ATI RN
Pediatric Musculoskeletal Assessment Questions
Question 1 of 5
A 13-year-old boy presented with pain, tenderness, and local swelling over the tibial tubercle mostly during and after activity for the last 3 months. Of the following, the MOST likely cause is
Correct Answer: B
Rationale: Osgood-Schlatter disease is common in active adolescents, causing tibial tubercle pain from repetitive traction.
Question 2 of 5
Initial treatment for scoliosis is likely observation and repeat radiographs to assess for progression. The risk factors for curve progression include all the following EXCEPT
Correct Answer: D
Rationale: Skeletal maturity is a risk factor; the question likely intended 'skeletal immaturity' as an exception, but per text, all listed are risk factors.
Question 3 of 5
Congenital muscular torticollis is associated with
Correct Answer: A
Rationale: Congenital muscular torticollis is linked to DDH due to shared intrauterine positioning factors.
Question 4 of 5
Radial head subluxation (nursemaid's elbow) is characterized by all the following EXCEPT
Correct Answer: C
Rationale: Radiographs are not typically needed for nursemaid's elbow as it's a clinical diagnosis reducible without imaging.
Question 5 of 5
A 15-year-old male has lost his ability to walk. On physical examination, his ankle and knee deep tendon reflexes are noted to be diminished. The weakness is greatest in peripheral muscles. Cranial nerves all are normal. One week before these symptoms arose, he returned from a camping trip. The most likely diagnosis is
Correct Answer: D
Rationale: Tick paralysis fits this scenario: a camping trip (tick exposure), symmetric peripheral weakness, diminished reflexes, and normal cranial nerves. It resolves with tick removal. Myasthenia gravis causes fatigable weakness; organophosphate poisoning includes autonomic symptoms; spinal muscular atrophy is chronic with atrophy.