MSK 2

Question 1

Osteomyelitis occurs where in children?

Answer 1

long bone

metaphysis

Question 2

how do osteomyelitis occur?

Answer 2

haemtogenous >
> bacteria
> most common in children
> vertebral in adults

non haematogenous
> continuous from spread
> soft tissue
>polymicrobial

RF : ulcers DM2, PAD

Question 3

what is a Weber A fractures?

Answer 3

minimal displaced
stable
below syndesmosis of ankle - stable

Question 4

what is a CAM boot?

Answer 4

controlled ankle motion boot - 6 weeks

Question 5

facet join pain?

Answer 5

pain worse in morning and on standing
worse on extension of bacjk

Question 6

what two fractures may cause compartment syndrome as a side effect?

Answer 6

supracondylar and tibial shaft fractures

Question 7

compartment syndrome

Answer 7

pain on passive movement
excessive use of breaththrough analgesia

parasthesia
pallor

arterial pulsation

paralysis

Question 8

radial head fracture?

Answer 8

common in young adults

marked tenderness at head of radius
imapired elbow movement

pain at lateral side of the elbow

Question 9

loss of foot dorsiflexion

Answer 9

nerve root L5

Question 10

greater trochanteric pain syndrome?

Answer 10

isolated hip/thigh pain with tenderness over greater trochanter

Question 11

NAI - paeds

Answer 11

delay in milestone
delay presentation

multiple injuries

Question 12

what fracture most common in fist fights?

Answer 12

bennet’s fracture

Question 13

what ligament sprain is most commonly injured in inverison injuries of the ankle?

Answer 13

anterior talfibular ligamenet

Question 14

greenstick fractures

Answer 14

bend and snap

Question 15

mx of plantar fascitis?

Answer 15

weight loss
simple stretch exercises

rest the heel

Question 16

carpal tunnel syndrome and surferfy

Answer 16

wrist splint at night

Question 17

non osteoporotic causes of fragility fractures?

Answer 17

bone metastases
myeloma
paget’s

Question 18

compartment syndrome
> intracompartmental pressure

Question 19

what is cubital tunnel syndrome?

Answer 19

Ulnar nerve compressed / irritated

Question 20

salter fracture?

Answer 20

epiphyseal plate / growth plate

Question 21

tinels test

Answer 21

carpal tunnel syndrome
median nerve entrapment

Question 22

surgical management of carpal tunnel syndrome?

Answer 22

flexor retinaculum structure divided

Question 23

what is first line mx of carpal tunnel?

Answer 23

wrist splint and steorid injection

6 weeks

3rd line is surgeyr

Question 24

acetabular labral tear

Answer 24

hip groin pain
snapping sensation around the hip

sensation of locking

Question 25

when concerned about sarcoma what is first line imaging?

Answer 25

xrays CT MRI

Question 26

when would an MRI be offered for lower back pain?

Answer 26

non specific > malignancy > infection > cauda equina

Question 27

dupuytrens contracture Mx

Answer 27

1st line: NSAIDs 2nd: Refer to rheumatology >injectable enzyme >surgerg

Question 28

what shoulder dislocation is associated with seizures?

Answer 28

posterior shoulder dislocation

Question 29

what is trigger finger?

Answer 29

stenosing tenosynovitis flexor tendon sheath of finger

Question 30

swan-neck deformity

Answer 30

hyperextension of the proximal interphalangeal

Question 31

Boutonniere deformity

Answer 31

flexion at the PIP joint and hyperextension at the DIP joint due to damage to central slip extensor tendon overlying PIP joint

Question 32

leriche syndrome

Answer 32

claudication of buttocks and thighs atrophy of musculature impotence

Question 33

Leriche syndrome

Answer 33

atherosclerotic occlusive disease AA Iliac arteries IX: nagiography

Question 34

club foot mx?

Answer 34

Manipulation and progressive casting starting soon after birth ponsetti method

Question 35

posterior hip fractures present how?

Answer 35

shortened and internally rotated leg

Question 36

shortened and externally rotated leg?

Answer 36

NOF fracture

Question 37

what nerve injury is common with posterior hip dislocation?

Answer 37

sciatic nerv

Question 38

triceps tendon which nerve are you testing

Answer 38

radial nerve ( triceps muscle) C7 nerve root

Question 39

Elbow flexion?

Answer 39

musculocutaneous nerve c5-c7