5

Question 1

management acute flare of gout

Answer 1

NSAIDs
colchinine
IA steroids
IM/ oral steroids

MUST ENSURE NOT SEPTIC ARTHRITIS BEFORE ADMINISTERING STEROIDS

Question 2

function colchicine

Answer 2

acute gout management

Question 3

epidemiology achilles tendonitis tendonopathy

Answer 3

• commonest non-athletic populaitons
• > 40 years
  risk factors:
• smoking
• diabetes
• obesity

Question 4

potential causes carpal tunnel syndrome

Answer 4

• trauma
• swelling
• inflammatory
• metabolic

Question 5

labral tear investigations

Answer 5

MRI arthrogram (contrast dye flows into the gap)

x-ray to exclude OA and dysplasia

Question 6

non-operative management labral tear

Answer 6

activity modification
NSAIDs
physio
steroid injections

Question 7

what is subacromial impingement

Answer 7

pain and dyfunction resulting from any pathology which decreases the volume of subacromial space or increases size of contents

Question 8

management shoulder dislocation

Answer 8

• manipulaiton
• imobilisation for a few weeks in a sling to manage pain and swelling
• physio
• labrum repair where required

Question 9

aetiological agent pseudo gout

Answer 9

calcium pyrophosphate dehydrate (CPPD)

Question 10

primary cause posterior shoulder dislocation

Answer 10

epileptic seizure

alcohol withdrawal seizure

electrocution

Question 11

management Ewings sarcoma

Answer 11

chemo
surgery
radiotherapy

Question 12

liposarcoma

Answer 12

malignant adipose tissue tumour

Question 13

what is an aneurysmal bone cyst

Answer 13

benign vascular tissue tumour

Question 14

indications self-inflicted injury

Answer 14

• sharp force
• wrists/ forearms/ chest/ upper thigh/ abdomen
• parallel, multiple and tentative incisions

Question 15

define active defensive injury

Answer 15

victim tries to grab weapon out of attackers hand

Question 16

management OA @ base of thumb

Answer 16

1. lifestyle modification
2. NSAIDs
3. splint
4. steroid injection
5. trapeziectomy

Question 17

describe trapeziectomy

Answer 17

removal of trapezium provides more space for the thumb to move so that the arthritic bone surfaces are not rubbing together causing pain.

Question 18

symptoms of OA @ base of thumb

Answer 18

pain (opening jars/ pinching)
stiffness
swelling
deformity
loss of function

Question 19

operative management of ganglia

Answer 19

excision

excision including removing the root is a big operation requiring moving all the tendons

Question 20

non-operative treatment of ganglion

Answer 20

• a lot fade by themselves
• aspiration
• hit it with a bible

Question 21

describe a stab wound

Answer 21

penetrating injury resulting from thrusting motion

depth>length

Question 22

whats inside a ganglion

Answer 22

clear, thick jelly