Musculoskeletal 51-100 MRQ

A 52-year-old man presents with sudden onset of severe pain, redness, and swelling in his right big toe. The pain began overnight and has progressively worsened. He has a history of hypertension. On examination, the first metatarsophalangeal joint is tender, erythematous, and warm. You consider investigations to confirm the diagnosis and discusses potential risk factors.

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

A 60-year-old male presents with recurrent episodes of joint pain, particularly affecting his knees and ankles. His past medical history includes hypertension managed with thiazide diuretics. On examination, there is swelling, tenderness, and warmth over the affected joints. You discuss potential risk factors 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 48-year-old male presents with persistent pain over the lateral aspect of his right elbow for the past 12 months. The discomfort worsens during gripping and lifting activities. He reports reduced grip strength and difficulty performing tasks like opening jars. On examination, tenderness is noted over the lateral epicondyle, and pain is reproduced with resisted wrist extension. Despite physiotherapy and NSAIDs, his symptoms persist. You discuss the potential complications if the condition remains untreated.

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

A 50-year-old female office worker presents with a 10-month history of pain over the lateral side of her left elbow. The pain worsens with lifting, gripping, and typing. Despite conservative management, including NSAIDs and physiotherapy, her symptoms persist. She now reports weakness in grip strength and difficulty performing daily tasks. On examination, tenderness is noted over the lateral epicondyle, and there is a reduced range of motion in the elbow.

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

A 48-year-old male presents with a gradual onset of pain over the inner aspect of his right elbow. The pain is aggravated by activities such as gripping, lifting, and flexing the wrist. He works as a construction worker . On examination, there is tenderness over the medial epicondyle, and pain is reproduced with resisted wrist flexion. You consider investigations to confirm the diagnosis and discusses potential risk factors that may have contributed to his condition.

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

A 42-year-old female office worker presents with persistent pain over the inner side of her left elbow for the past five months. The pain is exacerbated by typing, lifting objects, and repetitive wrist movements. On examination, there is localized tenderness over the medial epicondyle, and resisted wrist flexion reproduces the pain. You consider investigations to confirm the diagnosis and identifies the contributing risk factors.

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

A 44-year-old male presents with a gradual onset of pain over the inner aspect of his right elbow. On examination, there is localized tenderness over the medial epicondyle. You consider investigations to confirm the diagnosis.

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

A 50-year-old man presents with a 6-month history of pain over the inner aspect of his right elbow. He works as a carpenter and frequently lifts heavy tools. On examination, there is localized tenderness over the medial epicondyle.

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

A 48-year-old male presents with persistent pain over the inner aspect of his right elbow for the past seven months. The pain worsens with gripping, lifting, and wrist flexion activities. He reports minimal improvement despite taking over-the-counter analgesics and modifying his activities. On examination, tenderness is noted over the medial epicondyle, and pain is reproduced with resisted wrist flexion and forearm pronation. You discuss appropriate management strategies to relieve his symptoms and restore function.

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

A 52-year-old female presents with persistent pain over the inner aspect of her left elbow for the past eight months. She reports difficulty with activities involving gripping and wrist flexion. Previous treatments with rest and analgesics have provided minimal relief. On examination, tenderness is noted over the medial epicondyle, and pain is reproduced with resisted wrist flexion. You discuss suitable management options to relieve her symptoms and promote healing.

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

A 49-year-old male presents with persistent pain over the inner aspect of his right elbow, which has been ongoing for over eight months. Despite conservative management, including NSAIDs and physiotherapy, the pain persists and has started to affect his ability to grip objects. He also reports difficulty performing daily tasks that require wrist flexion and lifting. On examination, there is tenderness over the medial epicondyle, and pain is reproduced with resisted wrist flexion. You discuss the possible complications that could arise if the condition remains untreated and considers appropriate investigations.

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

A 52-year-old female presents with an 11-month history of inner elbow pain. Despite physiotherapy, activity modification, and the use of NSAIDs, her symptoms persist. She reports weakness in grip strength and increasing difficulty performing everyday tasks like lifting and typing. On examination, there is tenderness over the medial epicondyle and reduced range of motion in the elbow. You consider appropriate investigations and explains potential complications of untreated disease.

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

A 48-year-old male presents with persistent pain over the inner aspect of his right elbow, ongoing for the past nine months. The discomfort is exacerbated by gripping and wrist flexion activities. Despite conservative management, including NSAIDs, physiotherapy, and activity modification, his symptoms have only slightly improved. He reports ongoing weakness in grip strength and difficulty performing routine tasks. On examination, there is tenderness over the medial epicondyle, and pain is reproduced with resisted wrist flexion. You consider investigations to confirm the diagnosis and discusses the potential prognosis and influencing factors.

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

A 52-year-old female presents with a 10-month history of persistent pain over the medial aspect of her left elbow. Despite attempts at conservative treatment, including rest, NSAIDs, physiotherapy, and ergonomic adjustments, her symptoms have not fully resolved. She reports ongoing weakness when gripping objects and difficulty with tasks that require wrist flexion. On examination, there is localized tenderness over the medial epicondyle, and pain is reproduced with resisted wrist flexion. You consider investigations to confirm the diagnosis and explains the factors influencing prognosis.

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

A 30-year-old female presents with tingling, numbness, and burning pain over the outer aspect of his right thigh. The symptoms have been progressively worsening over the past few months. On examination, there is decreased sensation over the anterolateral thigh, and the discomfort is aggravated by hip extension. You consider investigations to confirm the diagnosis and discusses the potential risk factors contributing to his condition.

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

A 42-year-old female presents with a three-month history of burning pain, numbness, and tingling over the anterolateral aspect of her left thigh.. She has a history of obesity and diabetes and recently gained significant weight. On examination, decreased sensation is noted over the lateral thigh. You consider investigations to confirm the diagnosis and explains potential risk factors contributing to the condition.

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

A 52-year-old male presents with a six-month history of burning pain, numbness, and tingling localized to the outer aspect of his right thigh. The discomfort worsens with prolonged standing, walking, and wearing tight belts. Conservative treatments, including lifestyle modifications and NSAIDs, have provided limited relief. On examination, sensation to light touch is reduced over the anterolateral thigh. You consider investigations to confirm the diagnosis and discusses appropriate management options to alleviate the symptoms and prevent further nerve compression.

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

A 46-year-old female presents with burning pain, tingling, and numbness over the outer aspect of her left thigh for the past eight months. The symptoms are aggravated by wearing tight jeans and prolonged standing. Despite trying NSAIDs and adjusting her activity levels, her symptoms persist. On examination, reduced sensation is noted over the anterolateral thigh. You consider investigations to confirm the diagnosis and discusses effective management strategies to alleviate her symptoms.

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

A 49-year-old male presents with persistent burning pain, numbness, and tingling over the outer aspect of his right thigh for the past 10 months. The discomfort is aggravated by prolonged standing, wearing tight belts, and walking. Despite conservative management, including weight loss and avoidance of tight clothing, his symptoms have not resolved. On examination, reduced sensation to light touch is noted over the anterolateral thigh, with preserved motor strength and reflexes. You consider investigations to confirm the diagnosis and discusses the potential complications if the condition remains untreated.

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

A 55-year-old female presents with an 11-month history of burning pain, numbness, and tingling localized to the outer aspect of her left thigh. She reports worsening symptoms with prolonged standing and tight clothing. Despite conservative management, including weight loss and medication, the symptoms persist, significantly affecting her daily routine. On examination, reduced sensation to light touch is noted over the anterolateral thigh. You consider investigations to confirm the diagnosis and discusses possible complications if the condition remains untreated.

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

A 48-year-old male presents with an eight-month history of burning pain, tingling, and numbness over the outer aspect of his right thigh. His symptoms are aggravated by standing for prolonged periods and wearing tight belts. He has attempted weight loss and avoided restrictive clothing with partial improvement. On examination, reduced sensation is noted over the anterolateral thigh, but motor strength and reflexes are preserved. You consider investigations to confirm the diagnosis and explains the factors that influence the prognosis of the condition.

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

A 55-year-old female presents with a ten-month history of burning pain, tingling, and numbness over the outer aspect of her left thigh. She reports partial relief with weight loss and activity modification, but discomfort persists, especially during prolonged standing. She also notes that the discomfort interferes with her sleep. On examination, there is reduced sensation over the anterolateral thigh with no motor involvement. You consider investigations to confirm the diagnosis and discusses prognostic factors affecting long-term outcomes.

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

A 35-year-old female presents with a six-month history of numbness, tingling, and occasional burning sensations in her thumb, index, and middle fingers. The symptoms worsen at night and when she performs tasks involving hand movements. On examination, there is positive Tinel’s sign at the wrist. You consider investigations to confirm the diagnosis and discusses the potential risk factors that may have contributed to the development of this condition.

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

A 48-year-old female presents with a six-month history of discomfort in her right hand,. On examination, there is decreased sensation over the median nerve distribution, and Phalen’s test reproduces her symptoms. You consider investigations to confirm the diagnosis and discusses the characteristic symptoms associated with this condition.

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

A 47-year-old female presents with a six-month history of numbness, tingling, and weakness in her right hand, particularly affecting the thumb, index, and middle fingers. You suspect median nerve involvement.The symptoms are worse at night and after prolonged typing.

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

A 50-year-old female presents with a six-month history of numbness, tingling, and occasional burning sensations in the thumb, index, and middle fingers of her right hand. The symptoms are worse at night and improve with shaking the hand. On examination, there is reduced sensation over the median nerve distribution, and Phalen’s test reproduces her symptoms. You discuss the appropriate investigations to confirm the diagnosis and rule out other conditions.

Which of the following investigations are most appropriate for confirming the diagnosis and guiding management? Select five (5) Correct answer.

A 55-year-old male presents with progressive numbness, tingling, and weakness in his right hand, particularly affecting the thumb, index, and middle fingers. The symptoms worsen at night and after prolonged typing. On examination, there is reduced sensation over the median nerve distribution, positive Tinel’s and Phalen’s tests, and mild wasting of the thenar muscles. You consider investigations to confirm the diagnosis and guide treatment decisions.

Which of the following investigations are appropriate for confirming the diagnosis and assessing the severity of this condition? Select five (5) Correct answer.

A 48-year-old female presents with a six-month history of tingling, numbness, and occasional weakness in her right hand, primarily affecting the thumb, index, and middle fingers. The symptoms are worse at night and after prolonged typing. On examination, there is reduced sensation over the median nerve distribution, and Phalen’s test reproduces her symptoms. The diagnosis is confirmed through nerve conduction studies.

Which of the following are appropriate management strategies to alleviate symptoms and prevent progression of this condition? Select five (5) Correct answer.

A 55-year-old male receptionist presents with an eight-month history of numbness, tingling, and weakness in his right hand, specifically involving the thumb, index, and middle fingers. The symptoms worsen at night and with repetitive wrist movements. Examination confirms reduced sensation over the median nerve distribution, with positive Phalen’s and Tinel’s tests. Nerve conduction studies confirm the diagnosis.

Which of the following management strategies are appropriate for alleviating symptoms and preventing progression? Select five (5) Correct answer.

A 52-year-old female presents with a year-long history of numbness, tingling, and weakness in her right hand, primarily affecting the thumb, index, and middle fingers. She reports that the symptoms have progressively worsened, with frequent episodes of dropping objects due to weak grip strength. On examination, there is noticeable wasting of the thenar eminence, reduced sensation in the median nerve distribution, and diminished thumb opposition strength. Nerve conduction studies confirm the diagnosis.

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

A 55-year-old male presents with a long-standing history of numbness, tingling, and progressive weakness in his right hand. He reports difficulty performing fine motor tasks, frequent dropping of objects, and ongoing sleep disturbances due to nocturnal pain. On examination, there is marked thenar muscle wasting, reduced sensation over the median nerve distribution, and decreased grip strength. Nerve conduction studies confirm the diagnosis.

Which of the following are recognized complications associated with untreated or severe cases of this condition? Select five (5) Correct answer.

A 50-year-old female presents with a nine-month history of numbness, tingling, and weakness in her right hand, primarily affecting the thumb, index, and middle fingers. She reports partial improvement with night splinting and ergonomic modifications but continues to experience symptoms during repetitive hand movements. On examination, there is reduced sensation over the median nerve distribution and mild weakness in thumb opposition. Nerve conduction studies confirm the diagnosis.

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

A 55-year-old male presents with persistent numbness, tingling, and weakness in his right hand, which has been ongoing for over 12 months. Despite conservative measures such as splinting and corticosteroid injections, his symptoms persist, and he reports difficulty performing daily tasks. Examination reveals reduced sensation in the median nerve distribution and noticeable thenar muscle wasting. Nerve conduction studies confirm the diagnosis.

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