ATI RN
Pediatric Musculoskeletal Assessment Questions
Question 1 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 2 of 5
The two MOST common causative organisms of osteomyelitis in children with sickle cell anemia are
Correct Answer: B
Rationale: In sickle cell anemia, Salmonella spp. and S. aureus are the most common pathogens due to functional asplenia and bone infarction.
Question 3 of 5
Septic arthritis in infants and children has the potential to damage the synovium, adjacent cartilage, and bone causing permanent disability. All the following statements regarding its epidemiology are true EXCEPT
Correct Answer: B
Rationale: Half of all cases occur by 2-3 years, not 5 years, due to higher incidence in younger children.
Question 4 of 5
The MOST common ocular manifestation in Marfan syndrome is
Correct Answer: A
Rationale: Lens dislocation (ectopia lentis) is the most common ocular feature in Marfan syndrome, affecting up to 60% of patients.
Question 5 of 5
The best treatment for the patient described in Question 1 is
Correct Answer: A
Rationale: Decreased activity reduces stress on the tibial tubercle, allowing healing in Osgood-Schlatter disease. Anti-inflammatories may help but aren't primary; antibiotics and casting are unnecessary without infection or fracture.