MSN-FNP Musculoskeletal DisordersEXAM
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Terms in this set (59)
,A 42 yo male who plays B. Meniscal injury
basketball on the
weekends has medial knee
pain after landing on the
extremity and pivoting
sideways to pass. He felt a
"pop" and experienced
swelling a few minutes
later. He has pain with
walking. He denies any
instability but does feel
like it is "catching" with
knee flexion. On exam, he
has joint effusion, his
Lachman's is negative, and
he has no pain with patella
mobility. What is his most
likely injury?
A. Anterior cruciate
ligament
B. Meniscal injury
C. Tibial plateau fracture
D. Osgood-Schlatter
disease
,A 33 yo female with PMH B. Ganglion cyst
of DM c/o of pain in her Explanation: A ganglion cyst is a cystic swelling
wrist. The pain is located typically found on the dorsal side of the wrist. These
along the radial side of cyst are thought to arise from herniation of synovial
the wrist and has been tissue from a joint capsule or tendon sheath. They
occurring for a long time. present with chronic wrist pain and may be
She feels a reduced accompanied by coolness of the hand,
sensation along the radial numbness/tingling, and possible parethesias. The
side of her hand with mass itself is mobile, may be tender to palpation, and
occasional numbness and transilluminates. (A) Limpoma is a benign tumor of fat
tingling. In addition, she that can occur on the hand. Lipomas are soft to the
also feels an occasional touch and mobile. Unlike Ganglion cyst, lipomas
temperature change in her typically do not cause hand symptoms and are not
hand that she describes as well circumscribed. They do not transilluminate either.
a "cool feeling." She does (C) Radial artery aneurysms are dilations of the radial
not know exactly when artery that extend into the hand. While there is no
the pain started and history of trauma, they present as pulsatile masses
cannot recall any trauma without any pain and do not transilluminate either. (D)
or injury to the site. V/S are Osteosarcoma are cancerous tumors occurring in the
normal. Exam reveals a bone. While they occur typically on the shoulders,
well-circumscribed, elbows, and knees, they can occur in the hand as well.
subcutaneous, soft, Unlike ganglion cyst, they are not well-circumscribed
mobile wrist mass that is and are fixed rather than mobile.
non-tender to palpitation
and transilluminates with
lighting. The patient has
trouble gripping objects.
What is the most likely
diagnosis?
A. Lipoma
B. Ganglion cyst
C. Radial artery aneurysm
D. Osteosarcoma
, Gymnast's wrist is D. Injury to the distal radial physis
associated with which of Explanation: A gymnast wrist refers to injury to the
the following conditions? distal radial physis, occurring as a result of repetitive
A. Osteochondritis stresses due to weight bearing on the upper
dissecans of capitellum extremities. (A) (B) Osteochondritis dissecans of the
B. Apophyseal avulsion capitellum and apophyseal avulsion fracture of the
fracture of the humeral medial humeral epicondyle are associated with
epicondyle Leaguer's elbow. (C) Subluxation of the radial head is
C. Subluxation of the associated with nursemaids elbow.
radial head
D. Injury to the distal radial
physis
A 21 yo rugby player had a D. Pectoral muscle tear
sudden onset of chest Explanation: This is a common mechanism of injury for
pain after tackling an a pectoral muscle tear. A visible defect in the muscle
opposing player. He belly helps guide the diagnosis. Complete tears
denies any dyspnea. He mainly occur at the humeral insertion and require
has no history of health surgical repair. Partial tears my be difficult to
problems or surgeries. On diagnosis, but strength is affected when compared to
physical exam, he has no the contralateral side.
pain or deformity in his
clavicle. His rotator cuff
muscles are intact. He has
an easily seen and
palpable defect in the
muscle belly of his chest
inferior to his clavicle.
What is the most likely
diagnosis?
A. Myocardial infarction
B. Manubrium fracture
C. Pneumothorax
D. Pectoral muscle tear
NEWEST 2025 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Save
Terms in this set (59)
,A 42 yo male who plays B. Meniscal injury
basketball on the
weekends has medial knee
pain after landing on the
extremity and pivoting
sideways to pass. He felt a
"pop" and experienced
swelling a few minutes
later. He has pain with
walking. He denies any
instability but does feel
like it is "catching" with
knee flexion. On exam, he
has joint effusion, his
Lachman's is negative, and
he has no pain with patella
mobility. What is his most
likely injury?
A. Anterior cruciate
ligament
B. Meniscal injury
C. Tibial plateau fracture
D. Osgood-Schlatter
disease
,A 33 yo female with PMH B. Ganglion cyst
of DM c/o of pain in her Explanation: A ganglion cyst is a cystic swelling
wrist. The pain is located typically found on the dorsal side of the wrist. These
along the radial side of cyst are thought to arise from herniation of synovial
the wrist and has been tissue from a joint capsule or tendon sheath. They
occurring for a long time. present with chronic wrist pain and may be
She feels a reduced accompanied by coolness of the hand,
sensation along the radial numbness/tingling, and possible parethesias. The
side of her hand with mass itself is mobile, may be tender to palpation, and
occasional numbness and transilluminates. (A) Limpoma is a benign tumor of fat
tingling. In addition, she that can occur on the hand. Lipomas are soft to the
also feels an occasional touch and mobile. Unlike Ganglion cyst, lipomas
temperature change in her typically do not cause hand symptoms and are not
hand that she describes as well circumscribed. They do not transilluminate either.
a "cool feeling." She does (C) Radial artery aneurysms are dilations of the radial
not know exactly when artery that extend into the hand. While there is no
the pain started and history of trauma, they present as pulsatile masses
cannot recall any trauma without any pain and do not transilluminate either. (D)
or injury to the site. V/S are Osteosarcoma are cancerous tumors occurring in the
normal. Exam reveals a bone. While they occur typically on the shoulders,
well-circumscribed, elbows, and knees, they can occur in the hand as well.
subcutaneous, soft, Unlike ganglion cyst, they are not well-circumscribed
mobile wrist mass that is and are fixed rather than mobile.
non-tender to palpitation
and transilluminates with
lighting. The patient has
trouble gripping objects.
What is the most likely
diagnosis?
A. Lipoma
B. Ganglion cyst
C. Radial artery aneurysm
D. Osteosarcoma
, Gymnast's wrist is D. Injury to the distal radial physis
associated with which of Explanation: A gymnast wrist refers to injury to the
the following conditions? distal radial physis, occurring as a result of repetitive
A. Osteochondritis stresses due to weight bearing on the upper
dissecans of capitellum extremities. (A) (B) Osteochondritis dissecans of the
B. Apophyseal avulsion capitellum and apophyseal avulsion fracture of the
fracture of the humeral medial humeral epicondyle are associated with
epicondyle Leaguer's elbow. (C) Subluxation of the radial head is
C. Subluxation of the associated with nursemaids elbow.
radial head
D. Injury to the distal radial
physis
A 21 yo rugby player had a D. Pectoral muscle tear
sudden onset of chest Explanation: This is a common mechanism of injury for
pain after tackling an a pectoral muscle tear. A visible defect in the muscle
opposing player. He belly helps guide the diagnosis. Complete tears
denies any dyspnea. He mainly occur at the humeral insertion and require
has no history of health surgical repair. Partial tears my be difficult to
problems or surgeries. On diagnosis, but strength is affected when compared to
physical exam, he has no the contralateral side.
pain or deformity in his
clavicle. His rotator cuff
muscles are intact. He has
an easily seen and
palpable defect in the
muscle belly of his chest
inferior to his clavicle.
What is the most likely
diagnosis?
A. Myocardial infarction
B. Manubrium fracture
C. Pneumothorax
D. Pectoral muscle tear
