MSK

Question 1

Thigh, shoulder, upper arm pain and weakness. + purple rash on eyelids + skin rash

Answer 1

Dermatomyositis

If no skin involvement = polymyositis

Question 2

Skin lesions in dermatomyocytis

Answer 2

Gottron lesions

Question 3

Antibodies and diagnostic investigations in dermatomyositis

Answer 3

AntiJo
AntiMi2
ANA

CK
Muscle biopsy

Question 4

First line management of RA

Answer 4

Methotrexate
Sulfasalazine
TNF inhibitor

Question 5

Scoring RA

Answer 5

DAS28

Question 6

Appearance of Ewing Sarcoma

Answer 6

Pathological fx
Lytic and moth eaten
Onion skinning periosteum
5y survival 5-10%

Question 7

Appearance giant cell bone tumour

Answer 7

Pain and swelling
Radiolucent
Extends into subchondral plate
Soap bubble appearance
Pathological fx
Met to lung

Question 8

XR Ps Arthritis

Answer 8

Pencil in cup
Plantar spur
Asym
Sacroilitis

Question 9

Ank spond XR

Answer 9

Sacroilititis- fusion. Subchondral erosions and sclerosis. Bamboo spine. Squaring of lumbar vertebrae.

Question 10

Ank spond Sx

Answer 10

Reduced chest expansion
Reduced lateral flexion
Reduced forward flexion (Schobers test)
HLAb27 ie anterior uveitis
Apical fibrosis
AV nodal block

Question 11

As of Ank Spons

Answer 11

AV nodal block
Aortic regurgitation 
Amyloidosis
Apical fibrosis
Anterior uveitis
Achilles tendinitis 
And cauda equine

Question 12

Antiphospholipid syndrome antibody

Answer 12

Anti cardiolipin

Question 13

De quervains tendons

Answer 13

APL and EPB

Question 14

Median nerve supplies

Answer 14

LOAF
Lateral lumbricals - FDP
Opponens policis
APB
FPB

Question 15

Trigger finger pulley

Answer 15

A1

Question 16

Common site for hand ganglion

Answer 16

Finger pulp

Question 17

Test median nerve motor innervation

Answer 17

Thumb abduction - apply resistance

Question 18

Risk factors for carpal tunnel

Answer 18

RA
hypothyroid 
Acromegaly
Pregnancy 
Diabetes

Question 19

Components of deep posterior compartment of leg

Answer 19

FHL
FDL
Tib posterior

Question 20

Sensation supply to sole of foot

Answer 20

To beak nerve

Question 21

Hammer toe deformity

Answer 21

Flexion at DIP

Question 22

How many bones in foot

Answer 22

26

Question 23

Greatest range of foot movement is at what joint

Answer 23

1st MTP

Question 24

Posturing post hip fx

Answer 24

Shortened and externally rotated

Question 25

Unstable ankle fx

Answer 25

2+ malleoli or displaced joint