8 / 99
U
pdate
on
femoral
neck
fracture
in
children
:
treatment
and
complications
R
ev
A
ssoc
M
ed
B
ras
2015; 61(1):3-4
3
B
ernardo
WM
et
al
.
stress
fractures
of
the
foot
and
ankl
in
athletes
F
elipe
-S
ilva
A
ACCREDITATION
Update on stress fractures of the foot and ankle in athletes
B
ernardo
WM, A
sano
LYJ, D
uarte
J
unior
A, S
ilva
APS
http://dx.doi.org/10.1590/1806-9282.61.01.0031. Which complementary exams should be requested
for diagnosis?
a.
Start diagnostic investigation by scintigraphy.
b.
Start diagnostic investigation by tomography.
c.
Start diagnostic investigation by radiography.
d.
Start diagnostic investigation by MRI.
2. Which factor does NOT favor stress fractures?
a.
Sleep rhythm.
b.
Hormonal balance.
c.
Cavovarus foot.
d.
Smoking.
3. How should stress fractures be treated?
a.
Surgical at first.
b.
Conservative measures include immobilization.
c.
Kinesiotherapy is contraindicated in the first 30 days.
d.
Return to sports practice cannot be done before 12
months.
4. What are the indications for surgical treatment?
a.
All fractures.
b.
All fractures of the medial malleolus.
c.
All fractures of the distal end of the fibula.
d.
When the fracture occurs in the traction zone.
5. When can the patient return to sport?
a.
In fractures of the navicular bone, between 4 and 6
months.
b.
Never before 12 months.
c.
After immobilization removal.
d.
After normal radiographs.
A
nswers
to
clinical
scenario
:
late
-
on
-
set
hypogonadism
(LOH)
or
A
DAM
:
treatment
[P
ublished
in
RAMB 2014; 60(6)]
1. What is the role of androgen replacement thera-
py (ART) to restore bone mass, muscular strength
and body composition?
Increase in muscle mass. (Alternative
C
)
2. What is the role of ART to restore libido and sexual
function?
Testosterone restores libido in men with low testos-
terone levels. (Alternative
B
)
3. What is the risk of ART in relation to exarcebat-
ing prostate disease?
Can increase PSA levels. (Alternative
D
)
4. How should ART be administered orally?
It is strongly advised NOT to use oral testosterone
formulations. (Alternative
D
)
5. What is the best form of ART?
Injectable testosterone undecanoate depot (TUD) is
the most physiologic. (Alternative
A
)