AAFP Board Review - MSK

A 16-year-old female presents for follow-up after a tibial stress fracture. The fracture was diagnosed 5 weeks ago by characteristic physical examination findings and radiographs showing a transverse fracture of the tibial diaphysis. She was placed on non-weight-bearing status for 2 weeks and after that was advised to limit activities that caused discomfort. In addition, she was placed on appropriate calcium and vitamin D supplementation based on results of her laboratory workup. The patient is a basketball player and would like to begin practicing with the team in 1 week. She says she is now able to walk without discomfort but has not tried running or jumping. Which one of the following is necessary for this patient to be able to return to basketball participation next week? (check one) A. Consultation with a sports medicine physician B. A normal physical examination of the affected area C. Normal radiographs of the tibia D. A normal hydroxyvitamin D level - Answer- B. A normal physical examination of the affected area In a patient with hyperuricemia who has experienced an attack of gout, which one of the following is LEAST likely to precipitate another gout attack? (check one) A. Red meat B. Milk C. Seafood D. Nuts E. Beans - Answer- B. milk - milk, unlike other dairy product, decrease gout attack - nuts and beans are high in purines & worsens gout You test a patient's muscle strength and find that his maximum performance consists of the ability to move with gravity neutralized. This qualifies as which grade of muscle strength, on a scale of 0 to 5? (check one) A. 0 B. 1 C. 2 D. 3 E. 4 - Answer- C. 2 Muscle strength is scored on a scale of 0 to 5. 0 - inability to contract a musc