questions

Question 1

what is the most accurate clinical sign for

Answer 1

pain exacerbated by passive stretch

Question 2

where should thorough wound debridement and external fixation of an open fracture occur?

Answer 2

operating theatre

Question 3

name 3 typical childhood fractures

Answer 3

• clavicle
• distal humerus
• wrist
• buckle

Question 4

methods to control displaced fractures (4)

Answer 4

• elastic nails
• moulded plasters
• plates
• wires

Question 5

growth plate injury may result in what?

Answer 5

angulation

Question 6

movement commonly restricted in both OA and adhesive capsulitis?

Answer 6

external rotation

Question 7

movement to test the supraspinatus tendon & muscle?

Answer 7

empty can test

Question 8

which patients are at increased risk of adhesive capsulitis?

Answer 8

Diabetics or indvx with frozen shoulder

Question 9

sensation in regimental badge area & deltoid contraction

Answer 9

axillary nerve

Question 10

only treatmentn for fibromyalgia with strong evidence supporting it

Answer 10

exercise

Question 11

medication to avoid for treating fibromyalgia

Answer 11

NSAIDs

Question 12

Painful arc of abduction between 60 and 120 degrees

Answer 12

supraspinatus injury

Question 13

presentation of de quervains tensosynovitis?

Answer 13

caused by wrist overuse… presents with radial wrist pain & tenderness over the radial styloid

Question 14

how should scaphoid fractures be managed in ED?

Answer 14

immobilisation using Futuro splint or standard below-elbow backslab

Question 15

hip condition in:

• obese child
• painful internal rotation

Answer 15

SUFE

Question 16

what is the most common mechanism of ankle sprain

Answer 16

inversion

Question 17

how is phalens test carried out

Answer 17

patients wrist is help in maximum flexion (reverse prayer sign) for 30-60 seconds and test is positive if there is numbness in median nerve distribution

Question 18

symptoms of carpal tunnel syndrome

Answer 18

weak thenar muscles

sensory loss to lateral 3&half digits

Question 19

what is thickened & sclerotic on x ray with elevated ALP

Answer 19

Pagets disease

Question 20

pain on palpation of the lateral aspect of the joitn line

Answer 20

iliotibial band syndrome

Question 21

cyst arising from joint or tendon sheath

Answer 21

ganglion

Question 22

what is the most common reason a revision operation would be needed post total hip replacement?

Answer 22

aseptic loosening of the implant

Question 23

what presents with a shortened internally rotated leg?

Answer 23

left sided hip dislocation

Question 24

what does a monteggia fracture involve?

Answer 24

fracture of proximal ulna & dislocation of proximal head of radius

Question 25

significant risk factor for avascular necrosis?

Answer 25

previous chemotherapy

Question 26

what is mortons neuroma & how does it present?

Answer 26

benign neuroma affecting intermetatarsal plantar nerve

forefoot pain commonly in 3rd intermetatotarsophalangeal space

(confirmed by US)

Question 27

triad of symptoms in “Leriche syndrome’

Answer 27

1) claudication of the buttocks & thigh
2) atrophy of the musculature of the legs
3) Impotence (due to paralysis of the L1 nerve)

Question 28

twisting sporting injuries followed by delayed onset of knee swelling & locking

Answer 28

meniscal tear

Question 29

high twisting force to a flexed knee & rapid swelling

Answer 29

anterior cruciate ligamnet rupture

Question 30

L5 sensory distribution?

Answer 30

lateral calf extending to dorsum of foot

Question 31

arm is abducted & externally rotated & resists all movement & acromion appears prominent

Answer 31

shoulder dislocation

Question 32

examination: shoulder contour is flattened & small bulge is felt below right clavicle

Answer 32

anterior shoulder disloctaion