Q &A

Musculoskeletal & Speech

What is a Kienböck's Disease ?
A. Scaphoid bone fracture
B. Avascular necrosis of lunate bone
C. Ulnar deviation of wrist
D. Intra-articular fracture affecting the carpometacarpal joint
What is a Kienbock Disease ?
A. Scaphoid bone fracture
B. Avascular necrosis of lunate bone
C. Ulnar deviation of wrist
D. Intra-articular fracture affecting the carpometacarpal joint
Kienböck's disease is a condition where the blood supply to one of the small bones in
the wrist, the lunate, is interrupted. 
The language disorder that results from damage to
the arcuate fasciculus, and results in good
comprehension, good articulation but poor
repetitions, word-finding difficulties, and oral
reading that is paraphasic is called:

A) Broca’s aphasia
B) Wernicke’s aphasia
C) Conduction aphasia
D) Global aphasia
The language disorder that results from damage to the arcuate fasciculus, and results in good comprehension, good articulation but poor repetitions, word-finding difficulties, and oral reading that is
paraphasic is called:

A) Broca’s aphasia
B) Wernicke’s aphasia
C) Conduction aphasia
D) Global aphasia
Ankle eversion injuries often injure in ?
A. Deltoid ligament
B. Anterior talofibular ligament
C. Calceneofibular ligament
D. Posterior talofibular ligament
Ankle eversion injuries often injure in ?
A. Deltoid ligament -EVERSION
B. Anterior talofibular ligament – INVERSION (mc)
C. Calceneofibular ligament -INVERSION
D. Posterior talofibular ligament -INVERSION
THANK YOU
Where is the lesion if a patient presents w/
isolated infraspinatus weakness & atrophy ?
A. Suprascapular notch
B. C5 nerve root
C. Spinoglenoid notch of scapula
D. Upper trunk of the brachial plexus
 Where is the lesion if a patient presents w/
isolated infraspinatus weakness &
atrophy ?
A. Suprascapular notch
B. C5 nerve root
C. Spinoglenoid notch of scapula
D. Upper trunk of the brachial plexus

The suprascapular nerve is commonly compressed at the level of the

suprascapular notch, resulting in deep, boring shoulder pain along the superior
scapula and weakness of shoulder abduction and external rotation.
Esophageal dysphagia signs and symptoms do not include:

A) Feeling of globus
B) Heartburn
C) Quick feeling of fullness
D) Wet vocal quality
Esophageal dysphagia signs and symptoms do not include:

A) Feeling of globus –esophageal dysphagia

B) Heartburn- esophageal dysphagia
C) Quick feeling of fullness- esophageal dysphagia
D) Wet vocal quality – Pharyngeal dysphagia
Shoulder impingement may result form
A. C6 radiculopathy
B. Loss of competency of the biceps tendon
C. Loss of competency of scapula-stabilizing muscles
D. Thoracic outlet syndrome
Mallet finger is
A ) rupture of the terminal extensor tendon of the distal phalanx
B) Identified by a loss of active extension of the proximal
interphalangeal (PIP) joint of the finger
C) Caused by forced extension of the distal phalangeal joint
D) Occurs more commonly in ice hockey than in basketball or baseball
players
Shoulder impingement may result form
A. C6 radiculopathy
B. Loss of competency of the biceps tendon
C. Loss of competency of scapula-stabilizing muscles
D. Thoracic outlet syndrome

Impingement can result from extrinsic compression or as a result of loss of competency of the
rotator cuff and/or scapula-stabilizing muscles.

The biceps tendon also passes within the space. The impingement interval, which is the space
between the undersurface of the acromion and the superior aspect of the humeral head, is
maximally narrowed when the arm is abducted.
Mallet finger is
A ) rupture of the terminal extensor tendon of the distal phalanx
B) Identified by a loss of active extension of the proximal
interphalangeal (PIP)- DIP joint of the finger
C) Caused by forced extension flexion of the distal phalangeal joint
D) Occurs more commonly in ice hockey than in basketball or baseball
players – more common In basketball / baseball
 . With right-sided weakness that accompanies a left hemispheric stroke,
what maneuver can be employed to prevent pooling of food or liquid in
the right pyriform sinus?
• A) Chin tuck
• B) Mendelsohn maneuver -
• a method of intentionally holding the larynx when
the larynx is elevated, so that activation of the
suprahyoid muscles is induced
• C) Head turn to the right
• D) Head turn to the left

Advances in swallow therapy over the years have shown the benefit of having
patients with right hemiparesis turn their heads to the weaker side (in this case,
the right) to prevent food buildup that could cause penetration and/or aspiration
if left unchecked.
You are consulted for a 65-year-old woman 6 weeks after a new-onset
stroke. She is still having difficulty swallowing and requires evaluation
for a feeding tube. Her infarct most likely arises from the:
A) Brain stem
B) Pons
C) Anterior cerebral artery
D) Middle cerebral artery
You are consulted for a 65-year-old woman 6 weeks after a new-onset
stroke. She is still having difficulty swallowing and requires evaluation
for a feeding tube. Her infarct most likely arises from the:
A) Brain stem -still have difficulty swallowing at 1 month poststroke.
B) Pons
C) Anterior cerebral artery
D) Middle cerebral artery
What is a Rockwood type II acromioclavicular (AC) joint injury?

A) Sprain of the AC and coracoacromial (CC) ligaments

B) Torn CC ligament and intact AC ligament
C) Torn AC ligament and sprained CC ligament
D) Torn AC and CC ligaments
What is a Rockwood type II acromioclavicular (AC) joint injury?

A) Sprain of the AC and coracoacromial (CC) ligaments

B) Torn CC ligament and intact AC ligament
C) Torn AC ligament and sprained CC ligament
D) Torn AC and CC ligaments
An anterior superior iliac spine (ASIS) avulsion fracture can be caused by
forceful contraction of
A) Long head of the biceps femoris
B) Vastus intermedius muscle
C) Sartorius muscle
D) Iliopsoas muscle
An anterior superior iliac spine (ASIS) avulsion fracture can be caused by
forceful contraction of
A) Long head of the biceps femoris – rectus femoris
B) Vastus intermedius muscle
C) Sartorius muscle & Tensor fascia lata
D) Iliopsoas muscle

An avulsion fracture of the ASIS, especially in an adolescent athlete, often occurs from forceful
eccentric contraction of the sartorius or tensor fascia lata muscle with hip extension and knee
flexion, as in sprinting or swinging a baseball bat.
Surgery may be needed for a displaced apophysis.
The rectus femoris muscle is involved in an anterior inferior iliac spine avulsion fracture.
Which of the following is false about hip dislocation?

A) The most common type is anterior hip dislocation

B) Sciatic nerve may be stretched or compressed during posterior hip dislocations
C) Femoral nerve may be injured during anterior hip dislocation
D) Motor vehicle accidents are the most common cause of hip dislocations
Which of the following is false about hip dislocation?

A) The most common type is anterior hip dislocation - POSTERIOR

B) Sciatic nerve may be stretched or compressed during posterior hip dislocations
C) Femoral nerve may be injured during anterior hip dislocation
D) Motor vehicle accidents are the most common cause of hip dislocations
Hyperextension injury of the metatarsalphalangeal joint of the great toe is called:
A) Turf toe
B) Lisfranc injury
C) Plantar fasciitis
D) Hallux rigidus
Evaluation of scoliosis involves the Adam’s test (forward
bending test) and measuring the Cobb angle using a posterior-
anterior (PA) radiograph, which measures:
A) The angle formed at the intersection between the horizontal line drawn along the iliac
crest and a line drawn along the superior end plate of the vertebra tilted the most at
the top of the curve
B) The angle formed at the intersection between a line drawn along the superior endplate
of the vertebra tilted the most at the top of the curve, and a similar line drawn along
the inferior endplate of the vertebra tilted the most at the bottom of the curve
C) The angle formed at the intersection between a line drawn along the superior
endplate of the vertebra tilted the most at the top of the curve, and a similar line
drawn bisecting the center of the curve
D) D) The angle formed at the intersection between a line drawn along the inferior
endplate of the vertebra tilted the most at the bottom of the curve, and a similar line
drawn bisecting the center of the curve
Evaluation of scoliosis involves the Adam’s test (forward
bending test) and measuring the Cobb angle using a posterior-
anterior (PA) radiograph, which measures:
A) The angle formed at the intersection between the horizontal line drawn along the iliac
crest and a line drawn along the superior end plate of the vertebra tilted the most at
the top of the curve
B) The angle formed at the intersection between a line drawn along the superior
endplate of the vertebra tilted the most at the top of the curve, and a similar line
drawn along the inferior endplate of the vertebra tilted the most at the bottom of
the curve
C) The angle formed at the intersection between a line drawn along the superior
endplate of the vertebra tilted the most at the top of the curve, and a similar line
drawn bisecting the center of the curve
D) D) The angle formed at the intersection between a line drawn along the inferior
endplate of the vertebra tilted the most at the bottom of the curve, and a similar line
drawn bisecting the center of the curve
What diagnostic test is used to diagnose complex
regional pain syndrome (CRPS) in the upper limb?
• A) Somatosensory evoked potentials (SSEP)
• B) Stellate ganglion block
• C) Lumbar vertebral ganglion block
• D) Erythrocyte sedimentation rate
What diagnostic test is used to diagnose complex
regional pain syndrome (CRPS) in the upper limb?
• A) Somatosensory evoked potentials (SSEP) – To test Brain death
• B) Stellate ganglion block
• C) Lumbar vertebral ganglion block-sympathetic blocks performed for
the lower extremities
• D) Erythrocyte sedimentation rate-severe infection, increase in
globulins, polymyalgia rheumatica or temporal arteritis
Hyperextension injury of the metatarsalphalangeal joint of the great toe is called:
A) Turf toe
B) Lisfranc injury
C) Plantar fasciitis
D) Hallux rigidus
Scapula winging is caused by an injury to which one of the following nerves?
A) Radial nerve
B) Suprascapular nerve
C) Long thoracic nerve
D) Axillary nerve
Scapula winging is caused by an injury to which one of the following nerves?
A) Radial nerve
B) Suprascapular nerve
C) Long thoracic nerve
D) Axillary nerve
What is not true about hip fractures?
A) Females are more likely than males to
sustain a hip fracture
B) Most common underlying cause is
weakened bone from metastatic disease
C) Approximately 25% of patients over age 50
years with hip fractures die within 1 year
D) About 50% of hip fracture patients require
some form of assistive device
What is not true about hip fractures?
A) Females are more likely than males to sustain a
hip fracture
B) Most common underlying cause is weakened
bone from metastatic disease - Osteoporosis
C) Approximately 25% of patients over age 50
years with hip fractures die within 1 year
D) About 50% of hip fracture patients require
some form of assistive device