MSK

Question 1

Ankylosing spondylitis features - the ‘A’s

Answer 1

Apical fibrosis
Anterior uveitis
Aortic regurgitation
Achilles tendonitis
AV node block
Amyloidosis

Question 2

Management of patients at risk of corticosteroid-induced osteoporosis

Answer 2

Greater than 0: Reassure
Between 0 and -1.5: Repeat bone density scan in 1-3 years
Less than -1.5: Offer bone protection

Question 3

Ewing’s sarcoma this is likely to show an …….appearance on x-ray.

Answer 3

ONION SKIN

Question 4

Giant cell tumour

Answer 4

‘double-bubble’ or ‘soap bubble’ appearance on x-ray.

Question 5

Osteosarcoma

Answer 5

malignant tumour that occurs most frequently in the metaphyseal region of long bones prior to epiphyseal closure

Codman triangle (a triangular area of new subperiosteal bone) with an associated sunburst a

Question 6

Hydroxychloroquine

Answer 6

• may result in a severe and permanent retinopathy

bull’s eye retinopathy - may result in severe and permanent visual loss

Question 7

Methotrexate may cause

Answer 7

pneumonitis - typically presents with cough, dyspnoea and fever

Question 8

trimethoprim

Answer 8

causes bone marrow suppression hence cotrimoxazole should never be prescribed with methotrexate

Question 9

Heberden’s nodes

Answer 9

Heberden’s nodes - swelling of the distal interphalangeal joints.