ABFM MUSCULOSKELETAL CORRECT FINALS
ANSWERS AND QUESTIONS SET A+
✔✔Which test for children who are not walking by 17.2 months? - ✔✔Order creatinine
kinase for testing of Duchenne muscular dystrophy is patient not walking by ____ age.
✔✔Management of nursemaids elbow: - ✔✔does not require imaging prior to attempted
reduction, either by hyperpronation or the supination and flexion method. (2 ways)
Best way is hyperpronation though
✔✔SCFE vs Legg-Calve-Perthes disease - ✔✔- SCFE in obese, adolescents-
displacement at level of femoral head (need internal fixation)
- LCP: normal weight (maybe shorter) children who have Deformity of femoral head and
need femoral osteotomy
✔✔ Most effective medication for fibromyalgia? - ✔✔TCAs
✔✔Proper treatment for Boxer's fracture (fracture of 5th metacarpal head) - ✔✔ulnar
gutter splint (immobilizes the wrist, hand and fourth/ fifth digits). Wrist is positioned in
slight extension; x 3-4 weeks of continuous splinting
✔✔Goal for vertebral compression fractures? - ✔✔early mobilization; no not need to
keep recumbent in bed until back brace is made
✔✔cubital tunnel syndrome risk factors - ✔✔having elbow be bent for long periods of
time (hairdresser) or having damage to elbow or "funny bone".
Sx: similar to carpal tunnel but ulnar distribution, at worst, may start causing weakness
of ring and little finger
✔✔Cure rates for trigger finger after steroid injection: - ✔✔54-86% CURED after
injection for this musculoskeletal condition
, ✔✔Which solution for cleansing a pressure ulcer? - ✔✔tap water
saline
(nothing else!!)
✔✔which dressing for pressure ulcer? - ✔✔non-adherent: hydrocolloid, foam or other
non-adherent dressing
✔✔which therapeutic modality is contraindicated for muscle injuries until growth plate is
closed? - ✔✔Therapeutic ultrasound is C/I on growth plate. Growth plate closes at age
15
✔✔First line for gout in patient with CKD IV? - ✔✔Steroids only, Colchicine and NSAIDs
not used if renal dysfunction
✔✔Which supplements to give at which age for breastfed babies? - ✔✔- 400 IU of
Vitamin D per day starting in the first few days of life. Do not need vit D supplementation
when baby is comusming at least 500 cc of formula or milk with Vit D per day
- need to start iron supplementation at 4 months of age
✔✔PCL tear symptoms - ✔✔posterior knee pain and pain when kneeling; painful
limitation of flexion and posterior drawer sign on exam
✔✔Treatment for lateral patellar dislocation: - ✔✔medial pressure to patella and then
gently extend knee fully
✔✔If patient presents after leg injury with exceptionally severe pain that is worse with
stretching the calf muscles, think of ____. Which test to find out? - ✔✔Compartment
syndrome clinical presentation?
Tests to confirm compartment syndrome are tissue pressure studies
✔✔Where to give corticosteroid injection for rotator cuff tendonitis vs for shoulder
osteoarthritis? - ✔✔- Rotator cuff tendonitis steroid injection if pain interfering with sleep
or function despite adequate analgesia, give injection into subacromial space
- Shoulder OA steroid injection into the AC joint (intra-articular)
✔✔Mechanism of most common neurological deficit related to Paget's disease? -
✔✔Most common deficit in Paget's disease is hearing loss. Not caused by CN 7
compression but is due to cochlear damage.
✔✔Which herbal remedy helpful for joint pain? - ✔✔SAMe most helpful (Glucosamine
and chondroitin not as effective)
✔✔Alpha lipoic acid and gamma linolenic acid are helpful for: - ✔✔neuropathy
symptoms helped with which herbal remedies?
ANSWERS AND QUESTIONS SET A+
✔✔Which test for children who are not walking by 17.2 months? - ✔✔Order creatinine
kinase for testing of Duchenne muscular dystrophy is patient not walking by ____ age.
✔✔Management of nursemaids elbow: - ✔✔does not require imaging prior to attempted
reduction, either by hyperpronation or the supination and flexion method. (2 ways)
Best way is hyperpronation though
✔✔SCFE vs Legg-Calve-Perthes disease - ✔✔- SCFE in obese, adolescents-
displacement at level of femoral head (need internal fixation)
- LCP: normal weight (maybe shorter) children who have Deformity of femoral head and
need femoral osteotomy
✔✔ Most effective medication for fibromyalgia? - ✔✔TCAs
✔✔Proper treatment for Boxer's fracture (fracture of 5th metacarpal head) - ✔✔ulnar
gutter splint (immobilizes the wrist, hand and fourth/ fifth digits). Wrist is positioned in
slight extension; x 3-4 weeks of continuous splinting
✔✔Goal for vertebral compression fractures? - ✔✔early mobilization; no not need to
keep recumbent in bed until back brace is made
✔✔cubital tunnel syndrome risk factors - ✔✔having elbow be bent for long periods of
time (hairdresser) or having damage to elbow or "funny bone".
Sx: similar to carpal tunnel but ulnar distribution, at worst, may start causing weakness
of ring and little finger
✔✔Cure rates for trigger finger after steroid injection: - ✔✔54-86% CURED after
injection for this musculoskeletal condition
, ✔✔Which solution for cleansing a pressure ulcer? - ✔✔tap water
saline
(nothing else!!)
✔✔which dressing for pressure ulcer? - ✔✔non-adherent: hydrocolloid, foam or other
non-adherent dressing
✔✔which therapeutic modality is contraindicated for muscle injuries until growth plate is
closed? - ✔✔Therapeutic ultrasound is C/I on growth plate. Growth plate closes at age
15
✔✔First line for gout in patient with CKD IV? - ✔✔Steroids only, Colchicine and NSAIDs
not used if renal dysfunction
✔✔Which supplements to give at which age for breastfed babies? - ✔✔- 400 IU of
Vitamin D per day starting in the first few days of life. Do not need vit D supplementation
when baby is comusming at least 500 cc of formula or milk with Vit D per day
- need to start iron supplementation at 4 months of age
✔✔PCL tear symptoms - ✔✔posterior knee pain and pain when kneeling; painful
limitation of flexion and posterior drawer sign on exam
✔✔Treatment for lateral patellar dislocation: - ✔✔medial pressure to patella and then
gently extend knee fully
✔✔If patient presents after leg injury with exceptionally severe pain that is worse with
stretching the calf muscles, think of ____. Which test to find out? - ✔✔Compartment
syndrome clinical presentation?
Tests to confirm compartment syndrome are tissue pressure studies
✔✔Where to give corticosteroid injection for rotator cuff tendonitis vs for shoulder
osteoarthritis? - ✔✔- Rotator cuff tendonitis steroid injection if pain interfering with sleep
or function despite adequate analgesia, give injection into subacromial space
- Shoulder OA steroid injection into the AC joint (intra-articular)
✔✔Mechanism of most common neurological deficit related to Paget's disease? -
✔✔Most common deficit in Paget's disease is hearing loss. Not caused by CN 7
compression but is due to cochlear damage.
✔✔Which herbal remedy helpful for joint pain? - ✔✔SAMe most helpful (Glucosamine
and chondroitin not as effective)
✔✔Alpha lipoic acid and gamma linolenic acid are helpful for: - ✔✔neuropathy
symptoms helped with which herbal remedies?
