MSK

Question 1

Ix osteomyelitis?

Answer 1

MRI

6 weeks fluclox or clinda

Question 2

Who should have osteoporosis risk checked?

Answer 2

All women 65+ and men 75+
AND
Those younger but with risks e.g. steroids

Question 3

Osteoporosis prevention on long-term steroids?

Answer 3

If 65+ or prev fragility - treat

If <65 - DEXA

Question 4

Trigger finger Rx?

Answer 4

Steroid injection

Question 5

Dupuytren’s Rx?

Answer 5

If >30 degrees - fasciotomy/fasciectomy

Question 6

What ligaments are commonlyy ruptured in tibial plateau?

Answer 6

MCL and ACL

Question 7

Ix for knee soft tissue injury?

Answer 7

MRI

Question 8

Where can steroid injections NOT be given?

Answer 8

Achilles

Knee extensors

Question 9

Rx hallux valgus and rigidus?

Answer 9

Valgus - osteotomy

Rigidus - arthrodesis

Question 10

How long to see callus after stress fracture?

Answer 10

3 weeks

Question 11

Treatment of gout if taking warfarin?

Answer 11

Colchicine

Question 12

XR RA?

Answer 12

Periarticular osteopenia
Periarticular erosions
Subluxation
Loss of joint space

Question 13

What drug interacts with azathioprine?

Answer 13

Allopurinol

Question 14

XR findings in ank spond?

Answer 14

Subchondral erosions
Subchondral sclerosis
Squaring of lumbar vertebrae
Syndesmophytes
SI sclerosis (inflammation)

Late - bamboo spone

Question 15

Skin regions on limited vs diffuse SS?

Answer 15

Limited - below elbow, face

Diffuse - proximal to elbow, trunk
pul fibrosis and stuff earlier

Question 16

CREST?

Answer 16

Calcinosis
Raynauds (CCB)
Esophageal dysmotility
Sclerodactyly
Telangiectasia

Question 17

Sulfasalazine SE?

Answer 17

Oligospermia

SJS

Question 18

Hydroxychloroquine SE?

Answer 18

Bulls eye retinopathy - baseline ophthalmology exam

Question 19

Monitoring of methotrexate?

Answer 19

FBC, LFT and U&E every 2-3 months