General questions Flashcards
Patient falls onto outstretched arm and has numbness in the C5 dermatome of the left shoulder (regimental badge area). What nerve has been affected?
Axillary
Paget’s disease.
BAD NEW X-ray
What do the letters stand for?
B - bone pain
A - apparent joint pain
D - deformities
N - nerve compression (e.g. deafness)
E - elevated blood bone flow (e.g. cardiac hypertrophy/failure)
W - weakness of abnormal bone (pathological fratures)
X - x-ray changes: enlargement/expansion of bone, osteolytic lesions etc
Raised alkaline phosphatase with otherwise normal bone profile is characteristic of what condition?
Paget’s disease
What drug can be given to those with Paget’s disease IV?
Pamidronate
In psoriatic arthritis, are the joints in the fingers involved distal or proximal interphalangeal joints?
Distal
Which interphalangeal joint does osteoarthritis tend to affect?
Distal Interphalangeal Joints
What is Pott’s disease?
Crush fracture of thoracic spine caused by tuberculosis osteomyelitis
Causes spinal flexion deformity
What are some causes of Charcot’s arthropathy?
Diabetic neuropathy
Syringomyelia
What is syringomyelia?
When a cyst forms within the spinal cord
How do patients with Osgood Schlatter’s disease typically present?
Teenage children who enjoy sports
Localised swelling/tender lump over tibial tuberosity
On what bone is the sustentaculum tali found?
Calcaneus
There is a groove on the underside of the sustentaculum tali. Which tendon is this groove for?
Flexor hallucis longus
When listening over a tendon on a patient, you hear friction of the tendon in its sheath. The patient also complains of hard/thickened skin and raynaud’s phenomenon. What disease are these signs of?
Systemic sclerosis
What is a sesamoid bone and give an example?
Bone embedded in tendon
Patella
