PARA 3030 MSK EMERGENCIES EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Primary objective of a musculoskeletal OSCE - ANS Demonstrate safe MSK assessment,
neurovascular checks, and appropriate special tests with clear clinical reasoning.
Key safety principle in MSK emergencies - ANS Fracture can wait, airway can't.
Why are most MSK injuries not immediately life-threatening - ANS They rarely cause
immediate compromise of airway/breathing/circulation compared with other emergencies.
What makes joint motion possible - ANS Joints are flexed/extended by striated muscles
traversing joints.
How is skeletal muscle anchored to bone - ANS By tendons.
Define physiologic fracture - ANS Abnormal forces applied to normal bone.
Define pathologic fracture - ANS Normal forces applied to abnormal bone (e.g.,
osteopenia/decreased bone density).
Most reliable indicator of an underlying closed fracture - ANS Point tenderness.
2026/2027 ALLRIGHTS RESERVED
1
, 6 P's of musculoskeletal assessment - ANS Pain, paralysis, paresthesias, pulselessness, pallor,
pressure.
What do the 6 P's screen for - ANS Neurovascular compromise and compartment syndrome
risk.
What is the MRC strength scale - ANS Medical Research Council scale for grading muscle
strength from 0-5.
MRC grade 0 - ANS No movement observed.
MRC grade 1 - ANS Flicker/trace contraction.
MRC grade 2 - ANS Movement through full ROM only with gravity eliminated.
MRC grade 3 - ANS Movement through full ROM against gravity, no resistance.
MRC grade 4 - ANS Movement through full ROM against gravity with moderate resistance.
MRC grade 5 - ANS Normal strength through full ROM against full resistance.
What does Trendelenburg's test assess - ANS Single-leg stance stability and hip abductor
function.
How do you perform Trendelenburg's test - ANS Hands on iliac crests, patient stands on one
leg for ~30 seconds, observe pelvic tilt, repeat other side.
Normal Trendelenburg finding - ANS Pelvis rises on the side of the lifted foot.
2026/2027 ALLRIGHTS RESERVED
2
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Primary objective of a musculoskeletal OSCE - ANS Demonstrate safe MSK assessment,
neurovascular checks, and appropriate special tests with clear clinical reasoning.
Key safety principle in MSK emergencies - ANS Fracture can wait, airway can't.
Why are most MSK injuries not immediately life-threatening - ANS They rarely cause
immediate compromise of airway/breathing/circulation compared with other emergencies.
What makes joint motion possible - ANS Joints are flexed/extended by striated muscles
traversing joints.
How is skeletal muscle anchored to bone - ANS By tendons.
Define physiologic fracture - ANS Abnormal forces applied to normal bone.
Define pathologic fracture - ANS Normal forces applied to abnormal bone (e.g.,
osteopenia/decreased bone density).
Most reliable indicator of an underlying closed fracture - ANS Point tenderness.
2026/2027 ALLRIGHTS RESERVED
1
, 6 P's of musculoskeletal assessment - ANS Pain, paralysis, paresthesias, pulselessness, pallor,
pressure.
What do the 6 P's screen for - ANS Neurovascular compromise and compartment syndrome
risk.
What is the MRC strength scale - ANS Medical Research Council scale for grading muscle
strength from 0-5.
MRC grade 0 - ANS No movement observed.
MRC grade 1 - ANS Flicker/trace contraction.
MRC grade 2 - ANS Movement through full ROM only with gravity eliminated.
MRC grade 3 - ANS Movement through full ROM against gravity, no resistance.
MRC grade 4 - ANS Movement through full ROM against gravity with moderate resistance.
MRC grade 5 - ANS Normal strength through full ROM against full resistance.
What does Trendelenburg's test assess - ANS Single-leg stance stability and hip abductor
function.
How do you perform Trendelenburg's test - ANS Hands on iliac crests, patient stands on one
leg for ~30 seconds, observe pelvic tilt, repeat other side.
Normal Trendelenburg finding - ANS Pelvis rises on the side of the lifted foot.
2026/2027 ALLRIGHTS RESERVED
2
