Do the online clinical reasoning test in orthopaedic medicine

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1. Where can the pain be felt in case of a unilateral sacroiliac arthritis or a unilateral facet joint lesion *

2. The clinical image in which passive movement in a joint is limited and painful in only one direction and is not limited, but possibly painful, in other directions makes us think of *

a. internal derangement

b. acute ligamentous lesion

c. acute tendinous lesion

d. acute arthritis

e. acute muscle belly lesion

f. chronic muscle belly lesion

3. The end-feel on passive movement testing is *

a. hard in an acute stage of arthritis

b. harder in case of an arthrosis

c. muscle spasm in an acute bursitis

d. « springy block » in case of an acute meniscal tear

e. Harder in case of an elbow loose body

4. If a resisted test is painful and/or weak, the underlying lesion can be *

5. Shoulder : weakness on resisted lateral rotation can be caused by *

a. infraspinatus tendinous rupture

b. long thoracic nerve neuritis

c. subcoracoid bursitis

d. severe C6-nerve root compression

e. suprascapular nerve neuritis

f. axillary nerve palsy

g. severe C5-nerve root compression

6. Resisted hip flexion is painful. What can be the cause ? *

a. L2-nerve root compression

b. Neuritis n. femoralis

c. L3-nerve root compression

d. Sub-acute arthritis

e. psoas muscle lesion

f. acute psoas bursitis

g. rectus femoris lesion

7. Cervical : which combination of signs could suggest the presence of cervical neurofibromas ? *

a. unilateral root pain becoming bilateral

b. root pain disappearing after six months

c. biradicular neurological deficit

d. arm pain on coughing

e. root pain in a patient younger than 25 years old

8. Lumbar : Backache and/or sciatica which appears on standing and walking, relieved within a few minutes on sitting and lying could suggest the presence of *

a. a neuroma

b. a posterocentral internal derangement

c. the mushroom phenomenon

d. a self reducing nuclear protrusion

e. spinal canal/lateral recessus stenosis

f. a spondylolisthesis

9. Lumbar : a lateral deviation without rotational component could be caused by a *

a. a symptomatic L4-disc protrusion/internal derangement

b. a symptomatic L3-disc protrusion/internal derangment

c. a symptomatic acute sacroiliac arthritis

d. a sacralisation

e. a lateral recessus stenosis

f. a facet joint dysfunction

10. Lumbar : a moderate partial articular pattern in the lumbar spine in combination with a painful arc on flexion or straight leg raise is typical for *

a. an easily reducible disc protrusion/derangement

b. a self-reducing disc protrusion/derangement

c. a bigger internal derangement

d. the problem certainly has no psychogenic nature

e. an annular or nuclear protrusion

f. a mixed protrusion

Any other requests or questions ?

Do the online clinical reasoning test in orthopaedic medicine

The challenge : 10 MCQ's.

The secret is :

Your reward :

Global Cyriax Institute