week 5

Question 1

a 45 year old presents with shoulder pain and weakness 2 months after a dislocation which was reduced in ED. what is the most likely diagnosis?

Answer 1

rotator cuff tear

Question 2

23 year old fabricator feels a pop in the right elbow when lifting heavy sheet metal. what movement may be most affected?

Answer 2

supination most oftenly affected distal bicep tendon rupture

Question 3

a 42 year old diabetic lady presents with loss of shoulder movements. What structure is contracted and thickened?

Answer 3

coraco-humeral ligament

Question 4

which of these is not a muscle of the rotator cuf

Answer 4

teres major

Question 5

you see a 35 year old lady in clinic complaining of clumsiness in the hand and pins/needles of the index finger. which test is likely to be positive?

Answer 5

phalen’s test (CTS)

Question 6

which pulley is usually implicated in trigger finger

Answer 6

A1 pulley

Question 7

a 35 year old man has severe Dupuytrens diseases. What other part of the body should be checked for thickened cords?

Answer 7

feet

Question 8

a 36 year old lady presents to ED with bilateral sciatic radiculopathy and some incontinence when she coughs. What is the most appropriate next step?

Answer 8

urgent MRI (suspected cauda equina syndrome)

Question 9

what does this x-ray show ?

Answer 9

bennett’s fracture