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Musculoskeletal USMLE Step 2 Exam 2025 | Practice Questions and Correct Verified Answers | Latest Exam Prep

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Prepare for the Musculoskeletal USMLE Step 2 Exam 2025 with this comprehensive exam prep resource featuring exam-style questions and correct verified answers. Designed for medical students, this study guide supports focused revision, self-assessment, and final review while reinforcing high-yield musculoskeletal concepts for improved USMLE Step 2 performance.

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Musculoskeletal USMLE Step 2 QUESTIONS AND
CORRECT ANSWERS 2025 LATEST//ALREADY
GRDAED A+

What type of shoulder dislocation is most common? - (answer)Anterior

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(posterior quite rare. Usually only assoc. with electrocution or seizure)



What nerve is most at risk in anterior shoulder dislocation? - (answer)Axillary
nerve



How will a patient usually hold their arm in an anterior dislocation of the
shoulder? - (answer)Abduction and externally rotated



(opposite of posterior, where it is usually adducted and internally rotated)



What nerve is most at risk with anterior hip dislocation? - (answer)Obturator



What is the most common type of hip dislocation? - (answer)Posterior (>90%) -
occurs via posterior force on internally rotated, flexed, adducted hip ("dashboard
injury")



What type of injury is associated with posterior hip dislocation? - (answer)Sciatic
nerve injury

Avascular necrosis of bone

, What test should be done after reduction of a hip dislocation? - (answer)CT scan



A colles' fracture most commonly involves what bone? - (answer)Distal radius
fracture; dorsally displaced, dorsally angulated fracture



(image shows complete fracture)

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In whom is Colles' fractures common? - (answer)Elderly and children - esp those
who fall onto outstretched hand



The treatment for a colles' fracture is usually closed reduction, followed by a long-
arm cast. When is open reduction indicated in colles' fracture? - (answer)If the
fracture is intra-acrticular



What is the most commonly fractured carpal bone? - (answer)Scaphoid fracture



A fracture of the scaphoid may take up to two weeks to display on radiographs.
When specific sign will make you suspect scaphoid fracture? - (answer)When
there is tenderness in the anatomical snuffbox



How is a scaphoid fracture treated? - (answer)Thumb spica cast

, What is a complication of proximal 1/3rd scaphoid fractures? - (answer)Avascular
Necrosis (AVN)



What causes a Boxer's fracture? - (answer)Forward trauma of a closed fist can
fracture the 5th metacarpal neck
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How is an uncomplicated Boxer's fracture treated? - (answer)Closed reduction +
Ulnar Gutter Splint



When might Percutaneous Pinning be required in Boxer's fractures? -
(answer)*Displaced fractures* (usually of 1st or 5th metacarpal or proximal
phalanges)



Bone is put into place under X ray guidance, and metal wire run through the two
bone segments to hold in place. Metal removed in 4-6 weeks



What nerve palsy is commonly associated with humeral shaft fracture? -
(answer)Radial nerve palsy - wrist drop and loss of thumb extension



A minor humoral shaft fracture is treated using a hanging arm cast (whole arm up
to deltoid). How is a severe humoral fracture treated? - (answer)Coaptation splint



What is Monteggia's fracture? - (answer)Diaphyseal fracture of the proximal ulna
+ subluxation of radial head

, How is a Monteggia's fracture treated? - (answer)Open reduction and internal
fixation (ORIF) of the ulna (so, big metal pins)

Closed reduction of the radial head
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A direct blow to the radius may cause what type of fracture? - (answer)Galeazzi's -
Diaphyseal radial fracture with dislocation of the radioulnar joint. Requires ORIF



How might someone who has experienced a hip fracture have their leg
positioned? - (answer)Shortened and externally rotated



What are your specific concerns with displaced femoral neck fractures? -
(answer)Avascular Necrosis

Nonunion



How are hip fractures treated? - (answer)*ORIF*

May require hip hemiarthroplasty if elderly

*Anticoagulate* to decrease likelihood of DVT (hip fracture associated with DVT
risk)



What complication of a femoral fracture will present with fever, change in mental
status, dyspnea, hypoxia, petechiae and thrombocytopenia? - (answer)Fat emboli



What should you be concerned about in a tibial fracture? - (answer)Compartment
syndrome

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