Msk Exam Scenarios Flashcards
40yr old Male with 6 week history of Left foot pain.
1) Do a subjective interview
2) Provide a diagnosis
3) Provide 1 exercise for the patient
4) Educate the patient on 2 management strategies
Plantar fascitis
Model key points
* Spending alot of time of feet at work over last 2 months.
* Pain is on inside of heel
* Pain in worst in the morning and gets better as start to move.
26yr old Male with 4 week history of pain in his foot.
1) Do a subjective interview
2) Provide a diagnosis
3) Provide 1 exercise for the patient
4) Educate the patient on 2 management strategies
Suspected navicular stress fracture.
Model key points
* Started training for rugby season, running pavement 5-10km 4-5 times a week
*Using old running shoes that don’t give good support
* Pain is sharp over the bump on inside of foot (navicular tuberosity)
* Pain in worst with foot impacting ground,
* Pain is better at rest.
32yr old female 1 week post ankle sprain.
1) Do a subjective interview
2) Provide a diagnosis
3) Educate on injury management
Grade 1 lateral ankle sprain
Key features
* some swelling
* no brusing
* could walk with a limp
* xrays negative
* pain on outside of ankle
* pain on inversion and plantarflexion
32yr old female 3 days post ankle sprain.
1) Do a subjective interview
2) Provide a diagnosis
3) What would your treatment be?
Potential 5th lateral malleolus fracture.
Key features
* Cannot walk more than 4 steps.
* tenderness over lateral malleolus
* lots of swelling and brusing
* no xrays yets
* pain on outside of ankle
* pain on inversion and plantarflexion
32yr old female 2 week post grade 2 lateral ankle sprain
1) Perform 2 special tests for this injury.
2) What would you expect to observe with this injury
3) Provide 3 exercises for this patient.
Key features
* You will have pain in anterior draw
* You will have pain in talar tilt. 4
Subacute ankle injury (pick side)
1) Do a subjective interview
2) Provide a diagnosis
3) Educate on injury management
Grade 2 medial ankle sprain
Acute ankle injury (pick side)
1) Do a subjective interview
2) Provide a diagnosis
3) Educate on injury management
Grade 1 lateral ankle sprain
Grade 2 lateral ankle injury (pick side)
1) Do 2 tests to confirm this diagnosis
2) Explain what these tests would reveal for this injury.
3) Provide 2 exercises for this injury.
Red flag question
You will have these issues
1) Cannot walk more than 4 steps
2) pain over lateral malleolus
3) over the 5th metatarsal head
Education on aerobic exercise
1 - Safe progression education
2 - Symptoms of over training
3 - Strategies to reduce injury risk
lkjlkj
Education on resistance exercise
1 - determine whether it resistance exercise is safe
2 - educated on safe progression
3 - prescribe one resistance exercises
lkjlkjlkj
