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1
Q

first line management of ank spond

A

NSAIDs and physio

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2
Q

first line management of reactive arthritis

A

NSAIDs

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3
Q

treatment for mild SLE

A

hydroxychloroquine

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4
Q

is hydroxychloroquine safe in pregnancy

A

yes

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5
Q

what could raynaud’s be an early sign of

A

systemic sclerosis

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6
Q

anti-phospholipid syndrome can occur secondary to SLE, true or false

A

true

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7
Q

what is a main characteristic of anti-phospholipid syndrome

A

recurrent venous or arterial thrombosis

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8
Q

what syndrome is associated with miscarriage

A

antiphospholipid

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9
Q

treatment for antiphospholipid syndrome

A

anticoagulant or antiplatelet

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10
Q

increased risk of lymphoma in sjogrens, true or false

A

true

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11
Q

SLE cardio presentations

A

pericarditis, pericardial effusion

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12
Q

prolonged APTT diagnoses what?

A

antiphospholipid syndrome

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13
Q

main organism for septic arthritis

A

staph aureus

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14
Q

high neutrophils in septic arthritis, true or false

A

true

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15
Q

gout investigations

A

joint aspiration to exclude septic arthritis
microscopy

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16
Q

gout acute flare management

A

NSAIDs
(colchicine 2nd line)

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17
Q

prophylaxis for gout

A

allopurinol

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18
Q

psuedogout microbiology

A

rhomboid shaped calcium pyrophosphate crystal

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19
Q

small vessel vasculitis

A

skin changes

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20
Q

behcets disease

A

recurrent oral and genital ulcers
ocular involvement

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21
Q

behcets disease has a good response to steroids, true or false

A

true

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22
Q

is CK normal or abnormal in inflammatory myopathies

A

abnormalities

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23
Q

takayasu’s arteritis

A

pulseless disease

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24
Q

ANCA positive vasculitides

A

GPA
Microscopic polyangiitis

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25
Q

polyarteritis nodosa is associated with Hep B, true or false

A

true

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26
Q

do we give steroids in Kawasaki’s disease

A

no, give aspirin

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27
Q

ANCA positive treatment

A

cyclophosphamide and steroids

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28
Q

classic hand deformities in RA

A

swan neck
ulnar deviation of MCP joints
boutonnierre’s

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29
Q

feltys syndrome

A

neutropenia and splenomegaly and RA

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30
Q

what is DAS28 used for

A

RA

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31
Q

RA treatment

A

NSAIDs
DMARDs
Biologics
Steroids

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32
Q

what drug class is infliximab

A

TNF-alpha blocker

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33
Q

does polymyositis typically affect proximal or distal muscles

A

proximal

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34
Q

which antibody is specific to myositis

A

anti-jo-1

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35
Q

myositis management

A

steroids and DMARDs

36
Q

which condition would gottron’s sign and a heliotrope rash be found in

A

dermatomyositis

37
Q

polymyalgia rheumatica treatment

A

steroids

38
Q

does polymyalgia rheumatica involve muscles

A

no, it’s the lining of the joints or something

39
Q

is muscle strength normal in polymyalgia rheumatica?

A

yes

40
Q

what is a stress fracture

A

small hairline fractures in feet due to repetitive force, often overuse

41
Q

most common cause of heel pain

A

plantar fasciitis

42
Q

weber classification ankle

A

c - top
b - middle
a - distal

43
Q

twisting injury playing sport + popping sound, with instant pain and swelling. hemarthrosis

A

ACL tear

44
Q

does meniscal tear cause loud pop and excruciating pain

A

no, that’s more ACL tear

45
Q

which knee ligament is unlikely to be injured in isolation

A

LCL

46
Q

what would cause patella fracture

A

direct blow

47
Q

which type of hip dislocation is most common

A

posterior

48
Q

hip fracture leg position

A

abducted and shorted

49
Q

management of frail woman in nursing home with hip fracture

A

hemiarthroplasty

50
Q

risk factors for avascular necrosis

A

long term steroids, chemo, alcohol

51
Q

avascular necrosis xray

A

flattening of femoral head, hanging rope sign, widening of joint space

52
Q

hanging rope sign diagnosis

A

avascular necrosis

53
Q

tibial shaft fracture with SEVERE pain

A

think compartment syndrome

54
Q

pain
paraesthesia
paralysis
pallor
pulselessness

A

compartment syndrome

55
Q

frozen shoulder typical age

A

40-60

56
Q

how long does frozen shoulder last

A

can be up to 3yrs

57
Q

type 2 diabetes and hypercholesterolemia with shoulder sore

A

think frozen shoulder

58
Q

reduced external rotation shoulder differentials

A

can be lots of things but frozen shoulder is a main one

59
Q

AC joint injury cause

A

FOOSH, sports

60
Q

frozen shoulder treatment

A

NSAIDs
intra-articular corticosteroids

61
Q

AC joint injury treatment

A

grade I-II: sling
grade IV-VI: surgery

62
Q

is anterior or posterior shoulder dislocation more common

A

anterior

63
Q

anterior shoulder dislocation cause

A

excessive abduction and external rotation

64
Q

lightbulb sign

A

posterior shoulder dislocation

65
Q

loss of sensation in “badge patch” area, which nerve is damaged

A

axillary

66
Q

fracture of ulna with dislocation of proximal radial head

A

Monteggia

67
Q

fracture of radial shaft and dislocation of distal radioulnar joint

A

galeazzi

68
Q

other name for golfers elbow

A

medial epicondylitis

69
Q

elbow - pain on flexion and pronation

A

golfers elbow

70
Q

where is the common flexor origin

A

medial epicondyle

71
Q

where is the common extensor origin

A

lateral epicondyle

72
Q

tingling/numbness of pinky and half of ring finger

A

cubital tunnel syndrome

73
Q

FOOSH wrist fractures

A

colles
smiths

74
Q

dinner fork deformity

A

colles

75
Q

tingling/numbnes in thumb, first two fingers and half of ring finger

A

carpal tunnel syndrome

76
Q

Carpal tunnel risk factors

A

IDIOPATHIC
RA
pregnancy
diabetes
colles fracture

77
Q

cutting flexor retinaculum can be a management for what

A

carpal tunnel syndrome

78
Q

diabetes is a risk factor for trigger finger, true or false

A

true

79
Q

difference between trigger finger and dupuytrens

A

trigger finger you can straighten with pain, dupuytrens you can’t straighten

80
Q

scaphoid fracture mechanism of injury

A

contact sports injury, FOOSH

81
Q

Undisplaced vs displaced scaphoid fracture management

A

undisplaced - cast
displaced - surgery

82
Q

which salter harris is a crush injury

A

V

83
Q

intra-articular injuries in which the fracture extends through the epiphysis, across the physis and through the metaphysis - which salter harris

A

IV

84
Q

structures posterior to the medial malleolus

A

(Tom, Dick And Very Nervous Harry)
Tibialis posterior tendon
flexor Digitorum longus tendon
Artery (posterior tibial)
Vein (posterior tibial)
Nerve (tibial)
flexor Hallucis longus tendon

85
Q

what is the most common organism to cause osteomyelitis

A

staph aureus

86
Q

a woman develops a winged scapula following a mastectomy. what nerve is likely to have been damaged

A

long thoracic nerve

MSK (9 decks)

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