MSM EXAM COMPLETE QUESTIONS
WITH 100% VERIFIED ANSWERS
\.Red Flags General - ANSWERS-
History of considerable trauma Fracture, major soft tissue injury
Localised swelling +/- erythema Septic arthritis, haemarthrosis
Unremitting night pain Malignancy, inflammation
Bony tenderness Malignancy, osteomyelitis, fracture
Substantial comorbidity or systemic disturbance
\.Red Flags Back pain - ANSWERS-Cauda equina =
Spinal Fx = Sudden onset, severe central back pain, relieved by lying down. Point
tendreness
Cancer/Infection = • Back pain in patient <20 or >50, history of cancer, systemic
symptoms, IV drug abuse, immunocompromised.
• Pain when laying down and at night which affects sleep, thoracic pain.
• Recent infection
-General = pain worse supine, night, contant/progressive, disabling
severe morning stiffness
-No relief
\.Lx disc herniation - ANSWERS-D =
A = Age, activity, smoking, obesity, sedentary
,E = 25-45y/o
P = LBP + leg pain below knee, sudden onset twist/lift.
E = O/P - antalgic posture
Lx ROM - lat flex aggro
Neuro - SMR
Ortho - Lx Screen, SLR, Slump, Kemps
M = NSAIDs, opiods, diazepam, gabapentin, heat, cusion,
\.Lumbar Facet Syndrome - ANSWERS-D =
E = all
P = Localised LBP w/ hip/buttock pain above knee
E = O/P = hypertonicity, flat lordosis, posture assymetry
Lx ROM - pain ext and rot
Neuro - NAD
ortho - Kemps, SLR
M = Manip/mobs, correct posture, NSAIDs
\.Sacroiliac Dysfunction - ANSWERS-D = Altered positional relationship of sacrum
on an ilium
E = Pts w/ Pregnant, young, degen
P = Sit to stand pain SIJ, radiate post leg, pain is sharp or dull.
E = O/P - PSIS tender/not level
Lx ROM - pain
, Neuro - NAD
Ortho - 5
M = Manip/mobs, NSAIDs, cold/heat, STW
\.Piriformis Syndrome - ANSWERS-D/A = hypertrophy of the piriformis muscle,
which can compress the sciatic nerve.
E = Female, trauma, skier, tennis, truck driver
P = Buttock/post leg pain, pain worse on squat, hip addct/int rot mvmt
E = O/P - palpate tender/ short leg
Hip ROM - pain flex, add, int rot
neuro - NAD
ortho - SLR pain
M = STW, cold/heat, stretch, mobs/manip, NSAIDs
\.Lx compression Fx - ANSWERS-D =
A = severe trauma, osteoporosis
E = Female 51-65
P = Asymptomatic, axial pain, no radiate, ache/stab/severe pain
E = O/P - Kyphosis, tender
Lx ROM - reduced
Neuro - NAD
Ortho - Tuning fork/percuss
M = Refer imaging
WITH 100% VERIFIED ANSWERS
\.Red Flags General - ANSWERS-
History of considerable trauma Fracture, major soft tissue injury
Localised swelling +/- erythema Septic arthritis, haemarthrosis
Unremitting night pain Malignancy, inflammation
Bony tenderness Malignancy, osteomyelitis, fracture
Substantial comorbidity or systemic disturbance
\.Red Flags Back pain - ANSWERS-Cauda equina =
Spinal Fx = Sudden onset, severe central back pain, relieved by lying down. Point
tendreness
Cancer/Infection = • Back pain in patient <20 or >50, history of cancer, systemic
symptoms, IV drug abuse, immunocompromised.
• Pain when laying down and at night which affects sleep, thoracic pain.
• Recent infection
-General = pain worse supine, night, contant/progressive, disabling
severe morning stiffness
-No relief
\.Lx disc herniation - ANSWERS-D =
A = Age, activity, smoking, obesity, sedentary
,E = 25-45y/o
P = LBP + leg pain below knee, sudden onset twist/lift.
E = O/P - antalgic posture
Lx ROM - lat flex aggro
Neuro - SMR
Ortho - Lx Screen, SLR, Slump, Kemps
M = NSAIDs, opiods, diazepam, gabapentin, heat, cusion,
\.Lumbar Facet Syndrome - ANSWERS-D =
E = all
P = Localised LBP w/ hip/buttock pain above knee
E = O/P = hypertonicity, flat lordosis, posture assymetry
Lx ROM - pain ext and rot
Neuro - NAD
ortho - Kemps, SLR
M = Manip/mobs, correct posture, NSAIDs
\.Sacroiliac Dysfunction - ANSWERS-D = Altered positional relationship of sacrum
on an ilium
E = Pts w/ Pregnant, young, degen
P = Sit to stand pain SIJ, radiate post leg, pain is sharp or dull.
E = O/P - PSIS tender/not level
Lx ROM - pain
, Neuro - NAD
Ortho - 5
M = Manip/mobs, NSAIDs, cold/heat, STW
\.Piriformis Syndrome - ANSWERS-D/A = hypertrophy of the piriformis muscle,
which can compress the sciatic nerve.
E = Female, trauma, skier, tennis, truck driver
P = Buttock/post leg pain, pain worse on squat, hip addct/int rot mvmt
E = O/P - palpate tender/ short leg
Hip ROM - pain flex, add, int rot
neuro - NAD
ortho - SLR pain
M = STW, cold/heat, stretch, mobs/manip, NSAIDs
\.Lx compression Fx - ANSWERS-D =
A = severe trauma, osteoporosis
E = Female 51-65
P = Asymptomatic, axial pain, no radiate, ache/stab/severe pain
E = O/P - Kyphosis, tender
Lx ROM - reduced
Neuro - NAD
Ortho - Tuning fork/percuss
M = Refer imaging
