painful arc syndrome

Painful arc syndrome is due to
a.subacromial bursitis

b.rotator cuff injury

c.short head of biceps injury

d.lattissimus dorsi injury

ans:subacromial bursitis

pain in the shoulder and upper arm during mid range of glenohumeral abduction

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COCK UP SPLINT

cock up splint is used for

a.radial nerve palsy

b.ulnar nerve palsy

c.median nerve palsy

d.anterior  interosseous nerve palsy

ans: radial nerve palsy

other splints:
aeroplane splint            brachial nerve palsy

thomas splint                # femur

bohler braun splint     # femur

dennis brown splint     CTEV

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osteoclastoma

soap bubble appearance is seen in 
a.osteoclastoma

b.osteochondroma

c.ewings sarcoma

d. lymphoma

ans: ofcourse its osteoclastoma seen in radiograph

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beheaded scottish terrier

Beheaded scottish terrier sign is seen in

a.spondylosis

b.spondylolisthesis

c.osteoporosis

d.osteogenesis imperfecta

ans: could be a or b,right!  yes its b-spondylolisthesis!    so what is seen in spondylosis........ it is scottish terrier sign

spondylolisthesis is forward displacement of vertebrae.

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some pulsatiles...

which of the following is a pulsatile tumor?

a.osteosarcoma

b.chondrosarcoma

c.ewing's sarcoma

d.osteoclastoma

ans:d-osteoclastoma

telengectatic osteosarcoma is also pulsatile

other bone tumors which can be pulsatile:

1. angiosarcoma/angioendothelioma of bone

2.aneurysmal bone cyst

3.metastases from RCC and thyroid

 pulsatile proptosis-   orbital varices

pulsatile tinnitus-       glomus tympanicum

pulsatile liver-         tricuspid incompetence

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bohler's angle

Bohler's angle is decreased in fracture of ?

a.calcaneum

b. Talus

c.navicular

d.cuboid

ans:a calcaneum

Bohler's angle or Tuber joint angle measures the angular relationship of calcaneum and cuboid

other angles are:

cobb's angle-         scoliosis

kites angle-           CTEV

meary's angle-     pes cavus

baumanns angle-  supracondylar #

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Brodies abscess is most commonly seen

a.epiphysis

b. metaphysis

c.diaphysis

d.epiphyseal cartilage

ans:b metaphysis

recollect the previous explanation; metaphysis is the vascular part of bone, so infection more common.
Brodies abscess is subacute osteomyelitis of bone.

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septic arthritis

septic arthritis is caused by

a.N.gonorrhea

b.E.coli

c.M.tuberculosis

d.all the above

ans: all

MCC  of septic arthritis  in all age groups        - staph aureus

                                              neonates                -Ecoli, group B streptococci

                                               sickle cell anemia-salmonella

                                             elderly                      -aerobic gram negative organisms

                                            tropics                       -Brucella&M TB

                                           

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colles #

MC complication of colles fracture

a.malunion

b.non union

c.sudek's osteodystrophy

d.gunstock deformity

ans:a-malunion leading to stiffness of fingers

sudecks osteodystrophy is also seen- group of sympsthetic nervous system changes like pain , tenderness,stiffness,weakness

malunion results in dinner fork deformity.


gun stock deformity-cubitus varus deformity following malunion of supracondylar # of humerus.

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hip dislocation

5.MC dislocation of hip joint
 a.anterior
b.posterior
c.posterolateral
d.central

ans:b 
posterior dislocation of hip joint is most commonly seen 
mech of injury: dash board injury
'vascular sign of narath ' seen due to head of femur impinges on femoral artery and absence of pulse.
complications:sciatic nerve injury
                       avascular necrosis of femoral head
                       osteoarthritis
                      myositis ossificans

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burton's ds

1.Burton's disease is

a.scurvy+rickets

b.scurvy+syphilis

c.scurvy+osteogenesis imperfecta

d.scurvy+pellagra

ans:a, scurvy +rickets

EDGE:

Burton's  agammaglobulinemia- failure of maturation of Bcell precursors

Burton's line: blue line seen on gums in lead poisoning

Barton's fracture: marginal intraarticular # of distal articular surface of radius.

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39-Bone in Bone Appearance FMGE MARCH 2012

39.BONE IN BONE APPEARANCE  IS SEEN IN ? FMGE MARCH 2012

A.OSTEOPOROSIS

B.OSTEOSARCOMA

C.OSTEOPETROSIS

D.OSTEOGENESIS IMPERFECTA

ANSWER: C

X-ray of the pelvis of a patient with osteopetrosis, adult onset form (Albers-Schonberg disease).

Osteopetrosis, literally "stone bone", also known as marble bone disease and Albers-Schonberg disease is an extremely rare inherited disorder whereby the bones harden, becoming denser and hense bone in a bone appearance.

It is also diagnostic of osteonecrosis and is seen in sickle cell anaemia, Gauchers disease and sarcoidosis.

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The amount of fluid in knee joint is

The amount of fluid in knee joint is

a) 0.4ml – 0.7 ml 

b) 0.7ml – 2 ml 

c) 7-11 ml 

d) 11-12 ml 

[Ans (b)] 

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KANAVEL’S sign is

KANAVEL’S sign is

a) Acute tenosynovitis 

b) Acute appendicitis 

c) Rupture of spleen 

d) Acute pancreatitis 

[Ans (a)] 

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Lunate bone osteoarthritis is called as

Lunate bone osteoarthritis is called as

a) Kohler’s 

b) Keinbock 

c) Freeburg 

d) Perthes 

[Ans (a)]

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Cubitus varus is most commonly due to

Cubitus varus is most commonly due to

a) supracondylar fracture of humerus 

b)Olecranon fracture 

c) congenital 

d) None of the above 

[Ans (a)]

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Diastomatomyelia is due to

Diastomatomyelia is due to

a) Gap in the spinal cord 

b) Spur in the spinal cord 

c)both of the above 

d) None of the above 

[Ans (a)]

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Osteomyelitis is common in

Osteomyelitis is common in

a) Frontal sinus 

b) ethmoid sinus 

c) sphenoid sinus 

d) maxillary sinus 

[Ans (a)]

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The muscle pair which rotates radius without flexion and extension at arm is

 The muscle pair which rotates radius without flexion and extension at arm is

a) pronator quadratus and pronator teres 

b) supinator and Anconeus 

c) Bachioradialis and brachialis 

d) Triceps and Biceps brachii 

[Ans (b)]

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