Things to Remember

Question 1

Pattern of Inflammatory Pain

Answer 1

Worse with Rest
Worse in the morning

Question 2

Pattern of Mechanical Pain

Answer 2

Worse with Activity
Worse in the end of the day

Question 3

Back Pain is worse in standing and walking

Answer 3

Spondylolisthesis

Question 4

Back Pain is worse in sitting and better in standing

Answer 4

Lumbar Radiculopathy

Question 5

Back Pain is better with sitting or Leaning Forward

Answer 5

Spinal Canal Stenosis

Question 6

Tenderness on the Vertebrae

Answer 6

Malignancy or Fracture

Question 7

Tenderness on the Paravertebral Muscles

Answer 7

Mechanical Non-specific Low Back Pain

Question 8

Olecranon Bursitis Signs

Answer 8

Swelling on the Olecranon
Limited Elbow Flexion

Question 9

Lateral Epicondilitis Signs

Answer 9

Pain on Resisted Wrist Extension
Pain on Passive Wrist Flexion

Question 10

Median Epicondilitis Signs

Answer 10

Pain on Resisted Wrist Flexion
Pain on Passive Wrist Extension

Question 11

ACL Tear Signs

Answer 11

Sudden Pop or Snaping
Feel Wobbly and Unsteady
Rapid Swelling

Question 12

Menischial Tear Signs

Answer 12

Twist Knee
Minimal Swelling and Delayed Swelling
McMurray’s Test

Question 13

Ottawa Rule of the Knee

Answer 13

> 55 y/o
Tenderness at the head of the fibula
Isolated Tenderness of the patella
Inability to flex knee to 90 deg
Inability to bear weight immediately and at presentation

Question 14

Burning Pain Cause

Answer 14

Neuro Vascular DDx

Question 15

Leg Pain Worse on Sitting

Answer 15

Spinal Cause (Discogenic), or
Ischial Bursitis

Question 16

Leg Pain Worse on Standing

Answer 16

Spinal Cause (Spondylolisthesis), or
Varicose Veins

Question 17

Leg Pain Worse on Uphill

Answer 17

Vascular Claudication

Question 18

Leg Pain Better on Leaning forward

Answer 18

Spinal Canal Stenosis

Question 19

Vascular Claudication Signs

Answer 19

Aortoiliac arterial disease
Walking Painful – Esp uphill
Standing still – Fast Relief
CVS RF

Question 20

Neurogenic Claudication Signs

Answer 20

Spinal Canal Stenosis
Pain Walking Up and downhill
Lying down or bending forward make it better
Neuro Deficit

Question 21

Idea of Leg Pain DDx

Answer 21

Differentiate Neuro Vs. Vascular Dx

Question 22

Wakes up and hangs legs at the edge of the bed

Answer 22

Peripheral Arterial Disease

Question 23

Wakes up and moves and shakes his hand

Answer 23

Carpal Tunnel Syndrome

Question 24

Wakes up and needs to walk and move his feet

Answer 24

Restless Leg Syndrome

Question 25

Deformity 1st MTP + Red, Warm, Tender + Pain in movement

Answer 25

Gout

Question 26

Deformity 1st MTP + Pain in movement. No Redness, Non Tender,

Answer 26

OA/ Hallux Rigidus

Question 27

Deformity 1st MTP + No other Symptoms

Answer 27

Bunion/ Hallux Valgus

Question 28

FUN WISE

Answer 28

Frequency
Urgency
Nocturnia

Weak Stream
Intermittency
Straining
Empty Incomplete

*Dysuria is not Included (Ask for UTI)

Question 29

Dysuria + Frequency

Answer 29

UTI

Question 30

Dysuria + Frequency + Discharge

Answer 30

Urethritis

Question 31

Groin Swelling + STI + Pain + Redness + Fever

Answer 31

Epidydimo-orchitis

Question 32

Groin Swelling + STI (NO Pain NO Redness NO Fever)

Answer 32

Hydrocele

Question 33

Immediate Groin Swelling + Trauma

Answer 33

Hematocoele

Question 34

Delayed Groin Swelling (after 3 months) + Trauma

Answer 34

Hydrocele

Question 35

Osteoarthritis Complications

Answer 35

Activities of Daily Living - Cook, Dress, Wash
Symptoms - Pain Getting Worse? Locking?

Question 36

Need to R/o in Trauma

Answer 36

MSK Damage - Swelling, Redness, Rashes, Stiffness, Able to Bear Weight, Deformities, Locking
Vascular Damage - Pallor,
Neurologic Damage - Weakness, Numbness, Pins and Needles

Question 37

Gout Risk Factor

Answer 37

Seafood, Red Meat
Alcohol
Obesity, Trauma
Dehydration
Sugary Drinks
Medications - Thiazides
Kidney Disease