Medial epicondylitis, also known as golfer's elbow, primarily affects which area of the arm?

a) Lateral epicondyle

b) Medial epicondyle

c) Olecranon

d) Brachioradialis

Answer: b) Medial epicondyle

 

Which muscle group is most commonly involved in medial epicondylitis?

a) Biceps brachii

b) Triceps brachii

c) Flexor digitorum profundus

d) Flexor carpi radialis

Answer: d) Flexor carpi radialis

 

The primary cause of medial epicondylitis is usually attributed to:

a) Traumatic injury

b) Overuse or repetitive strain

c) Rheumatoid arthritis

d) Nerve compression

Answer: b) Overuse or repetitive strain

 

Pain and tenderness in medial epicondylitis are commonly experienced at the attachment of which muscle?

a) Brachioradialis

b) Triceps brachii

c) Pronator teres

d) Flexor carpi ulnaris

Answer: d) Flexor carpi ulnaris

 

In senior patients, which activity is often associated with the development of medial epicondylitis?

a) Golfing

b) Weightlifting

c) Tennis

d) Swimming

Answer: a) Golfing

 

The term "medial epicondylitis" is used to describe inflammation of which structure?

a) Tendon

b) Ligament

c) Cartilage

d) Bone

Answer: a) Tendon

 

Which of the following is a common symptom of medial epicondylitis?

a) Elbow dislocation

b) Elbow swelling

c) Tingling in fingers

d) Pain when gripping or lifting objects

Answer: d) Pain when gripping or lifting objects

 

To diagnose medial epicondylitis, a physician may perform which test that involves resisted wrist flexion?

a) Phalen's test

b) Tinel's sign

c) Cozen's test

d) Finkelstein test

Answer: c) Cozen's test

 

What is the initial treatment approach for senior patients with medial epicondylitis?

a) Elbow immobilization

b) Nonsteroidal anti-inflammatory drugs (NSAIDs)

c) Hot pack application

d) Cold compress application

Answer: b) Nonsteroidal anti-inflammatory drugs (NSAIDs)

 

Which of the following modalities is often used for pain relief in patients with medial epicondylitis?

a) Ultrasound therapy

b) Transcutaneous electrical nerve stimulation (TENS)

c) Cryotherapy

d) Iontophoresis

Answer: c) Cryotherapy

 

When designing a rehabilitation program for senior patients with medial epicondylitis, which exercise should be avoided initially?

a) Wrist curls

b) Forearm pronation

c) Forearm supination

d) Triceps extensions

Answer: a) Wrist curls

 

Which ergonomic modification can be recommended to senior patients to prevent medial epicondylitis?

a) Using a larger grip on sports equipment

b) Keeping the wrist in a fixed position during activities

c) Avoiding repetitive wrist movements

d) Applying heat packs before engaging in physical activities

Answer: a) Using a larger grip on sports equipment

 

If conservative treatment fails to relieve symptoms, which intervention might be considered for senior patients with severe medial epicondylitis?

a) Steroid injection

b) Elbow surgery

c) Splinting

d) Physical therapy

Answer: a) Steroid injection

 

Medial epicondylitis often coexists with lateral epicondylitis, which is commonly known as:

a) Tennis elbow

b) Golfer's elbow

c) Pitcher's elbow

d) Swimmer's elbow

Answer: a) Tennis elbow

 

A senior patient experiencing tingling or numbness in the fingers along with medial epicondylitis-like symptoms may have compression of which nerve?

a) Ulnar nerve

b) Radial nerve

c) Median nerve

d) Brachial nerve

Answer: a) Ulnar nerve

 

Which activity should be advised to senior patients to avoid aggravating medial epicondylitis?

a) Playing sports that involve gripping or racquet movements

b) Swimming for exercise

c) Light weight training for the upper body

d) Performing gentle stretching exercises

Answer: a) Playing sports that involve gripping or racquet movements

 

Medial epicondylitis commonly occurs due to degeneration of which tendon?

a) Flexor carpi radialis

b) Pronator teres

c) Palmaris longus

d) Flexor digitorum superficialis

Answer: b) Pronator teres

 

In senior patients, the pain from medial epicondylitis may radiate down the arm, mimicking symptoms of which condition?

a) Carpal tunnel syndrome

b) Frozen shoulder

c) Rotator cuff tear

d) Cervical radiculopathy

Answer: d) Cervical radiculopathy

 

Which term describes the inflammation and degeneration of the tendon at the medial epicondyle?

a) Epicondylitis

b) Tendinitis

c) Bursitis

d) Arthritis

Answer: b) Tendinitis

 

What is the key principle in the management of medial epicondylitis in senior patients?

a) Rest and immobilization

b) Early return to sports and activities

c) Eccentric strengthening exercises

d) Aggressive stretching routine

Answer: a) Rest and immobilization

 

 

 

 

User

20 case study mcqs on medial epicondylitis

ChatGPT

A 45-year-old golfer complains of pain on the inner side of the elbow during and after playing. The pain worsens with gripping and lifting activities. What condition is most likely present?

a) Medial epicondylitis

b) Lateral epicondylitis

c) Carpal tunnel syndrome

d) Rotator cuff tear

Answer: a) Medial epicondylitis

 

A 60-year-old tennis player presents with pain on the outer side of the elbow that radiates down the forearm. The pain is aggravated by backhand shots and lifting objects. Which condition is commonly associated with these symptoms?

a) Medial epicondylitis

b) Lateral epicondylitis

c) Cubital tunnel syndrome

d) Golfer's elbow

Answer: b) Lateral epicondylitis

 

A 55-year-old office worker reports pain and tenderness on the inner side of the elbow with occasional numbness in the little and ring fingers. Which nerve is likely compressed in this scenario?

a) Ulnar nerve

b) Radial nerve

c) Median nerve

d) Brachial nerve

Answer: a) Ulnar nerve

 

A 50-year-old painter presents with persistent elbow pain and weakness in gripping objects. Physical examination reveals tenderness and swelling at the medial epicondyle. What condition should be suspected?

a) Medial epicondylitis

b) Lateral epicondylitis

c) Cubital tunnel syndrome

d) Carpal tunnel syndrome

Answer: a) Medial epicondylitis

 

An avid weightlifter experiences pain on the inner side of the elbow, particularly during bench presses and curls. The pain improves with rest but recurs with activity. Which term best describes this condition?

a) Epicondylitis

b) Tendinitis

c) Bursitis

d) Arthritis

Answer: a) Epicondylitis

 

A 65-year-old patient, who enjoys playing tennis on weekends, complains of elbow pain that becomes progressively worse with activity. What treatment approach should be initiated in this case?

a) Elbow immobilization

b) Corticosteroid injection

c) Hot pack application

d) Physical therapy exercises

Answer: d) Physical therapy exercises

 

A 58-year-old carpenter presents with pain on the inner side of the elbow that radiates down the forearm. The pain is exacerbated by hammering and lifting heavy objects. What is the likely diagnosis?

a) Medial epicondylitis

b) Lateral epicondylitis

c) Rotator cuff tear

d) Biceps tendinitis

Answer: a) Medial epicondylitis

 

A 52-year-old computer programmer reports elbow pain and stiffness that worsens with prolonged keyboard use. What activity modification is recommended for this patient?

a) Using a larger grip on the mouse

b) Taking frequent breaks and stretching

c) Performing wrist curls for exercise

d) Applying heat packs before work

Answer: b) Taking frequent breaks and stretching

 

A 62-year-old patient experiences tingling and numbness in the little and ring fingers, in addition to elbow pain. What nerve should be assessed in this case?

a) Ulnar nerve

b) Radial nerve

c) Median nerve

d) Brachial nerve

Answer: a) Ulnar nerve

 

A 48-year-old office worker presents with elbow pain and stiffness, which is worse in the morning and improves with movement. What condition should be suspected?

a) Medial epicondylitis

b) Osteoarthritis

c) Rheumatoid arthritis

d) Lateral epicondylitis

Answer: b) Osteoarthritis

 

A 56-year-old patient involved in regular gardening activities reports pain on the inner side of the elbow, particularly when using gardening tools. What treatment option should be considered initially?

a) Rest and over-the-counter pain medication

b) Elbow surgery

c) Steroid injection

d) Cold compress application

Answer: a) Rest and over-the-counter pain medication

 

A 60-year-old tennis player complains of elbow pain that worsens with backhand shots and gripping the racket. What is the medical term for this condition?

a) Tennis elbow

b) Golfer's elbow

c) Pitcher's elbow

d) Swimmer's elbow

Answer: a) Tennis elbow

 

A 55-year-old patient presents with elbow pain and swelling. Physical examination reveals tenderness at the medial epicondyle. Which activity is commonly associated with this condition?

a) Swimming

b) Weightlifting

c) Golfing

d) Tennis

Answer: c) Golfing

 

A 65-year-old patient who frequently uses hand tools experiences elbow pain and weakness during gripping activities. Which muscle group is most likely affected in this case?

a) Biceps brachii

b) Triceps brachii

c) Flexor digitorum superficialis

d) Flexor carpi radialis

Answer: d) Flexor carpi radialis

 

A 50-year-old patient reports elbow pain that worsens with resisted wrist flexion. What special test can be used to assess for medial epicondylitis?

a) Phalen's test

b) Tinel's sign

c) Cozen's test

d) Finkelstein test

Answer: c) Cozen's test

 

A 60-year-old patient involved in regular weightlifting experiences pain on the inner side of the elbow that worsens during bicep curls. What exercise should be avoided initially in this patient?

a) Wrist curls

b) Forearm pronation

c) Forearm supination

d) Triceps extensions

Answer: a) Wrist curls

 

A 55-year-old painter reports pain and swelling on the inner side of the elbow. Physical examination reveals tenderness at the medial epicondyle. What is the initial treatment approach for this patient?

a) Elbow immobilization

b) Cold compress application

c) Corticosteroid injection

d) Nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer: d) Nonsteroidal anti-inflammatory drugs (NSAIDs)

 

A 58-year-old patient experiences pain and tingling in the fingers along with medial epicondylitis-like symptoms. What nerve might be compressed in this scenario?

a) Ulnar nerve

b) Radial nerve

c) Median nerve

d) Brachial nerve

Answer: a) Ulnar nerve

 

A 52-year-old patient who frequently performs overhead movements reports elbow pain and weakness. Physical examination reveals tenderness at the medial epicondyle. What condition should be suspected?

a) Medial epicondylitis

b) Lateral epicondylitis

c) Cubital tunnel syndrome

d) Rotator cuff tear

Answer: d) Rotator cuff tear

 

A 62-year-old patient experiences pain and tenderness on the inner side of the elbow during and after playing golf. The pain worsens with gripping and lifting activities. What condition is most likely present?

a) Medial epicondylitis

b) Lateral epicondylitis

c) Carpal tunnel syndrome

d) Rotator cuff tear

Answer: a) Medial epicondylitis