Soft Tissue Swellings

Question 1

Cellulitis is a discrete soft tissue swelling. True/False?

Answer 1

False

Soft tissue swellings are widespread!

Question 2

Which organisms usually cause cellulitis?

Answer 2

B-haemolytic Strep

Staph

Question 3

Septic arthritis is a monoarthropathy. True/False?

Answer 3

True

Question 4

What are ganglia?

Answer 4

Outpouchings of synovium lining of joints

Question 5

If ganglia are asymptomatic, leave them alone. True/False? What is the management

Answer 5

True

If symptomatic aspirate or excise if painful

Question 6

List treatment for bursitis

Answer 6

NSAIDs
Antibiotics if secondary abscess
Incision and drainage

Question 7

Rheumatoid nodules respond well to DMARDs. True/False?

Answer 7

False

Question 8

Bouchard’s nodes affect which part of the hands?

Answer 8

Proximal IPJ

Question 9

Heberden’s nodes affect which part of the hands?

Answer 9

Distal IPJ

Question 10

Heberden’s nodes are found only in OA. True/False?

Answer 10

True

Question 11

Which is more common - Heberden’s or Bouchard’s nodes?

Answer 11

Heberden’s nodes

Question 12

What is Dupuytren’s disease?

Answer 12

Progressive fixed flexion contracture disease of the hands

Question 13

Which type of collagen is produced in Dupuytren’s disease?

Answer 13

Type III

Question 14

List treatment for Dupuytren’s disease

Answer 14

Needle fasciotomy
Collaginase injection
Fasciectomy with/without graft

Question 15

What is a lipoma?

Answer 15

A fatty, painless benign lump composed of subcutaneous fat

Question 16

What is a giant cell tumour?

Answer 16

Swelling of a synovium tendon, containing haemosiderin pigment (yellow-brown)

Question 17

What is PVNS?

Answer 17

Tumour from synovium, typically occuring on the knee, and leads to joint destruction and arthritis

Question 18

What s a sebaceous cyst?

Answer 18

Cyst made from epidermal cells entering subcutaneous tissue that produces keratin (cheesy liquid) and punctum (black central spot)

Question 19

What is an implantation dermatoid? What is it caused by?

Answer 19

Penetrating trauma causes epidermal cells to enter subcutaneous tissue, forming a grey fluid

Question 20

Define myositis ossificans. What is it caused by?

Answer 20

Blunt trauma forms an IM haematoma which calcifies (heterotopic ossification) and appears as an osteosarcoma on MRI

Question 21

Outline the management for myositis ossificans

Answer 21

Indomethacin
Excise once mature
Radiotherapy post op

Question 22

List the aetiology of bursitis

Answer 22

Repeated pressure
Trauma
Bacterial infection
Gout