Self-Assessment Questions

7. Musculoskeletal

• 19. List the structures that may give rise to hip or groin pain.

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  Correct answer:

  • Hip joint
  • Trochanteric bursa
  • Hip muscles
  • Hernia
  • Referred pain from the back
  • Sacro-iliac joint
  • Aorta/iliac disease

  See Chapter 34.

• 20. List the component parts of a knee examination.

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  Correct answer:

  • Look, feel, move
  • Straight-leg raising
  • Look for effusion
  • Range of movements
  • Stability – Lachman, etc.
  • Distal neurovascular assessment
  • Hip/calf and ankle

  See Chapter 35.

• 21. List the causes of a haemarthrosis.

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  Correct answer:

  • Anterior cruciate ligament injury
  • Posterior cruciate ligament injury
  • Fractured patella
  • Dislocation of the patella
  • Osteochondral fracture

  See Chapter 36.

• 22. Match the following clinical findings to the conditions below: haemarthrosis, loss of straight-leg raising, acute swelling and redness over the patella, a painful limp, red hot joint.
  (a) Prepatella bursitis in a carpet layer.
  (b) Quadriceps tendon rupture.
  (c) Acute gout of the knee.
  (d) Slipped upper femoral epiphysis in adolescent boy with knee pain.
  (e) Anterior cruciate injury.

  Show Answer

  Correct answer:
  (a) Prepatella bursitis in a carpet layer.
  Acute swelling and redness over the patella
  (b) Quadriceps tendon rupture.
  Loss of straight-leg raising
  (c) Acute gout of the knee.
  Red hot joint
  (d) Slipped upper femoral epiphysis in adolescent boy with knee pain.
  Painful limp
  (e) Anterior cruciate injury.
  Haemarthrosis
  See Chapter 36.

• 23. When assessing a calf injury, which specific structures is it important to always remember to examine?

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  Correct answer:

  • Knee
  • Ankle
  • Achilles tendon (calf squeeze)
  • Neurovascular supply

  See Chapter 37.

• 24. Which four areas is it necessary to palpate for bony tenderness to comply with the Ottawa ankle rules?

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  Correct answer:

  • Posterior edge or tip of lateral malleolus
  • Posterior edge or tip of medial malleolus
  • Base of the fifth metatarsal
  • Navicular

  See Chapters 38.

• 25. What does the acronym RICE stand for?

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  Correct answer:
  Rest
  Ice
  Compression
  Elevation
  See Chapters 38.

• 26. Name the tarsal bones.

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  Correct answer:

  • Calcaneum (os calcis)
  • Talus
  • Navicular
  • Cuboid
  • Cuneiform, medial, mid, lateral

  See Chapters 39.

• 27. Match the following terms with the descriptions below: march, Jones, Lisfranc, Morton.
  (a) A neuroma giving beneath the metatarsal head.
  (b) A fatigue fracture of the second metatarsal.
  (c) A fracture dislocation of the tarsometatarsal joint.
  (d) A transverse fracture of the base of the fifth metatarsal.

  Show Answer

  Correct answer:
  (a) A neuroma giving beneath the metatarsal head.
  Morton
  (b) A fatigue fracture of the second metatarsal.
  March
  (c) A fracture dislocation of the tarsometatarsal joint.
  Lisfranc
  (d) A transverse fracture of the base of the fifth metatarsal.
  Jones
  See Chapters 39.