MSK Pastest

Question 1

What muscle tear is associated with a positive bell press test & lift-off test?

Answer 1

Subscapularis Tear

Question 2

What’s the management of cervical spondylosis?

Answer 2

Physiotherapy

Question 3

What is the investigation of a suspected Scaphoid Fracture?

Answer 3

X-ray of the wrist in PA, Lateral, PA W/ ulnar deviation, and oblique views.

Question 4

What is the management of an acute presentation of gout?

Answer 4

Joint Aspiration

Question 5

Fractures above the level T4 are indicative of what type of underlying disease?

Answer 5

Cancer

Question 6

What is a Galeazzi Fracture?

Answer 6

This is a fracture of the distal 1/3rd of the radius, with subluxation/dislocation of the distal radioulnar joint.

Question 7

What is a Hill-Sachs lesion?

Answer 7

This is associated with anterior shoulder dislocation, and it is a cortical depression in the posterolateral head of the humerus.

Question 8

What is Barton’s Fracture?

Answer 8

This is an intra-articular distal radial fracture, with joint involvement and radiocarpal dislocation

Question 9

What is Colles Fracture?

Answer 9

This is an extra-articular distal radial fracture with dorsal angulation. (fall onto the outstretched hand)

Question 10

What muscle damage leads to a winged scapula?

Answer 10

Serratus Anterior (Damage to itself or long thoracic nerve)

Question 11

What is the most commonly dislocated carpal bone?

Answer 11

Lunate, will dislocate anteriorly and compress the median nerve. (Carpal Tunnel Syndrom Symptoms)

Question 12

What is the drug of choice in a patient with a high T Score?

Answer 12

Biphosphonate

Question 13

With a torn distal biceps tendon, what movements are abolished?

Answer 13

Flexion at the elbow, supination of the forearm

Question 14

What nerve may be affected in a neck of fibula fracture?

Answer 14

Common peroneal nerve

Question 15

What is the biggest risk factor for Dupuytren’s?

Answer 15

Alcohol Excess

Question 16

What is a Monteggia Fracture?

Answer 16

This is a fracture of the ulnar shaft, associated with dislocation of the proximal radioulnar joint.

Question 17

Features of Paget’s Disease?

Answer 17

Bone Pain
Apparent Joint Pain
Deformities
Nerve Compression
Elevated Bone Blood Flow (cardiac failure)
Weakness of abnormal bone leading to pathological fractures.
X-ray changes (enlargement/ expansion of bone)

Question 18

What is the first-line treatment of Paget’s disease?

Answer 18

Bisphosphonates

Question 19

What are some side effects of bisphosphonates?

Answer 19

Gastritis, Osteonecrosis of the Jaw, Fevers, Myalgia, and arthralgias

Question 20

What vertebral level is the spine of the scapula?

Answer 20

T3

Question 21

What is a common sign of RA on X-Ray?

Answer 21

Peri-articular Ostepenia

Question 22

Regimental Badge Area is associated with what condition?

Answer 22

Shoulder Dislocation with axillary nerve involvement

Question 23

Swinging kids by the arms lead to what condition?

Answer 23

Radial Head Subluxation

Question 24

Is uphill or downhill walking more painful in spinal stenosis?

Answer 24

Downhill is more painful as the back is less flexed.

Question 25

Is uphill or downhill walking more painful vascular claudication?

Answer 25

Uphill is more painful.

Question 26

What is a Boxer's Fracture?

Answer 26

Fracture of the neck of the fifth metacarpal.

Question 27

Gold Standard Investigation of Spondolytic Cervical Myelopathy?

Answer 27

MRI of Cervical Spine

Question 28

How does teriparatide act?

Answer 28

It has a direct anabolic effect on bone.

Question 29

What muscle is associated with Tennis Elbow?

Answer 29

Extensor Carpi Radialis Brevis

Question 30

What is the Triad of Features for Felty's Syndrome?

Answer 30

RA, Neutropenia, Splenomegaly

Question 31

What type of disease is polymyalgia rheumatica?

Answer 31

Inflammatory disease

Question 32

What blood test is seen in polymyositis?

Answer 32

Increased Aldolase

Question 33

Signs of SLE

Answer 33

Fever & Joint Pain Rash on Both Cheeks Immunoglobulin, C3, Fibrinogen Deposits Anti-dsDNA antibody

Question 34

Classic Triad of Reactive Arthritis

Answer 34

Arthropathy Conjunctivitis Urethritis

Question 35

Features of Polymyalgia Rheumatica

Answer 35

Worse in the Morning High ESR Bilateral Joint Pain/Stiffness Fatigue/Low-Grade/Fever/Anemia

Question 36

In a patient with RA and up for surgery what must you check?

Answer 36

Cervical Spine X-Rays

Question 37

What are the blood tests seen with Paget's?

Answer 37

High ALP, normal Ca & Phosphate

Question 38

What drug is used for procedural sedation in children?

Answer 38

Midazolam

Question 39

What structure is most likely to be damaged with an injury to the anatomical snuffbox?

Answer 39

Radial Artery

Question 40

What pulmonary condition is associated with rheumatoid arthritis?

Answer 40

Bronchiectasis

Question 41

What is the finding in osteoporosis?

Answer 41

Decreased Cortical & Trabecular bone with normal Bone mineralization.

Question 42

What muscles are affected in Dequervain's Tenosynovitis?

Answer 42

Extensor Pollicis Brevis | Abductor Pollicis Longus