Musculoskeletal 1-50 MRQ

A 55-year-old woman presents with progressive pain and stiffness in her right shoulder over the past six months. She describes the pain as constant, worsening at night, and interfering with her daily activities, including dressing and reaching overhead. She denies any recent trauma or overuse. On examination, there is a significant reduction in both active and passive range of motion, particularly in external rotation and abduction. The shoulder joint appears normal on inspection, with no swelling or redness. There is mild tenderness over the anterior shoulder but no significant muscle weakness.

Which of the following factors are most strongly associated with the development of her condition? Select five (5) Correct answer.

A 48-year-old man presents with gradually worsening stiffness and discomfort in his left shoulder over the last eight months. He reports difficulty performing overhead activities and dressing. He denies any significant trauma but mentions a recent period of reduced shoulder movement after a minor elbow fracture, during which his arm was immobilized in a sling for several weeks. His medical history is notable for hyperlipidemia. On examination, passive and active shoulder movements are limited, particularly in external rotation. There is no local swelling or redness, and neurovascular status is intact.

Which of the following risk factors are most significant for developing his current condition? Select five (5) Correct answer.

A 58-year-old woman presents with a gradual onset of right shoulder discomfort and stiffness over the past seven months. She reports difficulty performing routine tasks such as combing her hair and fastening her bra. The discomfort is worse at night, affecting her sleep. She denies any recent trauma. Her medical history includes type 2 diabetes and hypothyroidism. On examination, there is a significant reduction in both active and passive shoulder movements, but no muscle wasting or joint deformity.

Which of the following signs are most commonly associated with this condition? Select five (5) Correct answer.

A 62-year-old man presents with progressive stiffness and discomfort in his left shoulder over the last year. He reports difficulties with reaching overhead, fastening his seatbelt, and putting on his jacket. The pain is dull and constant, worse at night. There is no history of trauma. His medical history includes hypertension and type 2 diabetes. Neurological examination is normal, and there is no muscle wasting. You suspect frozen shoulder

Which of the following clinical signs are most characteristic of this condition? Select five (5) Correct answer.

A 54-year-old woman presents with a 12-month history of persistent stiffness and dull pain in her left shoulder. She reports difficulty with daily activities, such as dressing and reaching overhead, and has experienced significant limitations in her range of motion. The discomfort has affected her sleep, and she feels her overall shoulder function has deteriorated. Despite physiotherapy and analgesics, her symptoms have only marginally improved. On examination, there is marked restriction in both active and passive movements, particularly external rotation and abduction. There is no visible swelling, redness, or deformity.

Which of the following are potential complications associated with this condition? Select five (5) Correct answer.

A 60-year-old man presents with ongoing shoulder stiffness and pain that began over a year ago. Despite conservative management, including physical therapy and analgesics, he continues to experience difficulty with daily tasks such as lifting objects, dressing, and sleeping comfortably. His movements are limited, especially in external rotation and abduction. On examination, there is notable muscle weakness and decreased range of motion. No signs of infection, swelling, or joint instability are observed.

Which of the following complications are commonly associated with this condition? Select five (5) Correct answer.

A 52-year-old woman presents with a 10-month history of progressive stiffness and dull pain in her right shoulder. She reports significant difficulty with daily tasks, including reaching overhead, dressing, and sleeping on the affected side. The pain is worse at night and has started affecting her quality of life. Physical examination reveals reduced active and passive range of motion, particularly in external rotation and abduction. There is no evidence of joint swelling, deformity, or erythema. She has previously tried simple analgesics with minimal relief.

Which of the following are the most appropriate management options to consider for her condition? Select five (5) Correct answer.

A 60-year-old man presents with ongoing stiffness and pain in his left shoulder for over a year. Despite trying over-the-counter analgesics, his symptoms have persisted, and his ability to perform daily tasks has been significantly affected. The discomfort is worse at night, and he finds it challenging to reach overhead or behind his back. On examination, both active and passive ranges of motion are limited, particularly external rotation and abduction. There are no signs of joint deformity, swelling, or erythema.

Which of the following management strategies are considered appropriate for this condition? Select five (5) Correct answer.

A 58-year-old woman presents with persistent stiffness and dull aching pain in her right shoulder for the past year. She has a history of poorly controlled type 2 diabetes mellitus and obesity. Despite undergoing physiotherapy and receiving an intra-articular corticosteroid injection, her shoulder movements remain significantly limited, especially in external rotation. She finds it difficult to carry out daily tasks, and her quality of life has been affected. On examination, both active and passive shoulder movements are markedly restricted. There is no sign of swelling, redness, or joint deformity.

Which of the following factors are most likely to contribute to a poor prognosis in her condition? Select five (5) Correct answer.

A 60-year-old man presents with persistent shoulder stiffness and pain lasting over 14 months. He reports that the condition developed gradually, and although he underwent physiotherapy, his shoulder mobility remains severely limited. His past medical history is significant for type 2 diabetes mellitus and a previous rotator cuff injury on the same side. He reports difficulty performing daily tasks such as dressing and driving. On examination, there is marked restriction in both active and passive shoulder movements, particularly external rotation.

Which of the following factors are associated with a poorer prognosis for his condition? Select five (5) Correct answer.

A 35-year-old man presents with severe pain in his right leg following a motorcycle accident that resulted in a tibial fracture. The pain is described as deep, constant, and out of proportion to the injury. He also reports numbness and tingling in the affected leg. On examination, his leg appears swollen and tense, and passive stretching of the toes significantly exacerbates the pain. Pulses are palpable but weak. The overlying skin is intact, with no open wounds. The orthopaedic team suspects an evolving complication.

Which of the following factors are considered significant risk factors for the development of this condition? Select five (5) Correct answer.

A 28-year-old male construction worker is brought to the emergency department after being trapped under heavy debris for several hours. He complains of excruciating pain in his left forearm, which is worsening despite strong analgesia. On examination, the forearm is swollen, tense, and extremely tender. Passive extension of the fingers causes severe pain. Sensation is diminished, and capillary refill is sluggish. You suspect a potential limb-threatening complication.

Which of the following factors are considered significant risk factors for developing this condition? Select five (5) Correct answer.

A 30-year-old male presents to the emergency department with severe pain in his left lower leg following a fall from height. The leg appears swollen and tense, and he reports that the pain is worsening despite receiving analgesics. You suspect acute compartment syndrome

Which of the following clinical features are most indicative of this condition? Select five (5) Correct answer.

A 45-year-old woman presents after a crush injury to her right forearm. She reports severe pain that is worsening over time and is not relieved by standard pain medications. She also complains of a burning sensation in her fingers. You suspect acute compartment syndrome Which of the following signs are most characteristic of this condition? Select five (5) Correct answer.

A 40-year-old man presents to the emergency department with severe pain in his right leg following a crush injury at his workplace. He describes the pain as deep and persistent, worsening with passive stretching of the toes. On examination, the leg is tense, swollen, and extremely tender. Sensation is reduced over the dorsum of the foot, and capillary refill is delayed. Distal pulses are weak but present. The attending clinician suspects a limb-threatening complication and is considering investigations to confirm the diagnosis and guide urgent management.

Which of the following investigations would be most appropriate to confirm the diagnosis and guide further management? Select five (5) Correct answer.

A 32-year-old female athlete presents with severe pain and swelling in her left forearm after a weightlifting injury. She reports the pain has been worsening and is not relieved by analgesics. On examination, the forearm is tense, tender, and swollen. Passive extension of the fingers significantly increases the pain. Sensation is diminished over the lateral side of the hand, and capillary refill is delayed. The attending physician suspects a severe complication and is considering investigations to confirm the diagnosis and plan immediate management.

Which of the following investigations would be most appropriate to confirm the diagnosis and guide treatment? Select five (5) Correct answer.

A 25-year-old man presents to the emergency department with severe pain in his right lower leg following a crush injury at a construction site. The pain is disproportionate to the injury and is not relieved by strong analgesics. Passive stretching of the toes exacerbates the pain. On examination, the leg is swollen, tense, and tender. There is decreased sensation over the dorsum of the foot, and capillary refill is delayed. Distal pulses are weak but present. The clinical team suspects a limb-threatening complication and considers immediate management options.

Which of the following are the most appropriate management strategies for this condition? Select five (5) Correct answer.

A 45-year-old woman presents with severe pain and swelling in her right forearm after a crush injury. The pain is severe and worsens with passive extension of her fingers. Examination reveals tense, swollen muscles, delayed capillary refill, and reduced sensation in the affected limb. Distal pulses are present but weak. The clinical team suspects a severe complication and is considering immediate management steps.

Which of the following management approaches are most appropriate for this condition? Select five (5) Correct answer.

A 38-year-old man presents to the emergency department with severe pain in his left lower leg following a crush injury. The pain is intense, exacerbated by passive stretching, and unrelieved by analgesics. On examination, the leg is tense and swollen, with delayed capillary refill and reduced sensation over the dorsum of the foot. Distal pulses are weak. An emergent fasciotomy is performed to relieve the pressure. The patient is now recovering post-operatively.

Which of the following factors are most likely to be associated with a poor prognosis for his condition? Select five (5) Correct answer.

A 45-year-old female athlete is recovering after undergoing fasciotomy for an acute compartment syndrome in her right forearm, sustained following a crush injury. Although her pain has improved, she continues to experience weakness and mild numbness in the affected arm. She asks about her long-term recovery and potential complications.

Which of the following factors are most likely to be associated with a poor long-term prognosis for her condition? Select five (5) Correct answer.

A 42-year-old woman presents with gradually worsening heel pain over the past three months. She reports that the pain is most severe when taking her first steps in the morning and after prolonged periods of standing. She works as a retail assistant .. On examination, there is localized tenderness over the medial aspect of the heel, with no redness or swelling noted.

Which of the following are considered significant risk factors for the development of her condition? Select five (5) Correct answer.

A 50-year-old male marathon runner presents with gradual onset of heel pain, He reports that the pain improves with rest but returns after activity. His medical history is notable for hypertension. On examination, there is tenderness over the plantar aspect of the heel, particularly on palpation.

Which of the following are significant risk factors for the development of this condition? Select five (5) Correct answer.

A 48-year-old woman presents with heel pain that started gradually over the past few months.. On examination, there is localized tenderness over the medial aspect of the heel, and dorsiflexion of the foot exacerbates the discomfort. No redness, swelling, or deformity is observed.

Which of the following symptoms are most characteristic of this condition? Select four (4) Correct answer.

A 45-year-old female presents to the clinic complaining of heel pain that has gradually worsened over the past four months. She reports the pain is sharpest when taking her first steps in the morning and after standing for long periods. She works as a cashier, spending most of her day on her feet. You suspect plantar fascitits. Which of the following clinical signs are most commonly associated with this condition? Select five (5) Correct answer.

A 50-year-old male long-distance runner presents with persistent heel pain that began gradually six months ago. The pain is sharp and most pronounced during his first steps in the morning. It also worsens after long runs and prolonged standing.. No swelling or erythema is observed. You suspect plantar fascitits

Which of the following clinical signs are most indicative of this condition? Select five (5) Correct answer.

A 46-year-old woman presents with persistent heel pain for the past six months. She reports that the pain is sharp, especially during the first steps after waking and after prolonged periods of standing. Conservative treatments like rest and stretching have offered minimal relief. On examination, there is localized tenderness over the medial plantar aspect of the heel, and dorsiflexion of the toes exacerbates the discomfort. You consider investigations to confirm the diagnosis and rule out other causes of heel pain.

Which of the following investigations would be most appropriate to confirm the diagnosis and guide treatment? Select five (5) Correct answer.

A 50-year-old male marathon runner presents with chronic heel pain that has progressively worsened over the last eight months. He describes the pain as sharp and worse after periods of inactivity. Conservative management has failed to provide significant relief. On examination, there is localized tenderness over the medial aspect of the heel, with pain exacerbated by passive dorsiflexion of the toes. You consider investigations to confirm the diagnosis and exclude other potential causes.

Which of the following investigations would be most appropriate for this patient? Select five (5) Correct answer.

A 48-year-old woman presents to the clinic with a 6-month history of progressive heel pain that is worse with her first steps in the morning and after prolonged periods of standing. She works in retail and spends most of her day on her feet. Conservative treatments such as resting and applying ice have provided limited relief. On examination, there is localized tenderness over the medial aspect of the heel, and pain is aggravated by dorsiflexion of the toes. You consider appropriate management strategies to relieve her symptoms and prevent long-term complications.

Which of the following are appropriate management strategies for her condition? Select five (5) Correct answer.

A 52-year-old male long-distance runner presents with heel pain that has been persistent for the past eight months. The pain is sharp, particularly during the first steps in the morning, and worsens after long runs. Conservative management including ice and NSAIDs has provided minimal relief. On examination, there is tenderness over the medial heel, and dorsiflexion of the toes worsens the pain. You consider advanced treatment options alongside conservative strategies.

Which of the following are the most appropriate management strategies for his condition? Select five (5) Correct answer.

A 50-year-old woman presents with a 12-month history of persistent heel pain. She reports that the pain initially improved with conservative management but has recently worsened, affecting her ability to walk and perform daily activities. She now experiences pain radiating to the arch of the foot and finds herself compensating with an altered gait. On examination, there is marked tenderness over the medial heel and tightness in the Achilles tendon. Her gait appears antalgic, and she has started experiencing mild discomfort in the opposite foot due to compensation.

Which of the following are considered complications that can arise from this condition? Select five (5) Correct answer.

A 55-year-old male runner presents with worsening heel pain despite conservative management over the past year. He reports that the pain has started affecting his ability to run and even walk comfortably. He describes occasional sharp pain after sudden movements and has noticed swelling and tenderness extending into the arch. He also mentions that he has started developing pain in his opposite foot due to altered walking posture.

Which of the following are potential complications that may arise from this condition? Select five (5) Correct answer.

A 42-year-old female presents with a 9-month history of heel pain that worsens with her first steps in the morning and after long periods of standing. She has been undergoing conservative treatment, including stretching exercises, NSAIDs, and orthotics, for the past three months but reports only mild improvement. On examination, there is tenderness over the medial aspect of the heel, and pain is exacerbated by passive dorsiflexion of the toes. You discuss the prognosis of her condition and the likelihood of long-term recovery.

Which of the following factors are most likely associated with a poor prognosis for this condition? Select five (5) Correct answer.

A 50-year-old male marathon runner presents with persistent heel pain that has lasted for over a year. Despite trying various conservative treatments such as stretching, footwear modification, and NSAIDs, the pain has persisted, limiting his ability to run and perform daily tasks. On examination, tenderness is noted along the medial heel, and dorsiflexion of the toes exacerbates the pain. You explain the factors that may influence his long-term recovery and overall prognosis.

Which of the following factors are most likely associated with a poor prognosis in this condition? Select five (5) Correct answer.

A 45-year-old man presents with a 3-month history of gradual onset pain over the lateral aspect of his right elbow. The pain is aggravated by gripping objects, lifting, and performing repetitive wrist extension movements. On examination, there is tenderness over the lateral epicondyle, and pain is reproduced with resisted wrist extension. There is no swelling or redness. You suspect a musculoskeletal overuse condition and is considering investigations to confirm the diagnosis.

Which of the following are significant risk factors for developing this condition? Select five (5) Correct answer.

A 50-year-old female office worker presents with pain over the lateral aspect of her left elbow, which has been worsening over the past few months. She reports that the pain is aggravated by lifting objects, typing, and gripping activities. \On examination, there is tenderness over the lateral epicondyle, and resisted wrist extension reproduces the pain. You suspect a repetitive strain injury and considers investigations to confirm the diagnosis.

Which of the following are recognized risk factors for developing this condition? Select five (5) Correct answer.

A 50-year-old female office worker presents with pain over the outer aspect of her left elbow.. She denies any recent trauma. On examination, there is localized tenderness over the lateral epicondyle,

Which of the following symptoms are most commonly associated with this condition? Select five (5) Correct answer.

A 46-year-old man presents with a gradual onset of pain over the lateral aspect of his right elbow for the past three months. The pain worsens with gripping objects, lifting, and wrist extension activities. He works as a carpenter and often uses hand tools. On examination, there is localized tenderness over the lateral epicondyle.

Which of the following clinical signs are most characteristic of this condition? Select four (4) Correct answer.

A 50-year-old female office worker presents with persistent pain over the outer aspect of her left elbow, which started several months ago. She reports that the pain worsens with gripping activities, such as typing, lifting objects, and shaking hands. On examination, there is localized tenderness over the lateral epicondyle.

Which of the following clinical signs are most indicative of this condition? Select four (4) Correct answer.

A 46-year-old man presents with persistent pain over the lateral aspect of his right elbow, which has been gradually worsening over the past six months. The pain is aggravated by gripping, lifting, and repetitive wrist movements. Conservative treatments such as rest and over-the-counter analgesics have provided minimal relief. On examination, there is tenderness over the lateral epicondyle, and pain is reproduced with resisted wrist extension. You consider a range of treatment options to relieve the pain and restore function.

Which of the following are appropriate management strategies for this condition? Select five (5) Correct answer.

A 50-year-old female office worker presents with a 9-month history of persistent pain over the lateral aspect of her left elbow. The pain is exacerbated by lifting, gripping, and prolonged typing. She has tried rest and over-the-counter analgesics with limited relief. On examination, there is localized tenderness over the lateral epicondyle, and pain is reproduced with resisted wrist extension. You discuss management strategies to optimize her recovery and minimize complications.

Which of the following are considered appropriate management strategies for this condition? Select five (5) Correct answer.

A 48-year-old man presents with persistent pain over the lateral aspect of his right elbow, which has been ongoing for the past 12 months. The pain is aggravated by gripping, lifting, and typing. Despite physiotherapy and the use of NSAIDs, his symptoms have not significantly improved. On examination, tenderness is noted over the lateral epicondyle, and pain is reproduced with resisted wrist extension. He also reports reduced grip strength and difficulty performing daily tasks. You discuss potential complications if the condition remains untreated.

Which of the following are recognized complications that may arise from this condition? Select five (5) Correct answer.

A 52-year-old female presents with a long-standing history of pain over the lateral aspect of her left elbow. The pain worsens with activities such as lifting and gripping. Despite multiple conservative treatments, the pain persists, and she now reports weakness in her grip and difficulty performing basic tasks such as lifting a cup or opening jars. On examination, tenderness is present over the lateral epicondyle, and there is reduced range of motion in the elbow joint.

Which of the following are potential complications of this condition if left untreated? Select five (5) Correct answer.

A 48-year-old man presents with persistent lateral elbow pain that has been ongoing for over eight months. He reports that the pain started gradually after engaging in repetitive activities involving wrist extension. Despite conservative management, including rest, NSAIDs, and physiotherapy, his symptoms have not significantly improved. On examination, tenderness is noted over the lateral epicondyle, and pain is reproduced with resisted wrist extension. You discuss the prognosis of his condition and the factors that may influence his long-term recovery.

Which of the following factors are most likely associated with a poor prognosis for this condition? Select five (5) Correct answer.

A 52-year-old female office worker presents with persistent lateral elbow pain for the past ten months. She reports that the pain initially improved with NSAIDs and rest but has recently worsened despite ongoing physiotherapy. She also struggles with weakness in grip strength. On examination, there is localized tenderness over the lateral epicondyle, and pain is reproduced with resisted wrist extension. You explain factors that may influence her recovery and long-term prognosis.

Which of the following factors are associated with a poor prognosis for this condition? Select five (5) Correct answer.