MSK

Question 1

where does eversion occur

Answer 1

intertarsal joints

Question 2

movement in thoracic spine

Answer 2

rotation

Question 3

movement in lumbar spine

Answer 3

flexion
extension
lateral flexion

Question 4

movement in cervical spine

Answer 4

flexion
extension
lateral flexion
at atlanto-axial-rotation

Question 5

movements of the shoulder joint

Answer 5

flexion
extension
abduction
adduction
rotation
circumduction

Question 6

where is the common extensor origin?

Answer 6

anterior (extensor carpi radialis, extensor digitorum)

Question 7

nerve supply of thenar muscles

Answer 7

recurrent branch (muscular) of median nerve

Question 8

what is adductor policies supplied by

Answer 8

ulnar nerve

Question 9

ball and socket joints?

Answer 9

sternoclavicular

shoulder

Question 10

pivot joint

Answer 10

inferior radio ulnar

Question 11

what is the wrist joint?

Answer 11

condyloid

Question 12

branches of the brachial plexus?

Answer 12

musculocutaneous
axillary
mediaN
radial
ulnar

Question 13

what does the musculocutaneous nerve supply?

Answer 13

brachialis
coracobrachialis
biceps brachii
skin of lateral forearm

Question 14

how do you test integrity of the axillary nerve after dislocation of shoulder?

Answer 14

regimental badge area

Question 15

vertebral level of angle of Louis?

Answer 15

T4/5

Question 16

where are the lumbricals?

Answer 16

palm

Question 17

5 symptoms of lupus

Answer 17

rash on face
joint pain
headaches
lethargy
skin photosensitivity

Question 18

6 signs of lupus

Answer 18

malar or discoid rash
joint or feet swelling, latter because of renal problems
Raynaud's phenomenon
dry eyes
unexplained fever
haematuria
lymphadenopathy

Question 19

what is antiphospholipid syndrome?

Answer 19

autoimmune thrombosis, causing recurrent miscarriage, thrombocytopenia, treated with warfarin or heparin

Question 20

limited cutaneous systemic sclerosis leads to what?

Answer 20

CREST calcinosis, Raynauds, oedosphageal and gut dysmotility, sclerodactyly and telangiectasia

Question 21

sjogren’s syndrome leads to what?

Answer 21

dry eyes, dry mouth, dry vagina, polyarthritis due to lymphocyte infiltration and fibrosis

Question 22

what is sjorgren’s associated with?

Answer 22

RA and SLE-autoimmmune disorder

Question 23

what is infiltrated by lymphocytes in sjogrens syndrome?

Answer 23

exocrine glands

Question 24

what does Paget’s disease of bone increase the risk of?

Answer 24

primary bone tumours like osteosarcoma, Ewing’s

Question 25

opposite to SPASMODIC

Answer 25

bones stones groans moans-hypercalcaemia

Question 26

what might cause spinal cord compression and pain with varying intensity?

Answer 26

spinal cord degeneration

Question 27

how is spinal cord degeneration detected?

Answer 27

MRI

Question 28

what is fibromyalgia associated with?

Answer 28

chronic fatigue syndrome

Question 29

what is there none of in fibromyalgia

Answer 29

inflammation

Question 30

how is fibromyalgia treated?

Answer 30

TENS, exercise, CBT, tricyclic antidepressants

Question 31

symptoms of fibromyalgia

Answer 31

subjective swelling fatigue and tired anxious parasthesiae of hands and feet

Question 32

differentials of fibromyalgia?

Answer 32

hypothyroidism polymyalgia rheumatica SLE inflammatory myopathy

Question 33

blood in bones carried by?

Answer 33

haversian and volkmann's canals

Question 34

what is the pain in OA caused by?

Answer 34

vascular congestion

Question 35

what is Charcot's arthropathy

Answer 35

DM caused destruction of bone and tissue at weight-bearing joints

Question 36

endocrine diseases that lead to osteoporosis?

Answer 36

Cushing's cortisol increases turnover and apoptosis of osteoblasts hyperthyroidism hyperparathyroidism

Question 37

what does DEXA stand for?

Answer 37

dual energy x ray absorptiometry

Question 38

what is the difference between Z score and T score?

Answer 38

T-standard deviations from the mean from bone density of a healthy 30 year old of patients ethnicity and sex Z-standard deviations from the mean from bone density of healthy person of patients age, sex and ethnicity

Question 39

how is osteopenia defined?

Answer 39

t score of between 1 and 2.5 below the mean

Question 40

causes of Raynaud's?

Answer 40

``` primary polycythaemia rubra vera RA SLE atheroma beta blocker hypothyroidism ```

Question 41

what swelling may accompany rheumatoid arthritis?

Answer 41

tenosynovitis-sheath | bursitis-fluid

Question 42

extra articular RA

Answer 42

``` normocytic normochromic anaemia rheumatoid nodules sicca syndrome amyloidosis of kidneys pulmonary embolism ```

Question 43

features of rheumatoid arthritis on XR?

Answer 43

``` LESS loss of joint space erosions soft tissue swelling soft bones-osteopenia ```

Question 44

what can DMARDs cause?

Answer 44

pancytopenia

Question 45

what are the seronegative arthropathies

Answer 45

psoriatic reactive ankylosing spondyloarthritis enteropathic

Question 46

in what kind of seronegative arthritis is the arthritis symmetrical?

Answer 46

psoriatic

Question 47

what kind of ankylosing spondylitis do you not use DMARDs for?

Answer 47

ank spond

Question 48

GU manifestation of reactive arthritis?

Answer 48

cicinate balantitis

Question 49

what is Reiter's triad

Answer 49

symptoms that may occur in reactive arthritis arthritis conjunctivitis urethritis

Question 50

what is carpal tunnel syndrome associated with?

Answer 50

pregnancy acromegaly hypothryoidism polymyalgia rheumatica

Question 51

give some examples of occupation MSK problems

Answer 51

mechanical back pain carpal tunnel syndrome epicondylitis hand arm vibration syndrome

Question 52

what is polymyalgia rheumatica?

Answer 52

stiffness and pain associated with giant cell arteritis, symptoms are fever, systemically unwell, weight loss, morning pain. Treated with steroids

Question 53

monosodium urate crystals appear how on microscopy?

Answer 53

negatively birefringent | needles