Buzz words

Question 1

pencil-in-cup Xray appearance, sausage fingers

Answer 1

psoriatic arthritis

Question 2

wrist drop

Answer 2

palmar nerve palsy

Question 3

“dinner fork” or “swan’s neck” deformity in wrist

Answer 3

Displaced Colles fracture

Question 4

pain and tenderness in the anatomical snuffbox

Answer 4

scaphoid fracture

Question 5

“feels like walking on pebbles”

Answer 5

advance rheumatoid arthritis in the feet and subluxation of the matatarsophalangeal joints

Question 6

arthritis+uveitis+urethritis (can’t see, can’t pee, can’t bend the knee)

Answer 6

Reiter’s syndrome

Question 7

hanging rope sign

Answer 7

AVN

Question 8

negative befringent, needle shaped irate crystals

Answer 8

gout

Question 9

envelope shaped/rhomboid, mildly positive befringent Ca pyrophosphate crystals

Answer 9

pseudogout

Question 10

positive anterior drawer test

Answer 10

ACL tear or rupture

Question 11

pain on internal rotation and extension of the knee at 90 degrees

Answer 11

lateral meniscal tear

Question 12

painful arc (pain on abducting between about 70-120 degrees)

Answer 12

damaged supraspinatus tendon/ frozen shoulder

Question 13

dry eyes, dry mouth, skin, +ve Schirmer’s test

Answer 13

Sjogren’s syndrome with infiltration and often with RA

Question 14

dry eyes, dry mouth, vagina, bronchitis

Answer 14

Sicca syndrome without infiltration and no signs of arthritis

Question 15

locked knee

Answer 15

bucket handle meniscal tear

Question 16

bamboo spine on XR, sacroillitis and question mark posture

Answer 16

ankylosing spondylitis

Question 17

shortened leg and externally rotated

Answer 17

displaced fracture of NOF

Question 18

shortened leg and internally rotated

Answer 18

dislocated femoral head

Question 19

“onion-peel sign”

Answer 19

Ewing’s sarcoma

Question 20

“sunray” spiculation

Answer 20

osteosarcoma

Question 21

“popcorn calcification” on XR

Answer 21

chondrosarcoma

Question 22

“soap bubble” appearance on XR

Answer 22

giant cell tumour (benign)

Question 23

scalp tenderness and jaw claudication

Answer 23

temporal arteritis

Question 24

Gower’s sign positive

Answer 24

Duchenne muscular dystrophy

Question 25

swollen “woody” calves

Answer 25

Duchenne or Becker muscular dystrophy

Question 26

“hatchet-like” face

Answer 26

myotonic dystrophy

Question 27

What energy source is used for each length of activity?

Answer 27

ATP= 4s
Phosphocreatine= 15s
Free circulating glucose= 4m
Glycogen stores= 77m