orthopaedics quiz

A 12-year-old boy presents to the emergency department with severe pain in his knee and an inability to bear weight. His parents report that he recently had a sore throat followed by a fever. Upon examination, the joint is swollen and warm to touch. Laboratory tests reveal an elevated white blood cell count and CRP levels. What is the most appropriate initial management for this child?

A 45-year-old male presents with a painful, swollen elbow joint that has developed over the past week. He has a history of rheumatoid arthritis and is currently on immunosuppressive therapy. On examination, the joint is erythematous and markedly tender. What is the most critical factor to consider in diagnosing his condition?

A 67-year-old patient with diabetes presents with leg pain and a recurrent ulcer on his foot. The ulcer has not healed and is discharging pus. Upon examination, there is suspected osteomyelitis, and the patient's blood tests show elevated inflammatory markers. Which of the following is the most effective first step in management?

A 32-year-old intravenous drug user presents with fever, chills, and a painful swollen wrist. There are prominent signs of inflammation and swelling extending from the joint into surrounding tissues. Blood cultures reveal the presence of Staphylococcus aureus. What should be the next best step in management?

A 75-year-old woman presents to the orthopedic clinic with persistent joint pain in her hip. She has a history of osteoarthritis and has been taking NSAIDs. Recent radiographs show narrowing of the joint space and osteophyte formation. There are concerns regarding her kidney function. Which management option should be considered first?

A surgeon encounters a patient with diabetic foot involving an ulcer and suspected osteomyelitis following soft tissue infection. After initiating broad-spectrum intravenous antibiotics, what is the most crucial intervention to coordinate next?

A 29-year-old male arrives in the emergency department after stepping on a nail. He is tachycardic and febrile, with local redness and swelling at the puncture site. An X-ray reveals no obvious bone involvement, but there is concern for possible underlying osteomyelitis. What is the immediate management step?

During a routine check-up, a 55-year-old woman mentions pain in her left knee, worsened by movement, and recent weight loss. An MRI reveals joint effusion with synovial thickening, but no signs of infection. Laboratory results show negative rheumatoid factor. What should be the next step in management?

A 40-year-old male patient with a history of alcohol abuse presents with sudden onset of severe lower back pain and fever. Imaging studies reveal a lytic lesion in the lumbar spine. Laboratory results indicate elevated inflammatory markers, and cultures are pending. What should be the most immediate course of action?

A professional athlete presents with a swollen, painful knee after a significant trauma during a game. Imaging studies indicate a joint effusion, and aspiration demonstrates blood in the joint. What diagnosis should be prioritized in this case?

A patient is referred for evaluation of chronic foot pain after surgery to address a sports injury. The surgical site shows no signs of acute infection, but there is persistent swelling at the incision site with no improvement over the last three months. What initial action should the surgeon take?

After undergoing an elective hip replacement, a 60-year-old male begins to experience increasing pain and fever despite initially recovering well. Examination and imaging indicate a joint effusion. What should be the first step in managing this condition post-operatively?

During a routine visit, a pediatric patient with recurrent osteomyelitis is noted to have a subperiosteal abscess in the right femur. What would be the preferred management at this stage?

A 34-year-old male patient arrives in the emergency department with severe pain in his lower back, fever, and a reduced range of motion. Recent investigations reveal a case of acute osteomyelitis affecting the lumbar spine, likely stemming from a previous urinary tract infection. What is the most appropriate initial management step for this patient?

A 50-year-old diabetic female presents with a chronic, non-healing ulcer on her left foot, accompanied by fever and malaise. Clinical examination shows a necrotic area with dead tissue. What is the best management strategy for this patient’s infected ulcer?

During a surgical procedure to remove an infected prosthetic joint, the orthopedic surgeon notices that the surrounding tissue shows signs of being heavily infiltrated by biofilm-forming bacteria. What should be done to ensure effective management of the infection?

A 10-year-old boy presents with pain and swelling in his left knee, and a recent history of fever and malaise. X-rays show joint effusion but no apparent osteomyelitis. What would be the best initial diagnostic approach?

An 18-year-old female presents with pain, swelling, and warmth in her right wrist after a recent dental procedure. She is febrile, and blood cultures are positive for Staphylococcus aureus. What is the critical next step in her management?

A 45-year-old patient with a history of rheumatoid arthritis and recent surgery presents with an inflamed knee joint. His fluid analysis shows elevated white blood cell count suggestive of infection. What is the most appropriate approach to manage this case?

A 37-year-old male presents to the clinic with necrotizing fasciitis after a superficial laceration. Imaging shows widespread soft tissue involvement, but no significant bone involvement. In addition to broad-spectrum IV antibiotics, what is the critical intervention this patient requires?