19th November Cards

Question 1

How are meniscal tears diagnosed?

Answer 1

Joint line tenderness & positive McMurray’s test

Question 2

What is the most common indication for knee surgeries?

Answer 2

Meniscal tears

Question 3

Which knee is most at risk of meniscal tears?

Answer 3

ACL deficient knees

Question 4

Which of the meniscus is more prone to tear?

Answer 4

Medial (generally)
** Lateral (in acute ACL tears)

Question 5

What is the most sensitive physical examination finding in meniscal injuries?

Answer 5

Joint line tenderness

Question 6

What is the most sensitive diagnostic test modality for meniscal injuries?

Answer 6

MRI

Question 7

What is the diagnostic shortfall of MRI in meniscal injuries?

Answer 7

High false positive rates

Question 8

What is a good brief explanation of Osgood-Schlatter syndrome?

Answer 8

Tibial tuberosity apophysitis

Question 9

Who is more at risk of Osgood-Schlatter syndrome?

Answer 9

Male children
Between the ages of 10-15 years

Question 10

What % of Osgood-Schlatter syndrome is self-limiting?

Answer 10

> 90%

Question 11

What is the key treatment strategy for Osgood-Schlatter syndrome?

Answer 11

Limitation of activity

Question 12

Which sex is more prone to osteoarthritis?

Answer 12

Females

Question 13

What is the character of the joint stiffness/gelling in osteoarthritis?

Answer 13

It happens after a period of rest?

Question 14

What is the core component of osteoarthritis management?

Answer 14

Exercise to improve local muscle strength

Question 15

What is an effective alternative to intra-articular steroid injections in osteoarthritis?

Answer 15

Intra-articular hyaluronic acid (also called viscosupplementation)

Question 16

What is the most common primary bone malignancy in children?

Answer 16

Osteosarcoma

Question 17

What are the common genetic associations of osteosarcoma?

Answer 17

Hereditary retinoblastoma
Li-Fraumeni syndrome
Rothmund-Thompson syndrome
Bloom syndrome
Werner syndrome

Question 18

What type of tumors are osteosarcomas?

Answer 18

Osteoid-forming bone tumors

Question 19

At what ages is osteosarcoma more frequent?

Answer 19

10-14
> 65

(Bimodal peak)

Question 20

Which race is more at risk of osteosarcoma?

Answer 20

Blacks

Question 21

Which sex is more at risk of osteosarcoma?

Answer 21

Males

Question 22

What is the commonest bone site for osteosarcoma?

Answer 22

Near metaphysis of the long bones of the appendicular skeleton

Question 23

What is the commonest joint affected by osteosarcoma?

Answer 23

Knee joint (distal femur + proximal tibia)

Question 24

What are the biochemical markers in osteosarcoma?

Answer 24

ALP
LDH

Question 25

What is the gold standard diagnostic imaging for osteosarcoma?

Answer 25

MRI

Question 26

What are the characteristic radiographic findings in osteosarcoma?

Answer 26

Sunburst appearance Codman triangle Lamellated (onion skin) reaction

Question 27

What is the most common primary bone tumour?

Answer 27

Multiple myeloma