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Exam (elaborations)

AAFP Board Review – MSK with verified answers graded A+ updated to pass

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AAFP Board Review – MSK with verified answers graded A+ updated to pass

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AAFP Board Review – MSK with verified answers
graded A+ updated to pass
B. A normal physical examination of the attected area
1. A 16-year-old fe-
male presents for
follow-up after a tib-
ial stress fracture.
The fracture was
diagnosed 5 weeks
ago by characteris-
tic physical exami-
nation findings and
radiographs show-
ing
a transverse
fracture of the tibial
diaphysis. She was
placed on
non-weight-bear-
ing status for 2
weeks and after
that was advised to
limit activities that
caused discomfort.
In addition, she was
placed on appropri-
ate calcium and vit-
amin D supplemen-
tation based on re-
sults of her labora-
tory
workup. The patient
is a basketball play-
er and would like


,AAFP Board Review – MSK with verified answers
graded A+ updated to pass
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 fol-
lowing 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 radi-
ographs of the tibia
D. A normal hydrox-
yvitamin D level

2. In a patient with B. milk
hyperuricemia who - milk, unlike other dairy product, decrease gout attack
has experienced an - nuts and beans are high in purines & worsens gout
attack of gout,
which one of the fol-


,AAFP Board Review – MSK with verified answers
graded A+ updated to pass
lowing is LEAST like-
ly to precipitate an-
other gout attack?
(check one)
A. Red meat
B. Milk
C. Seafood
D. Nuts
E. Beans

3. You test a patient's C. 2
muscle strength Muscle strength is scored on a scale of 0 to 5.
and find that his 0 - inability to contract a muscle is scored as 0.
maximum perfor- 1 - Contraction without movement constitutes
mance consists of 2- Movement with the ettect of gravity neutralized 3- while movement against
the ability to move gravity only
with gravity neu- 4 - Movement against gravity plus some
tralized. This quali- additional resistance indicates grade 4
fies as which grade 5 - normal movement against substantial resistance.
of muscle strength,
on
a scale of 0 to 5?
(check one)
A. 0
B. 1
C. 2
D. 3
E. 4

4. Question 7 of 10 B. Both bone formation and bone resorption area focal disorder of skeletal

Which one of the fol- metabolism in which all elements of skeletal remodeling (resorption, forma-


, AAFP Board Review – MSK with verified answers
graded A+ updated to pass
lowing is true con- tion, and mineralization) are increased. increased

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