19

Question 1

presentation of soft tissue tumour

Answer 1

• rapidly growing
• hard, fixed, craggy surface
• indistinct margins
• non-tender
• deep ache @ night

Question 2

presentation open fractures

Answer 2

communication present between bone and external environment e.g. breach of skin, fragment of bone penetrating rectum

Question 3

what is thalidomide

Answer 3

drug used to be used for morning sickness, highly teratogenic

Question 4

Amelia

Answer 4

absence of long bones

Question 5

function of DEXA scan

Answer 5

bone density scan

Question 6

acute septic arthritis investigations

Answer 6

• x-ray
• blood culture
• USS
• U+Es
• FBC
• ESR
• CRP
• WCC
• aspiration

Question 7

what is neuropraxia

Answer 7

disorder of PNS in which there is a temporary loss of motor and sensory function due to block of nerve conduction

Question 8

what defines seronegative spondyloarthopathies

Answer 8

autoimmune disease affecting the joints

RF not present

Question 9

management of ankylosing spondylosis

Answer 9

• physio
• OT
• NSAIDs
• sulfalazine
• anti-TNF
• joint replacements
• spinal surgery

Question 10

generalised growth failure in JIA

Answer 10

• short stature
• related to severe systemic disease and systemic steroids
• delayed puberty

Question 11

what is micrognathia

Answer 11

growth of TMJ resulting in jaw receding

Question 12

consequences unstable SUFE

Answer 12

• chondrolysis
• early OA
• limb length discrepancy

Question 13

define type III open #

Answer 13

• high energy
• excessive soft tissue damage
• severe fracture
• > 10cm wound
• any gunshot/ farm/ segmental #/ bone loss, severe crush injury/ marine

Question 14

define subluxation

Answer 14

partial dislocation, not fully out of joint

Question 15

what is cauda equina syndrome

Answer 15

compression of cauda equina

Question 16

symptoms of frozen shoulder

Answer 16

pain
stiffness
thawing

may take 18-24 months to heal

Question 17

prevention of diabetic foot ulcers

Answer 17

• modify main detriments to healing

control, smoking, vascular supply, external/ internal pressure, infection, nutrition

Question 18

are golfer/ tennis elbow inflammatory or degenerative

Answer 18

degenerative

Question 19

is golfer or tennis elbow lateral side

Answer 19

tennis

Question 20

cast length of time for buckle forearm fracture

Answer 20

3-4 weeks

Question 21

dysaethesiae

Answer 21

disordered sensation

Question 22

surgical management acute osteomyelitis

Answer 22

• pus aspiration
• abscess drainage
• debridement of dead/ infected tissue
• joint replacement revisions