ortho

Question 1

A 25-year-old man attends the emergency department after being involved in a road traffic accident

His right leg is shortened, internally rotated, slightly flexed and adducted compared to the left.

What is the diagnosis?

Answer 1

Posterior hip dislocations present with a shortened and internally rotated leg

Question 2

x ray findings of Perthes disease

Answer 2

widening of the right hip joint space with flattening of the femoral head.

Question 3

Answer 3

myxoid cyst

Question 4

Radial nerve (C5-C8)

Fracture arm location?

Answer 4

Extension (forearm, wrist, fingers, thumb)

Humeral midshaft fracture

Palsy results in wrist drop

Question 5

‘Housemaid’s knee’.

Answer 5

Prepatellar bursitis

Associated with more upright kneeling

Question 6

(Clergyman’s knee)

Answer 6

Infrapatellar bursitis

Associated with kneeling

Question 7

Olecranon bursitis

Answer 7

(‘student’s elbow’) is a common cause for elbow swelling and may be caused by prolonged pressure, trauma or rheumatoid arthritis

Question 8

causative medication with new onset achilles tendon disorders; tendinitis and tendon rupture is a key side effect of which to be aware?

Answer 8

ciprofloxacin

Question 9

age independent risk for osteoporosis

Answer 9

Question 10

FELTYS SYNDROME?

Answer 10

RA
SPLENOMEGALY
NEUTROPENIA

Question 11

ehlers danlos syndrome feature?

Answer 11

AD
TYPE 3 tall SATURE
TYPE 7 short stature
blue sclere

Question 12

antibodies for sjogrens

Answer 12

Anti ro/la

Question 13

description of antiphospholip condition- miscarriage and DVT

antibody?

Answer 13

anti cardiolipin
antib2
lupus anticoagulant

Question 14

limited sclerosis- features

diffuse sclerosis antibodies vs limited

Answer 14

Question 15

drug induced lupus drugs?

Answer 15

Question 16

osteomalacia?

Answer 16

low calcium, low phosphate, raised ALP

Question 17

RA features vs oa?

Answer 17

Joint space narrowing both

Oa osteophytes, subchondral sclerosis and cysts

Question 18

Answer 18

Question 19

Answer 19

shes has lupus, not being contorlled by nsaid and corticosteriods

add hydroxychloroquine

Question 20

temporal arterittis

tx

Answer 20

50- 60 g pred

Question 21

valgus vs varus test- ligaments?

Answer 21

valgus- medial collateral
varus- lateral collateral

Question 22

caplans syndrome?

Answer 22

pulmonary fibrosis in coal miner

Question 23

pANCA?

Answer 23

microscopic polyangitis

old name churg strauss

side note- also associated with eosinophulic granulomatosis but the features include eospinophils

Question 24

classic triad for eosinophilic granulomatosis with polyangitis EGPA?

Answer 24

Question 25

pseuodo gout features?

Answer 25

chondrocalcinosis
calcium pyrophosphate dihydrate
positive birefingement

Question 26

Answer 26

Barlow- to see if the hip is easily dislocated, subluxation

ortolani- femoral head slips into the acetabulum

Question 27

Answer 27

Question 28

osteoarthritis nodes on PIP and DIP

Answer 28

PIP bouchards
DIP Heberdens

p for pointing to that B***h

Question 29

lady bone mets- osteosclerotic and osteolytic bone

cancer?

Answer 29

osteoscaroma

Question 30

bone cancer in teenager- onioning

Answer 30

ewings

Question 31

anterior dislocation of shoulder- what nerve damaged?

Answer 31

axillary

Question 32

high stepping gait
nerve damaged?

Answer 32