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Pediatric Rounds Review Questions

Knee Pain in a 12-Year-Old Girl

Rakesh P. Mashru, MD, Amir A. Jahangir, MD, Shannon D. Safier, MD, and Martin J. Herman, MD

Dr. Mashru is an orthopaedic trauma fellow, and Dr. Jahangir is an orthopaedic surgery resident; both are at the Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, Memphis, TN. Dr. Safier is an orthopaedic pediatric fellow, and Dr. Herman is an assistant professor of orthopaedics and pediatrics; both are at St. Christopher’s Hospital for Children, Philadelphia, PA.

The questions below are based on the June 2006 Pediatric Rounds article, “Knee Pain in a 12-Year-Old Girl”.

Choose the single best answer for each question.

1. In the radiographic evaluation of a patient in whom slipped capital femoral epiphysis (SCFE) is suspected, which of the following must be taken in addition to an anteroposterior (AP) pelvic view?
  1. Computed tomography scan of the pelvis
  2. Frog-leg lateral pelvic view
  3. Inlet pelvic view
  4. Judet pelvic view
  5. Outlet pelvic view
Click here to compare your answer.

2. What laboratory work-up is required in patients who present with bilateral SCFE or in patients younger than 10 years of age who present with SCFE?

  1. Blood urea nitrogen
  2. C-reactive protein
  3. Erythrocyte sedimentation rate
  4. Glycosylated hemoglobin
  5. Thyroid-stimulating hormone
Click here to compare your answer.

3. What is the likelihood that a patient who has a unilateral SCFE will present with SCFE on the contralateral side within the next 18 months?
  1. 0%
  2. 10%
  3. 25%
  4. 50%
  5. 80%
Click here to compare your answer.

4. The most important demographic factor in the development of a SCFE is

  1. Age
  2. Gender
  3. Height
  4. Race
  5. Weight
Click here to compare your answer.

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