Orthopaedics

Question 1

high ALP and thickening of bone

Answer 1

paget’s (manage with bisphosphonates)

Question 2

what does femoral nerve do

Answer 2

hip flexion (without there is reduced power) and knee extension (without there is none)

Question 3

acute gout stomach ulcer or kidney injury

Answer 3

colchicine over NSAIDs

Question 4

weakness of passive and active external rotation of shoulder

Answer 4

adhesive capsulitis

Question 5

bilateral carpal tunnel

Answer 5

RA

Question 6

bending forward helps back pain

Answer 6

spinal stenosis

Question 7

DIP inflammation

Answer 7

OA

Question 8

weakness of hip abduction and foot drop, no specific reflex lost

Answer 8

L5 radiculopathy

Question 9

acute reactive arthritis treatment

Answer 9

NSAIDs for aucte
metho/sulfa for chronic

Question 10

intertrochanteric hip fracture

Answer 10

dynamic hip screw

Question 11

ulnar nerve vs T1 nerve root

Answer 11

loss of sensation of forearm is T1 nerve root not ulnar nerve

Question 12

difference between fat embolism and PE

Answer 12

fat embolism can have neurological abnormalities and a petechial rash

Question 13

high bone turnover in head and spine leading to pathological fractures with high ALP

Answer 13

Pagets, give bisphosphonates

Question 14

pain in hip, limp, restricted hip movements

Answer 14

perthes disease

Question 15

nerve root for leg extension, patellar reflex and ankle dorsiflexion

Answer 15

L4

Question 16

older male with bone pain and raised ALP

Answer 16

Pagets

Question 17

bone pain, tenderness and proximal myopathy leading to waddling gait

Answer 17

osteomalacia