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 swans neck deformity in the 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

> subluxation of the MTP 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

Question 8

Fractures at risk of AVN

Answer 8

Proximal scaphoid
Intracapsular femoral 
Femoral condyles
Humeral head
Capitellum 
Proximal talus

Question 9

Hanging rope sign

Answer 9

AVN

Question 10

Negative birefringent, needle shaped urate crystals (yellow to blue)

Answer 10

Gout

Question 11

Envelope shaped/rhomboid, mildly positive birefringent Ca pyrophosphate crystals

Answer 11

Pseudogout

Question 12

Positive anterior drawer test

Answer 12

ACL tear/rupture

Question 13

Pain in internal rotation and extension of knee at 90 o

Answer 13

Lateral meniscal tear

Question 14

Painful arc (70-120 o)

Answer 14

Damaged supraspinatus tendon, frozen shoudler, rotator cuff tendon impingement

Question 15

Difficulty with external rotation of the shoulder

Answer 15

Frozen shoudler

Question 16

Dry eyes
Dry mouth and skin
Positive Schirmers Test

Answer 16

Sjogren’s Syndrome with infiltration

Question 17

Locked knee

Answer 17

Bucket handle meniscal tear

Question 18

Bamboo spine of x-ray, sacroiliitis and question mark posture

Answer 18

Ankylosing spondylitis

Question 19

Shortened leg and externally rotated

Answer 19

Displaced fracture of the 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

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 Muscular Dystrophy

Question 27

Swollen, ‘woody’ calves

Answer 27

Duchenne or Becker Dystrophy

Question 28

Hachet like face

Answer 28

Myotonic dystrophy

Question 29

Rosary bead sign

Answer 29

Polyarteritis nodosa

Question 30

Light bulb sign

Answer 30

Posterior shoulder dislocation

Question 31

Sheperds crook deformity

Answer 31

Fibrous dysplasia