USMLE forum
 
USMLE Forum
Step 1
Step 2 CK
Step 2 CS
Matching & Residency
Step 3
Classifieds
 
Archives
 
 
  <<   < *  Step 2 CK   *  >   >>  

* 13-year-old boy
 #499006  
  fight4dream - 04/11/10 14:20
 
  Q4110
A 13-year-old boy is brought to the physician because of a 2-week history of left hip pain with an associated limp. He has had no rec There is no history of trauma or musculoskeletal problems. He is at the 50th percentile for height and above the 95th percentile for w stage 2. His temperature is 37.5°C (99.5°F), pulse is 80/mm. respirations are 12/mm. and blood pressure is 120/75 mm Hg. He holc rotation and hip flexion at rest. Internal rotation and abduction of the left hip are decreased. Range of motion of the knees and ankles erythema of the knee and ankle joints. He walks with a limp and is unable to bear his full weight on the left. Which of the following is patient’s condition?
o A) Acute inflammatory reaction of the synovial lining of the hip joint
o B) Avascular necrosis of proximal femur
o C) Bacterial infection of the hip joint
o D) Disruption of the femoral head epiphyseal plate
0 E) Inflammation of the ligaments of the hip joint
 
Report Abuse

 
 

* Re:13-year-old boy
#2078175
  studyin4ck - 04/11/10 14:30
 
  D....

buzz word: "internal rotation and abduction of the left hip are decreased."
 
Report Abuse

* Re:13-year-old boy
#2078182
  mos11 - 04/11/10 14:40
 
  DD  
Report Abuse

* Re:13-year-old boy
#2078197
  princess08 - 04/11/10 15:04
 
  i would go for B  
Report Abuse

* Re:13-year-old boy
#2078242
  natad - 04/11/10 15:35
 
  d , 13 y o, obese  
Report Abuse

* Re:13-year-old boy
#2078270
  studyin4ck - 04/11/10 16:01
 
  natad if i were u i wudnt see the obese and go for an answer.. .i got some quetstion like this and patient was obese but it didnt have the findings of "decreased abduction and internal rotatino" and answer was not disruption of femoral epiphysis

try to go for other postive findings---finding of obese is nonspecific and can actually lead you into a wrong answer ono the exam
 
Report Abuse

* Re:13-year-old boy
#2078324
  nycsam - 04/11/10 16:48
 
  I would answer D. But I don't understand why SCFE has internal rotation and abduction of the left hip are decreased? Anyone?  
Report Abuse

* Re:13-year-old boy
#2078329
  studyin4ck - 04/11/10 16:50
 
  nyscsam...scfe..the femur gets displaced from the epiphysis as a result there is a defect in motion cuz the femur has dislocated so there is difficulty in internal rotation and abduction....

...s4ck..
 
Report Abuse

* Re:13-year-old boy
#2078340
  nycsam - 04/11/10 17:06
 
  Thanks Studyin4ck, but why only these two motions of hips are affected? Id femur is dislocated, should all the hip motions be limited?  
Report Abuse

* Re:13-year-old boy
#2078342
  studyin4ck - 04/11/10 17:14
 
  hmm, that is a hard one to answer nycsam..sorry.  
Report Abuse

* Re:13-year-old boy
#2078419
  nycsam - 04/11/10 19:37
 
  Anyone?
why only these two motions of hips are affected? If femur is dislocated, should all the hip motions be limited.
 
Report Abuse

          Page 1 of 2     [Next >]     [Last >>]

[<<First]   [<Prev]  ... Message ...  [Next >]   [Last >>]

 
Logon to post a new Message/Reply
 
 
 
 

 

 

Google
  Web USMLEforum.com
 

Step 1 Step 2 CK Step 2 CS Matching & Residency Step 3 Classifieds
LoginUSMLE LinksHome