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0 [{"id":323028,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-11-20 09:04:07","updated_at":"2017-11-26 18:44:43","questionName":"Which of the below is a first line treatment for Giant Cell (Temporal) Arteritis?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":0,"explanation":"Methotrexate can be considered but is not first line","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309433,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 07:44:27","updated_at":"2017-11-26 18:44:43","questionName":"Mrs. Jones, a 75 year old lady, is admitted to the assessment suite with confusion and polyuria Blood tests show: new anaemia, neutropenia and thrombocytopenia, moderately raised inflammatory markers, and high calcium. What is the most likely unifying diagnosis? ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":10,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309462,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:16:26","updated_at":"2017-11-26 18:44:43","questionName":"Examine the below x-ray and select the most appropriate diagnosis from the list below. ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/OA.png","position":14,"explanation":"Present at the DIP joints are Heberdens nodes and the LOSS mnemonic can be followed quite neatly. Moreover, it does not display any features of the other conditions","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309449,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 08:02:14","updated_at":"2017-11-26 18:44:43","questionName":"Which of the following x-ray features is more consistent with Rheumatoid arthritis than Osteoarthritis?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":13,"explanation":"Osteoarthritis X-ray features can be summed up with LOSS: Loss of joint space, Osteophytes (periarticular bony outgrowths), Subarticular sclerosis, Subchondral cysts. Whereas Rheumatoid arthritis involves Loss of joint space, Soft tissue swelling, Periart","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309435,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 07:47:47","updated_at":"2017-11-26 18:44:43","questionName":"Mr. Jones an 80 year old gentleman currently receiving chemotherapy for prostate cancer. He presents to A+E with back pain and bilateral leg weakness for the past 2 weeks. He also complains of new faecal incontinence and there is evidence of saddle paraesthesia and reduced anal tone on PR examination. What is the most likely diagnosis?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":11,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":301650,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-16 05:11:55","updated_at":"2017-11-26 18:44:43","questionName":"Examine the below Xray. What is the most likely diagnosis here?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/Osteo XR.png","position":4,"explanation":"LOSS: Loss of joint space, Osteophytes, Subarticular scleosis and Subchonral cysts. The hallmarks of degenerative joint disease (DJD) are joint space narrowing, sclerosis, and osteophytosis. If all three of these findings are not present, another diagnos","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":301649,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-16 05:00:04","updated_at":"2017-11-26 18:44:43","questionName":"Bouchard's nodes are a classic clinical feature of which MSK condition?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":3,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":301647,"quiz_id":"15420","answer_id":null,"answerType_id":"2","created_at":"2017-10-16 04:56:14","updated_at":"2017-11-26 18:44:43","questionName":"Examine the picture below and match up the type of feature with its common clinical name ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/Heberdens and Bouchards.png","position":1,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309439,"quiz_id":"15420","answer_id":null,"answerType_id":"2","created_at":"2017-10-26 07:52:51","updated_at":"2017-11-26 18:44:43","questionName":"Cauda equine is a common neurosurgical emergency and you are likely to encounter is at some stage during your career. It is compression of the cauda equine section of the spinal cord. But what is the most likely cause of the compression, dependant on age?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":12,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":301653,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-16 05:46:56","updated_at":"2017-11-26 18:44:43","questionName":"Regarding the clinical features of RA, select the true statements from the list below","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":7,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":301651,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-16 05:16:43","updated_at":"2017-11-26 18:44:43","questionName":"Examine the radiograph below and comment on the most likely diagnosis","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/RA XR.png","position":5,"explanation":"RA. The disease tends to affect the proximal joints in a bilaterally symmetrical distribution. There is a predilection for: PIP and MCP joints (especially 2nd and 3rd MCP) ulnar styloid and triquetrum. As a rule, the DIP joints are spared.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":301648,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-16 04:57:31","updated_at":"2017-11-26 18:44:43","questionName":"Heberden's nodes are classically a sign of what MSK condition?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":2,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":301652,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-16 05:31:43","updated_at":"2017-11-26 18:44:43","questionName":"A 67 year old female presents to you at A&E. On taking a brief history, you note that she has Rheumatoid Arthritis (10yrs) which she is taking a high dose of Methotrexate for, and Type 2 Diabetes Mellitus (12 years). Her hospital notes show that she was admitted to the RVI 4 weeks ago for pneumonia and discharged after a 3 week stay. On examination: HR 105, BP 115\/76, temp 37.7 deg. What is the most likely diagnosis here?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":"uploads\/msk-week\/Septic arth.png","position":6,"explanation":"This is likely septic arthritis. The stats suggest she is beginning to slide into a septic state. It is an emergency and empirical antibiotics must be started, joint aspirated and sent for cultures. Risk factors for SA include recent pneumonia, existing D","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309432,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 07:42:39","updated_at":"2017-11-26 18:44:43","questionName":"In patients with PMR, which symptom must to be enquired about in detail? ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":9,"explanation":"15% of PMR sufferers also have associated Giant Cell Arteritis (GCA\/Temporal Arteritis). This can blind and even kill people so headaches + PMR must ALWAYS be gone into in depth","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":309431,"quiz_id":"15420","answer_id":null,"answerType_id":"0","created_at":"2017-10-26 07:40:22","updated_at":"2017-11-26 18:44:43","questionName":"A 70 year old lady with 2 months of bilateral shoulder and hip pain, which is limiting her mobility. She experiences early morning stiffness that lasts about an hour. Her ESR is raised significantly. Which symptom would make the diagnosis of Rheumatoid Arthritis more likely than Polymyalgia Rheumatica?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":8,"explanation":"PMR can present with all of the other 4 symptoms but it is a disease of muscles so doesnt involve joint swelling. RA, which is inflammation of the synovium, inevitably involves joint swelling","question_score_id":null,"lang":null,"questionAudioPath":null}]
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Which of the below is a first line treatment for Giant Cell (Temporal) Arteritis?

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