MSK

Question 1

Pencil in a cup X ray, sausage fingers

Answer 1

Psoriatic arthritis

Question 2

wrist drop

Answer 2

radial nerve palsy

Question 3

Dinner fork deformity in wrist

Answer 3

displaced Colles fracture

Question 4

pain, tenderness in anatomical snuffbox

Answer 4

scaphoid fracture

Question 5

feels like walking on pebbles

Answer 5

advanced Rheumatoid arthritis in feet - subluxation of the metatarsophalangeal joints

Question 6

arthritis, uveitis, urethritis (cant see, cant pee, cant climb a tree)

Answer 6

Reiter’s (reactive arthritis)

Question 7

foot drop

Answer 7

common fibular nerve (peroneal nerve)

Question 8

fracture shaft of humerus

Answer 8

radial nerve damaged

Question 9

fractured neck of humerus

Answer 9

axillary nerve damage

Question 10

Regimental Badge patch numbness

Answer 10

Axillary nerve palsy

Question 11

Malar Rash

Answer 11

SLE/mitral stenosis

Question 12

Avascular necrosis common locations

Answer 12

Proximal scaphoid, Intracapsular femoral, femoral condyles, humeral head, capitellum and proximal talus

Question 13

Hanging rope sign

Answer 13

AVN - Perthes disease

Question 14

Negative birefringent, needle shaped urate crystals

Answer 14

gout

Question 15

rhomboid, mildly positive birefringent Ca pyrophosphate crystals

Answer 15

pseudo-gout

Question 16

Positive anterior drawer test (tibia can be pulled forward easily on the femur when knee flexed)

Answer 16

ACL tear/rupture

Question 17

Pain in internal rotation and extension of knee at 90 degree

Answer 17

lateral meniscal tear

Question 18

Painful arc (pain on abducting between about 70-120 degrees)

Answer 18

damaged supraspinatus tendon, frozen shoulder

Question 19

Dry eyes, mouth, skin, +ve Schirmer’s test

Answer 19

Sjogren’s Synd. (with infiltration) (often with RA)

Question 20

Dry eyes, mouth, vagina, bronchitis

Answer 20

Sicca Synd. (no infiltration) (no signs of arthritis)

Question 21

Locked knee

Answer 21

bucket handle meniscal tear

Question 22

Bamboo spine on X RAY, and sacroiliitis

Answer 22

ankylosing spondylitis

Question 23

Question mark posture

Answer 23

ankylosing spondylitis

Question 24

Shortened leg and externally rotated

Answer 24

displaced fracture neck of femur

Question 25

Shortened leg and internally rotated

Answer 25

Dislocated femoral head

Question 26

“Onion-peel” sign

Answer 26

Ewing’s sarcoma

Question 27

“Sunray” spiculation

Answer 27

osteosarcoma

Question 28

“Popcorn calcification”

Answer 28

Chondrosarcoma

Question 29

“Soap bubble” appearance on X Ray

Answer 29

Giant cell tumour (benign)

Question 30

scalp tenderness and jaw claudication

Answer 30

temporal arteritis