Extremity CLET Practice Exam

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• Galeazzi fracture involves fracture of which bone with disruption of which joint?
• A distal radius fracture with ventral angulation is known as Smith's fracture.
• Which sign is used to assess scapholunate instability and may be positive in wrist injuries?
• Osteosarcoma most commonly arises where in adolescents?
• Upper crossed syndrome can present with pain mimicking which condition and decreased function in which system?
• Helbing's Sign is associated with which of the following?
• A patient presents with posterior elbow pain and a locking sensation during a valgus stress with dynamic extension. Which test would best confirm this diagnosis?
• Tibial fractures in dancers are commonly located where?
• In a Meralgia Paresthetica case, which external factor contributed to nerve compression?
• A 13-year-old male basketball player presents with left lateral knee pain and a possible history of a popping sound during the last game. Which orthopedic test is most appropriate to evaluate for a meniscal injury?
• Steppage gait is most often due to weakness of dorsiflexors involving which nerve root?
• In suspected occult scaphoid fracture with negative plain radiographs, which imaging modality is most sensitive?
• Which pathology commonly presents with clicking, popping, and locking when straightening the elbow?
• A knee that gives way without pain during resisted activities is most consistent with which diagnosis?
• AO/OTA fracture classification is used for describing fractures of which bones?
• Usain bolt is complaining of snapping and grinding in the knee with medial patellar pain. Which orthopedic test would provide the most clinically relevant information?
• Graft type with osteogenic, osteoinductive, and osteoconductive properties?
• Which part of the clavicle is most commonly affected by osteolysis due to repetitive loading?
• Monteggia fracture involves fracture of which bone and dislocation of which joint?
• Which imaging modality is most sensitive for detecting rotator cuff tears?
• Which option best describes the flap category used for large soft-tissue defects of the lower leg in trauma?
• Which imaging modality is commonly used first to evaluate a suspected tibial stress fracture?
• 45% of compartment syndrome cases are caused by which factor?
• Gartland classification is used for which pediatric elbow fracture?
• In evaluating talar osteochondral lesions, which additional imaging is often used with MRI for detailed articulation?
• A 34-year-old mother with acute right forefoot inflammation presents with severe pain and warmth, worsened by touch. She reports waking up with the foot like this and enjoys wine in the evenings. Which diagnosis is most likely?
• Which test is used to assess femoral version by placing the patient in a prone position with the knee flexed?
• Which orthopedic test is also known as the shoulder active compression test?
• Which option best describes a common flap type for large lower-extremity defects in trauma reconstruction?
• Which elbow test is designed to provoke symptoms by maximal elbow flexion and compression?
• A midfoot instability injury is commonly known as which fracture-dislocation?
• Identify the diagnosis caused by overuse of the muscles in the anterior compartment of the lower leg with pain along the anterior tibialis muscle.
• In Souza's patellofemoral problem management, which sequence is recommended?
• Neer classification is used to categorize fractures of which bone?
• The latissimus dorsi is cited in the material as an example of what type of flap for lower-extremity reconstruction?
• Which finding constitutes a positive hip impingement sign?
• Open fracture management priority includes which action?
• Tillaux fracture involves which anatomical region?
• Which nerve provides sensation to the lateral aspect of the foot?
• A patient’s gait shows one leg lifted higher than the other, indicating a steppage pattern. Which nerve root is most commonly implicated?
• A distal radial fracture with dorsal angulation is called?
• Hill-Sachs lesion is found on which part of the humeral head?
• Which part of the scaphoid is most at risk for avascular necrosis after fracture?
• A positive Watson test is used to confirm which issue?
• Die-punch fracture refers to a depression fracture of which distal radius facet?
• A 58-year-old male presents with a painful, red, hot swollen leg with well-defined edges and no woods exposure. What is the initial impression?
• Smith fracture describes a distal radius fracture with what displacement?
• Hawkins classification is used for fractures of which bone?
• Achilles tendon rupture typically presents with what symptom?
• Hibb’s test is positive for pain during a lateral push of the lower leg. This indicates pathology of which region, and if pain is in the buttock or pelvic area, what additional lesion is suggested?
• Which sign is associated with pes planus and medial curvature of the Achilles tendon?
• Which classification describes growth plate (physeal) injuries in children?
• Lauge-Hansen classification describes ankle fractures based on which mechanism?
• PCL injuries are often diagnosed with which imaging feature?
• In an adult with a chronic history of relatively painless giving way in the knee during activities, which condition should be suspected?
• Colles fracture describes a distal radius fracture with what deformity?
• What is the name of the specific free flap example listed for lower-extremity reconstruction?
• The Jobe Relocation Test is most closely associated with which pathology?
• Neer classification is used to categorize fractures of which bone?
• James Bond is experiencing heel pain after stepping on a pebble; which test would yield the most clinically relevant information?
• Which condition presents with numbness or paresthesias in the little finger and hypothenar region, particularly at night?
• Which imaging modality is most sensitive for evaluating suspected osteomyelitis in the limb?
• Repetitive heavy lifting causing compressive forces to the distal end of the clavicle is the MOI for which condition?
• Which test would provide the most clinically relevant information for a knee with suspected patellofemoral joint involvement?
• Mason classification is used for fractures of which bone?
• Homer Simpson presents with lateral knee pain; which test would be most informative?
• A young woman develops thigh pain after wearing a corset tightly for hours. This presentation is most consistent with which condition?
• Shoulder abduction is limited; which test would you use to screen for supraspinatus involvement?
• In patellofemoral rehabilitation, which intervention represents standard nonoperative management?
• For large soft-tissue defects of the lower leg in trauma, which tissue transfer is typically used?
• Lisfranc injuries involve disruption of which joint complex?
• Which orthopedic test is used to confirm multidirectional shoulder instability due to inferior laxity?
• The Lauge-Hansen classification is determined by what aspect of ankle injuries?
• Partial tear of the gastrocnemius (tennis leg) is best managed with which approach?
• Which specific name corresponds to the hip maneuver described as hip flexion to 90 degrees with adduction and internal rotation?
• The flap used for lower-extremity coverage is described as being transferred with what property?
• When instructing athletes with tennis or golfers elbow on brace use, why should the brace not be tightened excessively?
• Which flap is provided as an example of a free flap for lower-extremity reconstruction?
• Loss of power grip and paresthesias into the hypothenar eminence with night pain describes which condition?
• In trauma reconstruction, which flap type is described as a common choice for large lower-extremity defects?
• Tillaux fracture is a distal tibial physeal fracture pattern associated with which age group?
• Which test is used to detect subacromial impingement by moving the arm into forward flexion with internal rotation?
• Which sign is associated with a positive Ortolani test?
• Avascular necrosis of the tarsal navicular is called which disease?
• Which knee test is specifically used to assess meniscal pathology?
• Morton’s Neuroma is best diagnosed with which test?
• Which tumor shows onion-skin periosteal reaction on radiographs?
• Boxer's fracture involves fracture of which metacarpal?
• Which joint is involved in a Hill-Sachs lesion?
• Wartenberg sign involves which of the following?
• Which bone is fractured in Colles fracture?
• Avascular necrosis of the tarsal navicular is Kohler's disease. Which group of choices correctly identifies Kohler's disease?
• During McMurray’s test for a suspected medial meniscus tear, the knee is placed in which rotation with which stress, and a click at about 20 degrees indicates which horn tear?
• A patient with knee snapping and grinding along the patellar region. Which orthopedic test would yield the most clinically relevant information?
• ACL tears are most accurately evaluated with which imaging modality?
• In upper crossed syndrome, which muscle is facilitated?
• James Bond experiences heel pain and suspects fat pad involvement; which test would best identify fat pad squeeze?
• Which of the following is an example of a free flap donor site commonly used in this context?
• Homer Simpson is complaining of a squeaking sensation in the lateral knee and worsens when walking up and down stairs. Which test provides the most clinically relevant information?
• Osteochondrosis of the capitellum (Bannier's disease) affects which elbow structure?
• Craigs Test is used to evaluate femoral version by hip rotation with the knee flexed. Which option best reflects this assessment?
• Upper crossed syndrome is characterized by which posture?
• Which upper-extremity condition is correctly treated with cock-up splinting, vitamin B supplementation, ergonomic changes and chiropractic adjustments?
• Which elbow test reproduces symptoms by combining elbow flexion and valgus loading?
• In the described ankle injury case, which finding supports sprain/strain over fracture?
• Meniscal tears are best characterized by which imaging modality?
• Osteochondrosis or Bannier's disease involves which structure?
• Which tendon is commonly involved in rotator cuff tears?
• Which joints are disrupted in Lisfranc injuries?
• What type of graft provides osteogenic, osteoinductive, and osteoconductive properties?
• Which direction does the lunate most commonly subluxate?
• Which modality is recommended for tibial stress fracture management according to Souza?
• A patient presents with tightness and crampy pain in the lower leg after travel, without trauma. Which condition is most likely?
• The AO/OTA fracture classification is primarily used for describing fractures of which bones?
• A patient with suspected fat pad syndrome presents with heel pain; which test would best stress the fat pad?
• A 10-year-old overweight boy with hip pain and limping has radiographic disruption of Klein's line. What is your initial impression?
• Mallet finger results from injury to which tendon at which finger?
• Which classification is used to grade open fractures and guide antibiotic therapy and soft tissue management?
• Which elbow test would be used to evaluate medial elbow complaints by performing maximal elbow flexion?
• In trauma reconstruction of the lower extremity, which flap is a common choice for covering large soft-tissue defects?
• The mechanism of injury for clavicle osteolysis is most associated with which scenario?
• Jones fracture involves fracture of which metatarsal and where?
• In trauma reconstruction, a free flap is used to cover large soft-tissue defects of which region?
• Pain due to impingement of the supraspinatus tendon with narrowing of the subacromial space is most likely detected by which test?
• Major Tom is having difficulty abducting his right arm through 90 degrees; which test would provide the most clinically relevant information?
• In Lower Crossed Syndrome, which factor most directly contributes to ischaemia of the lower extremity?
• Usain bolt is presenting with medial knee pain and patellar symptoms during movement. Which orthopedic test would provide the most clinically relevant information?
• In scaphoid fractures, which location has the highest risk of nonunion and avascular necrosis due to poor blood supply?
• The management of a patient with cock-up splinting, vitamin B supplementation, ergonomic changes and chiropractic adjustments corresponds to which condition?
• Bankart lesion tear of which structure?
• Schatzker classification is used to classify fractures of which part of the tibia?
• What percentage of DVT patients are asymptomatic?
• Which fracture is defined by dislocation of the radial head at the elbow with ulna fracture?
• Which condition is most likely with leg swelling and leg cramping after prolonged sitting, absent trauma?
• The Ortolani click test detects dislocation of which joint?
• The hip impingement test described involves flexion to 90 degrees, adduction across the midline, and internal rotation. Which name best describes this maneuver?
• Which test would best differentiate fat pad syndrome from plantar fasciitis?
• SLAP lesion involves injury to which structure?
• Usain bolt knee medial patellar pain; which test would yield the most clinically relevant information?
• In a knee evaluation scenario described as Forrest Gump's scenario, which sign would be used to assess the knee?
• A positive ballottement test confirms which condition?
• Ewing sarcoma radiographic feature?
• Which test would assess rotator cuff weakness during abduction?
• Entrapment neuropathy with amorphous deposits underlies which condition, and which diagnostic test is positive?
• Pain between 70 and 110 degrees of shoulder ROM during the painful arc indicates which condition?
• Calcaneus fractures are most often classified by which system?
• Dinner-fork deformity is classically associated with which distal radius fracture?
• How many degrees of horizontal adduction are required to elicit the O'Brien sign?
• A Jones fracture is a fracture of the fifth metatarsal at which junction?
• Supraspinatus tendon tear is a common cause of which shoulder condition?
• Medial epicondylitis most commonly involves which muscular structures?
• Osteosarcoma most commonly arises in which location in adolescents?
• A patient visits a chiropractor with localized, deep calf pain not due to injury and a history of long smoking, oral contraceptives, and long airplane travel. Which orthopedic examination would be best performed?
• Osteochondral lesions of the talus are best evaluated with which imaging modality?
• A 21-year-old man injures his ankle during a beach volleyball game. He bears weight and the ankle is swollen and discolored; tenderness is worse on passive inversion. There is no bony tenderness on percussion of the malleolus, fibula, or tarsal bones. What is the initial impression?
• Lower Crossed Syndrome is characterized by which combination?
• Gamekeeper's thumb refers to injury of which ligament?
• Gartland classification is used for which pediatric elbow fracture?
• The latissimus dorsi free flap is an example of which broader category?
• Which donor site is cited as an example for a free flap in lower-extremity reconstruction?
• Weber classification categorizes fractures of the fibula at the level of the ankle based on what criterion?
• Most common site of malignant bone tumor in children is which bone region?
• Initial management priority in an open fracture to reduce infection risk?
• Hill-Sachs lesion is associated with dislocation of which joint?
• Tarsal tunnel syndrome involves which structure?
• When checking for rigid or supple flat feet, which anatomical landmark is used and which test confirms the finding?
• Which fracture involves dislocation of the distal radioulnar joint with fracture of the distal radius?
• Mason classification is used for fractures of which bone?
• Which statement correctly characterizes a free flap in the context of lower-extremity reconstruction?
• Hill-Sachs lesion occurs on which part of the humeral head?
• Which shoulder test is used to assess inferior glenohumeral laxity, indicated by a sulcus sign?
• Which free flap donor site is given as an example in the material?
• Which condition is most likely in an overweight adolescent presenting with hip pain and limited hip flexion?
• A barefoot puncture injury to the sole of the foot results in an inability to spread the toes apart. Which nerve is most likely injured?
• Which classification is used to describe talus injuries, especially talar neck fractures?
• Which elbow pathology is described as posterior impingement with mechanical symptoms?
• What nerve is at risk with a fibular neck fracture, potentially causing foot drop?
• The Watson test assesses instability of which carpal articulation?
• Schatzker classification is used for fractures of which structure?