ABFM Musculoskeletal Exam Questions and Correct Answers

ABFM Musculoskeletal Exam Questions and Correct Answers Most effective medication for fibromyalgia? - Correct Answer TCAs Proper treatment for Boxer's fracture (fracture of 5th metacarpal head) - Correct Answer Ulnar gutter splint (immobilizes the wrist, hand and fourth/ fifth digits). Wrist is positioned in slight extension; x 3-4 weeks of continuous splinting. If 5th metacarpal >40 degrees, refer for surgical intervention Goal for vertebral compression fractures? - Correct Answer early mobilization; no not need to keep recumbent in bed until back brace is made cubital tunnel syndrome risk factors - Correct Answer having elbow be bent for long periods of time (hairdresser) or having damage to elbow or "funny bone". Sx: similar to carpal tunnel but ulnar distribution, at worst, may start causing weakness of ring and little finger Cure rates for trigger finger after steroid injection: - Correct Answer 54-86% CURED after injection for this musculoskeletal condition Which solution for cleansing a pressure ulcer? - Correct Answer tap water saline (nothing else!!) which dressing for pressure ulcer? - Correct Answer non-adherent: hydrocolloid, foam or other non-adherent dressing which therapeutic modality is contraindicated for muscle injuries until growth plate is closed? - Correct Answer Therapeutic ultrasound is C/I on growth plate. Growth plate closes at age 15 First line for gout in patient with CKD IV? - Correct Answer Steroids only, Colchicine and NSAIDs not used if renal dysfunction Which supplements to give at which age for breastfed babies? - Correct Answer - 400 IU of Vitamin D per d