AFP MSK quiz

Instructions: Please circle the one correct answer for each question. You must answer at
least 7 of 9 correctly to successfully complete this activity. This should be turned in to
Shawna the next business day after taking.

1. Which one of the following is the most common cause of heel pain in active children and
adolescents? (check one)

a. Calcaneal stress fracture.

b. Sever disease.
c. Haglund deformity.
d. Heel pad syndrome.

2. Which one of the following statements about the clinical presentation of slipped capital
femoral epiphysis (SCFE) is correct? (check one)

a. The most common injury associated with SCFE is a groin pull.

b. Inability to walk virtually rules out SCFE.
c. Obligatory external rotation is an associated physical finding.
d. Vague pain with a limp is an atypical presentation

3. Which one of the following is the most appropriate initial evaluation for a child with a
suspected lower extremity abnormality? (check one)

a. Measurement of height and weight with age-specific growth percentiles, range of

motion in the lower extremities, gait analysis, and plain radiography of lower
extremities.
b. Evaluation for joint laxity and leg length discrepancy, gait analysis, and
anteroposterior radiography for both lower extremities.
c. Measurement of height and weight with age-specific growth percentiles; evaluation
for hip dysplasia, leg length discrepancy, and joint laxity; range of motion and
torsional profile of the lower extremities; and gait analysis.
 d. Measurement of height and weight with age-specific growth percentiles, evaluation
for leg length discrepancy, and measurement of intercondylar and intermalleolar
distance, and the heel bisector

4. Which one of the following sources of heel pain typically causes medial ankle pain and
may have associated numbness in the toes? (check one)

a. Tarsal tunnel syndrome.

b. Plantar fasciitis.
c. Calcaneal stress fracture.
d. Heel pad syndrome.

5. Once stable SCFE is diagnosed, which one of the following statements best describes the
appropriate plan of action? (check one)

a. It is fixated with a single screw.

b. Early ambulation is essential.
c. Prophylactic treatment of the contralateral hip is usually recommended.
d. A trial of muscle strengthening is recommended before referring the patient to an
orthopedic surgeon

6. Which one of the following is a major cause of intoeing? (check one)

a. Metatarsus adductus.
b. Pes planus.
c. Femoral retroversion.
d. Genu valgum.
7. Which one of the following is an effective treatment for Achilles tendinopathy? (check one)

a. Corticosteroid injections.
b. Kinesiology taping.
c. Platelet-rich plasma injections.
d. Deep friction massage.

8. Which one of the following interventions/findings is most likely associated with fewer
complications in the resolution of stable SCFE? (check one)

a. Early diagnosis and treatment.

b. Return to sports before growth plate closure.
c. Prophylactic pinning of the contralateral hip.
d. Forcible hip relocation to restore alignment of the proximal femur.

9. In a child who has an angular variation of the knee alignment, which one of the following
conditions would warrant further workup? (check one)

a. Bilateral or symmetric presentation.

b. Awkward gait.
c. Genu valgum presenting at four years of age.
d. Genu varum that persists past two years of age