Question Easy:
A 25-year-old man comes to the GP with an acutely swollen right knee following an informal football match. He heard a “pop” at the time of injury and is now unable to fully weight bear. What is the most likely diagnosis? 🌟
A) Medial collateral ligament injury
B) Anterior cruciate ligament injury
C) Meniscal tear
D) Posterior cruciate ligament injury
E) Patellar dislocation
Question Medium:
A 60-year-old woman presents with right hip pain that radiates down to the knee. She reports the pain worsens when walking and improves with rest. On examination, there is a limited range of motion, particularly in internal rotation. What is the most likely underlying pathology? 🤔
A) Piriformis syndrome
B) Lumbar radiculopathy
C) Osteoarthritis
D) Trochanteric bursitis
E) Avascular necrosis
Question Hard:
A 35-year-old woman with a history of rheumatoid arthritis is brought to the emergency department with a painful right shoulder. She experiences severe pain with any movement and prefers to hold her arm close to the body. On examination, the shoulder is tender and there is an obvious deformity. What is the most likely complication that has occurred? 🌧️
A) Adhesive capsulitis
B) Rotator cuff tear
C) Glenohumeral joint dislocation
D) Acromioclavicular joint separation
E) Subluxation of the shoulder joint
Explanations & Answers:
Question Easy Answer: B) Anterior cruciate ligament injury
Question Easy Explanation: The symptoms described, including the “pop” sound, immediate swelling, and difficulty weight bearing, are classic for an anterior cruciate ligament (ACL) injury. According to NICE guidelines, the ACL is commonly injured in sports settings, especially involving sudden changes in direction or landing incorrectly. 🏃♂️
Question Medium Answer: C) Osteoarthritis
Question Medium Explanation: This woman’s symptoms are typical of hip osteoarthritis, which is characterized by pain that worsens with activity and improves with rest. The limited internal rotation is particularly indicative of hip joint osteoarthritis. NICE guidelines recommend lifestyle modifications, pain management, and physiotherapy as part of the treatment plan. 🦴
Question Hard Answer: E) Subluxation of the shoulder joint
Question Hard Explanation: In patients with rheumatoid arthritis, repeated joint inflammation can weaken and damage the joint structures, leading to instability and subluxation. The shoulder’s noticeable deformity and pain support the possibility of a subluxation. Management usually involves reducing the subluxation and treating inflammation as per BNF guidance. 💪
Medical fact of the day: Did you know that the human hand has 27 bones, making it one of the most intricate and versatile parts of the musculoskeletal system? This complexity is essential for performing a wide range of precise and powerful movements! 🖐️
Quote of the day: “In the care of others, we discover our own strength. Keep pushing boundaries, learning, and healing.” 🌅