Dums rugby,

Question 1

What is transient synovitis?

Answer 1

Self limiting inflammation of the synovium of the joint.

Most common cause of juvenile hip pain.

Occurs after viral infection.

Rest and NSAIDs.

Question 2

How do you treat DDH

Answer 2

Pavlik harness.

Question 3

What is Perth’s disease and who gets it?

Answer 3

idiopathic osteochondritis of the femoral head.

Pain and limp; more common in active boys.

Femoral head transiently loses blood supplies.

Trendelenburg test +ve, reduced abductor power.

Question 4

Management of perthes?

Answer 4

NSAIDs, physio, rest.

Question 5

Golfers elbow?

Answer 5

Medial epicondylitis (flexor)

Management = rest + NSAIDs +/- steroids

Question 6

Tennis elbow?

Answer 6

Lateral epicondylitis

Worse on extension at the wrist.

Management = rest + NSAIDs +/- steroids.

Question 7

Buzzword for trigger finger?

Answer 7

A1 pulley, nodules enlargement that produces a click when you move your finger.

Question 8

Management of trigger finger?

Answer 8

Steroid injections.

Question 9

Dorsal interossei function?

Answer 9

DAB - Dorsal = Abduction.

Question 10

Palmar interossei function?

Answer 10

PAD - Palmarr - addiction.

Question 11

How do you managed club foot?

Answer 11

Ponseti technique.

Question 12

What is SUFE and how do you manage it?

Answer 12

Pain and limp + groin pain + fat + not active.

MAy present with knee pain.

At risk of AVN so all need to get a nail.

Question 13

What happens to the femoral head in SUFE

Answer 13

Slips inferior in relation to the femoral neck.

Question 14

+ve Steinman’s test indicates what?

Answer 14

Meniscal tear.

Question 15

+ve lachman’s test

Answer 15

ACL rupture

Question 16

=+ve simmonds test?

Answer 16

Achilles rupture.

Question 17

MCL rupture, pain on what stress?

Answer 17

Valgus.

Question 18

What nerve and artery are at risk in anterior should disoclation and how do u manage it?

Answer 18

Axillary nerve injury and axillary artery injury.

1) closed reduction under sedation.
2) Open reduction.

Bankart repair for recurrent dislocation.

Question 19

Humeral shaft fracture, what artery and nerve?

Answer 19

Radial nerve and brachial artery.

Question 20

What is an isolated ulnar fracture

Answer 20

Nightstick, manage conservatively.

Question 21

What is a smiths fracture and how do u manage it?

Answer 21

Opposiitve for a Colles fracture.

Distal radius fracture with volar displacement.

ORIF (highly unstable).

Question 22

What x-rays required for scaphoid #?

Answer 22

AP, lateral and 2 oblique.

Question 23

How does a hip fracture present?

Answer 23

Externally rotated and shortened.

Disruption of shenton’s line.

Question 24

Management of intracapsiualr fracture?

Answer 24

hemi-arthroplasty or THR.

Question 25

Management of extra-capsular fracture?

Answer 25

Dynamic hip screw.