Question 1

When performing the McMurray test, the examiner should place the patient in a supine position with a hand on the patient's completely flexed knee and the foot flat on the table at the buttocks, and then:
A) grasp and evert the foot and extend the knee.
B) grasp and invert the foot and rotate the knee.
C) apply valgus stress with the foot planted.
D) apply varus stress with the foot planted.

Accepted Answer

The next step is to turn the ankle outward while applying a valgus stress and then extend the knee.

Question 2

You note that a child has a positive Gower sign. You know that this indicates generalized:
A) arthropathy.
B) muscle weakness.
C) bursitis.
D) muscle hypertrophy.

Accepted Answer

A positive Gower sign indicates generalized muscle weakness and is characterized by a child trying to stand up by flexing at the knee and pushing down on the thighs while trying to pull the trunk up.

Question 3

A positive straight leg raise test usually indicates:
A) leg length discrepancy.
B) improperly conditioned muscles.
C) lumbar nerve root irritation.
D) hip bursitis.

Accepted Answer

Lumbar nerve root irritation at the L4, L5, and S1 levels can be assessed by asking the patient to lie supine with their neck flexed and to raise one leg. If pain is felt, this is a positive straight leg raise.

Question 4

In contrast to the patient with rheumatoid arthritis (RA), the osteoarthritis patient typically exhibits:
A) pain most pronounced after periods of rest.
B) depression.
C) sudden onset.
D) less weakness and fatigue.

Accepted Answer

One of the key differences between the symptoms of osteoarthritis and RA is that fatigue is uncommon in osteoarthritis patients.

Question 5

Which technique is performed at every infant's examination during the first year of life to detect hip dislocation?
A) Ballottement maneuver
B) Barlow-Ortolani maneuver
C) Range of motion
D) Thomas McMurray assessment

Accepted Answer

At every examination during an infant's first year of life, the Barlow-Ortolani maneuver is performed. This test involves stabilizing the pelvis and flexing one hip and knee to 90 degrees. It detects hip dislocation, which is signified by a clicking noise with the maneuver.

Question 6

Dupuytren contracture affects the:
A) hip flexor muscle.
B) rotator cuff.
C) carpal tunnel.
D) palmar fascia.

Accepted Answer

A contracture of the palmar fascia of one or multiple fingers is called a Dupuytren contracture.

Question 7

Anterior cruciate ligament integrity is assessed via the _________ test.

Accepted Answer

The Lachman test evaluates anterior cruciate ligament integrity.

Question 8

The Thomas test is used to detect:
A) hip dislocation.
B) unstable sacroiliac joints.
C) knee instability.
D) flexion contractures of the hip.

Accepted Answer

The Thomas test requires the patient to lie supine, with one leg stretched out flat and the other raised and bent in toward the chest. If the patient is unable to keep the extended leg flat on the table, this is an indicator of a hip flexion contracture.

Question 9

A red, hot, swollen joint in a 40-year-old man should lead you to suspect:
A) trauma.
B) bursitis.
C) gout.
D) cellulitis.

Accepted Answer

Gout is characterized as red, hot, swollen joints, especially in the great toe. Gout is commonly found in men older than 40 years.

Question 10

Your examination of an infant reveals a positive Allis sign. To confirm this finding, you would perform (or elicit) a:
A) startle reflex.
B) Barlow-Ortolani maneuver.
C) Trendelenburg test.
D) tibial torsion test.

Accepted Answer

The Allis sign will show unequal upper leg lengths, suggestive of a hip dislocation. The Barlow-Ortolani maneuver can confirm the results for a hip dislocation.

Question 11

A 3-year-old is brought to the clinic complaining of a painful right elbow. He is holding his right arm slightly flexed and pronated and refuses to move it. The mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of:
A) radial head subluxation.
B) femoral anteversion.
C) carpal tunnel syndrome.
D) osteomyelitis.

Accepted Answer

The symptoms this child is experiencing are indicative of a radial head subluxation, or nursemaid's elbow.

Question 12

A tingling sensation radiating from the wrist to the hand on striking the median nerve is a positive _____ sign.

Accepted Answer

The Tinel sign is a test for carpal tunnel syndrome. A positive result is elicited when the median nerve is struck, producing a tingling sensation from the wrist toward the fingers.

Question 13

Arm length is measured from the acromion process through the:
A) olecranon joint to the carpal thumb hinge.
B) olecranon process to the distal ulnar prominence.
C) proximal radial prominence to the distal joint.
D) proximal ulnar joint to the middle fingertip.

Accepted Answer

Total arm length is assessed by the standard measurement of the length from the shoulder (acromion process) through the elbow joint (olecranon process) to the wrist (distal ulnar prominence).

Question 14

What temporary disorder may be experienced by pregnant women during the third trimester because of fluid retention?
A) Carpal tunnel syndrome
B) Osteitis deformans
C) Radial head subluxation
D) Talipes equinovarus

Accepted Answer

Carpal tunnel syndrome may be experienced by pregnant women during their last trimester because of fluid retention. Fluid retention at the tunnel causes pressure and inflammation at the medial nerve. This results in the symptoms.

Question 15

Which one of the following techniques is used to detect a torn meniscus?
A) Drawer test
B) McMurray test
C) Thomas test
D) Trendelenburg test

Accepted Answer

The McMurray test detects a meniscus tear. The drawer test detects an anterior cruciate ligament tear. The Thomas test detects hip contraction. The Trendelenburg test detects weak hip abductor muscles.

Question 16

A 7-year-old child who begins to limp and complains of persistent hip pain may have:
A) congenital hip dislocation.
B) Dupuytren contracture.
C) Legg-Calvé-Perthes disease.
D) osteoarthritis.

Accepted Answer

Constant hip pain with a limp in a young child is indicative of Legg-Calvé-Perthes disease. This condition results in avascular necrosis of the femoral head caused by an inadequate blood supply.

Question 17

A dowager hump is:
A) the hallmark of osteoporosis.
B) pathognomic of scoliosis.
C) indicative of tendonitis.
D) characteristic of rickets.

Accepted Answer

Osteoporosis leads to vertebral compression and kyphotic bowing of the spine, known as dowager hump.

Question 18

During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee, you should initially perform the __________ test.

Accepted Answer

The injury described will most likely result in a medial meniscus or medial collateral ligament damage. Your initial assessment would be to apply the valgus stress test to assess the medial meniscus.

Question 19

Term infants normally resist:
A) ankle dorsiflexion.
B) McMurray test.
C) forefoot adduction.
D) knee extension.

Accepted Answer

Along with elbows and hips, newborns tend to resist extension of the knee; however, their movements should be symmetric.

Question 20

The elbow joint that allows for flexion and extension in one plane represents a type of _____ joint.

Accepted Answer

A hinge joint allows for flexion and extension in one plane.

Quiz 21: Musculoskeletal System

When performing the McMurray test, the examiner should place the patient in a supine position with a hand on the patient's completely flexed knee and the foot flat on the table at the buttocks, and then:

You note that a child has a positive Gower sign. You know that this indicates generalized:

A positive straight leg raise test usually indicates:

In contrast to the patient with rheumatoid arthritis (RA) , the osteoarthritis patient typically exhibits:

Which technique is performed at every infant's examination during the first year of life to detect hip dislocation?

Dupuytren contracture affects the:

Anterior cruciate ligament integrity is assessed via the _________ test.

The Thomas test is used to detect:

A red, hot, swollen joint in a 40-year-old man should lead you to suspect:

Your examination of an infant reveals a positive Allis sign. To confirm this finding, you would perform (or elicit) a:

A tingling sensation radiating from the wrist to the hand on striking the median nerve is a positive _____ sign.

Arm length is measured from the acromion process through the:

What temporary disorder may be experienced by pregnant women during the third trimester because of fluid retention?

Which one of the following techniques is used to detect a torn meniscus?

A 7-year-old child who begins to limp and complains of persistent hip pain may have:

A dowager hump is:

During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee, you should initially perform the __________ test.

Term infants normally resist:

The elbow joint that allows for flexion and extension in one plane represents a type of _____ joint.