Formative 1

Question 1

Give 3 blood tests indicated in the diagnosis of suspected osteomyelitis?

Answer 1

FBC + diff WBC

ESR

CRP

Blood cultures x3

U+E

Question 2

Give 3 imaging tests indicated in the diagnosis of suspected osteomyelitis?

Answer 2

X-ray

USS

Aspiration

Isotope bone scan

Labelled white cell scan

MRI

Question 3

Give 3 differential diagnoses for an 8 y/o boy with acute knee pain, fever and acute unwellness

Answer 3

Osteomyelitis

Acute septic arthritis

Trauma

Acute inflammatory arthritis

Transient synovitis

Cellulitis/Erysipelas

TSS

Question 4

Name 2 of likeliest organisms for osteomyelitis?

Answer 4

Staph aureus

Strep pyogenes

Haemophilius influenza

Salmonella (sickle cell)

Question 5

Name 2 organisms in osteomyelitis in an under 1y/o?

Answer 5

Staph aureus

Group B strep

E. coli

Question 6

What are the treatments for osteomyelitis?

Answer 6

Supportive for pain

Fluids

Rest

Splintage

IV antibiotics

Question 7

Name 3 potential complications of acute osteomyelitis in a child

Answer 7

Septicaemia

Death

Metastatic infection

Pathological fracture

Septic arthritis

Altered bone growth

Chronic osteomyelitis

Question 8

Name the 4 muscles in the thenar eminence of the hands?

Answer 8

Adductor pollicis

Opponens pollicis

Abductor pollicis brevis

Flexor pollicis brevis

Question 9

Name the 4 muscles shown on this picture of a left forearm originating from the common flexor origin

Answer 9

A - Flexor carpi ulnaris

B - Palmaris longus

C - Flexor carpi radialis

D - Pronator teres

Question 10

Which directions can the shoulder dislocate?

Answer 10

Anterior
Posterior

Inferior

Question 11

In which directions is the shoulder most likely to dislocate (in order)?

Answer 11

Anterior (90%)

Posterior (9%)

Inferior (1%)

Question 12

A 50 year old woman presents with a sensation of painful clicking in the volar aspect of her ring finger when bending her finger. What is the most likely diagnosis?

a) Osteoarthritis of the metacarpophalangeal joint
b) Dupuytrens disease
c) A flexor ganglion
d) A trigger finger
e) A ruptured flexor tendon

Answer 12

A - trigger finger

Question 13

Name 2 operative and 2 non-operative managements for thumb arthritis?

Answer 13

Non-operative

• Life style modifications
• NSAIDS
• Splint
• Steroid injections

Operative

• Trapeziectomy
• Fusion
• Replacement

Question 14

What is this?

Answer 14

Ganglion cyst

Question 15

What are the treatments for gangion cysts?

Answer 15

Observation

Aspiration +/- steroid injection

Excision