Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Self-Assessment Questions

Orthopaedic Surgery

Shoulder Instability: Review Questions

Mark D. Miller, MD

Dr. Miller is an Associate Professor of Orthopaedic Surgery and Co-Director of Sports Medicine, Department of Orthopaedics, University of Virginia, Charlottesville, VA.

Choose the single best answer for each question.

1. A 20-year-old male athlete with no prior history of shoulder problems sustains a traumatic anterior shoulder dislocation while snowboarding. Which of the following ranges represents his risk for recurrent anterior shoulder instability if his injury is left untreated?
  1. 0% to 20%
  2. 21% to 40%
  3. 41% to 60%
  4. 61% to 80%
  5. Greater than 80%
Click here to compare your answer.

2. Which of the following statements is true regarding acute posterior dislocation of the shoulder?

  1. It has a risk for recurrent instability similar to that of anterior shoulder dislocation
  2. It is associated with greater tuberosity fractures
  3. It is more common than acute anterior shoulder dislocation
  4. It should be immobilized in a sling and swath following a reduction
  5. It should be suspected in patients with a history of seizure or shock
Click here to compare your answer.

3. Patients older than 40 years who have anterior shoulder dislocations must be evaluated for which of the following possible complications?

  1. Bankart lesion
  2. Hill-Sachs lesion
  3. Lesser tuberosity fracture
  4. Musculocutaneous nerve injury
  5. Rotator cuff tear
Click here to compare your answer.

4. An 18-year-old female swimmer reports shoulder instability. On physical examination, she has systemic hyperlaxity, positive responses on anterior and posterior drawer tests, and a positive sulcus sign. Initial management should consist of which of the following?
  1. Anterior/inferior capsular shift
  2. Arthroscopic Bankart repair and capsular plication
  3. Rotator cuff strengthening exercises
  4. Thermal capsulorrhaphy
  5. Ultrasonography and other imaging modalities
Click here to compare your answer.

5. Which of the following initial imaging studies should be performed in a patient with a suspected shoulder dislocation?

  1. Anteroposterior (AP) radiography in internal and external rotation
  2. AP, scapular lateral, and axillary lateral radiography
  3. Computed tomographic scan
  4. Magnetic resonance imaging
  5. Ultrasonography
Click here to compare your answer.

Self-Assessment Questions Main Page Top

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj