FMCLA Musculoskeletal and Orthopedic Conditions

Question 1

A patient presents with acute monoarthritis of the first MTP joint with overlying erythema and severe pain. Synovial fluid shows negatively birefringent crystals. The diagnosis is:

Accepted Answer

Gout

Answer

Pseudogout

Answer

Septic arthritis

Answer

Rheumatoid arthritis

Question 2

Which imaging modality is first-line for evaluating suspected rotator cuff tear?

Accepted Answer

MRI

Answer

Plain X-ray

Answer

CT scan

Answer

Bone scan

Question 3

A 16-year-old male basketball player presents with anterior knee pain below the patella that worsens with activity. The most likely diagnosis is:

Accepted Answer

Osgood-Schlatter disease

Answer

Patellofemoral syndrome

Answer

Patellar fracture

Answer

Meniscus tear

Question 4

Which maneuver is used to test for anterior cruciate ligament (ACL) integrity?

Accepted Answer

Lachman test

Answer

McMurray test

Answer

Valgus stress test

Answer

Patellar grind test

Question 5

First-line treatment for acute uncomplicated low back pain in a 40-year-old without neurological deficits includes:

Accepted Answer

NSAIDs and continued activity

Answer

Opioid analgesics

Answer

Bed rest for 2 weeks

Answer

Lumbar MRI immediately

Question 6

Which finding on physical exam is a 'red flag' in a patient presenting with low back pain?

Accepted Answer

Bilateral lower extremity weakness and saddle anesthesia

Answer

Pain worse with prolonged sitting

Answer

Lumbar paraspinal muscle tenderness

Answer

Pain radiating to the posterior thigh