ortho

Question 1

Medial knee pain

Answer 1

MCl/meniscus

Question 2

anterior knee pain

Answer 2

patella

Question 3

lateral knee pain

Answer 3

LCL/meniscus

Question 4

posterior knee pain

Answer 4

hamstring tendons, baker’s cyst

Question 5

Instability of knee on changing direction

Answer 5

ACL

Question 6

Knee instability on valgus stress eg breast stroke

Answer 6

MCL

Question 7

knee instability on varus stress

Answer 7

LCL

Question 8

Knee instability on walking uphill/hyperextension

Answer 8

PCL

Question 9

Can MCL/LCL cause swelling

Answer 9

no as they aren’t intra-articular

Question 10

If PCL is ruptured it might also be along with what injury

Answer 10

popliteal tendon
LCL
(posterolateral corner)

Question 11

IVDU with severe back pain and signs of infex

Answer 11

discitis

Question 12

Management for intracapsular NOF in a highly functioning person

Answer 12

THR

Question 13

Management for intracapsular NOF in a poorly functioning person

Answer 13

Hemiarthroplasty

Question 14

Management for intertrochanteric extracapsular NOF

Answer 14

DHS

Question 15

Management for subtrochanteric extracapsular NOF

Answer 15

medullary nail

Question 16

Someone with a suspected meniscal tear with a locked knee post trauma should be advised what in order to improve chance of repair

Answer 16

don’t weight bear

Question 17

dactylitis, pain along the finger on passive extension, pain along tendon

Answer 17

flexor tenosynovitis- emergency

Question 18

When is Simmond’s test use

Answer 18

achilles rupture- calf squeeze

Question 19

Swollen, red hot foot in diabetic patient

Answer 19

charcot’s foot

Question 20

Osteomyelitis pathogen

Answer 20

staph aureus

Question 21

On shoulder abduction pain between 60 and 120 degrees

Answer 21

subacromial impingement

Question 22

Pain in the first 60 degrees of shoulder abduction

Answer 22

rotator cuff tear

Question 23

Lumbar disc prolapse- which vertebrae if posterolateral leg and lateral side of foot numb, with reduced ankle reflex

Answer 23

S1

Question 24

Lumbar disc prolapse- which vertebrae if dorsum of foot numb with intact reflexes

Answer 24

L5

Question 25

Lumbar disc prolapse- which vertebrae if anterior thigh numb and reduced knee reflex

Answer 25

L3

Question 26

Lumbar disc prolapse- which vertebrae if anterior knee numbness and reduced knee reflex

Answer 26

L4

Question 27

burning thigh pain

Answer 27

meralgia paraesthetica - lateral cutaneous nerve of thigh compression

Question 28

what could be a source of staph aureus discitis

Answer 28

endocarditis- do an echo

Question 29

Cystic lesion proximal to the nail bed in a patient with OA

Answer 29

Myxoid cyst

Question 30

Discitis pathogen

Answer 30

staph aureus

Question 31

Who should get FRAX score

Answer 31

Women >65, men >75 Younger pts with risk factors (includes being a smoker or drinking over 14u alcohol/week, endocrine conditions incl diabetes, COPD, liver failure, CKD, immobility)

Question 32

Causative pathogen of blood and bone infections in sickle cell

Answer 32

non-typhi salmonella

Question 33

Carpel tunnel test where you passively flex the patient's wrist and hold it in flexion.

Answer 33

Phalen's

Question 34

Carpel tunnel test where you tap the nerve

Answer 34

Tinels

Question 35

which bursa is affected in 'housemaids knee'

Answer 35

prepatellar bursa

Question 36

Gradual onset unilateral or bilateral leg pain (with or without lower back pain), numbness, and weakness which is worse on walking

Answer 36

Spinal stenosis

Question 37

how to definitively diagnose spinal stenosis

Answer 37

MRI spine

Question 38

patients with arthritis or gout and following a minor trauma to the knee may develop

Answer 38

baker's cyst

Question 39

Pain worse on extension of the back and tender on palpation of spine

Answer 39

Facet joint pain

Question 40

Back pain that is improved by leaning forward when walking, or crouching

Answer 40

spinal stenosis

Question 41

what medication has dupytrens as a SE

Answer 41

phenytoin

Question 42

soap bubble appearance bone tumour

Answer 42

osteoclastoma (giant cell tumour)

Question 43

sunburst appearance bone tumour

Answer 43

osteosarcoma

Question 44

onion appeareance bone tumour

Answer 44

Ewing's sarcoma