Free Practice Questions for FSEM Diploma in MSK Medicine
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Key Facts: FSEM Diploma in MSK Medicine Exam
Administrator: Faculty of Sport and Exercise Medicine (FSEM UK)
Total exam questions: 180 Single Best Answer (SBA) questions
Exam duration: 3 hours
Format: Remotely invigilated online examination
Target Audience: GPs, MSK Physicians, Sports Physicians, and Advanced MSK Practitioners
Remotely invigilated online assessment for clinicians managing musculoskeletal conditions in primary and community care.
Sample FSEM Diploma in MSK Medicine Practice Questions
Try these sample questions to review concepts for the FSEM Diploma in MSK Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 24-year-old football player presents following a non-contact pivot injury to his right knee during a match. He heard a distinct 'pop' and experienced rapid knee joint swelling within two hours. On examination, there is a moderate effusion. Anterior drawer test and Lachman test are positive with a soft endpoint. Which structure is most likely acutely injured?
2A 28-year-old female recreational runner complains of diffuse, vague retro-patellar and peri-patellar left knee pain. The pain is exacerbated by squatting, descending stairs, and sitting for prolonged periods with knees flexed ('movie-sign'). Physical examination reveals no joint effusion, normal knee stability, and reproduceable pain on single-leg squatting. What is the first-line management strategy?
3A 32-year-old marathon runner presents with localized lateral right knee pain that begins approximately 15 minutes into a run, particularly on downhill routes. Local tenderness is elicited over the lateral femoral epicondyle, roughly 2 cm proximal to the joint line. Noble's compression test reproduces the pain at 30 degrees of knee flexion. What is the primary underlying diagnosis?
4A 62-year-old man presents with progressive weight-bearing left knee pain and stiffness lasting 15–20 minutes each morning. On examination, there is crepitus, mild bony enlargement, and reduced terminal flexion. Plain radiograph shows asymmetric medial joint space narrowing, subchondral sclerosis, and osteophytes. According to NICE guidelines, what is the initial non-pharmacological cornerstone of treatment?
5A 35-year-old amateur rugby player twists his left knee while anchored in a scrum. He presents 24 hours later with mild effusion, joint line tenderness posteromedially, and intermittent mechanical catching when extending the knee. McMurray's test elicits a painful click with tibial external rotation. What is the most accurate initial imaging investigation to evaluate this soft tissue lesion?
6A 26-year-old professional hockey player presents with deep, insidious anterior groin pain aggravated by prolonged sitting and internal rotation of the hip. Clinical examination shows restricted internal rotation in 90 degrees of hip flexion and a positive FDIR (Flexion-Adduction-Internal Rotation) test. Plain radiography reveals a non-spherical femoral head contour with an elevated alpha angle (>55 degrees). What is this morphological variant called?
7A 30-year-old female dancer describes a sharp, painful 'clicking' and 'catching' sensation deep in her right groin during hip extension and external rotation. She has normal plain radiographs. Which diagnostic imaging modality provides the highest diagnostic sensitivity for evaluating an acetabular labral tear?
8A 54-year-old woman presents with lateral right hip pain that impairs her ability to sleep on her right side. On examination, point tenderness is present over the posterior aspect of the greater trochanter. Pain is reproduced with single-leg stance for 30 seconds and resisted hip abduction. What is the most likely diagnosis?
9A 22-year-old football player experiences sudden medial groin pain while kicking a long ball. Examination reveals localized tenderness along the proximal insertion of the adductor longus at the pubic tubercle. Pain is specifically exacerbated by resisted isometric hip adduction with the knees extended. What is the initial recommended rehabilitation approach?
10A 25-year-old professional sprinter reports chronic, exertional lower abdominal and deep medial groin pain. Symptoms worsen with twisting, sprinting, and performing sit-ups. Physical examination reveals tenderness over the pubic tubercle and superficial inguinal ring, with no palpable hernia sac. Pain is reproduced with resisted abdominal crunch. What condition does this clinical picture describe?
About the FSEM Diploma in MSK Medicine Exam
The FSEM Diploma in Musculoskeletal Medicine assesses primary care and community MSK diagnosis and management.
Exam sponsor: FSEM UK. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
1 paper of 180 SBA questions
Time Limit
3 hours
Passing Score
Standard setting
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Official sources
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Lower Limb MSK Conditions
Hip, knee, ankle, and foot conditions, tendinopathies, and ligamentous injuries.
Upper Limb MSK Conditions
Shoulder rotator cuff pathologies, elbow tendinopathies, and wrist/hand disorders.
Spine and Pelvis Conditions
Lumbar and cervical spine pain, radiculopathy, myelopathy, and pelvic girdle pain.
MSK Imaging and Injection Therapy
MSK ultrasound, MRI indications, corticosteroid injections, and pharmacotherapy.
Rheumatology and Systemic MSK
Inflammatory arthritis, crystalline arthropathies, osteoporosis, and PMR.
Rehabilitation and Pain Management
Loading protocols, central sensitisation, and multidisciplinary rehabilitation.
Preparing for the FSEM Diploma in MSK Medicine Exam
What You Need to Know
- Passing score: Standard setting
- Assessment: 1 paper of 180 SBA questions
- Time limit: 3 hours
- Exam / certification fees: GBP 296 Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
FSEM Diploma in MSK Medicine: Suggested Study Strategy
Frequently Asked Questions
What is the format of the FSEM Diploma in MSK Medicine examination?
The examination consists of a single computer-based paper comprising 180 Single Best Answer (SBA) questions sat over 3 hours via remote invigilation.
Who is eligible to take the DipMSK FSEM exam?
GMC-registered general practitioners, sports physicians, physiotherapists, advanced clinical practitioners, and secondary care clinicians working in musculoskeletal medicine in the UK.
What subjects are covered in the FSEM MSK Diploma?
The exam tests clinical assessment, diagnosis, imaging, injection therapy, red flags, rheumatology, biomechanics, and rehabilitation across upper limb, lower limb, spine, and systemic MSK conditions.
How is the pass mark calculated for the FSEM Diploma?
The pass mark is set using a criterion-referenced standard setting procedure (Modified Angoff method) determined by the FSEM Examination Board.