MSK

Question 1

Chondromalacia patellae (patellofemoral pain) presentation

Answer 1

Girl/young adult
Anterior knee pain behind patella
Worsened by stairs + prolonged sitting

Question 2

Presentation of
Osgood-Schlatter (tibial apophysitis)

Answer 2

Sporty teenager
Tenderness + swelling over tibial tuberosity

Question 3

Features of:
Patella subluxation

Answer 3

Teenage girl
Knee gives way
Medial patella-femoral ligament tenderness

Question 4

Patellar tendonitis presentation

Answer 4

Tender below patella
Chronic anterior knee pain
Worse after running

Question 5

Osteochondritis dissecans presentation

Answer 5

Intermittent swelling + locking
Pain after exercise

Question 6

Knee osteoarthritis presentation

Answer 6

Worsened by activity
Inactivity-stiffness <30min
Crepitus
Painful restricted movement

Question 7

Baker’s Cyst presentation

Answer 7

Posterior knee ache
Popliteal swelling
Rupture > acute pain and calf swelling

Question 8

Iliotibial band syndrome presentation

Answer 8

Cyclist/runner
Lateral knee pain + tender above joint line

Question 9

Growing pains

Answer 9

3-12y
Pain not limited to joints
Only at night
Normal function

Question 10

Causes of pain referred to knee

Answer 10

Slipped femoral epiphysis
Hip septic arthritis/synovitis/JIA
Perthe’s
OA of hip
Lumbar radiculopathy

Question 11

Hip/groin pain + clicking in hip

Answer 11

Acetabula labral tear

Question 12

Pain + swelling dorsoradial forearm 5-10cm from wrist

Answer 12

Intersection syndrome

Question 13

1st line management of trigger finger

Answer 13

Steroid injection (+ splint after)

Question 14

2nd line management of trigger finger

Answer 14

Surgery

Question 15

Leg pain (+/- back pain) that resolves on sitting/leaning forward

Answer 15

Spinal stenosis

Question 16

Leg pain that resolves on rest + weak pulses/cv risk factors

Answer 16

Peripheral arterial disease

Question 17

Pain worse on leaning back

Answer 17

Facet joint pain

Question 18

Pain 4-5cm distal to lateral epicondyle

Answer 18

Radial tunnel syndrome

Question 19

Start bisphosphonate (without FRAX/DEXA) if:

Answer 19

> =75y + fragility fracture
=65y + steroids
Steroids + fragility fracture

Question 20

Offer DEXA (without first FRAX) to:

Answer 20

> =50y + fragility fracture
<40y + major risk factors

Question 21

Steroids considered high-risk for OP

Answer 21

> =7.5mg prednisolone for >=3m

Question 22

T-score to offer bone protection if steroids

Answer 22

Less than -1.5