MSK

Question 1

Pencil in cup sign + sausage fingers

Answer 1

Psoriatic Appearance (with Dactylitis)

Question 2

Wrist Drop

Answer 2

Radial Nerve Palsy

Question 3

Dinner fork or Swan Neck wrist deformity

Answer 3

Displaced Colles fracture

Question 4

Pain/Tenderness in Anatomical Snuffbox

Answer 4

Scaphoid Fracture - 4 views of X ray required (AP, Lateral, 2 Scaphoid Oblique)

Question 5

Feels like walking on pebbles

Answer 5

Subluxation of metatarso-phalangeal joints

Most commonly in advanced RA of feet

Question 6

Knee arthritis + Uveitis + Urethritis

Answer 6

Reactive Arthritis (Reiter’s Syndrome, Can’t Pee, Can’t See, Can’t bend Knee)

Question 7

Foot Drop

Answer 7

Common Fibular Nerve Palsy

Question 8

Sites prone to Avascular Necrosis post fracture

Answer 8

Proximal Scaphoid, Intracapsular Femur, Femoral Condyles, Humeral Head, Capitulum of Humerus, Proximal Talus

Question 9

Sagging Rope Sign

Answer 9

Avascular Necrosis (most observable in Intracapsular Femoral Head)

Question 10

-ve Birefringent (Yellow to Blue), needle shaped crystals

Answer 10

Gout (Monosodium Urate Monohydrate Crystals)

Question 11

Envelope/Rhomboid shaped crystal, +ve birefringent

Answer 11

Pseudogout (Calcium Pyrophosphate Crystals)

Question 12

Pain in internal rotation of leg + Extension of Knee at 90 degrees

Answer 12

Tear of Lateral Meniscus (Steinman’s +ve)

Question 13

Pain in external rotation of leg + Extension of Knee at 90 degrees

Answer 13

Tear of Medial Meniscus (Steinman’s +ve)

Question 14

Painful Arc sign (between 70-120 degrees abduction)

Answer 14

damaged supraspinous tendon, frozen shoulder or rotator cuff tendon impingement

Question 15

Difficulty with external rotation of shoulder

Answer 15

Frozen shoulder (Adhesive capsulitis)

Question 16

Dry eyes + dry mouth + dry skin + +ve Shirmer’s Test

Answer 16

Sjogren’s Syndrome

Question 17

Syndrome with dry eyes + dry mouth + dry vagina + bronchitis (low/no mucous production) + parotid enlargement

Answer 17

Sicca Syndrome - used to describe a general symptom of dryness before Sjogren’s is confirmed

Question 18

Locked Knee

Answer 18

bucket handle meniscal tear (Medial meniscus more common, knee locked when torn meniscus trapped in intercondylar notch

Question 19

Bamboo Spine, sacroiliitis + anterior uveitis

Answer 19

Ankylodosing spondylitis

Question 20

Onion peel sign

Answer 20

Ewing’s Sarcoma

Question 21

Shortened leg + externally rotate

Answer 21

displaced fracture neck of femur

Question 22

Shortened leg + internally rotate

Answer 22

dislocated neck of femur

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 +/- headache + jaw claudication

Answer 25

Temporal Arteritis (Biopsy to determine)

Question 26

Gower’s SIgn +ve

Answer 26

Duchanne’s Muscular Dystrophy

Question 27

Swollen, Woody Calves

Answer 27

Duchanne’s Muscular Dystrophy

Question 28

Sunray spiculation

Answer 28

Osteosarcoma

Question 29

Rosary Bead Sign on X Ray

Answer 29

Polyarteritis Nodosa

Question 30

Light bulb sign on X Ray

Answer 30

Posterior Dislocation of Shoulder (Anterior dislocation is more common cause than posterior dislocation overall, but light bulb sign is quite specific)

Question 31

Shepherd’s Crook deformity (Of Femur)

Answer 31

Fibrous dysplasia (most common), Paget disease, Osteogenesis Imperfecta