Rosh MSK UPDATED ACTUAL Questions and CORRECT Answers
1. A 55-year-old woman presents to the clinic with She does not complain of any
several months of fatigue, bilateral shoulder headaches or scalp tenderness.
pain, and bilateral hip pain. She states that she Laboratory tests reveal an ery-
is achy and stiff in those areas, especially when throcyte sedimentation rate of 80
she gets up in the morning. Only after lying in mm/hr and a normal creatine ki-
bed for about an hour can she get up and walk nase. Which of the following is the
around. most likely diagnosis? Polymyalgia
rheumatica
2. 75-year-old woman presents to the emer- Prednisone
gency department with complaints of severe
headache, jaw claudication, and visual changes.
Temporal artery biopsy results are positive for
giant cell arteritis. Which of the following is the
most appropriate therapy?
3. Which of the following best describes a defor- Hammertoe
mity of a lesser toe in which the metatarsopha-
langeal joint is extended and the proximal inter-
phalangeal joint is fixed in flexion?
4. Where do ganglion cysts most commonly occur? Dorsal aspect of the wrist
5. Which gastrointestinal pathogen is classically as- Campylobacter jejuni
sociated with reactive arthritis?
6. A 75-year-old man presents to the emergency He holds the knee in 30° of flexion
department with pain and swelling in his left and complains of pain with further
knee, which has been worsening for the past flexion. Which of the following is the
three days. Physical examination reveals warmth most useful diagnostic test for sep-
and a moderate effusion in the knee. tic arthritis? Synovial fluid cell count
7.
, An 82-year-old woman presents with shoulder Radiographs reveal a proximal
pain after a fall from a standing position that humeral fracture with mild anteri-
occurred just prior to her arrival. She is holding or displacement of the distal frag-
the arm adducted at her side and has severe pain ment. Which of the following is the
with movement. Distal pulses and sensation are best next step in managing this pa-
intact. tient's care? Apply collar and cuff
sling
8. A 45-year-old, right-handed man presents to the On physical examination, he has
clinic with swelling over his right elbow that has a 4-centimeter, well-circumscribed
been getting worse over the past two weeks. He mass over the posterior elbow that
works installing heating systems and does a lot is minimally tender and fluctuant
of heavy lifting. He has been able to work. with no warmth or erythema. He
has full flexion and extension of the
elbow. Which of the following is
the most likely diagnosis?Olecranon
bursitis
9. A 55-year-old woman presents to the clinic with She does not complain of any
several months of fatigue, bilateral shoulder headaches or scalp tenderness.
pain, and bilateral hip pain. She states that she Laboratory tests reveal an ery-
is achy and stiff in those areas, especially when throcyte sedimentation rate of 80
she gets up in the morning. mm/hr and a normal creatine ki-
nase. Which of the following is the
most likely diagnosis?Polymyalgia
rheumatica
10. A 55-year-old woman presents to the clinic with Which of the following most ac-
a 10-month history of extremely dry eyes that curately describes the pathophys-
prevent her from wearing her contacts. In addi- iology of the suspected diagno-
tion, she notes that four months ago she began sis? Lymphocytic infiltrate in the ex-
ocrine glands
1. A 55-year-old woman presents to the clinic with She does not complain of any
several months of fatigue, bilateral shoulder headaches or scalp tenderness.
pain, and bilateral hip pain. She states that she Laboratory tests reveal an ery-
is achy and stiff in those areas, especially when throcyte sedimentation rate of 80
she gets up in the morning. Only after lying in mm/hr and a normal creatine ki-
bed for about an hour can she get up and walk nase. Which of the following is the
around. most likely diagnosis? Polymyalgia
rheumatica
2. 75-year-old woman presents to the emer- Prednisone
gency department with complaints of severe
headache, jaw claudication, and visual changes.
Temporal artery biopsy results are positive for
giant cell arteritis. Which of the following is the
most appropriate therapy?
3. Which of the following best describes a defor- Hammertoe
mity of a lesser toe in which the metatarsopha-
langeal joint is extended and the proximal inter-
phalangeal joint is fixed in flexion?
4. Where do ganglion cysts most commonly occur? Dorsal aspect of the wrist
5. Which gastrointestinal pathogen is classically as- Campylobacter jejuni
sociated with reactive arthritis?
6. A 75-year-old man presents to the emergency He holds the knee in 30° of flexion
department with pain and swelling in his left and complains of pain with further
knee, which has been worsening for the past flexion. Which of the following is the
three days. Physical examination reveals warmth most useful diagnostic test for sep-
and a moderate effusion in the knee. tic arthritis? Synovial fluid cell count
7.
, An 82-year-old woman presents with shoulder Radiographs reveal a proximal
pain after a fall from a standing position that humeral fracture with mild anteri-
occurred just prior to her arrival. She is holding or displacement of the distal frag-
the arm adducted at her side and has severe pain ment. Which of the following is the
with movement. Distal pulses and sensation are best next step in managing this pa-
intact. tient's care? Apply collar and cuff
sling
8. A 45-year-old, right-handed man presents to the On physical examination, he has
clinic with swelling over his right elbow that has a 4-centimeter, well-circumscribed
been getting worse over the past two weeks. He mass over the posterior elbow that
works installing heating systems and does a lot is minimally tender and fluctuant
of heavy lifting. He has been able to work. with no warmth or erythema. He
has full flexion and extension of the
elbow. Which of the following is
the most likely diagnosis?Olecranon
bursitis
9. A 55-year-old woman presents to the clinic with She does not complain of any
several months of fatigue, bilateral shoulder headaches or scalp tenderness.
pain, and bilateral hip pain. She states that she Laboratory tests reveal an ery-
is achy and stiff in those areas, especially when throcyte sedimentation rate of 80
she gets up in the morning. mm/hr and a normal creatine ki-
nase. Which of the following is the
most likely diagnosis?Polymyalgia
rheumatica
10. A 55-year-old woman presents to the clinic with Which of the following most ac-
a 10-month history of extremely dry eyes that curately describes the pathophys-
prevent her from wearing her contacts. In addi- iology of the suspected diagno-
tion, she notes that four months ago she began sis? Lymphocytic infiltrate in the ex-
ocrine glands
