MSK/Sports 2

Question 1

what is the initial therapy for adductor and pubic related groin pain?

Answer 1

supervised physical therapy

Question 2

which bony protuberance is the site that connects the hip adductors and lower abdominal muscles?

Answer 2

pubic tubercle

Question 3

the modified thomas test assesses for pain arising from what structure?

Answer 3

iliopsoas

Question 4

for adductor related groin pain, what is the imaging study of choice?

Answer 4

MRI pelvis

Question 5

what type of injection can be used for adductor related groin pain refractory to physical therapy?

Answer 5

prolotherapy

Question 6

what intervention can you try if iliopsoas related pain does not improve with physical therapy after 8-12 weeks?

Answer 6

iliopsoas bursa CSI

Question 7

what is the first line treatment for pubic related groin pain?

Answer 7

physical therapy addressing core strength and pelvic stability

Question 8

what is the initial strep in management for inguinal related groin pain in which ultrasound does not show evidence of hernia?

Answer 8

physical therapy to address core strengthening and neuromuscular rehab

Question 9

in a patient with adductor related groin pain, what is the preferred imaging modality if the diagnosis is not clear?

Answer 9

MRI

Question 10

if a patient with adductor related groin pain is refractory to physical therapy, what is the next step in surgical consideration?

Answer 10

adductor longus surgical tendon release

Question 11

why is hip imaging typically indicated for patients with iliopsoas related hip pathology?

Answer 11

these patients have a high rate of concomitant hip pathology

Question 12

in pubic related groin pain, when should you consider MRI?

Answer 12

when the patient is refractory to initial conservative treatment

Question 13

what is the summary of evidence for management of lateral epicondylitis with CSI?

Answer 13

they have limited effectiveness and should rarely be used

Question 14

which type of management is preferred for subacromial pain?

Answer 14

non operative

Question 15

in addition to CSI, what other antiinflammatory injection option is appropriate for subacromial pain/rotator cuff tendinopathy?

Answer 15

subacromial toradol

Question 16

which three muscles are the main contributors to the common extensor tendon of the elbow?

Answer 16

ECRB, EDC, and ECU

Question 17

surgery can be considered for treatment of lateral epicondylitis after what period of conservative management trial?

Answer 17

12-18 months

Question 18

what period of time should you trial conservative management before ordering MRI to evaluate for rotator cuff tendinopathy?

Answer 18

4-6 weeks

Question 19

what physical exam finding is the best validated and most helpful finding for ruling in carpal tunnel syndrome?

Answer 19

hypalgesia in the median nerve territory