Pre quiz Tutorial 8 ( Datin Vasanthie )

A 22-year-old male presents with one-day history of left knee pain followed by swelling after a twisting injury during a rugby match. His knee locks intermittently and feels like it might give way. On examination, there is medial joint line tenderness, joint effusion, and the knee is held in a flexed position. What is the most likely diagnosis?

• Anterior cruciate ligament (ACL) tear

• Medial collateral ligament (MCL) tear

• Medial meniscal tear

• Lateral meniscus tear

A 25-year-old male presents with shoulder dislocation while playing rugby. His shoulder was then reduced and put into a sling. Following this, the doctor tested for sensation in the 'regimental badge area', which was normal. Which nerve is the doctor testing?

• Musculocutaneous nerve

• Median nerve

• Radial nerve

• Axillary nerve

A 46-year-old swimmer presents with left shoulder pain which has worsened over the last 3 months. On examination, you note pain on shoulder abduction, rotation and wasting of left shoulder muscles. Jobe's test and Gerber's lift-off is positive. What is the most likely diagnosis?

• Calcific tendonitis

• Glenohumeral instability

• Rotator cuff tear

• Subacromial impingement

A 23-year-old man presents with sudden-onset calf pain during a game of squash. He describes hearing an audible 'pop' and has been unable to weight bear on the left leg since then. On examination, the patient's left calf appears red and swollen. He is unable to plantarflex the left ankle, and Thompson test is positive. What the most likely diagnosis?

• ACL rupture

• Tendoachilles rupture

• ATFL tear

• Calcaneum fracture

A 75-year old male presents of severe pain in his left knee after hitting the dashboard in a head-on car crash. On examination of the lower limbs a week later, you note that the tibia displaces backward on application of a force. What is the most likely diagnosis?

• Lateral collateral ligament injury

• Meniscal tear

• Anterior cruciate ligament (ACL) rupture

• Posterior cruciate ligament (PCL) rupture

A 24-year-old man presents with a right knee injury. He was playing basketball when he heard a loud 'popping' sound and fell to the floor in extreme pain. The swollen knee felt like it would 'give way' on weight-bearing. What is the most likely diagnosis?

• Patella tendon rupture

• Ruptured posterior cruciate ligament

• Ruptured medial meniscus

• Ruptured anterior cruciate ligament

A 28-year-old male presents with severe pain on his shoulder after a fall from bicycle. He noticed swelling and a prominent bump over the the top of his shoulder. On examination, he has limited range of motion and tenderness when palpating the distal end of the collarbone. What is the most likely diagnosis?

• Acromioclavicular (ACJ) injury

• Shoulder dislocation

• Glenohumeral Joint Arthritis

• Rotator Cuff Tear

A 45-year-old female presents with shoulder pain and weakness when empty can test is carried out. Which muscle is primarily being tested in this assessment?

• Infraspinatus

• Supraspinatus

• Teres minor

• Subscapularis

A 23-years-old female patient with a grade I ankle sprain is being evaluated for management options. Which of the following is considered the most appropriate initial management strategy for this type of injury?

• Plaster of Paris cast immobilization for 6 weeks

• Immediate surgery

• Full weight-bearing activity

• Rest, Ice, Compression, Elevation (RICE)

A 25-year-old male patient sustains a lateral force to the knee while playing basketball, resulting in pain on the inner side of the knee. On examination, valgus stress test is positive. Which ligaments is likely to be injured?

• Medial collateral ligament (MCL)

• Lateral collateral ligament (LCL)

• Anterior cruciate ligament (ACL)

• Posterior cruciate ligament (PCL)