msk

Question 1

pencil in a cup on x-ray, sausage fingers

Answer 1

psoriatic arthritis

Question 2

wrist 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

fells like walking on pebbles

Answer 5

advanced RA in feet - subluxation of metatarsophalangeal joints

Question 6

arthritis, uveitis and urethritis
(can’t pee, can’t see, can’t climb a tree)

Answer 6

reiters syndrome
reactive arthritis

Question 7

foot drop

Answer 7

common fibular nerve (peroneal)

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

avascular necrosis

Question 10

negative birefringent, needle shaped urate crystals

Answer 10

gout

Question 11

rhomboid shaped, positively birefringent calcium pyrophosphate crystals

Answer 11

pseudogout

Question 12

positive anterior drawer (tibia can be pulled forward easily on femUr when knee flexed)

Answer 12

ACL tear/rupture

Question 13

pain in internal rotation and extension of knee at 90 degrees

Answer 13

lateral meniscal tear

Question 14

painful arc (pain on abducting between 70-120)

Answer 14

damaged supraspinatus tendon
frozen shoulder

Question 15

dry eyes, mouth, skin +ve schirmers test

Answer 15

sjogrens syndrome
often with RA

Question 16

dry eyes, mouth, vagina, bronchitis

Answer 16

sicca syndrome
no signs of arthritis

Question 17

locked knee

Answer 17

bucker handle meniscal tear

Question 18

bamboo spine on x-ray, sarcoilitis and question mark posture

Answer 18

ankylosing spondylitis

Question 19

shortened leg and externally rotated

Answer 19

displaces fracture neck of femur

Question 20

shortened left 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

chrondosarcoma

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 (can’t stand up from kneeing without using their arms)

Answer 26

Duchenne MD

Question 27

swollen woody claves

Answer 27

Duchenne or Becker MD

Question 28

hatchet like face

Answer 28

myotonic dystrophy