Musculoskeletal

Question 1

McMurray’s sign

Answer 1

Associated with a meniscal knee injury

Question 2

Thiazide diuretics have been shown to do what for bone health?

Answer 2

Decrease calcium excretion by the kidneys/stimulate osteoblasts production

Question 3

What T-score is indicative of osteoporosis?

Answer 3

Less than -2.5

Question 4

Anterior drawer sign

Answer 4

Associated with ACL injury

Question 5

What T-score range shows osteopenia?

Answer 5

-1.0 to -2.5

Question 6

Where are Bouchard’s nodules found?

Answer 6

Proximal fingers

Question 7

Where are Heberden’s nodes found?

Answer 7

Distal fingers

Question 8

Autoimmune disease that causes inflammation, pain, and stiffness in spinal joints

Answer 8

Ankylosing spondylitis

Question 9

What lab value may be elevated in patients with ankylosing spondylitis?

Answer 9

ESR

Question 10

Podagra is another name for what?

Answer 10

Gout

Question 11

Lachman test

Answer 11

Used to diagnose ACL injury/knee instability

Question 12

Straight leg test

Answer 12

Used to determine underlying nerve root sensitivity

Question 13

What is saddle anethesia?

Answer 13

Numbness of the perineal area

Question 14

Morton’s neuroma

Answer 14

Pain, burning, or numbness between toes

Question 15

What classic description is given for Morton’s neuroma?

Answer 15

“Pebble in shoe”

Question 16

Best type of aerobic exercise for patients with RA?

Answer 16

Swimming

Question 17

Posterior drawer sign

Answer 17

Indicative of instability of the knee

Question 18

Gold standard test for torn meniscus or joint abnormalities

Answer 18

MRI

Question 19

Phalen test

Answer 19

Tests for inflammation of median nerve

Question 20

Bouchard’s nodes can be found in what?

Answer 20

Osteoarthritis and RA, think B as in both

Question 21

Heberden’s nodes can be found in what?

Answer 21

Osteoarthritis

Question 22

Osgood-Schlatter disease

Answer 22

Pain over tibial tuberosity upon palpation/found in children and adolescents

Question 23

What kind of cast is used to stabilize a scaphoid bone fracture?

Answer 23

Thumb spica

Question 24

Pes planus

Answer 24

Flat feet

Question 25

Pain in knee with “locking up” or hears a “popping” sound while attempting to straighten leg

Answer 25

Suggestive of injury to meniscus

Question 26

First line medication treatment for OA

Answer 26

NSAIDS

Question 27

Impingement syndrome and rotator cuff injury (two most common) common complaint

Answer 27

Anterior shoulder pain with overhead activity

Question 28

Common cause of posterior shoulder pain

Answer 28

Cervical strain

Question 29

Positive Finklestein

Answer 29

Associated with DeQuervains, cardinal symptom is thumb pain

Question 30

Tenderness in “anatomical snuffbox”

Answer 30

Associated with scaphoid fracture

Question 31

Most common cause of low back pain

Answer 31

Lumbar strain

Question 32

90 % of low back pain cases have resolution by how many weeks?

Answer 32

4-6 weeks, consider x-ray at this point (unless worrisome presentation then x ray at time of complaint)

Question 33

Hallmark finding of plantar fasciitis

Answer 33

Heel point tenderness

Question 34

MTP squeeze test

Answer 34

Associated with Morton’s neuroma, foot is squeezed together by clinician, elicits pain

Question 35

Valgus test

Answer 35

MCL injury

Question 36

Test the L4 nerve root

Answer 36

“Squat and rise”

Question 37

Positive “squat and rise”

Answer 37

Knee jerk diminished

Question 38

Test the L5 nerve root

Answer 38

“Heel walking”

Question 39

Positive “heel walking”

Answer 39

Numbness in great toe

Question 40

Test the S1 nerve root

Answer 40

“Walk on toes”

Question 41

Positive “walk on toes”

Answer 41

Absent ankle jerk

Question 42

Apley scratch test

Answer 42

Used to assess for possible rotator cuff injury, assess integrity of glenohumeral joint