Test your SEM knowledge

Which patient group has a well-recognised increased incidence of frozen shoulder (adhesive capsulitis)?

A 45-year-old has several weeks of anterior/lateral shoulder pain with a painful arc but full passive range of movement. What is the most likely diagnosis?

What is first-line community management of atraumatic shoulder instability?

Which is a NICE-recommended first-line community treatment for glenohumeral osteoarthritis?

Which single examination finding best distinguishes frozen shoulder from subacromial pain syndrome?

A patient has lateral elbow pain worse on gripping and resisted wrist extension. What is the most likely diagnosis?

Cubital tunnel syndrome most commonly presents with sensory disturbance in which distribution?

What does first-line management of lateral epicondylalgia in the community typically include?

An acutely swollen, fluctuant, non-tender lump over the tip of the elbow, with a full pain-free range of movement, is most consistent with?

Which population is classically at increased risk of carpal tunnel syndrome?

A patient reports a finger that catches and locks in flexion before suddenly releasing. What is the most likely diagnosis?

A TFCC (triangular fibrocartilage complex) injury classically presents with pain localised to which part of the wrist?

Which of the following is a recognised first-line community treatment for mild-to-moderate carpal tunnel syndrome?

Which of the following is a red flag feature in low back pain that should prompt urgent same-day assessment?

The STarT Back Tool is used in low back pain to assess which of the following?

A 30-year-old has unilateral leg pain below the knee, worse than the back pain, with a positive straight leg raise. What is the most likely diagnosis?

What does first-line NICE-recommended management for non-specific low back pain include?

Which red flag in neck pain would most urgently prompt same-day referral?

Greater Trochanteric Pain Syndrome (GTPS) most commonly results from pathology of which structure?

Femoroacetabular impingement (FAI) classically presents with which pattern of pain?

What does first-line community management of hip osteoarthritis include?

A footballer has chronic groin pain, worse with sprinting and change of direction. What is the most likely diagnosis?

What is the most common mechanism of injury for a non-contact ACL rupture?

Patellofemoral pain syndrome typically presents with anterior knee pain aggravated by which activity?

A positive McMurray's test is most suggestive of which pathology?

Iliotibial band pain syndrome classically presents with pain localised to which structure?

What does first-line community management of knee osteoarthritis include?

Medial Tibial Stress Syndrome (MTSS) classically presents with pain along which part of the tibia?

A focal, well-localised area of tibial tenderness in a runner, with worsening pain despite rest, should raise suspicion of?

Chronic Exertional Compartment Syndrome classically presents with which pattern of symptoms?

Which of the following is a recognised risk factor for tibial stress fracture?

Plantar fasciitis classically presents with which pattern of pain?

Posterior Tibialis Tendon Dysfunction (PTTD) is a common cause of which clinical finding?

Following an inversion ankle sprain, which finding would most warrant an ankle X-ray per the Ottawa Ankle Rules?

Morton's neuroma classically causes pain and paraesthesia in which distribution?

Costochondritis typically presents with which clinical feature that helps distinguish it from cardiac chest pain?

Which red flag in thoracic spine pain should prompt urgent assessment for possible vertebral fracture or malignancy?

A young athlete's thoracic pain is being assessed for non-musculoskeletal causes. Which of the following is a relevant differential?

Which of the following clinical features would suggest an inflammatory rather than mechanical cause of joint pain?

Polymyalgia Rheumatica classically presents with which symptom pattern?

A patient with Polymyalgia Rheumatica develops a new headache and jaw claudication. What should be urgently excluded?

What does first-line management of an acute gout flare typically involve?

Which of the following is a recognised risk factor for osteoporosis that should prompt fracture risk assessment?

Osgood-Schlatter disease classically presents in adolescents with pain and swelling over which structure?

Slipped Upper Femoral Epiphysis (SUFE) typically presents in which patient group?

Sever's disease is a traction apophysitis affecting which site?

A limping child with hip pain and reduced internal rotation should always have which serious diagnosis excluded first?

What is the first-line treatment for chronic Achilles tendinopathy?

Which of the following core features, per NICE guidance, supports a clinical diagnosis of osteoarthritis without needing imaging?

Tendinopathy is best understood as which type of pathological process?

Which imaging modality is generally most useful for confirming suspected tendinopathy and assessing tendon structure?

Fibromyalgia is best characterised by which of the following?

Central sensitisation in persisting pain states refers to which process?

Which of the following is a recommended component of community management for persisting pain states?