Practice Test Questions for Common Knee MSK Conditions Flashcards
A 13 year-old soccer player complains of anterior knee pain. She explains that her coaches have increased work load at practice.
Examination findings include: enlarged tibial tuberosity/tubercle
What is the most likely diagnosis?
Osgood-Schlatter’s disease (Tibial apophysitis)
A 62 year-old active male complains of anterior knee pain with stiffness that goes away within 30 minutes, noticeable crepitus, bony tenderness and enlargement.
What is the most likely diagnosis?
Knee Osteoarthritis
A competitive power lifter complains of anterior knee pain during the eccentric phase of a squat, especially as he approaches his 1RM. Walking down stairs provokes his anterior knee pain.
What is the most likely diagnosis?
Patellar Tendinopathy
A 27 year-old runner complains of posterior knee pain. Examination findings revealed pain and weakness with resisted tibial internal
rotation. Tibial external rotation also provoked his symptoms.
Which structure is the most likely to blame?
Popliteus
A patient returns to your clinic for a 4 week check-in with his pervious meniscal injury. The patients new complaint is posterior knee pain and swelling. All other sinister pathology has been cleared.
What is the possible diagnosis?
Baker’s cyst
A patient complains of medial knee pain. Examination findings reveal joint line tenderness, positive entrapment tests, and quads inhibition.
What is the possible diagnosis?
Medial meniscus injury
A patient presents with lateral knee pain. Examination findings include positive Ober’s test and tenderness to palpation at the lateral femoral epicondyle.
What is the possible diagnosis?
IT band injury
A physical therapist preforms the McMurray’s test on a patient complaining of knee pain.
A positive test means damage to which structure?
Meniscus
A physical therapist preforms a valgus stress test for suspected MCL injury. The PT preforms the test in 30 deg flexion first, and if positive, tests in full extension.
Pain during extension would indicate?
Worse prognosis
A physical therapist preforms a valgus stress test for suspected MCL injury. The PT notes pain with stress testing, but no instability.
What grade of MCL tear does this represent?
Grade 1
A physical therapist suspects possible MCL and LCL involvement following major injury. The PT notes pain with stress testing during MCL assessment but NO pain and NO firm end-feel during the LCL stress test.
Why might the patient have no pain with a suspected grade 3 LCL tear?
Complete tear, (+) instability,
no firm end-feel, may be less pain due to complete ligament rupture
A physical therapist suspects potential knee ligament pathology and decides to preform a special test. The PT places the patient’s knee at about 20-30 degrees of knee flexion and attempts to glide the tibia anteriorly.
This test is for which ligament and what is the name of this special test?
ACL / Lachman’s
A physical therapist suspects potential knee ligament pathology and decides to preform a special test. The PT places the patient’s knee in 90 degrees flexion and attempts to glide the tibia anteriorly.
This test is for which ligament and what is the name of this special test?
What could lead to a false negative?
ACL / Anterior Drawer / Tight hamstrings as they help resist anterior tibial translation
A physical therapist suspects potential knee ligament pathology and decides to preform a special test. The PT places the patient’s knee in full extension while resting a fist under the proximal 1/3 of the calf while the other hand will apply a A-P force on the distal 1/3 of the quadriceps.
This test is for which ligament and what is the name of this special test?
ACL / Lever’s
What indicates a positive Lever Test?
NO elevation of the heel
