Extremity CLET Practice Exam

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