MSK

Question 1

• dorsally displaced distal radius / dinner fork deformity
• volar (palmar) displacement of distal radius

Answer 1

• colles’ fracture
• smith’s

Question 2

• anti-centromere antibodies
• anti-RNA polymerase & anti-Scl-70
• anto-Ro & anti-La
• anti-dsDNA, antinuclear,
• anti-Jo-1

Answer 2

• limited systemic sclerosis
• diffuse systemic sclerosis
• Sjogren’s
• SLE
• dermatomyositis/polymyositis

Question 3

limited cutaneous systemic sclerosis signs

Answer 3

raynaud’s
distal limb scleroderma
CREST dyndrome (Calcinosis, Raynaud’s phenomenon, oEsophageal dysmotility, Sclerodactyly, Telangiectasia)
anti-centromere

Question 4

diffuse cutaneous systemic sclerosis

Answer 4

trunk & proximal limb scleroderma
resp involvement

Question 5

bone profile results:
– Ca & phosphate; ++ ALP & PTH
–/normal phosphate; ++ everything else
– Ca; ++ everything else
++ ALP
everything normal (2)

Answer 5

osteomalacia
1ry hyperPTH
CKD (2ry hyperPTH)
paget’s disease
osteoperosis/osteropetrosis

Question 6

acute episodes RA mx

Answer 6

methylpred

Question 7

recognise post vs ant hip dislocations

Answer 7

post: shortened, adducted & internally rotated (sciatic nerve injury)
ant: abducted & externally rotated

Question 8

avscular necrosis of hip Ix (steroids, NoF fracture)

Answer 8

definitive MRI

Question 9

when to
DHS
IM nail
hemi
total

Answer 9

intertrochenteric (extracapsular)
subtrochenteric
displaced (disrupted vascu.) IC fracture
displaced IN fracture w/out major comorbidities

Question 10

• sudden popping sound, knee pain, swelling and instability
• catching/locking of knee with inability to extend fully, ‘give way’

Answer 10

• ACL injury
• ruptured medial meniscus

Question 10

• +ve birefringent rhomboid crystals
• -ve birefringent

Answer 10

• pseudogout
• gout

Question 11

paget’s disease of bone treaed with

Answer 11

bisphosphonate

Question 11

condition RF adhesive capsulitis

Answer 11

diebetes

Question 12

gold standard Ix for
- meniscal tears
- osteomyolitis

Answer 12

• MRI

Question 13

What is the most appropriate initial therapy for R arthritis?

Answer 13

methotrexate + pred short course

Question 14

initial Ix for achillis rupture

Answer 14

USS

MRI definitive

Question 15

recurrent oral and genital ulcers, uveitis, and systemic vasculitis

Answer 15

bechet’s syndrome

Question 16

Young male smoker with symptoms similar to limb ischaemia think

Answer 16

buerger’s disease

Question 17

XR shows Some loss of joint space
Linear calcification of the articular cartilage

Answer 17

pseudogout

Question 18

arthritis, urethritis and conjunctivitis

Answer 18

reactive arthritis

Question 19

haemochromatosis is a RF for this MSK condition

Answer 19

pseudogout
(also hyperPTH, low serum Mg & Phosphate)

Question 20

The … is the structure divided in surgical management of carpal tunnel syndrome

Answer 20

flexor retinaculum

Question 21

The nerve most likely to be injured during knee arthroplasty is

Answer 21

the common peroneal nerve

Question 22

proximal muscle weakness, heliotrope rash (violaceous non-oedematous rash around the eyes), extremely dry hands, and Gottron’s papules (rough red papules on the extensor surfaces of the fingers) make a diagnosis of …. likely
therefore you should

Answer 22

dermatomyositis
malignancy screen

Question 23

• subchondral erosions and sacroiliitis, vertebral body squaring, ligament calcification and syndesmophytes leading to the formation of a ‘bamboo spine’
• Marginal erosions, soft tissue swelling and periarticular osteoporosis
• Soft tissue swelling, punched-out bone lesions and overhanging sclerotic margins

Answer 23

• ank spond
• RA
• gout

Question 24

tests
- mcmurray +ve

Answer 24

• meniscus tear (pain on flexion)

Question 25

check … when diagnosing osteoperosis in men

Answer 25

testosterone

Question 26

IV bisphosphanate required if

Answer 26

Ca >3

Question 27

… (ossification of outer fibres of annulus fibrosus) are a feature of ankylosing spondylitis

Answer 27

Syndesmophytes