Exam 2026 - 2027 – Complete Questions & Revised
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Question
What ligaments are involved in an inversion ankle sprain?
A) Deltoid ligament
B) Anterior talofibular or calcaneofibular ligament
C) Posterior talofibular ligament
D) Tibiofibular ligament
Expert Rationale: An inversion ankle sprain involves the lateral ligaments of the ankle,
most commonly the anterior talofibular ligament (ATFL) and the calcaneofibular ligament
(CFL). Inversion is the most common mechanism of ankle sprain.
Question
What ligament is involved in an eversion ankle sprain?
A) Anterior talofibular ligament
B) Calcaneofibular ligament
C) Deltoid ligament
D) Posterior talofibular ligament
Expert Rationale: An eversion ankle sprain involves the deltoid ligament, which is the
medial ligament of the ankle. Eversion sprains are less common than inversion sprains but
can be more serious due to the strength of the deltoid ligament.
Question
What is a grade 1 ankle sprain?
A) Complete tear of the ligament with instability
B) Stretching of a ligament with small tears, no joint instability, mild swelling, able to walk
,C) Larger tears but not a complete tear with moderate instability
D) Complete tear with severe pain and inability to ambulate
Expert Rationale: A grade 1 ankle sprain is a stretching of the ligament with small tears.
There is no joint instability, mild swelling, and the patient is able to walk. It is the mildest
form of ankle sprain.
Question
What is a grade 2 ankle sprain?
A) Stretching of a ligament with small tears
B) Larger tears but not a complete tear, moderate instability, bruising, painful ambulation,
swelling
C) Complete tear of the ligament
D) No ligament involvement
Expert Rationale: A grade 2 ankle sprain involves larger tears but not a complete tear.
There is moderate instability, bruising, painful ambulation, and swelling. It is more severe
than a grade 1 sprain.
Question
What is a grade 3 ankle sprain?
A) Stretching of a ligament with small tears
B) Larger tears but not a complete tear
C) Complete tear of the ligament, severe pain, lots of swelling and tenderness, mechanical
instability, decreased ROM, unable to ambulate
D) No ligament involvement
Expert Rationale: A grade 3 ankle sprain is a complete tear of the ligament. It causes
severe pain, lots of swelling and tenderness, mechanical instability, and decreased range
of motion. The patient is unable to ambulate. A snap may be heard at the time of injury.
Question
When do you refer out an ankle sprain?
A) Grade 1
B) Grade 2
, C) Grade 3
D) All grades
Expert Rationale: Grade 3 ankle sprains should be referred out for further evaluation and
management. They involve complete ligament tears and may require surgical intervention.
Grade 1 and 2 sprains can often be managed conservatively.
Question
What is the initial management for an ankle sprain?
A) PRICER: Protection, Rest, Ice, Compression, Elevation, Rehabilitation
B) Surgery
C) Heat application
D) Weight-bearing as tolerated
Expert Rationale: The initial management for an ankle sprain is PRICER: Protection
(crutches), Rest, Ice, Compression, Elevation, and Rehabilitation. Analgesics such as
NSAIDs may also be used. Heat is avoided initially.
Question
What is carpal tunnel syndrome?
A) Compression neuropathy of the median nerve in the wrist
B) Compression neuropathy of the ulnar nerve in the elbow
C) Compression neuropathy of the radial nerve in the forearm
D) Compression neuropathy of the sciatic nerve in the leg
Expert Rationale: Carpal tunnel syndrome is a compression neuropathy of the median
nerve in the wrist. It causes paresthesia, weakness of the hands, and dull, achy pain. It is
aggravated by flexing and extending the wrist.
Question
What are the signs and symptoms of carpal tunnel syndrome?
A) Paresthesia, weakness of the hands, dull and achy pain aggravated by flexing and
extending the wrist
B) Sharp, shooting pain in the elbow