Online document to learn

Question 1

Anti-histone antibody

Answer 1

Drug induced lupus

Question 2

Precocious puberty and bone pain

Answer 2

McCune Albright syndrome

Question 3

SLE treatment

Answer 3

Hydroxychloroquine

Question 4

Perineal swelling and bruising with blood at the urinary meatus

Answer 4

Pelvic fracture

Question 5

Lower limb innervation:
1 - Anterior thigh?
2 - Posterior thigh?
3 - Medial thigh?
4 - Anterior leg?
5 - Lateral leg?
6 - Posterior leg?

Answer 5

1 - Femoral nerve
2 - Sciatic
3 - Obturator
4 - Deep fibular
5 - Superficial fibular
6 - Tibial

Question 6

Distal radius fracture with dorsal displacement wrist/hand

Answer 6

Colles’ fracture

Other features - dinner fork deformity, FOOSH

Question 7

Late complication of a Colles’ #?

Answer 7

Extensor pollicis longus rupture

Question 8

What is a Smith’s #?

Answer 8

Reverse Colles’ - ventral displacement of wrist/hand. Fall on flexed wrist

Question 9

FOOSH + pain at the base of the thumb + pain in the anatomical snuffbox

Answer 9

Scaphoid #

Complication = AVN

Question 10

Ix for scaphoid #

Answer 10

4 x x-ray views (if not seen, repeat in 10-14 days)

Question 11

Young, soft bones that bends and partially breaks - what type of fracture?

Answer 11

Greenstick

Question 12

What is a buckle fracture?

Answer 12

Incomplete # characterised by bulging of the cortex

Question 13

What is a Monteggia’s #?

Treatment?

Answer 13

Fracture of the ulna with dislocation of the radius at the elbow
ORIF to treat

Question 14

Fracture of the radius with dislocation of ulna at the distal radioulnar joint - what type of #? Treatment?

Answer 14

Galeazzi - ORIF to treat

Question 15

What is a Barton’s #?

Answer 15

Intra-articular # of the distal radius

ORIF to treat

Question 16

Human placental lactogen (HPL)

Answer 16

Causes increasing insulin resistance in pregnancy

Question 17

Intrauterine adhesions after dilation and curettage - what syndrome?

Answer 17

Asherman’s syndrome

Question 18

Alpha feto protein levels in;
1 - Down’s syndrome?
2 - Neural tube defect?

Answer 18

1 - Low

2 - High

Question 19

Fitz-Hugh Curtis syndrome?

Answer 19

Chlamydia (PID) causing liver capsule inflammation and adhesions

Question 20

Duke’s staging of colorectal cancer?

Answer 20

Duke’s A = Mucosa
B = Bowel wall
C = Lymph node involvement
D = Distant mets

Question 21

Classifications of colorectal, cervical and prostate cancers?

Answer 21

Colorectal - Duke’s
Cervical - FIGO (Luis Figo shagger)
Prostate - Gleason
Lymphoma - Ann-arbor (Michigan wolverines)

Question 22

40 year old brittle asthmatic with a 3 week Hx of worsening hoarseness. The patient has never smoked and drinks very little alcohol?

Answer 22

Fungal laryngitis

Question 23

70 year old ex smoker. Has progressive hoarseness dysphagia, right otalgia and ?foeor? (

Answer 23

Hypopharyngeal cancer