MSK Buzzers

Question 1

Diagnostic features of SLE?

Answer 1

NO MAPID RASH
Neuro symptoms
Oral ulcers

Malar rash
ANA positive 
Photosensitivity
Immunodeficiency 
Discoid rash

Renal problems
Arhritis
Serositis
Haemoglobin low

Question 2

Pencil in cup x ray appearance, sausage fingers

Answer 2

Psoriatic arthritis

Question 3

Wrist drop

Answer 3

Radial nerve palsy

Question 4

Dinner fork or swans neck in wrist?

Answer 4

Displaced colles fracture

Question 5

Pain in anatomical snuff box?

Answer 5

Scaphoid fracture

Question 6

Feels like I’m walking on pebbles

Answer 6

Advanced RA in the feet - subluxation of the MTP joints

Question 7

Can’t see can’t pee, can’t climb a tree

Urethritis, arthritis, uveitis

Answer 7

Reiters syndrome (reactive arthritis)

Question 8

Foot drop?

Answer 8

Common fibular nerve (peroneal nerve)

Question 9

Fractures that can get AVN ?

Answer 9

Prox scaphoid
Intracapsular femoral 
Femoral condyles
Humeral head
Capitellum 
Proximal talus

Question 10

Hanging rope sign

Answer 10

AVN

Question 11

Negative birefringent, needle shaped urate crystals

Answer 11

Gout

Question 12

Envelope shaped, rhomboid, mildly positive birefringent, Ca pyrophosphate crystal

Answer 12

Pseudogout

Question 13

Pos anterior drawer test

Answer 13

ACL tear or rupture

Question 14

Pain in internal rotation and extension of the knee at 90 degrees

Answer 14

Lateral meniscus tear

Question 15

Painful arc (70-120 degrees)

Answer 15

Damaged supraspinatus tendon

Frozen shoulder

Question 16

Dry eyes, dry mouth, positive schirmers test

Answer 16

Sjogrens often with RA

Question 17

Dry eyes, mouth, vagina, bronchitis

Answer 17

Sicca syndrome

Question 18

Locked knee.

Answer 18

Bucket handle meniscal tear

Question 19

Bamboo spine on x ray?

Answer 19

Sacroilitis and with a question mark spine that is ank spond

Question 20

Shortened leg and externally rotated

Answer 20

Displaced fractured 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 speculation

Answer 23

Osteosarcoma

Question 24

Popcorn calcification on x ray

Answer 24

Chondrosarcoma

Question 25

Soap bubble appearance on an x ray

Answer 25

Giant cell tumour (benign)

Question 26

Scalp tenderness and jaw claudication

Answer 26

Temporal arteritis

Question 27

Gowers sign positive

Answer 27

Duchenne md

Question 28

Swollen woody calves

Answer 28

Duchenne or Becker md

Question 29

Hatchet like face

Answer 29

Myotonic dystrophy