rheum and MSK

Question 1

32 year old female with symmetrical polyarthritis and proteinuria

Answer 1

SLE

Question 2

female with dactylitis and DIP

Answer 2

psoriatic arthritis

Question 3

male with sternal pain, multiple lytic lesions, what investigation would you do?

Answer 3

protein electrophoreses- looks for bence jones protein

thinking malignant malanoma

Question 4

syabbed in neck then shoulder pain, what nerve is affected?

Answer 4

axillary

Question 5

elbow replacement then tingling in ring finger, positive froments signs (note that the FPL is normally innervated by anterioer interosseous branch of median nerve)

Answer 5

cubital tunnel syndrome?

Question 6

posterior hip dislocation

Answer 6

internal shortening

Question 7

treatment of tibial fracture in middle aged?

Answer 7

closed fracture with minimal displacement or stbale reduction may be treated non-operatively with a long leg cast, but cast application should be delayed for 3-5 days to allow early swelling to diminish.

opertaive fixation is required when fractures are unstable

Question 8

screening fro DDH

Answer 8

ortolani and Barlow tests.

can then go onto do USS

Question 9

how to do barlows test

Answer 9

Adduct hips (bring them in) then push back (posterior force)

Question 10

helitrope rash and linear streaks hands

Answer 10

dermatomyositis

Question 11

women with tiredness, pain and muscle stuff

Answer 11

fibromyalgia

Question 12

biceps reflex

Answer 12

C5

Question 13

triceps reflex

Answer 13

C7

Question 14

knee reflex

Answer 14

L4

Question 15

ankle reflex

Answer 15

S1

Question 16

scan for someone with prostate cancer and back pain

Answer 16

technetium bone scan

Question 17

man has compartment syndrome of extensor part of lower leg, which nerve most likely affected?

Answer 17

deep fibular nerve

Question 18

headache and stiff shoulders

Answer 18

polymyalgia rheumatica

test ESR or plasma viscosity

Question 19

which area does C5 supply

Answer 19

badge patch

Question 20

which area does L1 supply

Answer 20

groin

Question 21

femoral nerve block weakens which muscles?

Answer 21

muscle in anterior thigh

so quadriceps femoris and hip flexors (iliopsoeas, sartorius)

Question 22

what nerve supplies the supinator

Answer 22

C6

Question 23

carpet fitter, has swelling and pain in knee

Answer 23

bursitis

Question 24

which nerve supplies sternocleidomastoid

Answer 24

CN 11 (the spinal accessory nerve)

Question 25

loss of lumbar lordosis

Answer 25

mechanical back pain

Question 26

back pain,

felt back giving after some heavy lifting

Answer 26

slipped disc

Question 27

extra capsular, inter trochanteric #

teratment?

Answer 27

sliding screw +plate

Question 28

closed farcture in forearm , what are you worried about

Answer 28

compartment syndrome

Question 29

displaced knee condylar #

Answer 29

could damage popliteal artery?

Question 30

fever, old man and pain at L3

Answer 30

could it be discitits??

Question 31

pelvic fracture and binder, mid femur #, in resp distress

Answer 31

fat embolis

Question 32

anti nuclear
anti DS SNA
anti smith
anti ro and anti la

Answer 32

SLE

Question 33

anti Ro

anti La

Answer 33

Sjogrens

Question 34

anti centromere

Answer 34

limited systemis sclerosis

Question 35

anti scl-70

Answer 35

diffuse systemic sclerosis

Question 36

anti- RNP

Answer 36

mixed connective tissue disorder

Question 37

anti Jo-1

increased CK

Answer 37

polymyosisits

Question 38

lupus anti-coagulant

anti-cardiolipin

Answer 38

anti-phospholipd syndrome

Question 39

anti-CCP

Answer 39

rheumatoid arthritis

Question 40

cANCA

anti-PR3

Answer 40

wegners

granulmatosis with polyangitis

Question 41

pANCA

with late onset asthma

Answer 41

churg-strauss

eosinophilic granulomatosis with polyangitis

Question 42

IgA mediated

pupuric rash over buttocks and thighs

Answer 42

henoch-schloein purpura

Question 43

linked with temporal arteritis

Answer 43

polymyalgia rheumatica