Musculoskeletal

Question 1

Pencil-in-cup X-ray appearance, sausage fingers

Answer 1

Psoriatic Arthritis

Question 2

Wrist Drop

Answer 2

Radial nerve palsy

Question 3

Dinner fork” or “Swan’s neck” deformity in wrist

Answer 3

Displaced Colles fracture

Question 4

Pain/tenderness in the anatomical snuffbox

Answer 4

Scaphoid fracture

Question 5

“Feels like walking on pebbles”

Answer 5

advanced rheumatoid arthritis in the feet - subluxation

of the metatarsophalangeal joints

Question 6

Arthritis + Uveitis + Urethritis (can’t see, can’t pee, can’t bend the knee)

Answer 6

Reiter’s

Syndrome (Reactive Arthritis)

Question 7

Foot drop

Answer 7

common fibular nerve (peroneal nerve)

Question 8

Fracture srosis

Answer 8

Proximal scaphoid, Intracapsular femoral, femoral condyles, humeral
head, capitellum and proximal talus

Question 9

Hanging rope sign

Answer 9

AVN

Question 10

Negative birefringent, needle shaped urate crystals

Answer 10

Gout

Question 11

Envelope shaped/rhomboid, mildly positive birefringent Ca pyrophosphate crystals

Answer 11

Pseudogout

Question 12

Positive anterior drawer test (tibia can be pulled forward easily on the femur when knee
flexed)

Answer 12

ACL tear/rupture

Question 13

Pain in internal rotation and extension of knee at 90 degree

Answer 13

lateral meniscal tear

Question 14

Painful arc (pain on abducting between about 70-120 degrees)

Answer 14

damaged

supraspinatus tendon, frozen shoulder

Question 15

Dry eyes, mouth, skin, +ve Schirmer’s test

Answer 15

Sjogren’s Synd. (with infiltration) (often

with RA)

Question 16

Dry eyes, mouth, vagina, bronchitis

Answer 16

Sicca Synd. (no infiltration) (no signs of arthritis)

Question 17

Locked knee

Answer 17

bucket handle meniscal tear

Question 18

Bamboo spine on X RAY, sacroiliitis and question mark posture

Answer 18

Ank Spond

Question 19

Shortened leg and externally rotated

Answer 19

displaced fracture neck of femur

Question 20

Shortened leg and internally rotated

Answer 20

Dislocated femoral head

Question 21

“Onion-peel” sign

Answer 21

Ewing’s sarcoma

Question 22

“Sunray” spiculation

Answer 22

Osteosarcoma

Question 23

“Popcorn calcification” on X Ray

Answer 23

Chondrosarcoma

Question 24

“Soap bubble” appearance on X Ray

Answer 24

Giant cell tumour (benign)

Question 25

scalp tenderness and jaw claudication

Answer 25

temporal arteritis

Question 26

Gower’s Sign Positive

Answer 26

Duchenne MD

Question 27

Swollen, “woody” calves

Answer 27

Duchenne or Becker MD

Question 28

“Hatchet-like” face

Answer 28

Myotonic Dystrophy