Metatarsus adductus is the most common foot disorder in infants. One of the following is a feature of this disorder

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Pediatric Musculoskeletal Assessment Questions

Question 1 of 5

Metatarsus adductus is the most common foot disorder in infants. One of the following is a feature of this disorder

Correct Answer: A

Rationale: Metatarsus adductus results from in utero positioning, is often bilateral, and is more common in firstborns.

Question 2 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 3 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 4 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.

Question 5 of 5

Matching: Episodic paralysis

Correct Answer: A

Rationale: Hypokalemia causes episodic paralysis due to potassium shifts affecting muscle function. Other conditions don't feature episodic paralysis.

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