OSCES 2004

1.  pelvic x-ray showing right inter-trochanteric fracture
a) what is the abnormality?  R IT#
b) what would u do? (cannot rem the exact question)  analgesics, 
straight leg traction
c) mx? assess fitness of operation.  If fit, use DHS, if not, use 
prolonged traction.

2.  AP xray of spine.
a) describe the abnormalities: squared vertebrae, syndesmophytes
b) diagnosis?  AS
c) mx?  physiotherapy and maintaining a good posture so that the 
spine will fuse in a good position.

3.  x ray of right arm
a) describe abnormality: comminuted humeral shaft #
b) which nerve is at risk?  radial nerve
c) mx?  analgesics, assess other injuries, ORIF

4.  photograph of patient's lower limbs
a) describe:  R BKA, L ulcer of ankle, # L ankle
b) underlying medical condition?  DM
c) 2 other conditions requiring a BKA:  ischaemia, crush foot, 
gangrene, major trauma

5.  lateral x ray of spine
a) describe abnormalities:  osteoporotic multiple compression #s, 
biconcave vertebrae
b) ddx: osteoporotic compression #, multiple myeloma, pathological #

6.  photograph of patient's feet.
a) describe:  severe bilateral hallux valgus with bunions
b) cause:  poor shoes, ligament laxity...
c) mx:  conservative - shoe care, podiatry; surgical - osteotomy