MSK Prac Exam - Conditions

Question 1

ROM impairments of lateral ankle sprain

Answer 1

DF and Inv

Question 2

Differential diagnosis of plantar fasciopathy

Answer 2

Tarsal Tunnel
Calcanea stress fracture
Neuropathies

Question 3

Observation of plantar fasciopathy

Answer 3

Flat feet or high arches
Overpronation in gait

Question 4

Expected ROM in plantar fasciopathy

Answer 4

normal

Question 5

Differential diagnosis of achilles tendinopathy

Answer 5

Achilles rupture, Calf strain, Plantar Fasciopathy, Tarsal tunnel, Ankle OA, Deep vein thrombosis

Question 6

Location of pain of non insertional achilles tendinopathy

Answer 6

2-6 above insertion

Question 7

MMT impairments of achilles tendinopathy

Answer 7

PF due to pain

Question 8

ROM impairments of achilles tendinopathy

Answer 8

Pain in AROM but not in PROM

Question 9

What to assess in Tarsal Tunnel syndrome (thats not special test) for the exam

Answer 9

PF MMT due to tibial nerve innervation

Question 10

Differentiate between PFPS, Chondromalacia Patellae, Patella Tendinopathy and Fat Pad Pain. Pain location

Answer 10

PFPS - Around the kneecap
Chondromalacia Patellae - Underneath the kneecap
Patella Tendinopathy - Inferior pole of patella
Fat Pad Pain - Either side of patella tendon

Question 11

Differentiate between PFPS, Chondromalacia Patellae, Patella Tendinopathy and Fat Pad Pain. AF

Answer 11

PFPS - Going down Stairs, Squatting, Sitting, Knee Flexion, Sitting
Chondromalacia Patellae - Stairs, Squatting, Sitting, Knee Flexion
Patella Tendinopathy - Jumping, COD, Deceleration, Squatting, Stiffness after inactivity or in the morning
Fat Pad Pain - Extension and walking

Question 12

Cause of a meniscus injury

Answer 12

Twisting or direct impact to the knee

Question 13

What to assess in meniscus injury (thats not special test) for the exam

Answer 13

Knee ext ROM

Question 14

What to assess in hip OA (physical examination)

Answer 14

FABER test to rule out
Hip IR ROM less than 24° or IR and hip flex 15° less than the nonpainful side, and/or increased hip pain associated with PROM IR.

Question 15

Classify Hip OA

Answer 15

Over 50

Lateral hip pain (make a ‘C’ shape around the Femoroacetabular joint)

Morning stiffness

Hip IR ROM less than 24° or IR and hip flex 15° less than the nonpainful side, and/or increased hip pain associated with PROM IR.

Radiographic evidence: joint space narrowing, marginal osteophytes, subchondral sclerosis, and bone cysts.

Question 16

What can be subjectively observed in hip OA

Answer 16

Muscle atrophy
Trendelenburg sign
Flexing knee to avoid loading the hip
Avoiding hip int. rot and hip flex

Question 17

Pain location of FAI

Answer 17

deep groin or anterior hip pain

Question 18

FAI AF

Answer 18

Prolonged sitting
Squatting
Going UP stairs

Question 19

Should FAI get scans to confirm diagnosis?

Answer 19

Yes to rule out OA

Question 20

How does a labral tear occur

Answer 20

Caused by FAI. Shear force is placed on acetabulum/labrum

Question 21

Two types of labral tear

Answer 21

Type 1: detachment from the hyaline cartilage
Type 2: Cleavage tears within the labrum

Question 22

What are the structures involved in the TFCC

Answer 22

Dorsal and Palamar radioulnar ligaments
Ulnolunate ligament
Ulnotriquetral ligament

Question 23

What causes pain in TFCC

Answer 23

Ulnar deviation
Gripping
Supination
Pronation
Weight Bearing

Question 24

Common causes of TFCC injuries

Answer 24

Hitting the turf in golf
Tennis players (overuse)
Goalkeepers saving a hard shot
Waiters

Question 24

What anatomical causes could increase injury of TFCC

Answer 24

Positive ulnar variance (ulnar sits closer to the carpals)

Question 25

Possible injuries if someone falls on an outstretched hand and has pain in hand/wrist

Answer 25

Scapholunate ligament injury Scaphoid fracture

Question 26

Differentiate between a scaphoid fracture and scapholunate ligament injury

Answer 26

Ligament = Clunk of bones in watsons test Fracture = Pain on compression during Watsons test

Question 27

What tendons are inflamed in de quervains tenosynovitis

Answer 27

Abductor Pollicis Longus Extensor Pollicis Brevis

Question 28

In skiers thumb, what structure is injured

Answer 28

UCL

Question 29

What joint is the UCL of the thumb located

Answer 29

Metacarpal phalangeal joint

Question 30

What causes the injury of 'mallet finger'

Answer 30

Forced flexion to distal interphalangeal joint

Question 31

What structure is disrupted in mallet finger

Answer 31

Extensor tendon

Question 32

What structure is damaged in jersey finger

Answer 32

Flexor digitorum profundus

Question 33

What causes jersey finger

Answer 33

Hyperextension of distal phalanx

Question 34

What ROM impairments are present in Jersey finger

Answer 34

Unable to flex distal phalanx

Question 35

What ROM impairments are present in mallet finger

Answer 35

Unable to extend distal phalanx

Question 36

Which fat pad is impinged in fat pat syndrome

Answer 36

infra patella