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35. Which of the following symptoms suggests a rotator cuff tear?
A. Painful arc of motion and weakness in external rotation
B. Tenderness over the medial epicondyle
C. Popping sensation in the knee
D. Positive Tinel’s sign in the wrist

36. The valgus stress test is used to assess which ligament?
A. Anterior cruciate ligament (ACL)
B. Posterior cruciate ligament (PCL)
C. Medial collateral ligament (MCL)
D. Lateral collateral ligament (LCL)

37. Which of the following patients is at the highest risk for developing osteomyelitis?
A. A 25-year-old with a mild ankle sprain
B. A 40-year-old with a closed tibial fracture
C. A 60-year-old with uncontrolled diabetes and a foot ulcer
D. A 35-year-old who performs heavy manual labor

38. Which of the following statements about total knee arthroplasty (TKA) is true?
A. It is only performed in young athletes
B. The procedure replaces both the femoral and tibial surfaces of the knee
C. It is a temporary solution for knee pain
D. Recovery time is typically less than two weeks

39. Which of the following is the best imaging study for detecting a stress fracture?
A. X-ray
B. CT scan
C. MRI
D. Ultrasound

40. Which of the following is an absolute contraindication for MRI imaging?
A. Claustrophobia
B. Pacemaker implantation
C. Mild anxiety
D. History of kidney stones

41. Which of the following congenital conditions is characterized by a defect in the closure of
the vertebral column?
A. Spina bifida
B. Scoliosis
C. Legg-Calvé-Perthes disease
D. Slipped capital femoral epiphysis (SCFE)