An adolescent girl presented with pain beneath the patella, walking up and down stairs aggravates the pain; squatting, running, and other vigorous physical activities also exacerbate the pain. There is no history of antecedent trauma and there is no swelling. Pain is often relieved through knee extension. Of the following, the MOST likely diagnosis is

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Pediatric Musculoskeletal Disorders Quizlet Questions

Question 1 of 5

An adolescent girl presented with pain beneath the patella, walking up and down stairs aggravates the pain; squatting, running, and other vigorous physical activities also exacerbate the pain. There is no history of antecedent trauma and there is no swelling. Pain is often relieved through knee extension. Of the following, the MOST likely diagnosis is

Correct Answer: D

Rationale: Patellofemoral pain syndrome is common in adolescents, characterized by anterior knee pain worsened by stairs and activity, relieved by rest, with no trauma or swelling.

Question 2 of 5

Klippel-Feil syndrome includes the classic triad of a low posterior hairline, short neck, and decreased cervical range of motion. Other associations include the following EXCEPT

Correct Answer: D

Rationale: Conductive hearing loss is not a common association with Klippel-Feil syndrome; sensorineural hearing loss is more typical.

Question 3 of 5

Fractures are the second most common manifestation of child abuse after skin injury (bruises, burns/abrasions). All of the following fractures suggest nonaccidental injury EXCEPT

Correct Answer: D

Rationale: Distal humeral fractures can occur accidentally in ambulatory children, whereas the others are highly suggestive of abuse due to their location and mechanism.

Question 4 of 5

The MOST common site of osteomyelitis in children is

Correct Answer: A

Rationale: The femur is the most common site of osteomyelitis in children due to its rich blood supply and large metaphyseal area.

Question 5 of 5

Adverse effect of anabolic-androgenic steroids include all the following EXCEPT

Correct Answer: D

Rationale: Anabolic steroids cause hypertension, not hypotension, along with the other listed effects.

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