MSK

Question 1

can swaddling cause DDH

Answer 1

yes, in extension

Question 2

DDH range of movement

Answer 2

limited hip abduction

Question 3

DDH investigations

Answer 3

USS if <4/12 (done in 2-4 weeks if symptoms, or 6 weeks if RF only)
X ray if >4/12

Question 4

typical cause of osteomyelitis/septic arthritis

Answer 4

bacteraemia

Question 5

Duchenne’s CK level

Answer 5

high in babies
low in older children (muscle wasting)

Question 6

drug for SLE

Answer 6

hydroxychloroquine

Question 7

drug to avoid in SLE

Answer 7

sulfasalazine

Question 8

area affected in normal ostemyelitis

Answer 8

metaphysis

Question 9

area affected in sickle cell osteomyelitis

Answer 9

diaphysis

Question 10

SUFE slip

Answer 10

proximal femoral epiphysis slips posteriomedially

Question 11

ANA increases risk of

Answer 11

iridocyclitis

Question 12

X ray finding of septic arthritis

Answer 12

widened joint space

Question 13

HSP markers

Answer 13

raised IL6 and TNFa

Question 14

HSP rash

Answer 14

initially blanchable

Question 15

definitive test for Duchennes

Answer 15

muscle biopsy (not necessary after genetic diagnosis)

Question 16

features of congenital scoliosis

Answer 16

primary school children
part of a syndrome

Question 17

features of idiopathic scoliosis

Answer 17

secondary school children
otherwise well

Question 18

compensatory scoliosis

Answer 18

leg length discrepancy

Question 19

Erb’s palsy nerve and Ix

Answer 19

C5/6 - upper trunk where the two meet
XR for clavicle/humeral #

Question 20

features of systemic JIA

Answer 20

Still’s disease
salmon rash
ANA/RF -ve

Question 21

features of oligoarticular JIA

Answer 21

4 or fewer
anterior uveitis
ANA +ve

Question 22

extended JIA

Answer 22

initially 4 or fewer joints, extending to 5 or more after 6 months

Question 23

features of polyarticular JIA

Answer 23

5 or more joint
RF -ve

Question 24

features of enthesis related JIA

Answer 24

HLA B27
IBD/psoriasis
anterior uveitis

Question 25

kyphosis vs scoliosis

Answer 25

kyphosis = forwards
scoliosis = sideways

Question 26

Scheuermann’s

Answer 26

anterior side of vertebra grows more slowly resulting in kyphosis

Question 27

migratory arthritis

Answer 27

rheumatic fever

Question 28

SUFE range of movement

Answer 28

external rotation on hip flexion

Question 29

cause of reactive arthritis

Answer 29

Chlamydia

Question 30

XR for scoliosis

Answer 30

full spine

Question 31

joint pain and ANA

Answer 31

JIA
SLE