ROSH MSK UPDATED ACTUAL Questions and CORRECT Answers
1. L5 radiculopathy WEAK DORSIFLEXION OF FOOT
HERNIATED DISK AT L4-L5
2. S1 radiculopathy WEAK PLANTARFLEXION OF FOOT
NO ANKLE REFLEX
HERNIATED DISK AT L5-S1
3. Lower back pain Herniated disc
that radiates down + STRAIGHT LEG RAISE
ONE leg is consid- Diagnosed by MRI
ered a what? Most common is L4-L5 or L5-S1
DX by what?
4. Spinal stenosis, Lower back pain that radiates to lower extremities
a.k.a. neurogenic *****BETTER WITH LEANING FORWARD AND SITTING A.K.A. SPINAL FLEX-
claudication ION*****
Signs and symp-
toms? Diagnosed by MRI
Diagnosis? Treatment is conservative, NSAIDs, PT, spinal injections
Treatment?
5. What is the most Age
important risk fac-
tor in osteoarthri-
tis?
6. A patient with CT angiogram of R/L upper extremity
a clavicle fracture
and decreased ra- Because there is concern for vascular injury because the subclavan artery is
dial pulse on that there which can cause thoracic outlet syndrome, which can then cause throm-
same side should boembolisms
get what best next
, step in manage-
ment?
7. Kyphosis Kyphosis is hunchback and head displaced forward
Scoliosis Scoliosis is S or C shaped
Lordosis Lordosis is when the lumbar spine(ie back) curves inward (LORD MY BACK)
8. What test has the MRI
highest sensitivi-
ty to evaluate for
acute radiculopa-
thy?
9. What is radicu- A disease of a nerve root caused by compression, irritation, or swelling. Most
lopathy? common is a result of a herniated disc, but can also be due to malignancy,
infection, or vascular disorders.
10. Cauda equina is in- Injury to the lumbosacral nerve roots
jury to what nerve
roots?
11. What is the most Tibia fracture
common cause
of acute compart- Most commonly associated with long bone fractures such as the forearm
ment syndrome?
12. Treatment for Fasciotomy
compartment syn- Must be done within six hours from onset of injury in order to be most effective
drome, if delta
pressure<30...
normal is 0-10
13. Rhabdomyolysis
, What disease is
commonly associ-
ated with compart-
ment syndrome?
14. rhabdomyolysis Tea colored urine that is + for blood, RBCs on microscopy
signs and Diagnosed by an elevated creatine kinase (CK)
symptoms?
Diagnosed by
what lab?
15. Should patients Absolutely
continue being
mobile in acute Usually occurs from lifting, twisting or bending and back gave out
low back pain?
Treatment is NSAIDs for pain
Treatment for low
back pain?
16. What is the most Uveitis
common extra-ar-
ticular manifesta-
tion in ankylosing
spondylitis?
17. Scoliosis is diag- > or = 10
nosed by a cob an-
gle of what?
18. Cob angles and Less than 10 is just reassurance. no follow up necessary
treatment of scol-
iosis 10-19 should be observed and follow up every 6 to 9 months until they reach
skeletal maturity
1. L5 radiculopathy WEAK DORSIFLEXION OF FOOT
HERNIATED DISK AT L4-L5
2. S1 radiculopathy WEAK PLANTARFLEXION OF FOOT
NO ANKLE REFLEX
HERNIATED DISK AT L5-S1
3. Lower back pain Herniated disc
that radiates down + STRAIGHT LEG RAISE
ONE leg is consid- Diagnosed by MRI
ered a what? Most common is L4-L5 or L5-S1
DX by what?
4. Spinal stenosis, Lower back pain that radiates to lower extremities
a.k.a. neurogenic *****BETTER WITH LEANING FORWARD AND SITTING A.K.A. SPINAL FLEX-
claudication ION*****
Signs and symp-
toms? Diagnosed by MRI
Diagnosis? Treatment is conservative, NSAIDs, PT, spinal injections
Treatment?
5. What is the most Age
important risk fac-
tor in osteoarthri-
tis?
6. A patient with CT angiogram of R/L upper extremity
a clavicle fracture
and decreased ra- Because there is concern for vascular injury because the subclavan artery is
dial pulse on that there which can cause thoracic outlet syndrome, which can then cause throm-
same side should boembolisms
get what best next
, step in manage-
ment?
7. Kyphosis Kyphosis is hunchback and head displaced forward
Scoliosis Scoliosis is S or C shaped
Lordosis Lordosis is when the lumbar spine(ie back) curves inward (LORD MY BACK)
8. What test has the MRI
highest sensitivi-
ty to evaluate for
acute radiculopa-
thy?
9. What is radicu- A disease of a nerve root caused by compression, irritation, or swelling. Most
lopathy? common is a result of a herniated disc, but can also be due to malignancy,
infection, or vascular disorders.
10. Cauda equina is in- Injury to the lumbosacral nerve roots
jury to what nerve
roots?
11. What is the most Tibia fracture
common cause
of acute compart- Most commonly associated with long bone fractures such as the forearm
ment syndrome?
12. Treatment for Fasciotomy
compartment syn- Must be done within six hours from onset of injury in order to be most effective
drome, if delta
pressure<30...
normal is 0-10
13. Rhabdomyolysis
, What disease is
commonly associ-
ated with compart-
ment syndrome?
14. rhabdomyolysis Tea colored urine that is + for blood, RBCs on microscopy
signs and Diagnosed by an elevated creatine kinase (CK)
symptoms?
Diagnosed by
what lab?
15. Should patients Absolutely
continue being
mobile in acute Usually occurs from lifting, twisting or bending and back gave out
low back pain?
Treatment is NSAIDs for pain
Treatment for low
back pain?
16. What is the most Uveitis
common extra-ar-
ticular manifesta-
tion in ankylosing
spondylitis?
17. Scoliosis is diag- > or = 10
nosed by a cob an-
gle of what?
18. Cob angles and Less than 10 is just reassurance. no follow up necessary
treatment of scol-
iosis 10-19 should be observed and follow up every 6 to 9 months until they reach
skeletal maturity
