Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician's resistance. These are typical signs of:
A. Carpal tunnel syndrome
B. Osteoarthritis of the wrist
C. Epicondylitis
D. Cervical osteoarthritis
Question 2A 34-year-old baseball pitcher complains of pain in the left shoulder, particularly with raising the left arm when attempting to pitch. Which of the following is a test used to diagnose rotator cuff injury?
A. Apley's test
B. Trousseau test
C. Hawkin's test
D. A and C
Question 3Which of the following disorders has a strong genetic component and causes loss of spinal mobility and progressive erosion of the sacroiliac joint?
A. Syringomyelia
B. Spinal stenosis
C. Ankylosing spondylitis
D. None of the above
Question 4Your patient is 40-year-old baseball player who needs his yearly physical exam. He reports a 5-year history of chronic lower back pain due to spinal stenosis. Which of the following findings indicate spinal stenosis?
A. Lumbar x-ray demonstrates vertebral osteophytes
B. Positive straight leg raising sign upon physical exam
C. Lumbar MRI shows decreased intervertebral space
D. A and C
Question 5A 55-year-old patient complains of lower back pain due to heavy lifting at work yesterday. He reports weakness of the left leg and paresthesias in the left foot.
On physical examination, the patient has diminished ability to dorsiflex the left ankle. Which of the following symptoms should prompt the clinician to make immediate referral to a neurosurgeon?
A. Straight leg raising sign
B. Lumbar herniated disc on x-ray
C. Loss of left sided patellar reflex
D. Urinary incontinence
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