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, can be post-gonorrhoea)

Question 7

Foot drop

Answer 7

common fibular nerve (peroneal nerve)

Question 8

Fracture AV necrosis

Answer 8

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

Question 9

Sagging rope sign

Answer 9

AVN

Question 10

Negative birefringent, needle shaped urate crystals (yellow to blue)

Answer 10

Gout

Question 11

Envelope shaped/rhomboid, mildly positive birefringent Ca pyrophosphate crystals

Answer 11

Pseudogout

Question 12

Positive Lachman/ 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, rotator cuff tendon impingement

Question 15

Difficulty with external rotation

Answer 15

frozen shoulder

Question 16

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

Answer 16

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

Question 17

Dry eyes, mouth, vagina, bronchitis

Answer 17

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

Question 18

Locked knee

Answer 18

bucket handle meniscal tear

Question 19

Bamboo spine on X RAY, sacroiliitis and question mark posture

Answer 19

Ank Spon

Question 20

Shortened leg and externally rotated

Answer 20

displaced fracture neck of femur

Question 21

Shortened leg and internally rotated

Answer 21

Dislocated femoral head

Question 22

“Onion-peel” sign

Answer 22

Ewing’s sarcoma

Question 23

“Sunray” spiculation

Answer 23

Osteosarcoma

Question 24

“Popcorn calcification” on X Ray

Answer 24

chrondosarcoma

Question 25

“Soap bubble” appearance on X Ray

Answer 25

Giant cell tumour (benign)

Question 26

scalp tenderness and jaw claudication

Answer 26

temporal arteritis

Question 27

Gower’s Sign Positive, calf pseudohypertrophy

Answer 27

Duchenne muscular dystrophy

Question 28

Swollen, “woody” calves

Answer 28

Duchenne or Becker MD

Question 29

“Hatchet-like” face

Answer 29

Myotonic Dystroph

Question 30

Rosary Bead sign

Answer 30

polyarteritis nodosa

Question 31

“light-bulb” sign on XR

Answer 31

posterior shoulder dislocation

Question 32

“shepherd’s crook” deformity

Answer 32

fibrous dysplasia (bending of proximal femur)

Question 33

Looser zone / milkman line on XR

Answer 33

pathognomic of osteomalacia
(is a thin translucent band, approximately 2mm in width, which represents a pseudo fracture or incomplete stress fracture)

Question 34

Claw hand

Answer 34

ulnar nerve damage