MSK Week

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0 [{"id":309472,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:27:25","updated_at":"2017-11-26 18:44:43","questionName":"Examine the below X-ray. What phenomenon are the yellow arrows pointing to?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/Boutonierre deformity.png","position":16,"explanation":"Boutonniere deformity is a deformed position of the fingers or toes, in which the joint nearest the knuckle (the proximal interphalangeal joint, or PIP) is permanently bent toward the palm while the farthest joint (the distal interphalangeal joint, or DIP","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309488,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:40:02","updated_at":"2017-11-26 18:44:43","questionName":"A 60 year old female presents to you at the assessment suite. Unfortunately she is mute but she points at her hands and indicates they are sore. Whilst you cannot take a history, you notice plaques on her extensor surfaces and flaked skin on her shoulders. You order and x-ray as shown below. Based on all of the information available, what is the best diagnosis for this lady?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/PsA.png","position":19,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":323027,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-11-20 09:01:30","updated_at":"2017-11-26 18:44:43","questionName":"In a patient with Giant Cell (Temporal) Arteritis, what is the defining blood test you should be doing?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":22,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309477,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:32:57","updated_at":"2017-11-26 18:44:43","questionName":"You are examining a patient on the assessment suite. The first thing you see are his fingernails you as shown below. Which of the following diagnoses is now top of your differential?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/Psoriatic fingernails.png","position":18,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309494,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:43:12","updated_at":"2017-11-26 18:44:43","questionName":"A 37 year old women presents to you in general practice. She has a one year history of right wrist and finger pain worse on flexion. On examination a small effusion is present in the right wrist and the 3rd and 4th distal interphalangial joints of her right hand are red and swollen. Onycholysis is noted. There is purple plaques present over the extensor surfaces of the elbows bilaterally. What is the clinical diagnosis?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":20,"explanation":"PSORIATIC! 10-40% associated with Psoriasis, can occur before skin lesions. 80% associated with nail changes (e.g. onychylosis). Several patterns of joint involvement (in order of prevelance): Symmetrical polyarthritis (>4 joints, like RA). Distal interp","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309504,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:53:57","updated_at":"2017-11-26 18:44:43","questionName":"What is the name of this clinical sign? (and for a bonus point what condition is it associated with?)","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":21,"explanation":"Onycholysis. Separation\/loosening of nail from nail bed. Sign of Psoriasis or Psoriatic arthritis","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309465,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:20:28","updated_at":"2017-11-26 18:44:43","questionName":"A 45 year old female has been clerked in but her notes have been lost by some bumbling F1 with no clue. There is, however, an xray on her file so you examine it. What is your diagnosis based on this alone?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/RA.png","position":15,"explanation":"Clear evidence of subluxation, periarticular osetopenia, Loss of intercarpal, carpometacarpal and distal radio-ulnar joint spaces, ulnar deviation of MCP joints extension deformity of DIPs (Boutonierre deformity)","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309473,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:30:21","updated_at":"2017-11-26 18:44:43","questionName":"Examine the below X-ray and select the most appropriate diagnosis","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/RA2.png","position":17,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null}]
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Examine the below X-ray. What phenomenon are the yellow arrows pointing to?

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