of hyperextension of both elbows. She becomes apprehensive when laterally directed pressure is applied to the patella. X-ray films show no abnormalities.
30. A 70-year-old man comes to the physician because of knee pain that has been present for 10 years. He is unable to comfortably walk further than one block and has difficulty sleeping because of the pain. He has pain on both medial and lateral sides of the knee. Range of motion is from 15 to 100 degrees, there is a bowleg deformity when he stands
What's your dx and answer