msk

Question 1

malignant tumour that occurs most frequently in the diaphysis of the pelvis and long bones

Answer 1

Ewing’s sarcoma

Question 2

'onion skin' appearance on X-ray.
FNA - EWS-FLI1 protein.
small round blue cell tumour
seen mainly in children and adolescents
occurs most frequently in the pelvis and long bones. Tends to cause severe pain

Answer 2

ewings

Question 3

positive Finkelstein test
pain over the radial styloid process due to inflammation of the sheath containing the extensor pollicis brevis and abductor pollicis longus tendons.

Answer 3

De Quervain’s tenosynovitis

Question 4

the examiner pulls the thumb of the patient in ulnar deviation and longitudinal traction. In a patient with tenosynovitis this action causes pain over the radial styloid process and along the length of extensor pollisis brevis and abductor pollicis longus

Answer 4

Finkelstein’s test

Question 5

classify supracondylar fractures in children.

Answer 5

Gartland

Question 6

used to classify fractures about the growth plate in children.

Answer 6

Salter-Harris

Question 7

used to detect possible ankle fractures in patients

Answer 7

The Ottawa Rules

Question 8

used to classify ankle fractures about the syndesmosis.

Answer 8

Weber

Question 9

used to classify neck of femur fractures

Answer 9

garden classification system

Question 10

pain
the classic signs are a shortened and externally rotated leg
patients with non-displaced or incomplete _____ may be able to weight bear

Answer 10

features of hip fracture

Question 11

A 75-year-old female presents to her general practitioner with muscle weakness that has become progressively worse over the last year. She can no longer walk or stand for a long period of time. She also has a purple rash on her eyelids, red lumps on her knees and elbows and cracked painful skin on her fingers. What autoantibody is most likely to be causing these symptoms?

Answer 11

This patient has the inflammatory condition, dermatomyositis. Dermatomyositis is associated with ANA. It presents with symptoms/signs such as proximal muscle weakness, a macular rash over back/shoulders, a violet periorbital rash and red papules over extensor surfaces of the fingers.

Question 12

are associated with rheumatoid arthritis. Rheumatoid arthritis typically presents with joint pain.

Answer 12

Anti-CCP antibodies

Question 13

are associated with systemic lupus erythematosus (SLE). SLE generally presents with non-specific symptoms such as, fatigue, fever, oral ulcers, joint pain and a rash.

Answer 13

Anti-dsDNA antibodies

Question 14

are associated with diffuse systemic sclerosis. This would present with proximal limb or trunk scleroderma.

Answer 14

Anti-Scl-70 antibodies

Question 15

is associated with primary biliary cirrhosis (PBC). PBC is often asymptomatic in the early stages but may present as fatigue, pruritus and jaundice.

Answer 15

AMA

Question 16

Azathioprine and allopurinol have a severe interaction causing

Answer 16

bone marrow suppression

Question 17

this is the most likely cause of asymmetrical polyarthritis in an afebrile patient. Although no skin lesions are described in this patient, it is estimated that approximately 15% of patients with psoriatic arthritis have had no prior psoriatic skin lesions. Dactylitis, sometimes described as ‘sausage fingers’, is a common finding in patients with psoriatic arthritis. HLA-B27 is also commonly associated with ____

Answer 17

psoriatic arthritis.