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5th year OSCE > MSK > Flashcards

MSK Flashcards

1
Q

investigations for achilles tendonitis

A

ultrasound
MRI

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2
Q

management of achilles tendonitis

A

rest
physio
heel raise

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3
Q

start up pain in foot after rest, pain worse after exercise, tenderness, pain relieved when walking on toes

A

plantar fasciitis

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4
Q

management of plantar fasciitis

A

rest
ice
analgesia
physio
steroid injection
surgery

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5
Q

medial elbow pain, pain is made worse by wrist flexion and by making a fist

A

golfers elbow

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6
Q

investigation for golfers elbow

A

clinical
ultrasound/MRI

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7
Q

management of golfers elbow

A

rest
NSAIDs
physio

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8
Q

pain radiating down forearm, pain on elevated middle finger, tenderness on lateral palpation

A

tennis elbow

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9
Q

management of tennis elbow

A

rest
physio
NSAIDs

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10
Q

what nerve is compressed in carpal tunnel

A

median nerve

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11
Q

tingling in thumb, worse at night better when dropped over bed, loss of sensation, weakness over the thumb, muscle wasting in thenar emenance

A

carpal tunnel

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12
Q

management of carpal tunnel

A

wrist splint
corticosteroid injection
decompresion

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13
Q

radial sided wrist pain, pain aggrevated by gripping and raising objects, makes a fist over thumb and extends it forward ilicits the pain

A

de quervains tenosynovitis
= swelling of tendons that run along the thumb

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14
Q

investigation for de quervains tenosynovitis

A

ultrasound
Xray

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15
Q

management of de quervains tenosynovitis

A

rest
NSAIDs
thumb splint
steroid injection

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16
Q

palmar nodule thickened
thickening and tethering of the skin
contracture of the long fingers
cannot lay palm flat on the table

A

dupuytrens contracture

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17
Q

management of dupuytrens

A

physio
surgery

18
Q

audible pop
rapid knee swelling
sensation of knee instability
high rotational force

A

ACL rupture

19
Q

management of ACL rupture

A

MRI
XRay

physio
conservation
surgery
knee clinic

20
Q

shoulder stiffness
decreased range of movement
shoulder pain

A

adhesive capulitis = frozen shoulder

21
Q

investigation for frozen shoulder

A

clinical
Xray
ultrasound
MRI

22
Q

management of frozen shoulder

A

self limiting
physio
NSAIDs
surgery

23
Q

painful arc between 60-90 of abduction
hawkin kennedy test positve

A

impingement syndrome

24
Q

investigation for impingement syndrome

A

Xray
ultrasound

25
Q

management of impingement syndrome

A

NSAIDs
physio
steroid injection
surgery

26
Q

what type of shoulder dislocation when a patient falls onto their back

A

anterior shoulder dislocation

27
Q

patient has an epileptic fit or is electrocuted what type of shoudler discloation

A

posterior

28
Q

investigations for rotator cuff tear

A

MRI
ultrasound

29
Q

management of rotator cuff tear

A

physio
corticosteroid injection
surgery

30
Q

bilateral leg pain
saddle anaesthesia
bowel/bladder dysfunction
faecal incontinence

A

cauda equina

31
Q

investigation for cauda equina

A

PR
urgent MRI

32
Q

management of cauda equina

A

dissectomy

33
Q

someone is trying to lift something up and all of a sudden gets bad back pain
numbness
muscle spasm

A

slipped disc

34
Q

investigation for slipped disc

A

MRI

35
Q

management of slipped disc

A

rest
analgesia
physio
surgery

36
Q

burning/tingling down a leg
straight leg raise ilicits pain

A

sciatica

37
Q

investigation for sciatica

A

MRI

38
Q

management of sciatica

A

physio
amitriptyline
surgery

39
Q

pain in legs while walking
burning pain
pain is not severe when walking uphill
peripheral pulses normal

A

spinal stenosis
= narrowing of the spinal canal resulting in compression of the spinal cord

40
Q

investigation for spinal stenosis

A

MRI

41
Q

management of spinal stenosis

A

exercise
weight loss
analgesia
physiotherapy

42
Q
A

5th year OSCE (14 decks)

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