20

Question 1

out of hours protocol for open fractures

Answer 1

photograph injury

Question 2

how to management acute rotator cuff tears

Answer 2

• early surgical repair

Question 3

presentation of polymyalgia rheumatica

Answer 3

• sudden onset shoulder +/- pelvic girdle stiffness
• malaise
• fever
• weight loss
• depression
• arthralgia
• synovitis

Question 4

describe Paget disease of bone

Answer 4

impaired bone replacement. osteoclasts destroying bone quicker than osteoblasts can make bone

Question 5

SUFE investigations

Answer 5

lateral view plain x-rays

Question 6

what occurs 2-3 weeks after open nerve injury

Answer 6

distal portion of nerve undergoes Wallerian degeneration 2-3 weeks after injury

Question 7

investigations for lumbar disc prolapse

Answer 7

MRI

Question 8

haemangioma

Answer 8

benign vascular tissue tumour

Question 9

common causes antalgic gate

Answer 9

• spinter
• sprained ankle/ foot
• OA
• tendonitis

Question 10

describe Wegners granunomatosis

Answer 10

necrotising granulomatous inflammation affecting predominantly small to medium vessls

Question 11

epidemiology pauciarticular JIA type 2

Answer 11

8-9

boys

Question 12

epidemiology pauciarticular JIA type 3

Answer 12

any age
FH psoriasis
girls

Question 13

management of type II and III osteochondral lesion

Answer 13

drilling/ fixing

Question 14

symptoms femeroacetabular lesion

Answer 14

groin pain worse with flexion
block to movement
pain squatting/ lunging

Question 15

management plantar fibromatosis

Answer 15

• avoid pressure
• excision
• radiotherapy
• combination of above

Question 16

most common organisms chronic osteomyelitis

Answer 16

staph aureus
ecoli
strep pyogenes

Question 17

describe extrusion lumbar disc prolapse

Answer 17

nucleus pulposes through annulus fibrosis but in continuity

Question 18

differential diagnosis acute osteomyelitis

Answer 18

acute septic arthritis
acute inflammatory arthritis
trauma
transient syncvitis
haemophilia
sickle cell crisis 
rheumatic fever

Question 19

what is perthes disease

Answer 19

blood supply to HOF is temporarily disrupted, causing avascular necrosis

Question 20

define osteogenesis imperfecta type III

Answer 20

progressive deformity with severe bone dysplasia and poor growth
sclera blue/ grey
antenatal fractures in many

Question 21

rheumatic causes osteoporosis

Answer 21

• RA
• ankylosing spondylitis
• polymyalgia rheumatica

Question 22

describe lumbar disc prolapse

Answer 22

annulus fibrosis tears, nucleus pulposes prolapses