Limb Pain MCQs :-
1.A elderly lady has come to the hospital after a fall on an outstretched hand. She has pain and swelling of the forearm and wrist. Palpation of snuffbox increases pain.
- Finger fracture
- Wrist fracture
- Olecranon bursitis
- Lateral humeral epicondylitis
- Subluxation of radial head
2. The patient has pain and tightness over the Achilles tendon, especially with walking or running. Pain gets worse with dorsiflexion of the ankle.
- Shin splints
- Ankle sprain
- Bakers cyst
- Achilles tendinitis
- Plantar fasciitis
3. The presence of generalized symptoms such as fever, weight loss, general malaise, or hot swollen joints suggests the presence of a systemic disorder such as infection or rheumatic disease.
- True
- False
4. A young patient suffers from fatigue, weight loss, failure to thrive, refusal to walk, joint pain and stiffness. Examination shows fever, rash, guarding of joints. limited ROM and joint swelling.
- Bicipital tendinitis
- Juvenile rheumatoid arthritis
- Osteoarthritis
- Rheumatoid arthritis
- Septic arthritis
5. The patient complains of local tenderness, swelling, limited joint motion and muscle weakness. He has a history of overuse; aching pain over affected bursae that radiates along the limb.
- Tenosynovitis
- Bursitis
- Fibrosis’s
- Osteomyelitis
- Fibromyalgia
6. A patient has a history of repetitive flexion of the hip; pain worsens with movement. When heel of affected leg is placed on the knee of the other leg. pain is elicited.
- lliopsoas tendinitis
- Legg-Calve-Perthes disease
- Slipped capital femoral epiphysis
- Transient synovitis of the hip
- Chondromalacia patellae
7. A 48 year old female complains of general muscle arid joint aches. She has a history of depression, sleep disturbance and chronic fatigue. The physical examination was normal but palpation of trigger points produces pain.
- Viral infections
- Psychogenic
- Sickle cell disease
- Acute leukemia
- Fibromyalgia
8. The symptoms are hip pain in children and refusal to walk. There may be fever hepatoslenomegaly and bruising.
- Neuroblastoma
- Acute leukemia
- Sickle cell disease
- Lyme arthritis
- Osteogenic sarcoma
9. A patient has fever, chills and vomiting: the pain is localized over affected area but progressively worsens: there is evidence of soft tissue injury or abscess. He has increased WBC5, ESR and C-reactive protein.
- Osteomyelitis
- Fibrosis’s
- Bursitis
- Fibromyalgia
- Tenosynovitis
10. A fracture produces diffuse swelling around the injured boned one to two days after the injury.
- True
- False
11. The patient has tenderness over lateral epicondyle: palpation produces pain, motion does not: sup nation against resistance worsens pain.
Olecranon bursitis
Wrist fracture
Subluxation of radial head
Finger fracture
Lateral humeral epicondylitis
12. A 40 year old male has acute pain in a large joint. Examination shows an inflamed, swollen joint, and sodium urate crystals.
Acromioclavicular joint injury
Bicipital tendinitis
Rotator cuff tear
Gout
Septic arthritis
13. This disease is most common in persons between the ages of 10 to 25 years. The symptoms are intermittent pain of the lower femur or upper tibia. There is a tenderness ov.r th. affected area.
Osteogenic sarcoma
Lyme arthritis
Sickle cell disease
Systemic lupus erythematosus
14. Limping will be accentuated if the patient is asked to walk on the heels or tiptoes.
False
True
15. The symptoms are a history of repetitive upper extremity motion: paresthesia, weakness or clumsiness of hand: and symptoms get worse at night. Examination shows positive Phalen’s and liners signs: weakness of the hand; dry skin over distribution of the median nerve.
Carpal tunnel syndrome
Tarsal tunnel syndrome
Neuritis
Thoracic outlet syndrome
Peroneal compression
16. The symptoms are pain in the ankle and proximal foot: a weakness of toe flexors: and illf itting shoes. Tapping posterior tibial nerve elicits pain.
Tarsal tunnel syndrome
Neuritis
Carpal tunnel syndrome
Peroneal compression
Thoracic outlet syndrome
17. A patient has limited shoulder movement with an obvious deformity. He has a history of trauma and pain.
Septic arthritis
Rotator cuff tear
Shoulder dislocation
Acromloclavlcular joint Injury
Bicipital tendinitis
18. Gradually increasing sensations of pressure. tension, heaviness and calf pain indicate venous obstruction.
True
False
19. Pain is experienced hours after a severe ligament sprain.
True
False
20. The patient has a history of trauma and pain. Examination shows limited rotation, arm abduction and hand suspiration.
Shoulder dislocation
Rotator cuff tear
Bicipital tendinitis
Septic arthritis
Acromioclavicular joint injury
21. A regular runner complains of ache or pain over medial tibia that gets worse with exercise. Examination shows tenderness over the medial tibia.
Baker’s cyst
Ankle sprain
Shin splints
Plantar
Achilles tendinitis
23. An older patient complains of asymmetrical joint pain and stiffness that improves throughout the day. She has a history of repetitive joint trauma and is overweight. The DIP and PIP joints are enlarged and there is limited cervical spine ROM.
Septic arthritis
Juvenile rheumatoid arthritis
Rheumatoid arthritis
Osteoarthritis
Bicipital tendinitis
24. The patient experiences morning shoulder pain; pain is worse with lifting and the symptoms are worse at night. He sleeps with arm against the head. Examination shows pallor, decreased pulses of upper extremity, weakness, skin and nail atrophy.
Carpal tunnel syndrome
Peroneal compression
Tarsal tunnel syndrome
Thoracic outlet syndrome
25. Limping is a pathological alteration of a smooth, regular gait pattern and is never normal.
False
True
26. The patient has a noticeable lump on dorsal surface of the wrist. Examination shows a gelatinous filled nodule that is soft and transilluminates.
Systemic lupus
Acute leukemia
Baker’s cyst
Gout
Ganglion
27. The patient tripped and heard an audible “pop” in his ankle. There was immediate swelling. Examination shows swelling, soft tissue trauma and ability to perform active
ROM.
Plantar fasciitis
Achilles tendinitis
Shin splints
Ankle sprain
Bakers cyst
28. The patient has a history of systemic infection, malaise. diaphoresis. refusal to bear weight (hip) and acute joint pain. He has a fever, red, swollen joint and a limited range of motion.
Rheumatoid arthritis
Septic arthritis
Juvenile rheumatoid arthritis
Bicipital tendinitis
29. The patient has a fullness or swelling of the posterior knee which is aggravated by walking. Examination shows a normal joint and a negative Foucher’s sign.
Plantar fasciitis
Achilles tendinitis
Baker’s cyst
Ankle sprain
Shin splints
30. The patient has chills, diffuse joint pain and swelling. Often the knee is affected. The patient has had exposure to endemic areas of deer ticks.
Sickle cell disease
Systemic lupus erythematosus
Lyme arthritis
Neuroblastoma
Osteogenic sarcoma