MSK and Orthopaedics – Exam Review Set 1

What this deck covers

MSK and Orthopaedics – Exam Review Set 1 in 51 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 51 cases, in order

1. C-shaped feet at the baby check
2. A breech baby with a family history
3. One leg looks shorter
4. How the harness works
5. A poor result after treatment
6. In or out at the newborn check
7. A limp for four months
8. Knee pain with a normal knee
9. A limp after a cold
10. Normal film, persistent limp
11. Shaping it as it heals
12. Feet turned in at birth
13. Front of the foot turns in
14. Bow legs in a toddler
15. Walking with toes turned in
16. One leg bowing more
17. A baby with a tilted head
18. A new head tilt at seven
19. A flat spot on the head
20. A break across the physis
21. A bone that bent and cracked
22. A crack after a difficult birth
23. Refusing to walk after a trip
24. A story that does not fit
25. Why image the whole skeleton
26. Two fractures in a year
27. Stiff hips, short stature
28. Bones too white on the film
29. Starting infusions for brittle bones
30. Fever with a painful thigh
31. A newborn who will not move a leg
32. Bone pain in sickle cell disease
33. Sterile bone lesions in many places
34. A mild limp with negative cultures
35. Uneven shoulders at school
36. The neck before the trampoline
37. Back pain that wakes him
38. A gymnast with back pain
39. A rounded back that will not go
40. A painful lump below the knee
41. Sore heels after football
42. A knee that locks
43. Shin pain in a runner
44. A twisted ankle on the pitch
45. Back to rugby after a knock
46. A swollen elbow after a fall
47. An arm that will not be used
48. A twisting break in a toddler
49. Fallen arches at four
50. A break while being lifted
51. A waddle at three years

Diagnoses and management options tested

Across the 51 cases you are asked to choose between options such as: Talipes equinovarus, in, Irritable hip, Repeat the same radiographs in a further six weeks, Referral for surgical correction before walking, Blount disease, The age at, It commonly results in permanent shoulder weakness, Autoimmune destruction of circulating blood cells, Developmental dysplasia of the hip, Streptococcus pyogenes, A functional pain disorder, Patellar tendon rupture from repeated loading, An inherited disorder of collagen synthesis, Application of a full circumferential plaster cast.

Clinical pearls from this deck

• In-toeing has three storeys: forefoot, tibia, hip. Look at the heel to know which one.
• Two risk factors and a normal examination still means a scan. The examination is what you image around, not what you rely on.
• The newborn tests stop working at three months. After that, look at abduction and at the level of the knees.
• The socket is shaped by the head sitting in it. That is why the harness allows movement rather than preventing it.
• The worst outcome in this condition is caused by its treatment. That is why gentle is not a courtesy here, it is the technique.
• Ortolani puts it in. One letter is all it takes to stop confusing the two for good.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all msk and orthopaedics case decks · pediatric reference values.