FMCLA Musculoskeletal and Orthopedic Conditions

Question 1

A patient presents with acute monoarthritis of the first MTP joint with overlying erythema and severe pain. Synovial fluid shows negatively birefringent crystals. The diagnosis is:

Accepted Answer

Gout

Answer

Gout is caused by monosodium urate crystals, which appear needle-shaped and negatively birefringent under polarized light microscopy.

Question 2

Which imaging modality is first-line for evaluating suspected rotator cuff tear?

Accepted Answer

MRI

Answer

MRI is the gold standard for evaluating soft tissue structures including the rotator cuff, providing excellent detail of tear size and location.

Question 3

A 16-year-old male basketball player presents with anterior knee pain below the patella that worsens with activity. The most likely diagnosis is:

Accepted Answer

Osgood-Schlatter disease

Answer

Osgood-Schlatter disease causes tibial tubercle apophysitis due to repetitive quadriceps traction in adolescent athletes.

Question 4

Which maneuver is used to test for anterior cruciate ligament (ACL) integrity?

Accepted Answer

Lachman test

Answer

The Lachman test is the most sensitive clinical test for ACL rupture, assessing anterior tibial translation at 20–30° knee flexion.

Question 5

First-line treatment for acute uncomplicated low back pain in a 40-year-old without neurological deficits includes:

Accepted Answer

NSAIDs and continued activity

Answer

NSAIDs combined with continued physical activity are evidence-based first-line treatments for acute low back pain without red flags.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA Musculoskeletal and Orthopedic Conditions