Buzzwords and Key Facts

Question 1

Pencil in cup x-ray appearance, sausage fingers

Answer 1

Psoriatic arthritis

Question 2

Wrist drop

Answer 2

Radial nerve palsy

Question 3

Dinner fork or swans neck deformity in the wrist

Answer 3

Displaced Colles fracture

Question 4

Pain/tenderness in the anatomical snuffbox

Answer 4

Scaphoid fracture

Question 5

Feels like walking on pebbles

Answer 5

Advanced RA in the feet- subluxation of MTPs

Question 6

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

Answer 6

Reiter’s syndrome (reactive arthritis)

Question 7

Foot drop

Answer 7

Common fibular nerve palsy

Question 8

Hanging rope sign

Answer 8

AVN

Question 9

Positive anterior drawer test

Answer 9

ACL tear/rupture

Question 10

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

Answer 10

Lateral meniscal tear

Question 11

Painful arc

Answer 11

Damaged supraspinatus tendon, frozen shoulder

Question 12

Dry eyes, dry mouth, + Schirmer’s test (often associated with RA)

Answer 12

Sjogren’s

Question 13

Locked knee

Answer 13

Bucket handle meniscal tear

Question 14

Bamboo spine, question mark posture

Answer 14

AS

Question 15

Shortened leg and externally rotated

Answer 15

Displaced neck of femur fracture

Question 16

Shortened leg and internally rotated

Answer 16

Dislocated femoral head

Question 17

Onion peel sign

Answer 17

Ewing’s sarcoma

Question 18

‘Sunray’ spiculation

Answer 18

Osteosarcoma

Question 19

Popcorn calcification on x-ray

Answer 19

Chondrosarcoma

Question 20

Soap bubble appearance on x-ray

Answer 20

Giant cell tumour

Question 21

Scalp tenderness and jaw claudication

Answer 21

Temporal arteritis

Question 22

Reactivation of latent TB

Answer 22

TNF alpha inhibitors (infliximab, etanercept)

Question 23

What DMARD causes interstitial pneumonitis

Answer 23

Methotrexate

Question 24

What rheumatoid drug causes tarry black stool

Answer 24

NSAIDs

Question 25

What rheumatoid drugs are nephrotoxic

Answer 25

Gold, penicillamine

Question 26

Visual loss, mouth ulcers, genital ulcers with raised CRP

Answer 26

Behcet’s disease

Question 27

What can kill people with systemic sclerosis

Answer 27

Pulmonary hypertension

Question 28

What does PTH do to calcium level

Answer 28

Increases

Question 29

What does calcitonin do to calcium level

Answer 29

Decreases

Question 30

Difficulty with external rotation

Answer 30

Frozen shoulder

Question 31

Lightbulb sign

Answer 31

Posterior shoulder dislocatio

Question 32

Shepherd’s crook deformity

Answer 32

Fibrous dysplasia

Question 33

Bony spur in the metaphysical region growing away from the epiphysis

Answer 33

Osteochondroma

Question 34

Rheumatoid drug causing oligozoospermia

Answer 34

Sulphasalazine

Question 35

Anti-ACh antibody

Answer 35

Myasthenia gravis

Question 36

Pain over the radial styloid at the wrist following pregnancy

Answer 36

DeQuervain’s

Question 37

Fat teenage boy with pain and limp

Answer 37

SUFE

Question 38

Proximal tibia pain and lump in active adolescent

Answer 38

Osgood-Schlatter’s

Question 39

Simmonds test

Answer 39

No plantar flexion of squeezing calf- Achilles tendon rupture

Question 40

Lunging at squash

Answer 40

Achilles tendon rupture

Question 41

Pop eye deformity

Answer 41

Long head of biceps tendinopathy

Question 42

Twisting injury with a pop or crack and rapid haemarthrosis

Answer 42

ACL

Question 43

Age group for patellar tendon rupture

Answer 43

< 40

Question 44

Age group for quadriceps tendon rupture?

Answer 44

> 40

Question 45

Burning, shooting, tingling pain in the 3rd toe interspace, mulder’s click test

Answer 45

Morton’s neuroma