MSK Signs

Question 1

Patient has weakness on external rotation of the shoulder with the elbow bent against resistance, what muscles are affected?

Answer 1

• Infrasipantus
• Teres minor

Question 2

What are these lumps?

Answer 2

Gouty Tophi

Question 3

What type of fracture is this, what bone is it and what view is this?

Answer 3

Oblique fracture

Tibia

AP

Question 4

What is this sign?

Answer 4

Varus deformity

Question 5

What nerve innervates supraspinatus and infraspinatus?

Answer 5

Suprascapular nerve

Question 6

What is this and what can cause it?

Answer 6

Winging of the scapula

-

Injury to the long thoracic nerve

Question 7

Weakness of which muscle is responsible for scapula winging?

Answer 7

Serratus anterior

Question 8

Patient has weakness initiating abduction of the arm which muscle is affected?

Answer 8

Supraspinatus

Question 9

Who do greenstick fractures appear in?

Answer 9

Children

Question 10

What kind of fracture is this, of what bone, what view is it taken from and describe the displacement?

Answer 10

Transverse Fracture

Femur

Lateral view

Posterior displacement with some shortening

Question 11

What type of fracture is this and what view is the x-ray?

Answer 11

Comminuted fracture (of the tibial shaft)

Lateral view

Question 12

What is this?

Answer 12

Positive Thomas test (but in the exam you shoudl put your hand under their lumbar spine)

Question 13

What is the unhappy triad?

Answer 13

Question 14

What nerve innervates subscapularis?

Answer 14

Subscapular nerve

Question 15

What is the deformity of the middle finger?

(bonus points for the deformity of the index finger)

Answer 15

Boutonniere deformity

(Swan-neck deformity)

Question 16

What’s the pathology?

Answer 16

Thenar wasting

Question 17

What type of Salter Harris is this?

Answer 17

Type 4 - involves all 3 parts

Question 18

What can a varus deformity (or positive varus stress test) be suggestive of?

Answer 18

Lateral colateral ligament rupture/laxity

Question 19

Joint line tenderness of the knee

Answer 19

Highly suggestive of meniscal tear

Question 20

What type of Salter Harris fracture is this?

Answer 20

Type 2 - Down through metaphysis and then across growth plate

(most common)

Question 21

What type of fracture is this?

Answer 21

Greenstick Fracture

Question 22

The patient has weakness in the lift off test - what is the pathology?

Answer 22

Damage to/weakness of subscapularis

Question 23

What nerve supplies the gluteus medius and gluteus minimis?

Answer 23

Superior gluteal nerve

Question 24

What is this sign?

Answer 24

Dupuytren’s contracture

Question 25

What is this?

Answer 25

Pre-patellar bursitis

Question 26

What classification is used for fractures of the growth plates?

Answer 26

Salter-Harris

Question 27

What is the abnormality?

Answer 27

Intracapsular fracture

Question 28

What are these lumps?

Answer 28

Rheumatoid nodules

Question 29

What are the hip abductors?

Answer 29

Gluteus medius Gluteus minimus

Question 30

What is the pathology?

Answer 30

Psoriasis

Question 31

What name is given to this fracture?

Answer 31

Smith's fracture

Question 32

What nevre innervates teres minor?

Answer 32

Axillary nerve

Question 33

What happens in painful arc?

Answer 33

Sign of suprasipantus tendinits as it rubs against the acromion process

Question 34

Patient has positive posterior drawer test What is the pathology?

Answer 34

Torn PCL

Question 35

What type of Salter Harris is this?

Answer 35

Type 5 - Crush of the growth plate

Question 36

What are Heberden's and Bouchard's nodes associated with?

Answer 36

OA

Question 37

What are these?

Answer 37

Rheumatoid nodules

Question 38

What is the name of the swelling at the DIP joint of the right index finger?

Answer 38

Heberden's Nodes

Question 39

What is this sign?

Answer 39

(Mild) Valgus deformity

Question 40

What is a positive Thomas' test suggestive of?

Answer 40

Fixed flexion contracture

Question 41

Patient has a posiitve anterior drawer test - what is the pathology?

Answer 41

Torn ACL

Question 42

What type of Salter Harris is this?

Answer 42

Type 3 - Along growth plate then through epiphysis

Question 43

What is this?

Answer 43

Baker's Cyst

Question 44

What type of Salter Harris fracture is this?

Answer 44

Type 1 - along the growth plate

Question 45

What name is given to this type of fracture?

Answer 45

Colle's fracture

Question 46

What are the rotator cuff muscles?

Answer 46

* Supraspinatus * Infraspinatus * Teres minor * Subscapualris **SITS**

Question 47

What is the fracture pattern in this x-ray?

Answer 47

Spiral fracture

Question 48

What condition can cause thenar wasting?

Answer 48

Carpal tunnel syndrome

Question 49

What sign does the guy in the right have and which muscles are weak?

Answer 49

Positive Trendeleburg's sign Weak hip abductors on the left

Question 50

Patient has pain slowly bringing arm from 120˚-60˚ What is this called?

Answer 50

Painful arc

Question 51

What is the name of this deformity and what condition is it associated with?

Answer 51

Swan-neck deformity RA

Question 52

What is the name of the swelling at the PIP joints?

Answer 52

Bouchard's nodes

Question 53

What can a valgus deformity (or positive valgus stress test) be suggestive of?

Answer 53

Medial collateral ligmaent laxity/rupture