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Rafi MSK- Test Questions with VerifiedSolutions
A 36-year-old female presents to the GP with painful hands which started two weeks ago. She
describes the pain as constant but worst in the mornings where it takes an hour or so for her
hands to loosen up and become fully functional. She has no significant past medical history and
is functionally independent. On examination, there is erythema, swelling, and tenderness of the
metacarpophalangeal joints on both hands. She is not able to make a tight fist due to the
discomfort. On systemic examination, there is nothing else of note and vital signs are all within
normal limits.
What is the most likely diagnosis?
Gout
Rheumatoid arthritis
Polymyalgia rheumatica
Septic arthritis
Osteoarthritis" Correct Ans-Rheumatoid arthritis
"
A 27-year-old man presents to his GP with a swollen, painful knee that has developed over the
last 3 days. He feels generally unwell and since this morning he has noticed that his eyes are
sore. He has never experienced anything like this before and he has no significant past medical
history. He had a few days of bloody diarrhoea which he did not seek medical review for. On
examination, you note slight redness of the conjunctiva, but no discharge. The right knee is
,noticeably swollen and warm to palpation. Patella tap test is positive and there is a limited range
of movement due to pain. His vital signs are all within normal limits.
What is the most likely diagnosis?
Psoriatic arthritis
Reactive arthritis
Septic arthritis
Gout
Rheumatoid arthritis" Correct Ans-Reactive arthritis
"
A 70-year-old woman presents to the emergency department with excruciating pain in her left
hip after she sustained after a fall. She was walking when she slipped on some wet tiles at home
and fell onto her left hip. She did not lose consciousness, but could not move to call for help. Her
grandson found her after 30 minutes on the ground and noticed that she couldn't move her leg.
Her left foot is externally rotated, and shorter than her right leg.
Which artery that supplies the femoral head, if compromised, would lead to avascular necrosis?
Superficial femoral artery
Lateral femoral circumflex artery
Internal iliac artery
Medial femoral circumflex artery
,Deep femoral artery" Correct Ans-medial circumflex femoral artery
"
A 23-year-old man presents to A&E after being hit in the right lower calf by a tackle during a
football match. He was unable to continue playing but could walk with some pain and weakness.
He is worried he may have broken his ankle.
On examination, vitals are stable, there is bruising of the skin at the site of the injury, slight
dorsiflexion of the affected foot when lying prone, a palpable gap in the lower calf and he has
difficulty standing on tiptoes on the right side.
Which clinical finding would you expect to be positive in this patient?
Thomas' Test
Simmond's Test
Buerger's Test
Gower's sign
Vernon's sign" Correct Ans-Simmond's test
"
A 32-year-old male presents to A&E after injuring his knee during a football match earlier that
day. He reports a popping sensation as he twisted his knee during the match, with immediate
onset of pain and swelling of the joint, which worsened further over the following hours. On
examination, the left knee is swollen, but there is no associated bruising, erythema or warmth.
, There is some tenderness along the joint lines of the knee. The drawer test reveals anterior
movement of the tibia over the femur.
Which of the following is the most likely diagnosis?
Anterior cruciate ligament rupture
Lateral collateral ligament rupture
Tibial fracture
Fibular fracture
Posterior cruciate ligament rupture" Correct Ans-Anterior cruciate ligament rupture
An 85-year-old man presents to his GP with low back pain
for 2 days. Over the previous 3 years, he noticed that his
shirts seemed to be getting longer but not looser. He had a
previous rib fracture 1 year ago after falling off his seat. A
blood test is performed and the results are as follows:
Calcium normal
Phosphate normal
ALP normal
Which is the most likely diagnosis?
A. Myeloma.
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