MSK

Question 1

Pencil-in-cup X-ray appearance, sausage fingers →

Answer 1

psoriatic arthritis

Question 2

Wrist Drop →

Answer 2

Radial nerve palsy

Question 3

“Dinner fork” or “Swan’s neck” deformity in wrist →

Answer 3

Displaced Colles fracture

Question 4

Pain/tenderness in the anatomical snuffbox →

Answer 4

Scaphoid fracture

Question 5

“Feels like walking on pebbles” →

Answer 5

advanced rheumatoid arthritis in the feet - subluxation of the metatarsophalangeal joints

Question 6

Arthritis + Uveitis + Urethritis (can’t see, can’t pee, can’t bend the knee) →

Answer 6

Reiter’s Syndrome (Reactive Arthritis)

Question 7

Foot drop →

Answer 7

common fibular nerve (peroneal nerve)

Question 8

Fracture srosis →

Answer 8

Proximal scaphoid, Intracapsular femoral, femoral condyles, humeral head, capitellum and proximal talus

Question 9

Hanging rope sign →

Answer 9

AVN

Question 10

Negative birefringent, needle shaped urate crystals →

Answer 10

Gout

Question 11

Envelope shaped/rhomboid, mildly positive birefringent Ca pyrophosphate crystals →

Answer 11

Pseudogout

Question 12

Positive anterior drawer test (tibia can be pulled forward easily on the femur when knee flexed) →

Answer 12

ACL tear/rupture

Question 13

Pain in internal rotation and extension of knee at 90 degree →

Answer 13

lateral meniscal tear

Question 14

Painful arc (pain on abducting between about 70-120 degrees) →

Answer 14

damaged supraspinatus tendon, frozen shoulder

Question 15

Dry eyes, mouth, skin, +ve Schirmer’s test →

Answer 15

Sjogren’s Synd. (with infiltration) (often with RA)

Question 16

Dry eyes, mouth, vagina, bronchitis →

Answer 16

Sicca Synd. (no infiltration) (no signs of arthritis)

Question 17

Locked knee →

Answer 17

bucket handle meniscal tear

Question 18

Bamboo spine on X RAY, sacroiliitis and question mark posture →

Answer 18

Ank Spondylitis

Question 19

Shortened leg and externally rotated →

Answer 19

displaced fracture neck of femur

Question 20

Shortened leg and internally rotated →

Answer 20

Dislocated femoral head

Question 21

“Onion-peel” sign →

Answer 21

Ewing’s sarcoma

Question 22

“Sunray” spiculation →

Answer 22

Osteosarcoma

Question 23

“Popcorn calcification” on X Ray →

Answer 23

Chondrosarcoma

Question 24

“Soap bubble” appearance on X Ray –>

Answer 24

Giant cell tumour (benign)

Question 25

scalp tenderness and jaw claudication →

Answer 25

temporal arteritis

Question 26

Gower’s Sign Positive →

Answer 26

Duchenne MD

Question 27

swollen, “woody” calves →

Answer 27

Duchenne or Becker MD

Question 28

Hatchet-like” face →

Answer 28

Myotonic Dystrophy

Question 29

wrist drop

Answer 29

radial nerve