MSK

Question 1

McMurray Test to Asses

Answer 1

Meniscal tear

17 y/o with knee pain after twisting-type injury; has a reduced ROM and reports knee lock

Question 2

How to perform McMurray

Answer 2

Knee flex, rotate knee medically and move into extension. Positive if pt experiences clicking, locking, pain in the knee

Question 3

Talar Tilt tests for

Answer 3

Ankle Instability

15 y/o basketball player w/ history of multiple ankle sprains; feels ankle rolls inward more easily, ankle pain

Question 4

How to perform Talar Tilt

Answer 4

Pt sitting with legs dangling, bring foot to flexing and move foot into inversion and eversion

Positing w/ pain and significant gaping

Question 5

Tinel’s Sign

Answer 5

Carpel Tunnel Syndrome

52 y/o man who constantly uses a soldering iron throughout the day; feels numbness, tingling, weakness in the dominant hand

Question 6

How to perform Tinel’s sign

Answer 6

Tapping over the median nerve. If positive, elicits numbness and tingling

Question 7

Lachman Test

Answer 7

Anterior cruciate ligament tear

18 y/o soccer player experiences sudden knee pain and swelling after changing direction rapidly, heard a “popping” noise, has reduced ROM

Question 8

How to perform Lachman test

Answer 8

Move tibia anterior to femur

Positive if painful and no solid endpoint when forcing movement

Question 9

Straight Leg Test

Answer 9

Lumbar Nerve Root Compression

62 y/o w/ history of spondylolisthesis and LBP that radiates to legs and feet, with numbness and muscle weakness

Question 10

Straight Leg Test

Answer 10

Lumbar Nerve Root Compression

62 y/o w/ history of spondylolisthesis and LBP that radiates to legs and feet, with numbness and muscle weakness

Question 11

How to perform straight leg test

Answer 11

Positive if pain in leg/buttock/back when leg is passively flexed and the knee is extended

Question 12

Spurling Test

Answer 12

Cervical Nerve Root Compression

32 y/o w/ neck pain following a MVA; tingling and numbness that runs down her shoulder, arm and to the thumb

Question 13

How to perform Spurling Test

Answer 13

Positive when pain provoked by lateral bending of neck to affected side and axial compression

Question 14

Drop Arm Test

Answer 14

Rotator Cuff Eval

14 y/o baseball pitcher complaining of pain and swelling on his throwing arm, clicking sound heard when arm is raised, pain triggered by raising or lowering arm

Question 15

How to perform Drop Arm Test

Answer 15

Standing or sitting, bring affect arm to 90 degrees and release. Positive it pt is unable to keep arm up.

Question 16

Finkelstein Test

Answer 16

De Quervain’s tenosynovitis

44 y/o drummer who complains of pain and swelling at base of thumb, feels a sticking sensation when trying to move thumb

Question 17

Finkelstein Test

Answer 17

De Quervain’s tenosynovitis

44 y/o drummer who complains of pain and swelling at base of thumb, feels a sticking sensation when trying to move thumb

Question 18

How to perform Finkelstein test

Answer 18

Rest forearm on table with hand over edge of table. Ulcer deviation toward the floor.

Positive with pain

Question 19

Genu Valgum

Answer 19

Means misalignment of knees, often “knock knees”

Question 20

Posterior Drawer Sign

Answer 20

Tests posterior cruciate ligament (assists w/ knee stability)

Question 21

Anterior Drawer Test

Answer 21

Evaluates the anterior cruciate ligament (knee stability)

Question 22

Osteopenia

Answer 22

T score between -1 and - 2.5

Question 23

Osteoporosis

Answer 23

T score -2.5 and below

Question 24

Lachman Test

Answer 24

Evaluate ACL injury

Question 25

Cauda equina syndrome

Answer 25

Decreased reflexes
Order MRI

Question 26

RA symptoms

Answer 26

Fatigue
Depression
Low-grade fever
Muscle and joint aches
Stiffness

During flares joints become red, swollen, painful and tender

Question 27

RA symptoms

Answer 27

Fatigue
Depression
Low-grade fever
Muscle and joint aches
Stiffness

During flares joints become red, swollen, painful and tender

Question 28

Heberden nodes

Answer 28

OA

Question 29

Heberden nodes

Answer 29

OA

Question 30

Swan neck deformity

Answer 30

RA