MSK

Question 1

pencil in cup, sausage fingers

Answer 1

psoriatic arthritis

Question 2

wist drop

Answer 2

radial nerve palsy

Question 3

dinner fork or swans neck deformity in wrist

Answer 3

displaced colles fracture

Question 4

pain / tenderness in anatomical snuffbox

Answer 4

scaphoid fracture

Question 5

feels like walking on pebbles

Answer 5

advanced RA in feet, subluxation of metatarsophalangeal joints

Question 6

artheriitis + uveitis + urethritis

Answer 6

reiters syndrome (reactive arthritis)

Question 7

foot drop

Answer 7

common fibular nerve (peroneal nerve)

Question 8

hanging rope sign

Answer 8

AVN

Question 9

needle befringement, needle shaped urate crystals

Answer 9

gout

Question 10

envelope shaped / rhomboid, mildly positive befringement Ca pyrophosphate crystals

Answer 10

pseudogout

Question 11

positive anterior drawer test

Answer 11

ACL tear / rupture

Question 12

pain in internal rotation and extension of knee at 90 degrees

Answer 12

lateral meniscal tear

Question 13

painful arc (pain on abducting between around 70-120 degrees)

Answer 13

damaged supraspinatus tendon, frozen shoulder

Question 14

dry eyes, mouth, skin, +ve schirmers test

Answer 14

sjorgens (with infiltration) often with RA

Question 15

dry eyes, mouth, vagina, bronchitis

Answer 15

sicca syndrome (no infiltration)

Question 16

locked knee

Answer 16

bucket handle meniscal tear

Question 17

bamboo spine on xray, sacroilitis and question mark posture

Answer 17

ank spond

Question 18

shortened legg and externally rotated

Answer 18

displaced fracture neck of femur

Question 19

shortened leg and internally rotated

Answer 19

dislocated femoral head

Question 20

onion peel sign

Answer 20

ewings sarcoma

Question 21

sunray spiculation

Answer 21

osteosarcoma

Question 22

popcorn calcification on xray

Answer 22

chondrosarcoma

Question 23

soap bubble appearance on xray

Answer 23

giant cell tumour (benign)

Question 24

scalp tenderness and jaw claudication

Answer 24

temporal arteritis

Question 25

gowers sign positive

Answer 25

ducheene MD

Question 26

swollen, woody calves

Answer 26

duchenne or becker MD

Question 27

hatchet like face

Answer 27

myotonic dystrophy

Question 28

sle

Answer 28

ANA, anti-DNA binding, anti-SM, anti-RO and La

Question 29

sjorgens syndrome

Answer 29

anti ro, anti la and RF

Question 30

rheumatoid arthritis

Answer 30

anti CCP and RF

Question 31

systemic sclerosis

Answer 31

Limited - anti centromere

diffuse - anti scl 70

Question 32

autoimmune hepatitis

Answer 32

ANA, AMA, ASMA

Question 33

mixed connective tissue disease

Answer 33

anti-RNP

Question 34

antiphospholipid syndrome

Answer 34

anticardiolipin, lupus anticoagulant

Question 35

polymyositis and dermatomyositis

Answer 35

anti-jo-1