Name: ARUCHUNA MOHANARUBAN

Theme: BONE DISEASE

OPTION LIST

A	Gout	I	Primary Hyperparathyroidism
B	Myasthenia Gravis	J	Renal Tubular Acidosis
C	Myeloma	K	Rheumatoid Arthritis
D	Osteoarthritis	L	Rickets
E	Osteogenesis Imperfecta	M	Sarcoidosis
F	Osteonecrosis	N	Simple Fracture
G	Osteoporosis	O	Secondary Hyperparathyroidism
H	Paget’s Disease	P	Sjogren’s Syndrome

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A child presents with bone pain and tetany. Radiology reveals increased depth and width of the epiphyseal growth plate, and a 'cupped' appearance of the adjacent metaphyses.

2. A 65yr old man presents with headaches, tinnitus and severe bone pain. He has a past medical history of recurrent fractures. Investigations revealed a raised alkaline phosphatase.

3. A 67yr old woman presenting with renal colic, athralgia and bone pain. Investigations revealed an elevated serum calcium and PTH.

4. A 68yr old woman presenting with weakness, vomiting, bone pain and painful cramps. Investigations revealed low serum calcium and elevated PTH.

5. A 65yr old woman on long term corticosteroid therapy presents in A+E with a hip fracture.

ANSWERS

1. L

2. H

3. I

4. O

5. G