Musculoskeletal Practice Questions

Musculoskeletal questions test fracture classification, compartment syndrome recognition, osteoporosis diagnosis, and frozen shoulder workup, which is high-yield on the MCCQE, USMLE Step 2 CK, and PLAB. These four sample questions come from MediLingo's bank of 3,900+ questions across 23 specialties.

Sample questions

Question 1

An 80-year-old man has a femoral neck fracture with complete displacement and no fragment contact. What is the Garden classification?

a) Garden I
b) Garden IV ✓ Correct
c) Garden II
d) Garden III

Key teaching point: Garden IV = completely displaced femoral neck fracture.

Question 2

A patient has classic signs of acute compartment syndrome. What is the next step?

a) Clinical diagnosis — proceed to fasciotomy without delay ✓ Correct
b) Wait for compartment pressure measurements
c) Elevate above heart level and observe
d) Start heparin infusion

Key teaching point: Compartment syndrome is clinical — fasciotomy emergently, don't wait for pressures.

Question 3

A 68-year-old woman has a DXA T-score of -2.7 at the femoral neck. How is this classified?

a) T-score -1.5
b) T-score -0.8
c) T-score -2.0
d) T-score -2.7 ✓ Correct

Key teaching point: T-score ≤-2.5 = osteoporosis; -1 to -2.5 = osteopenia.

Question 4

What is the role of imaging in diagnosing adhesive capsulitis?

a) X-ray always shows erosions
b) Clinical diagnosis; imaging usually normal ✓ Correct
c) MRI is mandatory
d) Arthroscopy required

Key teaching point: Frozen shoulder is clinical; imaging mainly excludes mimics.

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