MSK

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 “swan neck” deformity in wrist?

Answer 3

Displaced Colles Fracture

Question 4

Pain/ tenderness in the anatomical snuffbox?

Answer 4

Scaphoid fracture

Question 5

“Feel like walking on pebbles”?

Answer 5

Advanced rheumatoid arthritis in the feet - subluxation of the metatarsophalangeal joints

Question 6

Arthritis + Uveitis + urethritis?

Answer 6

(Can’t see, can’t pee, can’t bend the knee)

Reiter’s syndrome (Reactive arthritis)

Question 7

Foot drop?

Answer 7

Common fibular nerve (peroneal nerve)

Question 8

Fracture srosis?

Answer 8

Proximal scaphoid, intracapsular femoral, femoral condyles, humeral head, capitellum and proximal talus

Question 9

Hanging rope sign?

Answer 9

AVN

Question 10

Negative birefringent, needle shaped urate crystals?

Answer 10

Gout

Question 11

Envelope shaped/ rhomboid, mildly positive birefringent Ca pyrophophate crystals?

Answer 11

Pseudogout

Question 12

Positive anterior drawer test?

Answer 12

ACL tear/ rupture

Question 13

Pain on internal rotation and extension of the knee at 90 degree?

Answer 13

Lateral meniscal tear

Question 14

Painful arc (pain on abducting between about 70 - 120 degrees?

Answer 14

Damaged supraspinatus tendon, frozen shoulder

Question 15

Dry eyes, mouth, skin, +ve Schirmer’s test?

Answer 15

Sjogrens syndrome (with infiltration) (often with RA)

Question 16

Dry eyes, mouth, vagina, bronchitis?

Answer 16

Sicca syndrome (no infiltration) (no signs of arthritis)

Question 17

Locked knee?

Answer 17

Bucket handle meniscal tear

Question 18

Bamboo spine on x-ray and sacroilitis?

Answer 18

Ank Spond

Question 19

Questions mark posture

Answer 19

Ank Spond

Question 20

Shortened leg and externally rotated?

Answer 20

Displaced fracture neck of femur

Question 21

Shortened leg and internally rotated?

Answer 21

Dislocated femoral head

Question 22

“Onion-peel” sign?

Answer 22

Ewing’s sarcoma

Question 23

“Sunray” spiculation

Answer 23

osteosarcoma

Question 24

“Popcorn calcificaiton” on x-ray?

Answer 24

Chondrosarcoma

Question 25

“Soap bubble” appearance on x-ray

Answer 25

Giant cell tumour (benign)

Question 26

Scalp tenderness and jaw claudication?

Answer 26

Temporal arteritis

Question 27

Gower’s sign positive?

Answer 27

Duchenne MD

Question 28

Swollen, “woody” calves?

Answer 28

Duchenne or Becker MD

Question 29

“Hatchet-like” face?

Answer 29

Myotonic Dystrophy