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    Practice Questions: Musculoskeletal System

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    Sali Iqra
    The document contains 10 practice questions related to the musculoskeletal system. The questions cover topics like: 1. Lesch-Nyhan syndrome and purine metabolism deficiencies 2. McArdle's disease and glycogen accumulation in muscle 3. Median nerve damage presenting with tingling and loss of function in fingers 4. Identification of an epiphyseal plate on an x-ray of a child's arm 5. Injury to the lower trunk of the brachial plexus presenting with hand function deficits It concludes with an answer key identifying the correct response for each question.

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    Practice Questions: Musculoskeletal System

    Uploaded by

    Sali Iqra
    115 views4 pages
    The document contains 10 practice questions related to the musculoskeletal system. The questions cover topics like: 1. Lesch-Nyhan syndrome and purine metabolism deficiencies 2. McArdle's disease and glycogen accumulation in muscle 3. Median nerve damage presenting with tingling and loss of function in fingers 4. Identification of an epiphyseal plate on an x-ray of a child's arm 5. Injury to the lower trunk of the brachial plexus presenting with hand function deficits It concludes with an answer key identifying the correct response for each question.

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    med helper

    Original Title

    Practice_Musculoskeletal+_+Rheumatology

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    The document contains 10 practice questions related to the musculoskeletal system. The questions cover topics like: 1. Lesch-Nyhan syndrome and purine metabolism deficiencies 2. McArdle's disease and glycogen accumulation in muscle 3. Median nerve damage presenting with tingling and loss of function in fingers 4. Identification of an epiphyseal plate on an x-ray of a child's arm 5. Injury to the lower trunk of the brachial plexus presenting with hand function deficits It concludes with an answer key identifying the correct response for each question.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    115 views4 pages

    Practice Questions: Musculoskeletal System

    Uploaded by

    Sali Iqra
    The document contains 10 practice questions related to the musculoskeletal system. The questions cover topics like: 1. Lesch-Nyhan syndrome and purine metabolism deficiencies 2. McArdle's disease and glycogen accumulation in muscle 3. Median nerve damage presenting with tingling and loss of function in fingers 4. Identification of an epiphyseal plate on an x-ray of a child's arm 5. Injury to the lower trunk of the brachial plexus presenting with hand function deficits It concludes with an answer key identifying the correct response for each question.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    PRACTICE QUESTIONS: MUSCULOSKELETAL SYSTEM

    1. A 12-year-old boy is diagnosed with Lesch-Nyhan syndrome. At puberty, he develops


    arthritis, and death from renal failure occurs at age 25. This patient's condition is due to
    an enzyme deficiency in which of the following biochemical pathways?

    A. Ganglioside metabolism
    B. Monosaccharide metabolism
    C. Purine metabolism
    D. Pyrimidine metabolism
    E. Tyrosine metabolism

    2. A 24-year-old graduate student presents to a physician with complaints of severe


    muscle cramps and weakness with even mild exercise. Muscle biopsy demonstrates
    glycogen accumulation, but hepatic biopsy is unremarkable. Which of the following is
    the most likely diagnosis?

    A. Hartnup's disease
    B. Krabbe's disease
    C. McArdle's disease
    D. Niemann-Pick disease
    E. Von Gierke's disease

    3. A 40-year-old man comes to the physician because of a 2-week history of a tingling


    sensation in the 1st, 2nd, and 3rd digits of the right hand and loss of coordination
    and strength of the right thumb. Which of the following nerves has most likely been
    affected?

    A. Anterior interosseous nerve


    B. Median nerve
    C. Musculocutaneous nerve
    D. Radial nerve
    E. Ulnar nerve

    4. An x-ray of the arm of a 4-year-old boy shows radiolucent area between epiphysis
    and the diaphysis. There is no history of trauma to his hand. This radiolucent area is
    most likely which of the following?

    A. Articular cartilage
    B. Epiphyseal plate
    C. Perichondrium
    D. Primary ossification center
    E. Secondary ossification center

    1
    5. A 31-year-old man comes to the physician because of difficulty with fine motor control
    in his hand. He had trauma to his right hand. Physical examination shows a deficit in
    his ability to abduct and adduct his digits, and inability to oppose his thumb on his
    right hand. Which of the following neural structures was most likely injured?

    A. Lower trunk of the brachial plexus


    B. Median nerve
    C. Musculocutaneous nerve
    D. Upper trunk of the brachial plexus
    E. Ulnar nerve

    6. A 26-year-old man is stabbed in the left chest during a bar brawl. Several days after
    he is treated, he returns to the doctor complaining of decreased function in his left arm.
    Physical examination shows a winged left scapula and an inability to raise his left arm
    above the horizontal. Which of the following nerves is most likely affected?

    A. Axillary nerve
    B. Long thoracic nerve
    C. Lower subscapular
    D. Suprascapular nerve
    E. Thoracodorsal nerve

    7. A 5-year-old boy falls off his bike and fractures his humerus. He is taken to the
    emergency room, and the bone is set by one of the emergency room physicians. Which
    of the following is responsible for producing the majority of the new bone that will reunite
    the two fragments?

    A. Cancellous bone
    B. Cartilage
    C. Compact bone
    D. Marrow
    E. Periosteum

    8. A 31-year-old man sustains a fracture of his right humerus following a car crash. He
    is treated with fracture reduction and a cast around the fractured limb. A biopsy of the
    healing area is most likely to show which of the following types of bones?

    A. Cancellous
    B. Compact
    C. Spongy
    D. Trabecular
    E. Woven

    2
    9. A 40-year-old woman is diagnosed with severe, disabling rheumatoid arthritis.
    Rheumatoid factor is positive. What would a biopsy of the synovium of her knee most
    likely reveal?

    A. A nearly normal synovium with scattered inflammatory cells


    B. A non-proliferative synovitis with abscess formation
    C. A non-proliferative synovitis with many neutrophils
    D. A proliferative synovitis with many eosinophils, neutrophils, and plasma cells
    E. A proliferative synovitis with many lymphocytes, macrophages, and plasma cells

    10. A young man presents for an employment physical. He is very tall, has long fingers,
    and hyperflexible joints. He states that he has always been called "double jointed".
    Which of the following disorders is associated with this syndrome?

    A. Dissecting aortic aneurysm


    B. Hepatosplenomegaly
    C. Polycystic kidneys
    D. Progressive neurologic dysfunction
    E. Retinoblastoma

    ANSWER KEY:
    1. C
    2. C
    3. B
    4. B
    5. A
    6. B
    7. E
    8. E
    9. E
    10. A.

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