MSK and RHEUMATOLOGY

Question 1

Mx of Acute Reactive Arthritis

Answer 1

NSAIDS or Steroid Injection

Chronic: Sulfsalazine or Methotrexate

Question 2

Interferon Alpha Symptoms

Answer 2

Flu-Like Symptoms

Question 3

Keratoderma Blenorrhagica Is assoc with?

Answer 3

REACTIVE ARTHRITIS

Question 4

1st Line for Lower Back Pain

Answer 4

ORAL NSAIDS

Question 5

Psoas Abscess Ix

Answer 5

CT abdomen

Question 6

1st line for RA pain

Answer 6

IM or Oral MethylPrednisolone

Question 7

What does Beighton Score Assess

Answer 7

Hypermobility

Question 8

What kind of gout in haemachromatotis

Answer 8

Pseudogout

Question 9

XR findings in RA

Answer 9

Early:

Loss of joint space
Juxta-articular osteoporosis
Soft tissue swelling

Late:

Periarticular Erosions
Subluxation

Question 10

Onion Skin Appearance

Answer 10

Ewings Sarcoma

Question 11

Sunburst Pattern

Answer 11

Osteosarcoma

Question 12

Is azathiprine safe in pregnancy

Answer 12

YES

Question 13

Lateral Knee Pain in Runner?

Answer 13

Illiotibial Band Syndrome

Question 14

Cutaneous Side Effect of Methotrexate?

Answer 14

ULCERS

Question 15

1st line for OA pain

Answer 15

Paracetamol and TOPICAL NSAIDS

Question 16

Mx of fibromyalgia

Answer 16

Explanation
Exercise and CBT
Neuro painkillers

Question 17

Mx of sciatica

Answer 17

Anaglesia and Physio

After 4-6 weeks, refer for surgery

Question 18

ANK SPOND XR FINDINGS

Answer 18

sacroiliitis: subchondral erosions, sclerosis
squaring of lumbar vertebrae
‘bamboo spine’ (late & uncommon)
syndesmophytes: due to ossification of outer fibers of annulus fibrosus
chest x-ray: apical fibrosis

Question 19

Common site of osteomyelitis in children

Answer 19

Metaphysis

Question 20

Meniscal Tear Imagine

Answer 20

MRI

Question 21

Reproductive side effect of sulfasalazine

Answer 21

Reduced Sperm Count