MSK

Question 1

Pencil in cup X ray appearance, sausage fingers

Answer 1

Psoriatic Arthritis

Question 2

Wrist Drop

Answer 2

Radial nerve palsy

Question 3

Dinner fork or Swan’s neck deformity in wrist

Answer 3

Displaced colles fracture

Question 4

Pain/ tenderness in the anatomical snuffbox

Answer 4

Scaphoid fracture

Question 5

Feels like walking on pebbles

Answer 5

Advanced RA in the feet

Subluxation f the MTP joints

Question 6

Arthritis + Uveitis + urethritis

Answer 6

Reiter’s syndrome (reactive arthritis)

Question 7

Foot drop

Answer 7

Common fibular nerve (peroneal nerve)

Question 8

Fracture srosis

Answer 8

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

Question 9

Hanging rope sign

Answer 9

AVN

Question 10

Negative Birefringement, needle shaped urate crystals

Answer 10

Gout

Question 11

Envelope shaped/ rhomboid, mildly positive birefringement Ca pyrophosphate crystals

Answer 11

Pseudogout

Question 12

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

Answer 12

ACL tear / rupture

Question 13

Pain in internal rotation and extension of knee at 90 degree

Answer 13

Lateral meniscal tear

Question 14

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

Answer 14

Damaged supraspinatus tendon, frozen shoulder

Question 15

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

Answer 15

Sjogren’s syndrome

Question 16

Dry eyes, mouth vagina, bronchitis

Answer 16

Sicca syndrome

Question 17

Locked knee

Answer 17

Bucket handle meniscal tear

Question 18

Bamboo spine on XRay, sacrolilitis and question mark spine

Answer 18

Ank spond

Question 19

shortened leg and externally rotated

Answer 19

displaced fracture neck of femur

Question 20

Shortened leg and internally rotated

Answer 20

dislocated femora head

Question 21

onion peel sign

Answer 21

Ewing’s sarcoma

Question 22

Sunray spiculation

Answer 22

osteosarcoma

Question 23

popcorn calcification

Answer 23

Chondrosarcoma

Question 24

soap bubble appearance on X Ray

Answer 24

Giant cell tumour (benign)

Question 25

Scalp tenderness and jaw claudication

Answer 25

Temporal arteritis

Question 26

Gower's sign positive

Answer 26

DMD

Question 27

Swollen, woody calves

Answer 27

Duchenne or Becker MD

Question 28

Hatchet like face

Answer 28

Myotonic Dystrophy