Quick Ques Session

Question 1

Describe Lisfranc’s injury

Answer 1

Dislocation of the base of the 2nd metatarsal + medial cuneiform of the midfoot
Usually occurs with direct twisting or forced plantar flexion

Question 2

First line management of carpal tunnel syndrome in a pregnant woman

Answer 2

Conservative management with wrist splinting

Question 3

Patient with airway difficulties following fall from height. What is first appropriate action ?

Answer 3

Place a cervical collar.
(Patient may have sustained injury to the cervical spine. Must be placed in collar until this is ruled out)

Head tilt, chin lift for airway opening is contraindicated as this may worsen cervical spine injury

Question 4

Patient in cast with suspected compartment syndrome - what to do ?

Answer 4

1. Remove cast
2. If symptoms persist, urgent fasciotomy

Question 5

Frozen shoulder (adhesive capsulitis) appearance on X-ray ?

Answer 5

Normal X-ray

caused by thickening and contraction of the glenohumeral joint capsule and formation of adhesions

Question 6

Medial epicondylitis a.k.a. ?

Answer 6

Golfer’s elbow
(Golfers want to hit it the middle, tennis players want to hit the side)

Question 7

Osteoarthritis 4 radiological signs

Answer 7

Loss of joint space
Osteophytes
Subchondral sclerosis
Subchondral cysts

Question 8

Sjogren’s - what medication ?

Answer 8

pilocarpine