Rounds Quiz

415. What are the risk factors for Charcot foot? (More than one answer)

A. diabetes mellitus
B. heart disease
C. hyperglycemia
D. stroke
E. peripheral neuropathy

416. Alkaline phosphatase, a bone enzyme, is raised in Paget's disease, osteomalacia, and rickets, but not in osteo­porosis.
True or False

417. When performing the Ortolani and Barlow tests, the physician should do which one of the following?

A. examine each hip separately
B. examine the right hip first
C. examine both hips simultaneously
D. examine the left hip first

418. Which of the following statements about glenohumeral instability is correct?

A. onset typically occurs in patients over 40 years of age
B. there is usually no history of subluxation or dislocation
C. there may be a history of "dead arm" or numbness over the lateral deltoid on physical examination
D. there is usually no history of trauma or contact sports

419. A 65-year-old man notices a painful cramping sensa­tion radiating down both legs while walking. The pain sub­sides with rest. He has difficulty standing on his heels and tiptoes, stating he feels weak. Which of the following is the most likely diagnosis?

A. restless leg syndrome
B. peripheral vascular disease
C. spinal stenosis
D. nocturnal leg cramps

420. Which one of the following in a patient with Dupuytren's disease requires referral to a hand surgeon?

A. IS-degree metacarpophalangeal joint contracture
B. skin pitting
C. nodule size greater than 5 mm
D. positive Hueston tabletop test

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