OCS Sports Medicine & Athletic Injuries 2

Question 1

A distance runner presents with lateral knee pain that worsens progressively with prolonged running, especially on downhill terrain. The most likely diagnosis is:

Accepted Answer

Iliotibial band (ITB) syndrome

Answer

Lateral meniscus tear

Answer

Lateral collateral ligament sprain

Answer

Biceps femoris tendinopathy

Question 2

A Grade II muscle strain is characterized by which of the following?

Accepted Answer

Partial tearing with moderate strength loss, pain, and possible palpable defect

Answer

Microscopic tearing with minimal strength loss and no palpable defect

Answer

Complete muscle rupture with total loss of function and a visible deformity

Answer

Inflammation without structural damage to muscle fibers

Question 3

A gymnast falls on an outstretched hand and presents with anatomical snuffbox tenderness. Which fracture must be ruled out due to risk of avascular necrosis?

Accepted Answer

Scaphoid fracture

Answer

Colles fracture

Answer

Lunate fracture

Answer

Hook of hamate fracture

Question 4

The 'terrible triad' of the knee classically refers to injury of which three structures?

Accepted Answer

ACL, MCL, and medial meniscus

Answer

ACL, PCL, and medial meniscus

Answer

PCL, LCL, and lateral meniscus

Answer

ACL, LCL, and lateral meniscus

Question 5

During the overhead throwing motion, which phase generates the greatest valgus stress on the medial elbow, predisposing the UCL to injury?

Accepted Answer

Late cocking and early acceleration phase

Answer

Wind-up phase

Answer

Follow-through phase

Answer

Deceleration phase

Question 6

A soccer player reports anterior knee pain that worsens with stair climbing, prolonged sitting, and squatting. Clarke's sign is positive. The most likely diagnosis is:

Accepted Answer

Patellofemoral pain syndrome (PFPS)

Answer

Patellar tendinopathy

Answer

Hoffa's fat pad impingement

Answer

Prepatellar bursitis

Question 7

A football lineman hyperextends his great toe while pushing off on artificial turf. The injury most commonly involves which structure in 'turf toe'?

Accepted Answer

First metatarsophalangeal joint plantar plate and capsule

Answer

Plantar fascia at its calcaneal origin

Answer

Sesamoid bones of the flexor hallucis brevis

Answer

Flexor hallucis longus tendon sheath