MSK random factoids

Question 1

SLE antibody

Answer 1

anti-DNA binding antibody

Question 2

gottron’s papules are seen in what

Answer 2

dermatositis

Question 3

what is uric acid seen as

Answer 3

negatively bifrefringement needle crystals

Question 4

is sunfalazine safe in pregnancy

Answer 4

yes

Question 5

what should be avoided when on DMARDS/

Answer 5

live attenuated vaccines

Question 6

which muscle is weak in a positive tredndellenegr test?

Answer 6

gluteus medius

Question 7

transverse fracture

Answer 7

bending force causing horizontal break

Question 8

oblique

Answer 8

shearing force causing diagonal break

Question 9

spiral

Answer 9

torsional force causing diagnoal + circular break

Question 10

comminuted

Answer 10

has 3 or more fragments

usually due to high energy injury

Question 11

segmental

Answer 11

bone fractures in 2 seperate places

Question 12

what is compartment syndrome?

Answer 12

when increased pressure (inflammatory exudate, bleeding) compresses the venous system, causing congestion within muscle compartments and ischaemia since arterial blood cant get through

Question 13

which surgery is performed for compartment syndrome?

Answer 13

faciectomy

Question 14

what is volkmans contracture?

Answer 14

fibrotic contracture that can develop from necrotised muscle in compartmenet syndrome

Question 15

which type of collagen is produced by duputryens disease?

Answer 15

type 3

Question 16

definition of greenstick fracture

Answer 16

occurs in childrens bones with the crotex on the tension side of the frcature failing but the cortex on compression side of frcature remaining intact

Question 17

is thrombocytosis a feature of anti-phospholipid syndorme?

Answer 17

no

Question 18

what are the 3 types of CP and which is the commonest?

Answer 18

spastic - motor cortex problem
ataxic - affects cerobellum + reduced coordination + balance
athetoid - sudden changes in tone + uncontrolled speech

Question 19

what are the blood findings for fibromyalgia?

Answer 19

none - normal

Question 20

when is arthrodesis used?

Answer 20

end stage ankle arthritis, wrist arthritis + arthirits of first MTP joint of foot (hallux ridigus)

Question 21

is perthes disease seen in tall or short stature?

Answer 21

short

Question 22

which is the most common bering surface combination for hip arthroplasty?

Answer 22

metal on polyethlene

Question 23

how much of SUFE is bilateral

Answer 23

1/3

Question 24

do boys or girls get tapes equinovarus more ?

Answer 24

boys

Question 25

is acute osteomyeliitis without surgeyr more common in adults or children

Answer 25

children

Question 26

which movement is lost in frozen shoudler

Answer 26

external rotation

Question 27

what is it called when there is muscle formation in a bone after trauma eg soft > hard lump?

Answer 27

myositis ossificans

Question 28

describe bouchards nodes

Answer 28

PIPS

Question 29

describe herbendes nodes

Answer 29

DIPs

Question 30

age of temporal arteritis

Answer 30

>50

Question 31

sympoms of temporal arteritis

Answer 31

jaw claudication unilateral headahce visual disturbances scalp tenderness

Question 32

most common place for child OM

Answer 32

metaphysis of femur

Question 33

xray ankle rules

Answer 33

ottawa ankle - inability to weight bear both immediateyl and at the time of assessment - presence of tenderness over posterior aspect of medial / lateral malleolus, navicular bone or base of 5th MT

Question 34

age of polymyalgia rheumatic

Answer 34

> 50

Question 35

how to aspirate knee

Answer 35

in extened position

Question 36

antibodies for dermatomyosiis

Answer 36

antiJo

Question 37

investigation for dermatomyositi and polymyosiists

Answer 37

muscle biopsy

Question 38

treatment for poly / dermatomyositis

Answer 38

40mg prednisolone

Question 39

which nerve damaged in broken fibula

Answer 39

common peroneal nerve

Question 40

fibromyalgia symptoms

Answer 40

widespread pain above + below waist for > 3 months

Question 41

signs of brachial artery damae

Answer 41

supracondylar humeral fracture cold fingers reduction / stabilisation of fracture

Question 42

most commonly dislocated wrirst bone

Answer 42

lunate

Question 43

NF sigs on xray

Answer 43

subcutaneous gas on xray after surgery

Question 44

OM treatment

Answer 44

surgical debridement + IV antibiotics

Question 45

RA treatment pyramid

Answer 45

NSAIDS steroids 2 DMARDS infliximab

Question 46

SE of HCQ

Answer 46

retinophaty / corneal deposits

Question 47

apical fibrosis

Answer 47

ank spondy

Question 48

primary supply to femoral neck

Answer 48

medial circumflex artery

Question 49

investigation for rotator cuff tear

Answer 49

US

Question 50

problem swinging child by arm

Answer 50

subluxation of radial head / nursemaids elbow | closed reduction of raidal head subluxation

Question 51

symptoms of pagets

Answer 51

hearing loss + movement problems

Question 52

symptoms of takayasus

Answer 52

pulseless | younger women < 40

Question 53

feltys syndrome

Answer 53

splenomegaly, neutropenia in RA

Question 54

skiers thumb

Answer 54

rupture of ulnar collateral ligament + - volar plate, weakness of pincer grip

Question 55

humerous fracture compromises which nerve

Answer 55

radial

Question 56

polyarterities nodosa associated with which system

Answer 56

renal system

Question 57

which joints are spared in RA

Answer 57

DIP

Question 58

feature of psoriatic arthritis

Answer 58

nail involvement

Question 59

Xray features of OA

Answer 59

reduced joint space subchondral sclerosis bone cycts osteophytes

Question 60

what differes polymyalgia rheumatic from polymyositis

Answer 60

pain and increased ERS + >50

Question 61

who gets SLE

Answer 61

afro carribean women 20-40 years

Question 62

features of pulmonary fibroriss

Answer 62

SOB, dry cough, bilateral fine inspiratory crackles

Question 63

which condition is pulmonary fibrosis assoc with

Answer 63

RA

Question 64

investigation for Pe / anti-phospholipid syndrome

Answer 64

CTPA

Question 65

biochem of pagets

Answer 65

normal Ca and phosphate | increased ALK PHOS