ABFM Musculoskeletal /72 Complete Questions And
Answers 100% Score!!!
Quiz :Most effective medication for fibromyalgia? - Answer :TCAs
Quiz :Proper treatment for Boxer's fracture (fracture of 5th metacarpal head) -
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
Quiz :Goal for vertebral compression fractures? - Answer :early mobilization;
no not need to keep recumbent in bed until back brace is made
Quiz :cubital tunnel syndrome risk factors - 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
Quiz :Cure rates for trigger finger after steroid injection: - Answer :54-86%
CURED after injection for this musculoskeletal condition
Quiz :Which solution for cleansing a pressure ulcer? - Answer :tap water
saline
(nothing else!!)
Quiz :which dressing for pressure ulcer? - Answer :non-adherent:
hydrocolloid, foam or other non-adherent dressing
Quiz :which therapeutic modality is contraindicated for muscle injuries until
growth plate is closed? - Answer :Therapeutic ultrasound is C/I on growth
plate. Growth plate closes at age 15
Quiz :First line for gout in patient with CKD IV? - Answer :Steroids only,
Colchicine and NSAIDs not used if renal dysfunction
Quiz :Which supplements to give at which age for breastfed babies? -
Answer :- 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 day
- need to start iron supplementation at 4 months of age
Quiz :PCL tear symptoms - Answer :posterior knee pain and pain when
kneeling; painful limitation of flexion and posterior drawer sign on exam
Quiz :Treatment for lateral patellar dislocation: - Answer :medial pressure to
patella and then gently extend knee fully
Quiz :If patient presents after leg injury with exceptionally severe pain that is
worse with stretching the calf muscles, think of ____. Which test to find out? -
Answer :Compartment syndrome clinical presentation?
Tests to confirm compartment syndrome are tissue pressure studies
Quiz :Where to give corticosteroid injection for rotator cuff tendonitis vs for
shoulder osteoarthritis? - Answer :- Rotator cuff tendonitis steroid injection if
pain interfering with sleep or function despite adequate analgesia, give
injection into subacromial space
- Shoulder OA steroid injection into the AC joint (intra-articular)
Quiz :Mechanism of most common neurological deficit related to Paget's
disease? - Answer :Most common deficit in Paget's disease is hearing loss. Not
caused by CN 7 compression but is due to cochlear damage.
Quiz :Which herbal remedy helpful for joint pain? - Answer :SAMe most
helpful (Glucosamine and chondroitin not as effective)
Quiz :Alpha lipoic acid and gamma linolenic acid are helpful for: -
Answer :neuropathy symptoms helped with which herbal remedies?
Quiz :Ottawa Ankle Rules - Answer :Includes:
The examiner should order x-rays when the patient has ankle (within 6 cm of
distal, posterior tibia or fibula) or midfoot pain + (bone tenderness at the base
of the 5th metatarsal OR pain in navicular bone (between heel and ankle) OR is
unable to bear weight (for four steps) when examined)
Quiz :Little league shoulder refers to: - Answer :proximal humeral epiphysitis
(usually seen in baseball pitchers age 11-16)
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