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First Aid USMLE Step 1: MSK & Dermatology Test Questions with All Actual Detailed Answers Updated.

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Knee Anatomy: - Answer What does the ACL connect? What does it prevent? - Answer - Extends from the lateral femoral condyle to the anterior tibia - Prevents anterior translocation at the knee joint What does the PCL connect? - Answer Extends from the medial femoral condyle to the posterior tibia Anterior Drawer Sign What does it test for? How do you perform it and when is it positive? What is a similar test that tests for the same thing? - Answer What does it test for? - Tear of the ACL How do you perform it? - Bending knee at 90 degree, pull knee anteriorly - Increased anterior gliding of the tibia seen in ACL injury Note: Lachman test is similar but at 30 degree angle Posterior Drawer Sign What does it test for? How do you perform it? - Answer What does it test for? - Torn PCL

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First Aid-USMLE STEP 1
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First Aid-USMLE STEP 1

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First Aid USMLE Step 1: MSK &
Dermatology Test Questions with All
Actual Detailed Answers 2025-2026
Updated.
Knee Anatomy: - Answer



What does the ACL connect?

What does it prevent? - Answer - Extends from the lateral femoral condyle to the anterior
tibia



- Prevents anterior translocation at the knee joint



What does the PCL connect? - Answer Extends from the medial femoral condyle to the
posterior tibia



Anterior Drawer Sign



What does it test for?

How do you perform it and when is it positive?

What is a similar test that tests for the same thing? - Answer What does it test for?

- Tear of the ACL



How do you perform it?

- Bending knee at 90 degree, pull knee anteriorly

- Increased anterior gliding of the tibia seen in ACL injury



Note: Lachman test is similar but at 30 degree angle



Posterior Drawer Sign

,How do you perform it?

- Bend knee at 90 degree

- Increased posterior gliding of tibia = PCL injury



Abnormal Passive Abduction of the knee (VALGUS stress test)



What does it test for?

How do you perform it? - Answer What does it test for?

- MCL tear



How do you perform it?

- Knee extended or at 30 degree, apply force laterally (VALGUS/external rotation) while
stabilizing knee

- If there is medial space widening --> MCL injury



Abnormal Passive Adduction of the knee (VARUS stress test)



What does it test for?

How do you perform it? - Answer What does it test for?

- LCL tear



How do you perform it?

- Knee extended or at 30 degree, apply force medially (VARUS/internal rotation) while stabilizing
knee

- If there is lateral space widening --> LCL injury



McMurray Test



What does it test for?

How do you perform it? - Answer What does it test for?

- Meniscal injury/tear

,IF pain, "popping" on *external* rotation --> *Medial* meniscal tear



IF pain, "popping" on *internal* rotation --> *Lateral* meniscal tear



Knee Anatomy - Answer



What is a greenstick fracture? - Answer An incomplete fracture extending partway through
the width of the bone following bending stress; bone is bent like a green twig



What is a torus fracture? - Answer Axial force applied to immature bone leads to a simple
buckle fracture of the cortex. Can be very subtle.



What is the "unhappy triad" knee condition caused by?



What is injured?



How does it present? - Answer What is the "unhappy triad" knee condition?

- Common injury in contact sports due to *lateral* force applied to a planted leg



What is injured?

- Classically consists of damage to the *ACL, MCL and menial meniscus*

- However, damage to the *lateral meniscus is more common*



How does it present?

- Acute knee pain and signs of joint injury and instability



Osgood Schlatter's Disease:



What is it?

What causes it?

What can it cause?

txt? - Answer Common cause of knee pain in growing adolescents

, - "Knobby knees"



Treatment: Conservative

- Rest, ice, stretching

- Braces



What is prepatellar bursitis?



What causes it? - Answer What is prepatellar bursitis?

- Inflammation of the perpatellar bursa in front of the kneecap. AKA inflammation of the knee's
largest sac of synovial fluid



What causes it?

- Repeated trauma or pressure from excessive kneeling; also called "housemaid's knee"



What is a Baker's Cyst?

What does it communicate with?

What is it related to? - Answer What is a Baker's cyst?

- Popliteal fluid collection in the gastrocnemius-semimembranous burse



- Commonly communicates with the synovial space and is related to chronic joint disease



What are the muscles of the rotator cuff?



What spinal nerve roots are primarily responsible for their innervation? - Answer *What are
the muscles of the rotator cuff?*

- SITS (AEEI)

- Supraspinatus

- Infraspinatus

- Teres minor

- Subscapularis

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