MSK - PACKRAT EXAM STUDY GUIDE 2024 LATEST UPDATE WITH 100% CORRECT ANSWERS

1. Abduction of the shoulder against resistance helps localize pain in which of the following muscles of the shoulder girdle? Supraspinatus 2. A 22 year-old male presents to the ED after sustaining a blow to the knee during football practice. The knee exam demonstrates significant forward translation of the tibia when the knee is in 15 degrees of flexion and external rotation at the hip. Which of the following knee maneuvers does this represent? Lachman test Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen 3. A 12-year-old female presents for a routine sports physical. The physical exam reveals asymmetry of the posterior chest wall on forward bending. This is the most striking and consistent abnormality of which of the following? Scoliosis 4. Physical exam findings in a 4-year-old child that include blue sclerae and recurrent fractures indicates which of the following? Osteogenesis imperfecta 5. A 65 year-old female presents to the office with a six-month history of back pain. The patient states that she is shrinking and thinks she is about an inch shorter than she was a year ago. Serum parathyroid hormone, calcium, phosphorus, and alkaline phosphatase are all normal. Which of the following would you most likely see on the x-ray of her spine? Demineralization 6. In a trauma patient who has a suspected cervical spine injury, the x-ray view that will identify the majority of significant injuries is: Lateral 7. A 38-year-old male sustained a fracture of the left distal tibia following a 25-foot fall and is taken to the operating room for an open reduction internal fixation of the distal tibia. Sixteen hours post-op, the patient develops sustained pain, which is not relieved with narcotics. On passive range of motion of the toes the patient "yells" in agony. The patient also states that the top of his foot has decreased sensation. On physical examination the physician assistant notes that the leg is swollen and the foot is cool to touch. Based upon this information what diagnostic testing should be done? Compartment pressure 8. A 32-year-old male presents with an acute onset of pain and swelling to his left ankle. On physical exam the ankle is warm, swollen and erythematous. Evaluation of the synovial fluid reveals only leukocytosis with a low glucose. Which of the following is the most likely diagnosis? Septic arthritis 9. A 32-year-old male presents with migratory arthralgias and profound malaise and fatigue. He states that one week ago he returned from a hunting trip in Pennsylvania. He is also complaining of a lesion on his left thigh that he noticed about 3 days ago. Physical exam reveals a large annular lesion with a bright red outer border and partial central clearing. Which of the following is the most likely diagnosis? Lyme disease 10. A 22-year-old male presents with pain along the medial tibia. The pain initially began towards the end of soccer practice but now it is present earlier on. Physical exam reveals pain to palpation over the posterior tibialis muscle body. What is the most likely diagnosis? Shin splint 11. A patient who demonstrates pain on the radial aspect of the wrist with abrupt ulnar movements while the thumb is flexed into the closed palm most likely has: Tenosynovitis 12. The most important preventive medicine recommendation for patients with osteoarthritis is which of the following? Start an exercise program 13. Bone mass measurement should be considered in all women by what age? 60 - 65 14. A 32-year-old medical transcriptionist presents with burning and tingling in her right wrist and hand for the past month. On physical exam, Phalen's test is positive; however, there is no atrophy of the thenar eminence. Which of the following is the initial step in management of this patient? Wrist splint for 2-6 weeks 15. Which of the following is the correct treatment for a Grade II ankle sprain resulting from an inversion injury? Rest, ice, compression, elevation (RICE) 16. A 4-year-old boy presents to the ED after sustaining a crush injury to his distal third phalanx. Physical exam reveals an associated nail bed injury. Which of the following is the appropriate management? Immobilize, antibiotics, orthopedics referral 17. Which of the following clinical characteristics is associated with bicipital tendonitis? Aggravated by resisted supination of the forearm 18. Which of the following risk factors is the most predictive for the development of osteoarthritis? Age 19. The most accurate way to determine the exact degree of spinal curvature in a child with scoliosis is by which of the following? Calculation of the Cobb angle