Orthopaedics

Question 1

Most common causative organism of osteomyelitis

Answer 1

Staph aureus

in pts with sickle cell anaemia - Salmonella most common

Question 2

Most common causative organism of osteomyelitis in patients with sickle cell anaemia

Answer 2

Salmonella

Question 3

Investigation of choice for osteomyelitis

Answer 3

MRI

Question 4

Management of osteomyelitis

Answer 4

flucloxacillin for 6 weeks,

clinndamycin if penicillin-allergic

Question 5

Management of plantar fasciitis

Answer 5

Conservative: rest feet where possible; shoes with good arch support and cushioned heels etc.

Question 6

Diagnosis in patient that presents with heel pain, made worse by walking on toes?

Answer 6

Plantar faciitis

Question 7

Diagnosis in patient with leg pain that is improved when walking uphill or sitting down

Answer 7

Lumbar spine stenosis

Question 8

Management of lumbar spine stenosis

Answer 8

Laminectomy

Question 9

Most appropriate investigation in suspected cauda equina syndrome

Answer 9

MRI scan of the lumbar-sacral spine within 6hrs

Question 10

Diagnosis of burning sensation over the antero-lateral aspect of R thigh

Answer 10

Meralgia Paraesthetica

Due to compression of the lateral cutaneous nerve of thigh

Question 11

Which impaired shoulder movement is most indicative of adhesive capsulitis?

Answer 11

External rotation often shows the most marked restriction and is first to show impairment

Question 12

What diagnosis would a positive scarf test prompt?

Answer 12

Acromioclavicular degeneration (OA)

Question 13

How would a patient with calcific tendinopathy present on examination

Answer 13

Tenderness on palpation of affected area
Reluctant to move arm
Symptoms of impingement