MSK

Question 1

long bone fracture patterns - describe

Answer 1

transverse
oblique 
spiral
comminuted
segmented

Question 2

Anatomy

Answer 2

fuck it

Question 3

Treatment of necrotising fasciitis

Answer 3

surgical debridement and abx

Question 4

gout crystals

Answer 4

urate - negatively birefringent needles

Question 5

pseudo-gout crystals

Answer 5

calcium pyrophosphate - positive birefringence rhomboid

Question 6

Paget’s disease bone profile

Answer 6

increased osteoclast and osteoblast activity, bone pain, deformity, hearing loss, thickening of skull

Question 7

DDH manouvres

Answer 7

Barlow - dislocating it

Ortolani - putting it back inn

Question 8

DDH treatment

Answer 8

Pavlik harness

Question 9

Femur fracture cast

Answer 9

thomas splint

Question 10

Colle’s fracture

Answer 10

Extra-articular distal radius, dinner fork deformity, can compress median nerve or rupture EPL

Question 11

Carpal tunnel syndrome

Answer 11

compression of the median nerve in the carpal tunnel, affects the thumb, index, middle finger and half of the ring finger

Question 12

Cubital tunnel syndrome

Answer 12

compression of the ulnar nerve which passes posterior to the medial epicondyle - ring and pinky finger, forearm pain

Question 13

Scaphoid imaging

Answer 13

2 oblique, AP, Lateral

Question 14

Osteomalacia

Answer 14

Rickets in children, vitamin D deficiency, bone pain and fractures

Question 15

Biochem of osteomalacia

Answer 15

increased ALP and decreased calcium and phosphate

Question 16

What is the consequence of vitamin D deficiency in rickets in terms of bone growth

Answer 16

abnormal softening of the bone due to deficient mineralisation of osteoid bone

Question 17

Tx of osteomalacia and rickets

Answer 17

vitamin D therapy with calcium and phosphate supplements

Question 18

Biochemical result of bone mets

Answer 18

high calcium

Question 19

Galleazi fracture

Answer 19

MUgGeR: GR, radial fracture with dislocation of the radioulnar joinnt
GalleaZi: Z is distal, affects distally

Question 20

Monteneggia fracture

Answer 20

MUgGeR: MU, ulnar fracture with dislocation of the radial head
MonteneggiA: A is proximal, affects proximally

Question 21

What rheumatological drug causes black stools?

Answer 21

NSAIDs

Question 22

Nephrotoxic rheum drugs?

Answer 22

Gold, penacillamine

Question 23

Seropositive arthritis examples?

Answer 23

RA, SLE, systemic sleorisis, sjogrens, vasculitis

Question 24

Seronegative arthritis examples?

Answer 24

AS, reactive, psoriatic, IBD

Question 25

Reactive arthritis triad?

Answer 25

Uveitis, arthritis, urethritis

Question 26

Know the antibodies when you get this card just fucking write them out don’t flip this card without doing it you need to active recall this shit and get your shit together

Answer 26

I’m not giving you the answer cos i know you’re lazy so haha you have to look it up

Question 27

differences between OA and RA?

Answer 27

OA affects DIP, RA does not. OA is more commonly a monoarthropathy and is not generally symmetrical. OA stiffness occurs later in the day or <30min in morning, RA has morning stiffness >1hr, RA has systemic features

Question 28

Presentation of lupus

Answer 28

loads

Question 29

Bechet’s syndrome

Answer 29

visual loss, mouth ulcers and genital ulcers, raised inflammatory markers

Question 30

What is bechet’s syndrome associated with

Answer 30

IBD and arthritis

Question 31

Treatment for APS

Answer 31

LMWH for pateints with perganancy loss
Warafrin for others (tetarogenic)
if no episode of thrombosis no treatment is required