Question Easy:
A 25-year-old woman presents with pain and swelling in her right knee after twisting it while jogging. She also reports a locking sensation in the knee. What is the most likely diagnosis? 🏃♀️
A) Anterior cruciate ligament tear
B) Meniscal tear
C) Patellar dislocation
D) Medial collateral ligament sprain
E) Quadriceps tendon tear
Question Medium:
A 60-year-old man is being evaluated for progressive groin pain and difficulty walking. An X-ray reveals a narrowed joint space and osteophyte formation in the hip. Which of the following is considered first-line pharmacological management for his condition according to NICE guidelines? 💊
A) Paracetamol
B) Ibuprofen
C) Tramadol
D) Codeine
E) Gabapentin
Question Hard:
A 35-year-old female presents with pain in her wrist and thumb, especially when gripping objects. The Finkelstein test is positive. Which condition does this test diagnose? 🤚
A) De Quervain’s tenosynovitis
B) Carpal tunnel syndrome
C) Trigger finger
D) Dupuytren’s contracture
E) Rheumatoid arthritis
Explanations & Answers:
Question Easy Answer: B) Meniscal tear
Question Easy Explanation: Meniscal tears are common sports injuries and often present with joint swelling, pain, and a locking sensation. The twisting injury and locking hint at a tear in the knee’s meniscus.
Question Medium Answer: A) Paracetamol
Question Medium Explanation: According to NICE guidelines, paracetamol is recommended as the first-line analgesic for osteoarthritis. NSAIDs can be considered if there is inadequate relief with paracetamol alone, considering other risk factors.
Question Hard Answer: A) De Quervain’s tenosynovitis
Question Hard Explanation: The Finkelstein test is specifically used to diagnose De Quervain’s tenosynovitis, which involves pain and swelling in the sheath of the thumb tendons. It is commonly associated with wrist pain in the anatomical snuffbox and pain when gripping.
Medical fact of the day: Did you know that the prevalence of osteoarthritis in the UK increases with age, affecting nearly 50% of people over 75? It’s the most common form of arthritis and a leading cause of pain and disability in older adults.
Quote of the day: “The dedication in your hands heals more than just bodies—it’s the care in your heart that lifts spirits and inspires hope. Keep shining, healthcare heroes!” 🌟