05/02

Question 1

What is a side effect of TNF alpha inhibitors?

Answer 1

Reactivation of TB

Question 2

What is a buckle fracture?

Answer 2

Compression of the bony cortex

Common fracture seen in children

Question 3

What DMARD is considered safe to use during pregnanct?

Answer 3

Azathioprine

Question 4

What is found on examination in carpal tunnel syndrome?

Answer 4

Weakness of thumb abduction
Wasting of thenar eminence
Tinels sign
Phalens sign

Question 5

What is the most common cause of hip replacement revision?

Answer 5

Aspetic loosening of the replacement

Causes pain in hip and groin region that radiates to knee

Question 6

What is a common cause of bone and blood infections in homozygous sickle cell?

Answer 6

Non typhi salmonella

Question 7

What is the management of open fractures?

Answer 7

Urgent IV abx and debridement in theatre

Should delay definitive management until soft tissues have recovered

Question 8

What is present in patients with drug induced lupus?

Answer 8

Anti histone antibodies

Question 9

What are causes of drug induced lupus?

Answer 9

Procainamide
Hydralazine
Isoniazid 
Minocycline
Phenytoin

Question 10

What are risk factors for adhesive capsulitis?

Answer 10

Diabetes
Female
Non dominant hand affected
40-60yrs old

Question 11

What is a key sign for subacromial impingement?

Answer 11

Painful arc of abduction- typically seen between 60 and 120 degrees