Musculoskeletal

Question 1

What classically presents with back pain, worse on coughing?

Answer 1

Annulus tear

Question 2

What is spondylolisthesis?

Answer 2

Slippage of one vertebra over another

Question 3

What is spondylosis?

Answer 3

Degeneration of intervertebral disc

Question 4

What is the first sign of hip pathology?

Answer 4

Loss of internal rotation

Question 5

What is the first sign of shoulder pathology?

Answer 5

Loss of external rotation

Question 6

What is the most common organism in septic arthritis?

Answer 6

Staph aureus

Question 7

When does RA usually present?

Answer 7

Any age

Question 8

What are symptoms of psoriatic arthritis?

Answer 8

Inflammatory arthritis with DIP involvement

Question 9

What type of bone is the diaphysis made from?

Answer 9

Outer ring of cortical bone

Question 10

What type of bone is the epiphysis made from?

Answer 10

Trabecular bone

Question 11

What is a skeletal muscle fibre covered in?

Answer 11

Endomysium

Question 12

What covers a muscle fascicle?

Answer 12

Perimysium

Question 13

What does epimysium cover?

Answer 13

Whole muscle

Question 14

Is there a risk of malignant change with osteochondroma?

Answer 14

Yes - 1%

Question 15

What are the names of spaces in bone for blood vessels?

Answer 15

Haversian canals

Question 16

What are risk factors for brachial plexus injury?

Answer 16

Increased size (eg macrosomia in gestational diabetes)
Twin deliveries
Shoulder dystocia

Question 17

What is Erb’s palsy and how does it present?

Answer 17

C5, 6 palsy

Waiter’s tip posutre

Question 18

What is Klumpke’s palsy and how does it present?

Answer 18

C8, T1

Flexed fingers

Question 19

Risk factors for tendonitis

Answer 19

Quinolone antibiotics (ciprofloxacin, levofloxacin)
RA
Steroid use
Gout

Question 20

Where is the thickest hyaline cartilage in the body?

Answer 20

Patella

Question 21

Risk factors for carpal tunnel syndrome

Answer 21

Chronic renal failur
Hypothyroidism
Pregnancy
Female

Question 22

Risk factors for Dupuytren’s contracture

Answer 22

Male
Excess alcohol
Diabetes
(NOT smoking)

Question 23

What is deposited in Dupuytren’s contracture?

Answer 23

Abnormal Type III collagen

Question 24

What would suggest diffuse rather than limited systemic sclerosis?

Answer 24

Pulmonary fibrosis
Trunk skin involvement
Anti-Scl70

Question 25

When would a patient with anti-phospholipid syndrome be started on warfarin? For how long?

Answer 25

Thrombotic event | Lifelong anticoagulation

Question 26

What investigation should be done if SLE is suspected?

Answer 26

Urinalysis

Question 27

Should allopurinol be discontinued in an acute gout flare?

Answer 27

No

Question 28

What malunion of a distal radius fracture lead to?

Answer 28

Loss of wrist extension | Poor grip strength

Question 29

What is the management of CRPS?

Answer 29

Referral to pain services

Question 30

What is the minimum GCS? | At what GCS is airway control lost?

Answer 30

3 | 8

Question 31

Is the periosteum of children's bones thicker or thinner than adult bones?

Answer 31

Thicker

Question 32

Should the affected limb be above or below heart level in compartment syndrome?

Answer 32

At heart level

Question 33

What structures may be damaged in a Colles fracture?

Answer 33

Median nerve EPL Carpal bones

Question 34

What is a sign of AVN on hip XR?

Answer 34

Hanging rope sign

Question 35

What is sunray spiculation a sign of on XR?

Answer 35

Osteosarcoma

Question 36

What is popcorn calcification a sign of on XR?

Answer 36

Chondrosarcoma

Question 37

What is rosary bead sign indicative of?

Answer 37

Polyarteritis nodosa

Question 38

What is Shepher's crook deformity a sign of?

Answer 38

Fibrous dysplasia

Question 39

Visual loss, mouth and genital ulcers are a sign of...?

Answer 39

Behcet's disease

Question 40

How will a dislocated femoral head present?

Answer 40

Leg shortened and internally rotated

Question 41

How will a displaced fracture of NOF present?

Answer 41

Leg shortened and externally rotated

Question 42

What is creeping substitution a buzzword for?

Answer 42

AVN