MSK exam ICM

Question 1

red flags for spine pain

Answer 1

fever, night pain, incontinence, retention, saddle anesthesia

Question 2

special spinal pain tests

Answer 2

neuro exam
manual muscle testing
sensorry testing
reflexes
babinski
clonus
hoffman's sign

Question 3

test for recreating cervical spine pain

Answer 3

spurling’s test

Question 4

test for recreating lumbar spine pain

Answer 4

straight leg raise, stork test

Question 5

signs of behavioral component of pain

Answer 5

distraction, overreaction, regionalization, simulation, tenderness

Question 6

most common cause of shoulder pain

Answer 6

impingment

Question 7

provocative testing of shoulder

Answer 7

painful arc, neer’s, hawkin’s, speed’s, empty can

Question 8

range of pain in painful arc indicating rotator cuff damage

Answer 8

120-70 degrees

Question 9

side of elbow in golfer’s elbow

Answer 9

medial

Question 10

side of elbow in tennis elbow

Answer 10

lateral

Question 11

pain reprouduced with wrist flexion and pronation

Answer 11

medial epicondilitys

Question 12

test for lateral epicondylitis

Answer 12

cozen’s test

Question 13

aching pain of elbow with paresthesias which may radiate to 4th/5th digits

Answer 13

ulnar nerve entrapment

Question 14

thumb grasping sign in ulnar nerve entrapment

Answer 14

froment’s

Question 15

pain and tenderness on radial side of wrist associated with movement.

Answer 15

deQuervain’s tenosynovitis

Question 16

common bone fractured in the wrist

Answer 16

scaphoid

Question 17

complications of scaphoid fracture

Answer 17

osteonecrosis

Question 18

parts of hand involved in carpal tunnel

Answer 18

thumb, 2, 3 and radial side of palmer fingers. tips of same.

Question 19

tests for carpal tunnel

Answer 19

phalen’s and tinels

Question 20

“reverse prayer” test

Answer 20

phalens

Question 21

location to tap on tinel’s

Answer 21

where hand meets the wrist (NOT the wrist itself)

Question 22

test for hip OA

Answer 22

resisted hip flexion

Question 23

radiological signs of hip OA

Answer 23

joint space narrowing, femoral osteophytes, acetabular osteophytes, sclerosis

Question 24

test for sacroiliac joint dyfunction

Answer 24

faber

Question 25

“terrible triad” of knee

Answer 25

ACL, MCL, medial meniscus

Question 26

valgus force side

Answer 26

from lateral side

Question 27

vagus force side

Answer 27

from medial side

Question 28

common findings with PCL tear

Answer 28

poplitieal tenderness, posterior drawer test

Question 29

tests for ACL tear

Answer 29

anterior drawer, lachman’s

Question 30

cause of meniscial injuries

Answer 30

tibial rotation while the knee is partually flexed during weight bearing

Question 31

tests for meniscal injury

Answer 31

apley and mcCMurry

Question 32

most common anterior knee syndrome

Answer 32

patellofemoral syndrome

Question 33

pain after sitting or going up/down stairs

Answer 33

patellofemoral syndrome

Question 34

ankle sprain tests

Answer 34

anterior drawer, talar tilt

Question 35

when to order an MRI on spine pain

Answer 35

with fever

Question 36

hip flexion nerve

Answer 36

L2

Question 37

knee extention nerve

Answer 37

L3

Question 38

foot dorsiflexion

Answer 38

L4

Question 39

toe extention

Answer 39

L5

Question 40

foot plantarflexion

Answer 40

S1

Question 41

shoulder test for biceps tendon involement in rotator cuff

Answer 41

speed’s test

Question 42

supraspinatus involvement in rotator cuff

Answer 42

empty can test

Question 43

test where the tibia is rotated in and out

Answer 43

mcMurry’s test