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Part 4 Boards X-ray > AP Ankle And Foot > Flashcards

AP Ankle And Foot Flashcards

1
Q

Pott’s fracture

A

Fracture of distal fibula with ligamentous disruption

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2
Q

Distal fibula and tibia fx

A

Bimalleolar fracture

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3
Q

Fx of distal fibula, distal tibia, and posterior aspect of tibia
Need to see AP and Lat

A

Trimalleolar fx

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4
Q

Fractured talar dome (half moon shape)

A

Osteochondritis of the talus

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5
Q

Fx of calcaneus

A

Calcaneal fx

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6
Q

Fracture of the 2nd/3rd/4th metatarsal

A

Stress/march fx

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7
Q

Fracture at the base of the 5th metatarsal

A

Jones/dancer’s

Attachment of peroneus brevis

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8
Q

Fracture of distal 5th phalanx

A

Bedroom fx

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9
Q

Avulsion of the calcaneus

A

Heel spur

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10
Q

Heel spur caused by

A

Reiter’s disease

Plantar fascitis

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11
Q

Conditions affecting joints in the foot and hand

A 
RA
OA
PA
Gout
Scleroderma
SLE
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12
Q

RA name in children

A

Still’s disease

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13
Q

Autoimmune caused inflammatory arthritis

A

RA

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14
Q 
MCPs always involved
DIPS NOT INVOLVED
Symmetrical distribution
BILATERAL uniform loss of joint space 
Localized periarticular osteoporosis
Rat bite erosions
A

RA

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15
Q

Haygarth’s nodes

A

MCP

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16
Q

Haygarth’s nodes, swan neck and boutinneire deformity, ulnar and deviation (lanois deformity)

A

RA

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17
Q

Labs RA

A 
\+RA latex
\+FANA
\+ESR
\+CRP
Normocytic normochromic anemia
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18
Q

M/c RA

A

Women >50
MTP/MCP is most common joint
Never hits the DIP

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19
Q

RA case management

A

Refer to rheumatologist

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20
Q

Decreased joint space with sclerosis

A

OA

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21
Q

Gull wing appearance

A

EOA

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22
Q

Inflammatory arthritis

Males 20-50

A

PA

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23
Q

Silver scaly lesions on extensors
Pitted nails
Cocktail sausage digits

A

PA

24
Q

Increase in joint space
Joint space bigger and darker
Distribution pattern

A

PA

25
Q 
Periarticular erosions
Mouse ear deformity
Pencil in cup deformity
Ray sign
Auspitz sign
Balancing pagota sign
A

PA

26
Q

Labs PA

A

-Rheumatoid

+HLA B27

27
Q

Looks like RA but affects DIP

A

PA

28
Q

Inborn inability to metabolize proteins
Males >40
Due to overproduction of uric acid
Deposition uric acid crystals

A

Gout

29
Q

Gout

A

Metabolic arthritide

30
Q 
Foods high in purines
Red meats
Red wines
Aged cheeses
Beer 
Pork
A

Gout

31
Q

Usually mono-articular with the m/c site at the MTP of the big toe (podagra)

A

Gout

32
Q

Extremely painful, red, hot, and swollen joint

A

Gout

33
Q

Overhanging margin

Juxta-articular erosions

A

Gout

34
Q

Labs gout

A

Increased uric acid

+ESR

35
Q

Gout

A

Special tests gout

36
Q

Joint aspiration

A

Pharmacology gout

37
Q

Acute-colchicine

Chronic allopurinol

A

Gout

38
Q

Only arthritide that destroys from outside-in

A

Gout

39
Q

Scleroderma aka

A

Progressive systemic sclerosis

Inflammatory arthritis

40
Q

Females 30-50

Associated with erosions of the distal tufts of the phalanges called auto amputation/osteo-acrolysis

A

Scleroderma

41
Q

CREST syndrome

A 
Calcinosis
Raynaud’s
Esophageal dysfunction
Sclerodactyly
Teleganctasia
42
Q

CREST syndrome found in

A

Scleroderma

43
Q

Labs scleroderma

A

+(F)ANA

+RA latex (30%)

44
Q

Females

Sunlight precipitates a skin rash (malar/butterfly rash)

A

SLE

45
Q

Oral ulcers
Discoid lesions
Alopecia
Raynaud’s phenomenon

A

SLE

46
Q

Can cause ulnar deviation of the phalanges with no joint destruction (Lanois deformity)

A

SLE

47
Q

Look exactly like RA deformity but no joint destruction

A

Lanois deformity

48
Q

Place hands on table can stretch them out to normal

A

SLE

49
Q

Labs SLE

A 
\+ANA
\+LE prep
\+FANA
\+RA latex
\+ESR
Leukopenia
Thrombocytopenia
50
Q

Case management SLE

A

Co-manage with rheumatologist

51
Q

M/c condition affecting MTPs is

A

RA

52
Q

PA does not cause

A

Lanois deformity

53
Q

Swelling/nodes of MCP/MTP

A

Haygarth’s nodes

54
Q

Swelling/nodes of PIPs

A

Bouchards nodes

55
Q

Swelling/nodes of DIPS

A

Heberdens nodes

56
Q

Either OA, PA, or Gout

DIPS

A

OA whiter
PA darker loss of joint space
Gout monoarticulation overhang

57
Q

Lateral ankle/foot film

A

Check each bone for fx
Check for calcneal spur
Check for AVN’s

Part 4 Boards X-ray (22 decks)

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