UE

Serratus anterior : Long Thoracic nerve

During physical examination you noted atrophy of the scapular muscles and on Dynamic wall push up test, you noted medial winging of the scapula. Based on your assessment which structures are most likely affected?

a.Upper and lower trapezius: Spinal Accessory nerve
b.Rhomboid: Dorsal scapular nerve
c.Serratus anterior : Long Thoracic nerve
d.Latissimus dorsi: Thoracodorsal nerve

Long Head of Biceps tendon

During weightlifting patient noted popping sound of the arm with immediate sharp pain and visible bulging in the right arm. Patient noted inability and pain on flexion and supination of the elbow. Which of the following structure is most likely affected?

a.Supinator muscle
b.Supraspinatus tendon
c.Brachialis tendon
d.Long Head of Biceps tendon

Surgical neck

Most common site of fracture in the humerus

a.Anatomic neck
b.Distal 1/3 of the humerus
c.Surgical neck
d.Mid 1/3 of the humeral shaft

Stage 2

Stage of Adhesive Capsulitis wherein the patient's symptoms is already 8 months with pain on the left shoulder towards flexion and abduction and on assessment the patient has limitation of movement towards abduction, ER and flexion.
a.Stage 2
b.Stage 1
c.Stage 3
d.Stage 4

All of the above

The following are sign and symptoms associated with a scapular fracture:
a.All of the above
b.Pneumothorax
c.Rib fracture
d.Pulmonary contusions

Supraspinatus tendon

The most commonly impinged structure of the shoulder is:
a.Labrum
b.Supraspinatus tendon
c.Subdeltoid Bursa
d.Infraspinatus

Scarf Test

The special test use to check for AC joint injury:
a.Scarf Test
b.Hawkin's Kennedy test
c.Painful arc sign
d.Neer's test

Type IV

This AC joint injury presents with a complete tear of you acromioclavicular and coracoclavicular joint and a posterior and superior displacement of the clavicle giving its buttonhole appearance
a.Type III
b.Type VI
c.Type V
d.Type IV

Bankart lesion

This type of anterior dislocation is characterized by a tear in the glenoid labrum allowing the humeral head to move anteriorly.
a.Hill Sach's lesion
b.Bankart lesion
c.SLAP lesion
d.Luding's lesion

Glenohumeral ligament

What is not a ligament on your Acromioclavicular (AC) joint?
a.Coraco-acromial ligament
b.Acromioclavicular ligament
c.Glenohumeral ligament
d.Coracoclavicular ligament

All of the above

A 23 year old architect student complains of warm, swelling and tenderness on the posterior elbow associated with decreased ability to extend due to pain. Which of the following differential diagnosis can you think of?
a.Gouty arthritis
b.Olecranon bursitis
c.All of the above
d.Rheumatoid arthritis

EMG NCV

If a nerve injury is suspected from the MVA of Taehyung, what diagnostic examination should be requested to find out which nerve is injured?
a.EMG NCV
b.Plain MRI
c.MRI with Contrast
d.Plain Xray radiograph

Type III

Jungkook sustained a fracture on his left radius after tripping during a dance practice routine. On xray, his left radius was noted to have a comminuted fracture. What type of radial fracture did Jungkook sustain?
a.Type IV
b.Type III
c.Type II
d.Type I

Cubital Tunnel Syndrome

Min Yoongi was noted to have a medial forearm aching pain with paresthesia radiating to the fourth and fifth digits. He was also noted to have weakness in grip strength, positive tinel's sign and froment's sign. He is more likely suffering from:
a.Lateral Collateral Ligament Sprain
b.Carpal Tunnel Syndrome
c.pronator syndrome
d.Cubital Tunnel Syndrome

Median nerve

Patient is a 27 year old music student who plays keyboard and guitar and complains of dull aching pain in the proximal forearm distal to the elbow associated with numbness of lateral forearm upto the thenar muscle. X-ray shows normal finding, Which of the following nerve is most likely compressed at the level of the forearm?
a.Posterior interosseous nerve
b.Median nerve
c.Ulnar nerve
d.Radial nerve

Radial nerve

Taehyung while riding his bike got into a motor vehicular accident. He was brought immediately to the hospital by his friend Jimin, and was noted to have fracture of the right humeral shaft. Namjoon now is complaining of right hand weakness (wrist drop). What is the nerve most likely injured due to his fracture?
a.Ulnar nerve
b.Axillary nerve
c.Median nerve
d.Radial nerve

Valgus stress test

Test use to check for the integrity of the medial collateral ligament of the elbow
a.Cozen's test
b.Tennis elbow test
c.Varus stress test
d.Valgus stress test

Surgical fixation

The possible treatment for Jungkook's injury is:
a.Long posterior casting
b.Long period of immobilization followed by early range of motion
c.Surgical fixation
d.Short period of immobilization followed by early range of motion

ECRL & ECRB

What are the two muscles affected in Tennis Elbow?
a.FPL & FCR
b.ECRB & ECU
c.ECRL & ECRB
d.Supinator & Brachialis

All of the above

Which of the following treatment is/are appropriate if the patient is diagnosed with subacute Medial epicondylitis?
a.Taping of the medial forearm muscles
b.HMP and TENS of the elbow and medial forearm
c.A, B, C
d.NSAIDS
e.All of the above

Mallet Finger

Patient MC is a 24 year old baseball athlete who came to the clinic with a flexed 4th DIP joint that cannot be actively extended. On medical history, he was hit by a ball while trying to catch it. Based on the PE which of the following is most likely the condition of the patient?
a.Flexor tenosynovitis
b.Mallet Finger
c.Dupuytren's contracture
d.Fracture of the distal phalanx

Dupuytren's contracture

Taehyung was referred to rehab due to chronic flexion of his MCP joint involving his 4th digit, left. On imaging, there is noted to have thickening and contraction of the palmar fascia due to fibrous proliferation. What is most likely the diagnosis of Taehyung?
a.Jersey Finger
b.Mallet finger
c.Stenosing Tenosynovitis (Trigger finger)
d.Dupuytren's contracture

Flex the DIP while the PIP joint is held in in extension

Which of the following is the correct testing of FDP tendon?
a.Hold the MCP while actively flexing the DIP joint.
b.None of the above
c.Flex the DIP while the PIP joint is held in in extension
d.Hold the PIP of the noninvolved digits in flexion Then ask the patient to flex the PIP joints

All of the above

Patient is a 55 year old, laudrywoman, no comorbidities noted, who complains of middle finger pain especially in the morning with difficulty in bending and extending her finger. Patient also noted palpable tender nodule on the palm. Which of the following can be done to alleviate her symptoms?
a.All of the above
b.Take NSAIDS
c.Rest and immobilize the middle finger in extension.
d.May soak hands in warm water

Trigger Finger

In reference to the case above, which of the following is most likely the patient's diagnosis?
a.Osteoarthritis
b.Jersey Finger
c.Trigger Finger
d.Gamekeeper's Finger

Finkelstein test

Provocative test use for De Quervain's Tenosynovitis?
a.Froment's sign
b.Phalen's test
c.Allen's Test
d.Finkelstein test

Heberden's nodule

Rheumatoid arthritis is characterized by the following, except:
a.Dorsal subluxation of the ulna with ulnar deviation of the wrist
b.Boutonniere deformity
c.Heberden's nodule
d.Swelling of the joint of the hand and wrist (MCP and PIP joints)

Deterioration of the articular cartilage and formation of new bone at the joint margins

A 76 yo/male was noted to have pain on his left wrist with noted tenderness and crepitus during range of motion. Plain radiograph was requested that suggested osteoarthritis. On X-ray, osteoarthritis can be seen as:
a.Deterioration of the articular cartilage and formation of new bone at the joint margins
b.Synovial tissue inflammation that leads to destruction of articular cartilage leading to bone destruction
c.Hyperextension at the PIP joint and Flexion at the DIP joint
d.Flexion at the PIP joint, and Hyperextension of the DIP joint

Extensor pollicis brevis and Abductor pollicis longus

Jungkook has been practicing his drums set every day for the past two weeks. He developed pain on the radial aspect of his wrist and was diagnosed to have De Quervain's Tenosynovitis. What are the two tendons that are affected in DQT?
a.extensor carpi ulnaris and extensor carpi radialis
b.Extensor communis and and abductor pollicis brevis
c.Extensor pollicis brevis and Abductor pollicis longus
d.Abductor pollicis brevis and extensor carpi radialis

All of the above

What is the mechanism of injury for Kienbock's disease?
a.All of the above
b.Caused by vascular impairment and/or repeated trauma (repeated stress/fracture)
c.Bone collapse results in degenerative changes at the wrist
d.Idopathic loss of blood supply to lunate which causes avascular necrosis of the bone