Question Easy:
A 45-year-old female presents with right shoulder pain that worsens when she lifts her arm above her head. She recently took up tennis and feels the pain most during serving. What is the most likely diagnosis?
A) Frozen shoulder
B) Rotator cuff tear
C) Biceps tendinitis
D) Osteoarthritis
E) Impingement syndrome
Explanations & Answers:
Question Easy Answer:
E) Impingement syndrome
Question Easy Explanation:
Impingement syndrome is common in patients who engage in activities that require repetitive shoulder movements, such as tennis. NICE guidelines suggest that impingement syndrome often presents with pain during overhead activities.
Question Medium:
A 68-year-old man presents with acute worsening of chronic lower back pain and difficulty in walking. On examination, he has weakness in dorsiflexion of the big toe and decreased sensation over the dorsum of the foot. What is the most likely diagnosis?
A) Cauda equina syndrome
B) Lumbar spinal stenosis
C) L5 radiculopathy
D) Metastatic spinal cord compression
E) Sacroiliitis
Question Medium Answer:
C) L5 radiculopathy
Question Medium Explanation:
L5 radiculopathy typically presents with weakness in dorsiflexion and sensory loss over the dorsum of the foot. NICE guidelines advocate for a clinical examination focusing on dermatomal patterns to diagnose radiculopathies accurately.
Question Hard:
A 30-year-old male who is a competitive cyclist presents with anterior knee pain that worsens with prolonged sitting and when going up or down stairs. On examination, there is tenderness over the patellar tendon, and pain is reproduced on resisted knee extension. What is the most likely diagnosis? 😟🚴♂️
A) Patellar tendinopathy
B) Iliotibial band syndrome
C) Meniscal tear
D) Medial collateral ligament injury
E) Patellofemoral pain syndrome
Question Hard Answer:
A) Patellar tendinopathy
Question Hard Explanation:
Patellar tendinopathy, also known as “jumper’s knee”, is common in athletes and presents with tenderness at the tendon insertion and pain with resisted knee extension. NICE guidelines recommend activity modification and physical therapy as initial management strategies.
Medical fact of the day:
🔎 Did you know? The rotator cuff is composed of four muscles – supraspinatus, infraspinatus, teres minor, and subscapularis. Tears in the rotator cuff are a common cause of shoulder pain, especially in individuals above 40 years of age.
Quote of the day:
“Your significance in patient care is not measured by the diagnosis alone but by the endless empathy, dedication, and kindness you impart every single day.” 💪❤️