23

Question 1

osteochondroma

Answer 1

benign cartilage forming tumour

Question 2

symptoms of plantar fasciitis

Answer 2

pain AM
pain on weight bearing after rest
post static dyskinesia
pain @ planter fascia origin
normally lasts 2+ years
relapsing remitting

Question 3

investigations into nerve injury

Answer 3

clinical electromyography

electrophysiological nerve conduction studies

Question 4

malignant bone tumour appearance on x-ray

Answer 4

not well defined borders
cortical destruction
periosteal reactive with new bone growth

Question 5

non-operative management of femeroacetabular impingement

Answer 5

NSAIDs
activity modification
physic referral 
correct posture
strengthen muscles around joint

Question 6

most common primary sites for secondary metastatic bone disease

Answer 6

lung
breast
thyroid
skin

Question 7

management severe multi-system autoimmune disease

Answer 7

cyclophosphamide

rituxibimab

Question 8

management moderate multi-system autoimmune disease

Answer 8

azathioprine
methotrexate
mycophenolate

Question 9

management mild mutli-system auto-immune disease

Answer 9

hydroxychloroquine

Question 10

investigations into multi-system auto-immune disease

Answer 10

• immunology
• imaging
• exclusion of differentials

Question 11

scaphoid #

Answer 11

fracture of bone in wrist

Question 12

differentials polymyalgia rheumatica

Answer 12

• underlying malignancy
• hypo/hyperthyroidism
• fibromyalgia

Question 13

management neurotmesis

Answer 13

repair by suturing or grafting

high chance of miswiring

Question 14

presentation L5/S1 lumbar disc prolapse

Answer 14

S1 sensory loss (little toe and sole of foot)
motor weakness
- foot plantar flexion
- ankle jerk reflex

Question 15

fibrosarcoma

Answer 15

malignant tumour of fibrous tissue

Question 16

osteoblastoma

Answer 16

benign bone forming tumour

Question 17

‘look’ investigations for limp

Answer 17

• foreign bodies
• deformity
• swelling
• erythema
• effusion
• limited ROM
• asymmetry
• unusual wear on shoes
• fit of shoes
• thigh/ calf circumference
• leg length
• asymmetry

Question 18

most common type of hip labral tear

Answer 18

anterosuperior

Question 19

what is hallux rigidus

Answer 19

stiff big toe

Question 20

what vascular condition is polymyalgia rheumatica associated with

Answer 20

giant cell/ temporal arteritis

Question 21

management partial ligament rupture

Answer 21

NSAIDs

activity modification

Question 22

definition of open fracture

Answer 22

direct communication between external environment and fracture