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MSK 1 MIDTERM EXAM 2026/2027 – Complete Questions and Verified Answers | Musculoskeletal Study Guide

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Ace your MSK 1 midterm with this comprehensive 2026/2027 updated study guide! This complete test bank features verified questions and correct answers covering all essential topics in musculoskeletal medicine, with a special focus on shoulder pathology, examination techniques, and rehabilitation principles. Master every key concept tested on the MSK 1 midterm: Shoulder Fundamentals: Laxity vs. instability, SITS muscles (rotator cuff) function, arthrokinematics, and obligate motion Anatomy & Pathoanatomy: Subacromial space structures, brachial plexus (roots, cords, nerves), anatomical vs. surgical neck fractures, and GHJ ligaments (SGHL, MGHL, IGHL) Rotator Cuff Pathology: RC tears vs. bursitis, SAIS (subacromial impingement syndrome), internal (posterior) impingement, test item clusters for diagnosis Special Tests & Clusters: Hawkins-Kennedy, painful arc, infraspinatus test, drop arm test, O'Brien test, AC joint tests (AC resisted extension, cross-body ADD) Labral Pathology: SLAP tears (Types I-V, MOI, treatment), Bankart tears, TUBS vs. AMBRI classification Shoulder Instability: Anterior instability, multidirectional instability, apprehension tests, posterior capsule hypomobility Adhesive Capsulitis: Stages 1-4 (freezing, frozen, thawing), pathophysiology, ROM limitations, diabetes association Tissue Irritability Classification: High, moderate, and low irritability – history/exam findings and intervention focus Red & Yellow Flags: Tumor, infection, fracture, neurologic lesions, psychosocial factors affecting rehab Rehabilitation Staged Approach: Level 2 (pathoanatomic diagnosis), Level 3 (rehabilitation classification based on irritability and impairments) Perfect for physical therapy students, medical students, occupational therapy students, and healthcare professionals preparing for musculoskeletal exams. This guide breaks down complex concepts like the difference between contractile and non-contractile tissue, how to screen for RC tears, and when to progress from conservative treatment to surgical referral.

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MSK 1 MIDTERM QUESTIONS AND
ANSWERS

VERIFIED STUDY GUIDE 2026/2027
LATEST




What is the difference between laxity and instability? - CORRECT

ANSWER>>>>instability become symptomatic (pain, weakness, loss of
function) and needs to be treated. Laxity does not need to be treated

What is the importance of your SITS (RC) muscles? - CORRECT

ANSWER>>>>-stabilize humeral head and can compensate for ligamentous
and/or capsular injury (centers humeral head, increase dynamic stability)

-without functioning cuff superior migration will occur from the unopposed
deltoid -When RC becomes fatigue, can't stabilize humeral head with axillary
nerve wrapped around it, start to develop pain

What is the arthrokinematics of ER in patients with frozen shoulder? -
CORRECT

ANSWER>>>>Further increase in shoulder ER with a POSTERIOR glide

Page | 1

,What is obligate motion? - CORRECT ANSWER>>>>in a ball and socket
joint, post. capsule is hypomobile and humeral head is going to start to glide
anterior and superiorly, therefore why are you continuing to push it in that
direction

-pushing posterior capsule gives input to NS and wakes up RC--> get humeral
head more central--> muscles in a better length tension relationship



What are the structures in the subacromial space? - CORRECT
ANSWER>>>>-

supraspinatus

-subacromial/subdeltoid bursa

-LH of biceps

What is the difference between RC tear and bursitis? - CORRECT

ANSWER>>>>-RC tear (contractile tissue), AROM is limited, but no reason

PROM should be limited. There should be weakness

-Bursitis (non contractile tissue), AROM and PROM both limited

What does it mean when the pt. says their arm feels heavy after activities? -

CORRECT ANSWER>>>>-Can be a blood flow problem

ex: aneurysm in axillary artery



Brachial plexus facts - CORRECT ANSWER>>>>-Composed of the ventral
rami


Page | 2

, of C5-T1

-Roots start between the anterior and middle scalene muscles

-Injury can occur from fractures and/or dislocations proximal humerus

-Cords of the brachial plexus just near or proximal to the coracoid process

-Axillary artery is in the middle of the medial cord nd lateral cord

Important nerves for shoulder - CORRECT ANSWER>>>>-Long thoracic
nerve

(C5-C7)

-Suprascapular nerve (C5-C6)

-Axillary nerve (C5-C6)

-Upper and lower subscapular (C5-C8)

What type of pain should be considered cardiac pain? - CORRECT

ANSWER>>>>Exertional left shoulder pain in individuals over 45 with
coronary risk factors should be considered as cardiac pain until proven
otherwise



Anatomical neck fractures of the humerus are... - CORRECT
ANSWER>>>>intra-

articular



Surgical neck fractures of the humerus are... - CORRECT ANSWER>>>>extra-

articular



Page | 3

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