BONE & JOINT MCQ

Question 1

What are the red flags for a primary bone tumour? a. Anaemia b. Fever c. Associated obstructive urinary tract symptoms d. High impact fracture e. Night pain, weight loss, swelling

Answer 1

e. Night pain, weight loss, swelling

Question 2

What would indicate a more severe ankle injury (over a simple sprain/strain)? a. No bruising b. Recurrent injury c. Immediately swelling, unable to weight bear d. Inversion mechanism of injury e. Significant swelling by the next day

Answer 2

c. Immediately swelling, unable to weight bear

Question 3

Which clinical scenario warrants further investigation for an inflammatory disorder like anklylosing spondylitis? a. 12 year old girl with back pain after falling off trampoline b. 26 year old female with uneven shoudlers c. 60 year old male waking up one morning with stiffness in the lower back d. 80year old female with loss of vertical height e. 30year old male with 6 months back pain not improving with physiotherapy

Answer 3

30year old male with 6 months back pain not improving with physiotherapy

Question 4

. Which one of the following microorganisms could cause septic arthritis? a. Influenza b. Candida (causes thrush) c. Herpes simplex (cold sore/genital herpes virus) d. Herpes zoster (reactivated chickenpox virus, causes shingles) e. A sexually transmitted infection

Answer 4

e. A sexually transmitted infection

Question 5

Osteoporosis causes pain due to disorganised bone matrix formation

Answer 5

f

Question 6

Osteoporosis- This could be a complication from being a diabetic

Answer 6

T

Question 7

An enlarged liver and spleen could be explained by what underlying disease process? Can you explain why this occurs?

Answer 7

May reflect haematological malignancy • The uncontrolled proliferation of dysfunctional cancer cells displaces normal bone marrow; liver and spleen compensate

Question 8

Use socrates to assess someone presenting with joint swelling

Answer 8

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