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Question 1
A 24-year-old football player presents following a non-contact pivot injury to his right knee during a match. He heard a distinct 'pop' and experienced rapid knee joint swelling within two hours. On examination, there is a moderate effusion. Anterior drawer test and Lachman test are positive with a soft endpoint. Which structure is most likely acutely injured?
Correct Answer:
Anterior cruciate ligament (ACL)
Question 2
A 28-year-old female recreational runner complains of diffuse, vague retro-patellar and peri-patellar left knee pain. The pain is exacerbated by squatting, descending stairs, and sitting for prolonged periods with knees flexed ('movie-sign'). Physical examination reveals no joint effusion, normal knee stability, and reproduceable pain on single-leg squatting. What is the first-line management strategy?
Correct Answer:
Targeted load management and quadriceps/gluteal strengthening physiotherapy
Question 3
A 32-year-old marathon runner presents with localized lateral right knee pain that begins approximately 15 minutes into a run, particularly on downhill routes. Local tenderness is elicited over the lateral femoral epicondyle, roughly 2 cm proximal to the joint line. Noble's compression test reproduces the pain at 30 degrees of knee flexion. What is the primary underlying diagnosis?
Correct Answer:
Iliotibial band (ITB) syndrome
Question 4
A 62-year-old man presents with progressive weight-bearing left knee pain and stiffness lasting 15–20 minutes each morning. On examination, there is crepitus, mild bony enlargement, and reduced terminal flexion. Plain radiograph shows asymmetric medial joint space narrowing, subchondral sclerosis, and osteophytes. According to NICE guidelines, what is the initial non-pharmacological cornerstone of treatment?
Correct Answer:
Therapeutic exercise including strengthening and aerobic activity plus education
Question 5
A 35-year-old amateur rugby player twists his left knee while anchored in a scrum. He presents 24 hours later with mild effusion, joint line tenderness posteromedially, and intermittent mechanical catching when extending the knee. McMurray's test elicits a painful click with tibial external rotation. What is the most accurate initial imaging investigation to evaluate this soft tissue lesion?
Correct Answer:
Magnetic Resonance Imaging (MRI) of the knee
Question 1
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About this Exam

Prepare with the FSEM Diploma in MSK Medicine Practice Questions - Faculty of Sport and Exercise Medicine Diploma in Musculoskeletal Medicine Exam practice quiz. This question bank includes 100 questions covering pain, year-old, examination, presents, and right. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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FSEM Diploma in MSK Medicine Practice Questions - Faculty of Sport and Exercise Medicine Diploma in Musculoskeletal Medicine Exam

This practice set contains 100 questions from the matching question bank and focuses on pain, year-old, examination, presents, and right. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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