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FRCR 2A (Crack the 2A High Yield) > 2. MSK High Yield > Flashcards

2. MSK High Yield Flashcards

1
Q

Muscle involved in Avulsion # @ Iliac Crest

A

Abdominal Muscles

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2
Q

Muscle involved in Avulsion # @ ASIS

A

Sartorius

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3
Q

Muscle involved in Avulsion # @ AIIS

A

Rectus Femoris

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4
Q

Muscle involved in Avulsion # @ Greater trochanter

A

Gluteal muscles

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5
Q

Muscle involved in Avulsion # @ Lesser trochanter

A

Iliopsoas

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6
Q

Muscle involved in Avulsion # @ Ischial tuberosity

A

Hamstrings

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7
Q

Muscle involved in Avulsion # @ pubic symphysis

A

Adductor group

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8
Q

Fracture of radial head & anterior dislocation of distal radio-ulnar joint

A

Essex Lopresti #

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9
Q

Radial shaft # with anterior dislocation of ulna at distal radio-ulnar joint

A

Galeazzi Fracture

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10
Q

Proximal ulnar # with anterior dislocation of radial head

A

Monteggia Fracture

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11
Q

Bankart Spectrum (4 stages)

A

GLAD: Superficial partial labral injury with cartilage tear. Stable
Perthes: Avulsed anterior labrum (only minimal displacement). Inferior GH complex still attached to periosteum. Intact periostium
ALPSA: Similar to Perthes, but medially displaced, “bunched up” inferior GH complex. Intact periostium.
True Bankart: Torn labrum, periostium distupted.
Bony Bankart: Anterior, inferior glenoid fracture.

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12
Q

Superficial partial labral injury with cartilage tear. Periostium intact

A

GLAD shoulder

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13
Q

Avulsed anterior labrum, minimally displaced. Intact inferior GH complex and periostium

A

Perthes shoulder

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14
Q

Avulsed anterior labrum. “bunched up” and medially displaced inferior GH complex. Intact periostium

A

ALPSA

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15
Q

Torn labrum and GH ligament. Periostium disrupted.

A

Bankart lesion (cartilaginous)

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16
Q

Fractured anterior glenoid rim

A

Bony Bankart

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17
Q

Capitulum # associated with

A

Posterior elbow dislocation

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18
Q

Chondroblastoma in adult associated with

A

Clear Cell Chondrosarcoma

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19
Q

Malignant epiphyseal lesion associated with

A

Clear Cell Chondrosarcoma

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20
Q

Permeative lesion in the diaphysis of a child

A

Ewings sarcoma

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21
Q

T2 bright lesion in the sacrum

A

Chordoma

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22
Q

Lytic T2 dark lesion

A

Fibrosarcoma

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23
Q

Sarcomatous transformation of an infarct

A

MFH (malignant fibrous histiocytoma)

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24
Q

Epiphyseal lesion that is NOT T2 bright

A

Chondroblastoma

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25
Q

Short 4th metacarpal

A

Pseudopseudohypoparathyroidism and Turners Syndrome

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26
Q

Band like acro-osteolysis

A

Hajdu-Cheney

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27
Q

Fat containing tumour in the retroperitoneum

A

Liposarcoma

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28
Q

Sarcoma in the foot

A

Synovial Sarcoma

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29
Q

Avulsion of the lesser trochanter

A

Pathological fracture

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30
Q

Crossover sign

A

Pincer type FAI (Femoro-Acetabular Impingement)

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31
Q

Segond fracture (what is it? Associated with?)

A

(lateral tibial plateau #) ACL tear

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32
Q

Deep intercondylar notch

A

ACL tear

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33
Q

ACL tear (2)

A

Deep intercondylar notch
Segond # (Lateral tibial plateau avulsion #)

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34
Q

Reverse segond #

A

Medial tibial plateau avulsion #, PCL tear

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35
Q

Arcuate sign

A

PCL tear
Fibular head avulsion

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36
Q

PCL tear (3)

A

Reverse Segond #
Arcuate sign
Fibular head avulsion

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37
Q

Bilateral Patellar Tendon Ruptures

A

Chronic steroid use

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38
Q

Wide ankle mortise

A

Look for proximal fibula (Maisonneuve #)

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39
Q

Bilateral calcaneal #

A

Look for spinal compression fracture (Lover’s leap)

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40
Q

Dancer with lateral foot pain

A

Avulsion of 5th MT

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41
Q

Old lady with sudden knee pain with standing

A

SONK (Spontaneous OsteoNecrosis of the Knee)

42
Q

Looser’s zones associated with

A

Osteomalacia or Rickett’s (low vit D)

43
Q

Unilateral RA with preserved joint spaces

A

RSD (Reflex Sympathetic Dystrophy)

44
Q

T2 bright tumour in finger

A

Glomus tumour

45
Q

Blooming in tumour in finger

A

Giant Cell Tumour of Tendon Sheath (PVNS)

46
Q

Atrophy of teres minor

A

Quadrilateral space syndrome

47
Q

Subluxation of biceps tendon

A

Subscapularis tear

48
Q

Too many bow ties

A

Discoid meniscus

49
Q

Celery stalk ACL - T2

A

Mucoid degeneration

50
Q

Drumstick ACL - T1

A

Mucoid degeneration

51
Q

Acute flat foot

A

Posterior tibial tendon tear

52
Q

Boomerang shaped peroneus brevis

A

Tear or split tear (peroneus brevis)

53
Q

Meniscoid mass in the lateral gutter of the ankle

A

Anteriolateral Impingement Syndrome

54
Q

Scar between 3rd and 4th metatarsals

A

Morton’s neuroma

55
Q

Osteomyelitis in the spine

A

IV drug user

56
Q

Osteomyelitis in the spine with kyphosis

A

TB (Gibbus deformity)

57
Q

TB (Gibbus deformity)

A

Osteomyelitis in the spine with kyphosis

58
Q

Unilateral SI joint lysis

A

IV drug user

59
Q

Psoas muscle abscess

60
Q

Rice bodies in joint

A

TB (sloughed synovium)

61
Q

Calcification along the periphery

A

Myositis ossificans

62
Q

Calcifications more dense in the centre

A

Osteosarcoma (reverse zoning)

63
Q

Premeative lesion in the diaphysis of a child

64
Q

Long lesion in a long bone

A

Fibrous dysplasia

65
Q

Large amount of oedema for size of lesion

A

Osteoid osteoma

66
Q

Cystic bone lesion, NOT T2 Bright

A

Chondroblastoma

67
Q

Lesion in finger of child

A

Periosteal chondroma

68
Q

looks like NOF (Non-ossifying fibroma) in anterior tibia with anterior bowing

A

Osteofibrous dysplasia

69
Q

RA + Pneumoconiosis

A

Caplan syndrome

70
Q

RA + Big Spleen + Neutropenia

A

Felty syndrome

71
Q

Reducible deformity of joints in hand

72
Q

Destructive mass in a bone of leukaemia pt

73
Q

First sign of SLAC or SNAC wrist

A

Arthritis of the radioscaphoid compartment

74
Q

SLAC wrist associated with

A

DISI deformity

75
Q

Cause of dorsolateral dislocation in Bennett fracture

A

Pull of Abductor Pollucis Longus Tendon

76
Q

Carpal Tunnel syndrome associated with

77
Q

Risk of AVN from #NOF depends on…

A

Degree of femoral head displacement

78
Q

Part of scaphoid at risk of AVN following fracture

A

Proximal pole

79
Q

Commonest cause of sacral insufficiency fracture (old lady)

A

Osteoporosis

80
Q

Commonest direction of patellar dislocation

A

Lateral (almost always)

81
Q

Commonest tibial plateau fracture

82
Q

SONK favours which part of knee

A

Medial (most weight bearing)

83
Q

Normal SI joints excludes

A

Ankylosing Spondylitis

84
Q

Looser’s Zones are a type of…

A

Insufficiency fracture

85
Q

Scoring system (& score needed) for Osteoporosis

A

T score (<-2.5)

86
Q

Isolated 1st extensor compartment tenosynovitis

A

de Quervain’s

87
Q

1st and 2nd extensor compartment tenosynovitis

A

Intersection syndrome

88
Q

6th extensor compartment tenosynovitis

89
Q

Flexor Pollicis and Carpal Tunnel

A

Flexor Pollicis Longus goes through carpal tunnel.
Flexor Pollicis Brevis DOES NOT

90
Q

Which 2 spaces in the wrist usually communicate

A

Pisiform recess and radiocarpal joint

91
Q

Absent anterior/superior labrum + thickened middle glenohumeral ligament

A

Bulford complex

92
Q

Thickest part of medial meniscus

93
Q

Most commonly torn ankle ligament

A

Anterior talofibular ligament

94
Q

TB in the spine

A

Spares disc space (so can brucellosis)

95
Q

Scoliosis curvature and osteoid osteoma

A

Scoliosis curves away from the osteoid osteoma

96
Q

Only benign skeletal tumour associated with radiation

A

Osteochondroma

97
Q

Osteochondroma (trivia)

A

Only benign skeletal tumour associated with radiation

98
Q

Ix for Mixed Connective Tissue Disease

A

Requires serology for Dx (Ribonucleoprotein)

99
Q

Medullary bone infarct

A

Will have fat in the middle

100
Q

Bucket handle meniscal tears are…

A

…longitudinal tears

FRCR 2A (Crack the 2A High Yield) (10 decks)

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