Pass Med Q's

Question 1

stills disease

Answer 1

arthralgia
salmon pink rash
fever

Question 2

T score < -1.5

Answer 2

offer bisphosphonate

Question 3

tx Wilsons

Answer 3

penicilamine - Copper chelating

Question 4

what type of hypersensitivity is ITP

Answer 4

Type 2

Question 5

what type of hypersensitivity is SLE

Answer 5

Type 3

Question 6

what needs to be done before starting hydroxychloroquine

Answer 6

ophthalmology screening – can cause retinopathy

- + annual screening

Question 7

what abx can’t be given with methotrexate

Answer 7

trimethoprim
co-trimoxazole
- increased risk bone marrow suppression

Question 8

tx methotrexate toxicity

Answer 8

folinic acid

Question 9

tx ankylosing spondylitis

Answer 9

NSAIDS + Physio 1st line

Question 10

bloods in PMR

Answer 10

Raised ESR + CRP

- CK normal as no weakness

Question 11

-ve birrefringente needle crystals

Answer 11

gout

Question 12

+ve birrefringente rhomboid crystals

Answer 12

pseudo gout

Question 13

if patient has co-timoxazole allergy what else might they be allergic to

Answer 13

sulfasalazine

Question 14

joint aspiration findings septic arthritis

Answer 14

grey, organisms detected

Question 15

presentation flexor tendon sheath infection

Answer 15

fixed flexion
fusiform swelling
tenderness
pain on passive extension

Question 16

ix + tx psoas abscess

Answer 16

CT abdo
abx
percutaneous drainage

Question 17

most common sites compartment syndrome

Answer 17

supracondular or tibial shaft fractures

Question 18

imaging to confirm spinal stenosis

Answer 18

MRI

Question 19

ix if you suspect sarcoma

Answer 19

XRAY within 48 hours

Question 20

where does osteomyelitis affect bones

Answer 20

metaphysis

• staph aureus,
• flucloxacillin 6 weeks

Question 21

what is discitis

Answer 21

infection in intervertebral disc space

• • epidural abscess / sepsis are complications
• presents with pain + fever

Question 22

what imaging do patients with discitis need

Answer 22

MRI

echo

Question 23

imagine for achilles tendon rupture

Answer 23

USS

Question 24

Presentation trigger finger

Answer 24

stiffness
pain
nodule at base of affected finger
- treat with steroid injections

Question 25

what is damaged in scaphoid fracture

Answer 25

radial artery – AVN

Question 26

reasons for THR revision

Answer 26

aseptic loosening
pain
dislocation
infection

Question 27

causes of dupuytrens

Answer 27

manual labour
phenytoin
alcoholic liver disease
diabetes

Question 28

chondromalacia patella

Answer 28

anterior knee pain - particularly going downstairs

quads wasting

Question 29

what is a Potts fracture

Answer 29

bimalleolar ankle fracture

Question 30

appearance leg posterior hip dislocation

Answer 30

shortened adducted internally rotated

Question 31

what causes osteomyelitis in sickle cell patients

Answer 31

salmonella

Question 32

management of disc prolapse

Answer 32

analgesia + physio

MRI if symptoms persist 4-6 weeks

Question 33

analgesia for neck of femur fracture

Answer 33

iliofascial nerve block

Question 34

leriche syndrome

Answer 34

claudication of buttocks
atrophy of leg muscles
impotence