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MDD review > 26/02 > Flashcards

26/02 Flashcards

1
Q

What are key features of spinal stenosis?

A

Unilateral leg pain worse on walking and relieved by rest
Often relieved by crouching down
Weakness of affected leg
Lack of smoking or CVD history

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2
Q

What treatment should be commenced in a patient with osteoporosis if alendronate cannot be tolerated?

A

Risedronate or Etidronate

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3
Q

What is the most common location of septic arthritis in adults?

A

The Knee

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4
Q

What is the initial management of a scaphoid fracture?

A

Apply a splint and send for XR

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5
Q

What is Ewing Sarcoma?

A

Malignant lesion commonly affect the diaphysis of long bones e.g. humerus and femur

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6
Q

What is a key x ray feature of Ewing sarcoma?

A

Onion skin appearance

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7
Q

What are features of osetogenesis imperfecta?

A 
Presents in childhood
Fractures following minor trauma
Blue sclera
Deafness
Dental imperfections
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8
Q

What are features of anterior cruciate ligament injury?

A

Sudden popping sound during physical activity
Knee swelling
Instability-feeling as though the knee will give way

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9
Q

What cancer is patients with Sjogrens more at risk of?

A

Lymphoma

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10
Q

What are features of osteomalacia?

A

Softening of the bones due to Vit D deficiency

Bone pain
Bone/muscle tenderness
Fractures
Proximal myopathy potentially leading to waddling gait

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11
Q

What conditions have positive cANCA?

A

Granulomatosis with polyangitis

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12
Q

What conditions have positive pANCA?

A

Churg strauss syndrome

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13
Q

What is the initial imaging modality for achilles tendon rupture?

A

USS

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14
Q

What are cardiac features of SLE?

A

Pericarditis

Myocarditis

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15
Q

What investigations should be completed before starting a patient on biologic therapy such as TNF inhibitors?

A

CXR to look for TB as treatment can re activate it

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16
Q

What are causes of carpal tunnel syndrome?

A 
Idiopathic
Pregnancy
Oedema e.g. HF
Lunate Fracture
Rheumatological disease
17
Q

What investigation results are often seen in osteogenesis imperfecta?

A

Often normal Ca, normal PTH, normal phosphate and normal ALP

18
Q

What is a side effect of hydroxychlorquine?

A

Permanent retinopathy

Baseline ophthalmic screen and annual screening required

19
Q

What is the surgical management of an extracapsular femur fracture?

A

Dynamic hip screw

20
Q

What are the investigation findings in osteomalacia?

A

Low ca
Low phosphate
Raised ALP

21
Q

What are SE of sulfalazine?

A

Oligospermia
Steven Johnson Syndrome
Pneumonitis/lung fibrosis
Can colour tears

MDD review (12 decks)

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