MSK Formative 2

Question 1

Describe Froment’s test

Answer 1

Patient holds piece of paper between thumb and forefinger, examiner pulls it away

Question 2

Describe a positive Froment’s test

Answer 2

Thumbs bend as paper is pulled away, or patient is unable to hold paper

(negative- patient can hold paper with straight thumbs)

Question 3

Which muscle is weak in a positive Froment’s test?

Answer 3

ADDuctor pollicis

ulnar nerve palsy

Question 4

What type of deformity is not tolerated in a boxer’s (5th metacarpal neck) fracture?

Answer 4

Rotational deformity

Question 5

What is the imaging modality of choice for suspected DDH?

Answer 5

Ultrasound

Question 6

What important symptom can’t be missed in Polymyalgia Rheumatica?

Answer 6

Headache (suggests GCA)

Question 7

What is the starting dose of prednislone in Polymyalgia Rheumatica without suspicion of GCA?

Answer 7

15mg

Question 8

What is the starting dose of prednislone in Polymyalgia Rheumatica with suspicion of GCA?

Answer 8

40mg (higher dose with suspected vasculitis)