MSK 2022 Practice Questions - Full Questions, Answers, & Rationales. 100% proven pass rate.

Document Content and Description Below

MSK 2022 Practice Questions - Full Questions, Answers, & Rationales. 100% proven pass rate. The correct answer is A: Jumpers knee. Rationale- Patellar tendonitis or Jumpers knee is an overuse injur... y of the quadriceps tendon. Pain at the lower pole of patella and stiffness after activity are main presentations. Meniscal tear (Option B) presents with popping and locking on movement. Osteochondritis dissecans (Option C) may have pain at base of patella due to traction apophysitis of the tibial tubercle but it is seen in a younger age group who are not skeletal mature. Similarly, Osgood Schlatter (Option D) is seen in younger children aged 12-14. Reference: David J Magee; Orthopedic physical examination edition 6. Page: 770 - ANSA 20 year old college basketball player reports of pain, stiffness and feeling of weakness in his left knee which aggravates after playing. On examination, there is no crepitus, no popping or locking of the joint movement. Palpating the lower pole of patella and quadriceps tendon reproduces pain. What is the MOST likely diagnosis? A. Jumpers knee B. Meniscal tear C. Osteochondritis dissecans D. Osgood Schlatter syndrome The correct answer is A: Strengthening of the right gluteus medius. Rationale- The picture shows the right knee in a valgus position and strengthening of hip abductors muscles will help with proximal stability. Stretching of hip adductors, not strengthening (Option B) will most likely help with knee valgus. Recent evidence suggests strengthening of the right vastus medialis (Option C) does not have any significant effect on knee valgus. Tibialis anterior (Option D) is one joint dorsiflexor and invertor and doesn't cross the knee joint. Reference- Nordin M. Basic Biomechanics of Musculosketelal system, page 148-149 - ANSA PT is evaluating a 24-year-old female basketball player with a vague diagnosis of right knee pain. The patient is performing a jump landing as shown in the picture below. The PT treatment should MOST likely focus on: A. Strengthening of the right gluteus medius B. Strengthening of the right adductor magnus C. Strengthening of the right vastus medialis D. Strengthening of the right tibialis anterior The correct answer is C. Apply PA glide on L3 transverse process on the left side. Rationale- Applying a Posterior- Inferior glide will move the L3 vertebrae superiorly and closer to the L2, and help improve the closing restriction. Applying PA glide on L2 transverse process on the right side (Option A) will open the L2-L3 on right side and indirectly close the left side but it is not the best option. Applying PA glide on L3 transverse process on the right side (Option B) will close the L2-L3 on the right side, and applying PA glide on L4 transverse process on the left side (Option D) will close L3-L4 on the left side. Reference: Kisner C, Colby LA; Therapeutic Exercise: Foundations and Techniques, 6th edition Page: 501, 502 - ANSOn examining a patient with a decreased trunk side bending to the left, the physical therapist finds a closing restriction between L2-L3 vertebrae. What is the MOST appropriate intervention to improve the restriction? A. Apply PA glide on L2 transverse process on the right side B. Apply PA glide on L3 transverse process on the right side C. Apply PA glide on L3 transverse process on the left side D. Apply PA glide on L4 transverse process on the left side The correct answer is C: Get a roller bag with wheels, and roll it on the left side. Rationale: Having a roller bag (bag with wheels) on the opposite (left) side will create a counterclockwise torque on the right hip which will help reduce the stress (and pain) on the right hip. Holding the bag without wheels on the left side will increase the stress on the right hip making A incorrect. Roller bag on the same side (Option B ) will create a clockwise torque, which will also increase stress on the right side. Leaning of the trunk on same side decreases pain, not opposite side (Option D). [Show More]

Last updated: 1 year ago

Preview 1 out of 23 pages