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Clinical quiz - musculoskeletal problems

Are these statements true or false? Click on the "answers" link at the bottom to find out.

Are these statements true or false? Click on the "answers" link at the bottom to find out.


1. Acute gout

a In 50% of first attacks, affects the big toe metacarpophalangeal joint

b Causes a severe monoarthritis, which settles within a few days

c Can be treated with colchicine or oral steroids if NSAIDs are contraindicated

d Affects the sexes equally

e Should be investigated by checking the uric acid at presentation

2. A winged scapula

a Is an abnormal lifting of the vertebral border of the scapula away from the thorax

b Is most commonly caused by paralysis of the serratus anterior

c Is immediately apparent on examination

d Causes no disability

e Requires no treatment

3. Carpal tunnel syndrome

a Is most common in women, especially between the ages of 40 and 60

b May cause hypothenar wasting

c Classically causes paraesthesiae and pain, which are worse at night

d May be treated effectively with pyridoxine or diuretics

e Is helped by night splints in most cases

4. Rheumatoid nodules

a Occur in 50% of patients with rheumatoid arthritis

b Are the most common extra-articular manifestation of rheumatoid arthritis

c Can be complicated by pain, ulceration and infection

d Can occur in eyes, lungs or heart

e May be worsened by methotrexate therapy

Acute gout A winged scapula Carpal tunnel syndrome Rheumatoid nodules Answers Related Seminar: Musculoskeletal Medicine

Clinical Seminar: Musculoskeletal Medicine

What: A one day refresher to update GPs on the hot issues and trickiest dilemmas in rheumatology and orthopaedics.

When: Thursday 5 November 2009

Where: Raddison Hotel, Manchester

Next steps: Find out more and book

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