Rheumatology and Musculoskeletal
15 free practice questions shared by students. Answer them right here — no account needed.
A 19-year-old man had a closed mid-shaft tibial fracture reduced and placed in a below-knee cast eight hours ago after a football tackle. He now has severe pain…
Pre-internship · middle twist
A 24-year-old man fell onto his outstretched right hand playing football two days ago. He has pain at the base of the thumb that is worse gripping. On examinati…
Clinical rotations · common
A 61-year-old man presents with 24 hours of severe pain, redness and swelling of his right first metatarsophalangeal joint, left ankle and right knee. He has ha…
Pre-internship · middle twist
A 72-year-old woman presents with three weeks of a new, persistent right-sided headache. Brushing her hair on that side has become painful, and her jaw begins t…
Pre-internship · middle twist
A 16-year-old female long-distance runner develops gradually worsening right groin pain over six weeks. She has recently increased her training volume and repor…
Clinical rotations · middle twist
A 68-year-old man presents with a 24-hour history of a painful, swollen right knee and is now unable to bear weight. He takes hydrochlorothiazide for hypertensi…
Clinical rotations · common
A 24-year-old man has 9 months of low back pain that began gradually and improves after exercise but not with rest. He wakes in the second half of the night and…
Clinical rotations · middle twist
A 67-year-old woman has new bilateral shoulder and hip girdle aching with difficulty lifting her arms and rising from a chair. Symptoms are worst in the morning…
Clinical rotations · common
A 42-year-old woman has 6 months of symmetrical swelling and tenderness of the metacarpophalangeal and proximal interphalangeal joints. Morning stiffness lasts…
Clinical rotations · common
A 58-year-old man develops severe pain and swelling at the base of his right great toe overnight. He is afebrile and has no skin wound or prosthetic joint. Syno…
Clinical rotations · common
A 67-year-old man has recurrent sinusitis, otitis and a persistent cough with occasional blood-streaked sputum. Urinalysis shows dysmorphic red cells and red-ce…
Clinical rotations · middle twist
A 29-year-old woman has photosensitive facial erythema, painless oral ulcers and symmetrical pain and swelling of the small joints of both hands. Urinalysis sho…
Clinical rotations · common
A 69-year-old man presents with 2 months of progressive low back pain that is worse at night and is not relieved by rest. He has lost 6 kg unintentionally and h…
Clinical rotations · common
A 74-year-old woman has 3 weeks of a new unilateral temporal headache and pain in her jaw when chewing. She has no visual symptoms, limb weakness or constitutio…
Clinical rotations · middle twist
A 67-year-old woman reports several years of pain at the bases of both thumbs and in the distal finger joints. The pain is worse after gardening, morning stiffn…
Clinical rotations · common