rheum and MSK

Question 1

what is most useful ix to confirm drug induced lupus

Answer 1

anti-histone AB

caused by hydralazine
isoniazid
penicillamine
phenytoin

Question 2

SE of hydroxychloroquine

Answer 2

risk of retinopathy

Question 3

fundoscopy for temporal arteritis?

Answer 3

pale and oedematous optic disc
- sign ogf anterior ischaemic optic neuropathy secondary to inflammation of the posterior ciliary A

Question 4

most common area in kids bones that osteomyelitis is found

Answer 4

metaphysis

Question 5

mx of undisplaced scaphoid fracture

Answer 5

6-8 weeks in a cast

Question 6

what is the most common type of shoulder dislocation

Answer 6

anterior

Question 7

MSK finding in IVDU endocarditis

Answer 7

discitis
- vertebral body endplate destruction and oedema

Question 8

most common site of metatarsal stress fracture

Answer 8

2nd metatarsal shaft

Question 9

mx of scaphoid fracture

Answer 9

undisplaced = cast 6-8 weeks

displaced waist fracture = fixation

proximal pole = urgent screw

Question 10

complications of scaphoid fracture

Answer 10

non-union ->pain and early OA

avasc necrosis

Question 11

mx of achilles tendonitis

Answer 11

rest, NSAIDs, and physio if symptoms persist beyond 7 days

Question 12

if xray is unremarkable in hip fracture but pt is presenting like that, how do we ix

Answer 12

MRI hip

Question 13

if discitis is due to staph, how do we investigate

Answer 13

ECHO -> endocarditis