A 9-year-old presents with paresis of the upper and lower portions of the face, and loss of taste on the right side of the anterior portion of the tongue. On physical examination, the corner of the mouth droops, and he is unable to close the right eye tightly. The remainder of the physical examination is normal. Which is the most likely diagnosis?

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Pediatric Musculoskeletal Assessment Questions

Question 1 of 5

A 9-year-old presents with paresis of the upper and lower portions of the face, and loss of taste on the right side of the anterior portion of the tongue. On physical examination, the corner of the mouth droops, and he is unable to close the right eye tightly. The remainder of the physical examination is normal. Which is the most likely diagnosis?

Correct Answer: D

Rationale: Bell palsy causes unilateral facial weakness, including inability to close the eye, drooping mouth, and loss of taste, with no other deficits.

Question 2 of 5

Which torsional deformity can follow a slipped capital femoral epiphysis and increase incidence of degenerative arthritis?

Correct Answer: D

Rationale: Slipped capital femoral epiphysis can lead to internal femoral torsion, altering hip biomechanics and increasing the risk of degenerative arthritis.

Question 3 of 5

The proximal femoral ossification center (in the center of the femoral head) appears between

Correct Answer: B

Rationale: The proximal femoral ossification center typically appears between 4 and 7 months of age, varying slightly by individual.

Question 4 of 5

The normal thoracic spine has 20-50 degrees of kyphosis as measured from T3 to T12. A thoracic kyphosis in excess of the normal range of values is termed hyperkyphosis. All the following conditions are associated with hyperkyphosis EXCEPT

Correct Answer: D

Rationale: Glycogen storage diseases primarily affect metabolism, not spinal structure, unlike the other conditions listed.

Question 5 of 5

Polydactyly or duplication of a digit can occur either as a preaxial deformity (involving the thumb) or as a postaxial deformity (involving the small finger) All the following syndromes associated with polydactyly EXCEPT

Correct Answer: C

Rationale: Trisomy 18 is associated with clenched hands and overlapping fingers, not polydactyly.

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