MSK

Question 1

Ulnar deviation and subluxation of the MCPjts on x-ray

Answer 1

Advanced RA

Question 2

Deforming non erosive arthropathy characterised by ulnar deviation

Answer 2

Jaccoud arthropathy

Question 3

Urethritis, Conjunctivitis and seronegative arthritis

Answer 3

Reiters

Question 4

Deposition of Calcium phosphate into a joint, detection of crystals which are weakly positively bifringement in plane polarised light

Answer 4

Pseudogout

Question 5

Overweight, pre-pubertal boy with pain in knee, groin, hip

Answer 5

SUFE

Question 6

Ortolan test and barlow maneouever, baby girl with left hip pain

Answer 6

Developmental dysplasia of the hip

Question 7

Adducted, external rotated and shortened leg

Answer 7

Fractured neck of femur

Question 8

Back pain, raised ESR and raised Ca

Answer 8

Myeloma

Question 9

Back pain and leg pain relieved on leaning forwards

Answer 9

Spinal claudication

Question 10

CK elevated, proximal symmetrical myopathy, electromyography shows fibrillations

Answer 10

Polymyositis

Question 11

Urogenital ulcerations, eye lesions and erythema nodosum

Answer 11

Behcet’s disease

Question 12

Dry eyes, dry mouth and Ra

Answer 12

Secondary Sjogren’s

Question 13

Painful passive extension

Answer 13

Compartment syndrome

Question 14

Side effect of Sulfalazine

Answer 14

Low sperm count

Question 15

Side effect of Circlosporin

Answer 15

Swollen gums

Question 16

Side effect of Hydrochloroquine

Answer 16

Retinopathy

Question 17

Side effect of Methotrexate

Answer 17

Interstitial Pneumonitis

Question 18

Side effect of Ca channel blockers

Answer 18

Gingival hypertrophy

Question 19

Side effect of Prednisolone

Answer 19

Bone symptoms

Question 20

Hold arm external rotated and slightly abducted

Answer 20

Anterior shoulder dislocation

Question 21

Hold arm internally rotated and adducted

Answer 21

Posterior shoulder dislocation

Question 22

Loss of sensation over dorsal aspect of hand

Answer 22

Damage to radial nerve

Question 23

Loss of sensation to 1st,2nd,3rd fingers of the hand

Answer 23

Supracondylar fracture causing damage to the median nerve

Question 24

Proximal muscle pain and stiffness, NO weakness, ESR elevated, CK levels normal

Answer 24

Polymyalgia Rheumatica

Question 25

Progressive and symmetrical muscle weakness, CK elevated, no pain or tenderness

Answer 25

Polymyositis

Question 26

Which nerve supplies adductor pollucis

Answer 26

Ulnar

Question 27

Which nerve supplies extensor pollucis longus

Answer 27

Radial

Question 28

Which nerve supplies abductor pollucis brevis

Answer 28

Median

Question 29

Increased Ca, decreased phosphate, increased ALP, increased PTH

Answer 29

Primary hyperparathyroidism

Question 30

Decreased Ca, increased phosphate, increased ALP, increased PTH

Answer 30

Secondary hyperparathyroidism

Question 31

Increased ALP, normal Ca, phosphate and PTH

Answer 31

Pagets

Question 32

Normal Ca, phosphate, ALP, PTH

Answer 32

Osteoporosis

Question 33

Positive Trendellenburg test

Answer 33

Damage to superior gluteal nerve

Question 34

Impaired hip extension and lateral rotation

Answer 34

Inferior gluteal nerve

Question 35

Drug which inhibits osteoclast activity

Answer 35

Bisphosphonates