1. (OBQ13.239) Figures A through E are injury radiographs of elbow injuries in children.

A child
complains of decreased sensation over the small finger acutely after an elbow injury. Which of the
following radiographs is consistent with his injury?
Figure A Figure B

Figure C Figure D

Figure E

1. Figure A

2. Figure B

3. Figure C

4. Figure D
5. Figure E

PREFERRED RESPONSE 1
(OBQ12.54) Following successful operative treatment, routine removal of hardware is
recommended at 3-4 weeks for which of the following procedures? Review Topic
FIGURES:
Figure A Figure B Figure C Figure D Figure E

1. Figure A

2. Figure B

3. Figure C

4. Figure D

5. Figure E

PREFERRED RESPONSE 4

(OBQ12.112) A 7-year-old patient presents with a fracture of her left supracondylar humerus
and distal radius as evidenced in Figure A. She is neurovascularly intact and the skin shows
no evidence of open wounds. Radiographs of the elbow show a displaced supracondylar
fracture. Radiographs of the wrist show an extra-articular distal radius fracture with 25
degrees of dorsal angulation. This injury is most appropriately treated with which of the
following?
QID: 4472

1. Closed reduction and casting of the supracondylar humerus fracture and distal

radius fracture
2. Closed reduction and pinning of both the supracondylar humerus fracture and distal

radius fracture
3. Closed reduction and casting of the supracondylar humerus fracture and pinning of

distal radius fracture

4. Open reduction and pinning of both the supracondylar humerus and the distal radius

fracture
5. Closed reduction and pinning of the supracondylar humerus fracture and closed

reduction and casting of distal radius fracture

PREFERRED RESPONSE 2

(OBQ11.67) Which of the following elbow apophyses is the last to fuse during growth?
Review Topic
QID: 3490

1. Capitellum

2. External (lateral) epicondyle

3. Radial head

4. Internal (medial) epicondyle

5. Trochlea
PREFERRED RESPONSE 4

(OBQ08.248) A child falls off of the monkey bars at school and sustains the left elbow injury
shown in Figure A. What is a disadvantage of the fixation construct shown in Figure B
compared to Figure C for this injury pattern?
QID: 634
Figure A Figure B Figure C

1. Less biomechanical stability

2. Higher incidence of compartment syndrome

3. Higher chance of osteomyelitis

4. Higher risk of iatrogenic injury to the ulnar nerve

5. Higher risk of iatrogenic injury to the anterior interosseous nerve

PREFERRED RESPONSE 4

(OBQ07.132) What is the advantage of medial and lateral crossed pins compared to two
lateral pins in the treatment of supracondylar humerus fractures? Review Topic
QID: 793

1. Greater ultimate clinical arc of elbow motion

2. Lower revision rate

3. Lower incidence of ulnar nerve injury

4. Greater experimental biomechanical stability

 5. More anatomic fracture reduction

PREFERRED RESPONSE 4

(OBQ07.179) A 7-year-old boy falls off the playground and sustains the injury shown in
figure A. What motor deficit is associated with the nerve most commonly injured in this
fracture pattern?

QID: 840

1. Weakness of the flexor digitorum profundus to the index finger

2. Weakness of the extensor pollicis longus

3. Wrist drop

4. Weakness of the flexor pollicis longus

5. Hand intrinsic weakness

PREFERRED RESPONSE 5

(OBQ06.227) What is the etiology of cubitus varus following a supracondylar humerus

fracture in a child?
QID: 238

1. Overgrowth of the lateral physis

2. Malreduction of the fracture

3. Growth arrest of medial physis

 4. Injury to the ulnar nerve

5. Radial head dislocation

PREFERRED RESPONSE 2

(OBQ05.90) A 10-year-old boy sustained the injury shown in figure A while jumping off a
trampoline. His hand is pulseless and cold. What is the next step in management?
QID: 976

1. Loose-fitting splint application and reassess in 1 hour

2. Emergent closed reduction and pin fixation

3. Angiogram

4. Open vascular exploration

5. Forearm skeletal traction pin

PREFERRED RESPONSE 2

(OBQ04.12) A 5-year-old boy sustains a type II (Gartland classification) supracondylar

fracture which is treated with cast immobilization. Healing results in a mild gunstock
deformity. Surgical treatment of this will most likely result in:
QID: 123

1. improved functional outcome

2. improved cosmesis

3. improved pain relief

4. improved range of motion

5. reduce non-union rates

PREFERRED RESPONSE 2

(OBQ04.140) The most common nerve injured in the fracture shown in Figure A innervates
all of the following muscles EXCEPT?
QID: 1245

1. flexor digitorum profundus index finger

2. flexor digitorum profundus middle finger

3. flexor pollicis longus

4. extensor pollicis longus

5. pronator quadratus

PREFERRED RESPONSE 4

(OBQ04.225) A 8-year-old boy has a cubitus varus deformity of his left elbow after a supracondylar
humerus fracture was treated in a splint. What is the most common cause of this deformity?
QID: 1330

1. Malreduction causing malunion

 2. Medial epicondyle growth arrest

3. Lateral condyle overgrowth

4. Medial epicondyle avascular necrosis

5. Unrecognized compartment syndrome

PREFERRED RESPONSE 1