Inflammatory, degenerative and infective conditions of the hand and wrist

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QUESTION 1 OF 4

A 53-year-old librarian presents with a long history of morning stiffness and a symmetrical polyarthropathy of the hands. She is positive for serum anti-CCP antibodies.
Which of the following clinical findings would not be expected?

QUESTION ID: 1075

1. A. Splenomegaly
2. B. Swan-neck deformity
3. C. Thumb Boutonnière (Nalebuff 1)
4. D. Ulnar deviation and volar subluxation of the digits
5. E. Ulnar deviation of the carpus
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QUESTION 2 OF 4

113.A 2-year-old boy presents with a 5-day history of a painful swelling of his right hand. X-rays of his hands are shown. On examination, he has a low-grade fever with leucocytosis
The most likely diagnosis is

ssd 1.png

Radiographs SSD 2 .png TOO LARGE .png

Figure 2 AP radiograph hand 

QUESTION ID: 2204

1. JIA( juvenile idiopathic arthritis)
2. Osteomyelitis
3. Psoriatic arthropathy
4. Septic arthritis
5. Sickle cell dactylitis
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QUESTION 3 OF 4

16.This 37-year-old lady presents with an eight-month history of wrist pain. She has restricted wrist extension with pain only at the terminal part of her ROM. Her radiographs are shown below (Figure )
What is the most appropriate surgical treatment option?

Keinboch.jpg

QUESTION ID: 3199

1. Fusion
2. Proximal row carpectomy
3. Radial shortening
4. Silicone replacement arthroplasty
5. Ulnar lengthening
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QUESTION 4 OF 4

10.The failure of which ligament is thought to lead to degenerative changes in the 1st CMC joint?

QUESTION ID: 3203

1. Deep anterior oblique or Beak ligament
2. Radioscaphoicapitate ligament
3. STT joint
4. Ulnar collateral ligament
5. Volar 1-2 intermetacarpal ligament
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