ABFM Musculoskeletal EXAM
WITH CORRECT ANSWERS
2025
Most effective medication for fibromyalgia? ( Correct
answers ) TCAs
Proper treatment for Boxer's fracture (fracture of 5th metacarpal head)
( Correct ) ulnar gutter splint (immobilizes the wrist, hand and fourth/
answers
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 answers ) early
mobilization;
not need to keepno recumbent in bed until back
brace is made
cubital tunnel syndrome risk factors ( Correct answers ) having elbow
be bent
long periods
for of time (hairdresser) or having damage to elbow or
"funny
Sx: bone".
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 answers ) 54-
86%
after CURED
injection for this musculoskeletal
condition
Which solution for cleansing a pressure ulcer? ( Correct answers )
tap water
salin
(nothing
e
else!!)
which dressing for pressure ulcer? ( Correct answers ) non-adherent:
foam or other non-adherent
hydrocolloid,
dressing
which therapeutic modality is contraindicated for muscle injuries until
growth plate
closed? ( Correct
is answers ) Therapeutic ultrasound is C/I on growth
plate. closes
plate Growthat
age 15
First line for gout in patient with CKD IV? ( Correct answers ) Steroids only,
Colchicine
and NSAIDs not used if renal
dysfunction
Which supplements to give at which age for breastfed babies? ( Correct
answers
400 IU of) Vitamin
- D per day starting in the first few days of life. Do
not need vit D
, supplementation when baby is comusming at least 500 cc of formula or
milk with Vit D
per
- need to start iron supplementation at 4
day
months of age
PCL tear symptoms ( Correct answers ) posterior knee pain and pain
when kneeling; painful limitation of flexion and posterior drawer sign on
exam
Treatment for lateral patellar dislocation: ( Correct answers ) medial
pressure to patella and then gently extend knee fully
If patient presents
stretching after leg injury
the calf muscles, with
think of exceptionally
____. Which test severe pain that
to find out?
(isCorrect
worse with
Compartment
answers
syndrome
) clinical
Tests to confirm compartment syndrome are tissue pressure studies
presentation?
Where to give corticosteroid injection for rotator cuff tendonitis vs
for shoulder
osteoarthritis? ( Correct answers ) - Rotator cuff tendonitis steroid
injection if with
interfering pain sleep or function despite adequate analgesia, give
injection into
subacromial
space
- Shoulder OA steroid injection into the AC joint (intra-
articular)
Mechanism of most common neurological deficit related to Paget's
disease? )( Correct
answers Most common deficit in Paget's disease is hearing loss. Not
caused by CNbut
compression 7 is due to cochlear
damage.
Which herbal remedy helpful for joint pain? ( Correct answers ) SAMe
most helpful (Glucosamine and chondroitin not as effective)
Alpha lipoic acid and gamma linolenic acid are helpful for: ( Correct
answers ) neuropathy symptoms helped with which herbal
remedies?
Ottawa Ankle Rules ( Correct answers )
The examiner should order x-rays when the patient has ankle (within 6
Includes:
cm of distal,
posterior tibia or fibula) or midfoot pain + (bone tenderness at the
base
weight of(for
the four
5th steps) when
metatarsal
examined) OR pain in navicular bone (between heel and ankle) OR is
unable to bear
Little league shoulder refers to: ( Correct answers ) proximal humeral
epiphysitis (usually seen in baseball pitchers age 11-16)
Male with normal labs but osteoporosis, think: ( Correct
answers ) hypotestosteronism
WITH CORRECT ANSWERS
2025
Most effective medication for fibromyalgia? ( Correct
answers ) TCAs
Proper treatment for Boxer's fracture (fracture of 5th metacarpal head)
( Correct ) ulnar gutter splint (immobilizes the wrist, hand and fourth/
answers
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 answers ) early
mobilization;
not need to keepno recumbent in bed until back
brace is made
cubital tunnel syndrome risk factors ( Correct answers ) having elbow
be bent
long periods
for of time (hairdresser) or having damage to elbow or
"funny
Sx: bone".
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 answers ) 54-
86%
after CURED
injection for this musculoskeletal
condition
Which solution for cleansing a pressure ulcer? ( Correct answers )
tap water
salin
(nothing
e
else!!)
which dressing for pressure ulcer? ( Correct answers ) non-adherent:
foam or other non-adherent
hydrocolloid,
dressing
which therapeutic modality is contraindicated for muscle injuries until
growth plate
closed? ( Correct
is answers ) Therapeutic ultrasound is C/I on growth
plate. closes
plate Growthat
age 15
First line for gout in patient with CKD IV? ( Correct answers ) Steroids only,
Colchicine
and NSAIDs not used if renal
dysfunction
Which supplements to give at which age for breastfed babies? ( Correct
answers
400 IU of) Vitamin
- D per day starting in the first few days of life. Do
not need vit D
, supplementation when baby is comusming at least 500 cc of formula or
milk with Vit D
per
- need to start iron supplementation at 4
day
months of age
PCL tear symptoms ( Correct answers ) posterior knee pain and pain
when kneeling; painful limitation of flexion and posterior drawer sign on
exam
Treatment for lateral patellar dislocation: ( Correct answers ) medial
pressure to patella and then gently extend knee fully
If patient presents
stretching after leg injury
the calf muscles, with
think of exceptionally
____. Which test severe pain that
to find out?
(isCorrect
worse with
Compartment
answers
syndrome
) clinical
Tests to confirm compartment syndrome are tissue pressure studies
presentation?
Where to give corticosteroid injection for rotator cuff tendonitis vs
for shoulder
osteoarthritis? ( Correct answers ) - Rotator cuff tendonitis steroid
injection if with
interfering pain sleep or function despite adequate analgesia, give
injection into
subacromial
space
- Shoulder OA steroid injection into the AC joint (intra-
articular)
Mechanism of most common neurological deficit related to Paget's
disease? )( Correct
answers Most common deficit in Paget's disease is hearing loss. Not
caused by CNbut
compression 7 is due to cochlear
damage.
Which herbal remedy helpful for joint pain? ( Correct answers ) SAMe
most helpful (Glucosamine and chondroitin not as effective)
Alpha lipoic acid and gamma linolenic acid are helpful for: ( Correct
answers ) neuropathy symptoms helped with which herbal
remedies?
Ottawa Ankle Rules ( Correct answers )
The examiner should order x-rays when the patient has ankle (within 6
Includes:
cm of distal,
posterior tibia or fibula) or midfoot pain + (bone tenderness at the
base
weight of(for
the four
5th steps) when
metatarsal
examined) OR pain in navicular bone (between heel and ankle) OR is
unable to bear
Little league shoulder refers to: ( Correct answers ) proximal humeral
epiphysitis (usually seen in baseball pitchers age 11-16)
Male with normal labs but osteoporosis, think: ( Correct
answers ) hypotestosteronism
