CME Posttest: Anterior shoulder dislocation; Hypertensive crisis

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ANTERIOR SHOULDER DISLOCATION


1. Posterior shoulder dislocation is particularly 
associated with


a. Forceful pulling of the arm

b. Throwing a ball

c. Receiving an electrical injury

d. A direct blow to the back of the shoulder


2. The muscles that form the rotator cuff are the


a. Subscapularis, teres major, trapezius, and deltoid

b. Supraspinatus, infraspinatus, subscapularis, and
teres minor

c. Supraspinatus, infraspinatus, triceps, and biceps

d. Trapezius, deltoid, triceps, and biceps


3. The classic sign of a squared-off shoulder represents


a. A prominent acromion process with a vacant glenoid fossa 

b. Step off at the acromioclavicular joint

c. The superiorly displaced proximal humerus

d. Ecchymosis in the region of the greater tuberosity


4. The most commonly sustained injury with subsequent paresthesias over the deltoid is injury to 


a. The radial nerve 

b. The suprascapular nerve

c. The inferior subscapular nerve

d. The axillary nerve


5. A shoulder reduction technique that is simple, 
effective, and relatively safe, even for inexperienced clinicians, is 


a. The Spaso technique

b. The external rotation method

c. The Kocher method

d. The Milch technique


6. The most significant radiographic image in postreduction assessment is


a. The scapular-Y view

b. The anteroposterior view

c. The axillary lateral view

d. The apical oblique view


HYPERTENSIVE CRISIS

a. Eclampsia

b. Unstable angina

c. Amphetamine overdose

d. Coronary artery disease


8. One study reported that its highest percentage of target organ damage sustained in a hypertensive emergency was 


a. Subarachnoid hemorrhage

b. Acute MI

c. Cerebral infarction

d. Acute heart failure


9. A condition that may manifest with volume overload in a hypertensive crisis is


a. Pheochromocytoma

b. Glomerulonephritis

c. Renovascular hypertension

d. Clonidine withdrawal


10. A widened mediastinum on chest radiography is suggestive of


a. Pericardial effusion

b. Superior vena cava obstruction

c. Esophageal rupture

d. Aortic dissection


11. When managing a hypertensive emergency, normal BP levels should not be achieved in patients with


a. Adrenergic crisis

b. Ischemic stroke

c. Acute MI

d. Pulmonary edema


12. Which of these statements apply to the treatment of a patient during a hypertensive urgency?


a. Short-acting oral agents are used after eliminating triggering factors.

b. Target organ damage occurs in most cases.

c. Parenteral drugs are needed to effectively lower BP.

d. The primary goal is the rapid reduction of BP by any means.


CME EXPIRATION DATE: AUGUST 2011