Questions

Question 1

What are the 3 rules for xray of an ankle following injury? And what are they called?

Answer 1

Ottawa rules
Bony tenderness at lateral malleolar zone
Bony tenderness at medial malleolar zone
Inability to walk 4 weight bearing steps immediately after the injury and in emergency room

Question 2

Which drug therapies are associated with osteoporosis

Answer 2

Heparin
Glucocorticoids
Methotrexate
Cyclosporin
Cytotoxic therapy

Question 3

Monitoring needed with sulfasalazine treatment

Answer 3

FBC, U&E, LFTs (leucopenia and thrombocytopenia)

Sperm count not needed to be monitored despite oligospermia

Question 4

Treatment CI in psoriatic arthritis

Answer 4

Hydroxychloroquine - worsening of skin

Question 5

Where does septic arthritis typically affect in infants and in children

Answer 5

In infants - hip

In older children - knee

Question 6

What adults are susceptible to septic arthritis

Answer 6

Those with previous joint disease eg. RA or OA

Question 7

Most common cancer to metastasise to bone

Answer 7

Breast
Then prostate
Then bronchus
Then kidney 
then thyroid

Question 8

Pulmonary manifestations of RA

Answer 8

Pulmonary fibrosis
Pulmonary rheumatoid nodules
Haemoptysis
Pleural effusion

Question 9

What do you get splinter haemorrhages in?

Answer 9

RA
dermato/polymyositis
Systemic sclerosis