Phys Vivas · general-medicine
Rheumatological Examination Spine AND Lower Limbs — Viva Defence
DCE viva defence for Rheumatological Examination Spine AND Lower Limbs.
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Target exams
Rheumatological Examination Spine AND Lower Limbs Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Rheumatological Examination Spine AND Lower Limbs. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Kalish RA, Wohlgethan JR, Liu N, Nemegyei JA, et al. Promoting the utilization of rheumatologic musculoskeletal anatomy: a 50-year travel log Clin Rheumatol, 2026.PMID 42334785
- [2]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [3]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [4]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962
- [5]Perrot S, Laroche F, Poncet C, Marie P, et al. Are joint and soft tissue injections painful? Results of a national French cross-sectional study of procedural pain in rheumatological practice BMC Musculoskelet Disord, 2010.PMID 20100351
- [6]Venyte R, Schuster-Amft C, Behrendt F, Nyfeler N, et al. [Long-standing myalgia and hypouricemia in a young woman : Case report and review of the literature] Z Rheumatol, 2025.PMID 40810925
- [7]Sukharomana M, Charuvanij S Implementation and assessment of a structured curriculum for a 4-week pediatric rheumatology rotation for pediatric residents BMC Med Educ, 2024.PMID 38263148
- [8]Martakis K, Abreu NJ, Baker JJ, Baker Ii PR, et al. Neurofilament light chain (NfL) as a surrogate outcome measure for GM2 gangliosidoses J Neurol, 2026.PMID 42467089