april 16

Question 1

Characteristics of patellofemoral syndrome

Answer 1

• poorly localized anterior pain
• pain with squatting
• common in runners/women

Question 2

Characteristics of illiotibial band syndrome

Answer 2

• Poorly localized lateral pain
• tenderness at lateral femoral epicondyle with flexion/extension
• common in runners/cyclists

Question 3

Characteristics of pes anserine bursitis

Answer 3

• highly localized medial pain
• point tendernes at pes anserine bursa
• common with osteoarthritis/DM

Question 4

Patellar tendinopathy characteristics

Answer 4

• Localized pain in the inferior patella
• tenderness at insertion site
• common in jumping sports

Question 5

Prepatellar bursitis characteristics

Answer 5

• Anterior knee bogginess and tenderness

- common in people who work on their kness

Question 6

Prepatellar bursistis may get a secondary infection with…

Answer 6

Staph aureus

Question 7

XRAY findings in someone with post-op ileus

Answer 7

uniformly dilated bowel loops

Question 8

XRAY findings in someone with small bowel obstruction

Answer 8

• discrete transition point with proximal bowel being dilated
• air fluid levels

Question 9

Sounds in SBO?

Answer 9

hyperactive or absent

Question 10

Sounds in post op ileus?

Answer 10

decreased or absent

Question 11

management of post op ileus?

Answer 11

bowel rest and serial examinations

Question 12

prevertebral calcifications on XRAY may be a sign of…

Answer 12

abdominal aortic aneurysm

Question 13

A patient with suspect AAA is hemodynamically stable. Next step?

Answer 13

CT/MRI abdomen

Question 14

why does zollinger ellison syndrome cause fat malabsoprtion?

Answer 14

the excess acid causes inactivation of pancreatic enzymes

Question 15

Risk factors for a rectus sheath hematoma?

Answer 15

• abdominal trauma, forceful contractions (coughing)
• older female
• anticoagulation

Question 16

clinical features of rectus sheath hematoma?

Answer 16

• acute onset abdominal pain with palpable mass
• blood loss anemia/leukocytosis
• nausea, vomiting, fever

Question 17

rectus sheath hematoma usually occurs due to rupture of which artery?

Answer 17

inferior epigastric artery

Question 18

what is torus palatinus?

Answer 18

Benign bony growth on hard palate

Question 19

brown recluse spider bites are usually initially…

Answer 19

painless

Question 20

clinical presentation of someone with a brown recluse spider bite?

Answer 20

• small papule that self resolves

- OR burning pain -> blister -> eschar/necrosis

Question 21

managment of a brown recluse spider bite

Answer 21

• cleanse wound/apply ice
• NO surgical debridement until wound has stopped growing
• supportive managmeent

Question 22

acromioclavicular joint sprain most commonly occurs when excess force is applied to…

Answer 22

the superior/lateral shoulder

Question 23

adduction of the arm compresses which joint?

Answer 23

the acromioclavicular joint

Question 24

AC joint sprain = pain with…

Answer 24

ADDUCTION

Question 25

rotator cuff tear or tendinopathy = pain with…

Answer 25

ABDuction

Question 26

prognosis of cervical radiculopathy?

Answer 26

gradual resolution over time for most patients

Question 27

management of cervical radiculopathy?

Answer 27

NSAIDs and avoidance of provocative maneuvers

-oral glucocorticoids for severe pain

Question 28

management of idiopathic pulmonary fibrosis?

Answer 28

• antifibrotic therapy
• smoking cessation
• oxygen/pulmonary rehab
• lung transplant

Question 29

subpleural honeycombing + reticular opacities =

Answer 29

pulmonary fibrosis

Question 30

how is the arm held in posterior shoulder dislocation?

Answer 30

adducted and internally rotated

Question 31

how does the patient hold their arm if they have an anterior shoulder dislocation?

Answer 31

abducted and externally rotated

Question 32

thyroglobulin is the precursor to…

Answer 32

active thyroid hormones

Question 33

what causes hypercalcemia of immobalization?

Answer 33

increased osteoclast bone resorption

Question 34

how can you treat hypercalcemia of immobalization?

Answer 34

bisphosphonates

Question 35

does acute rhabdomyolisis cause hypercalcemia?

Answer 35

no - hyPOcalcemia

Question 36

why does rhabdomyolosis cause hypocalcemia?

Answer 36

calcium and phosphorous are precipitated in damaged muscle tissue

Question 37

when may hypercalcemia occur with rhabdomylosis?

Answer 37

during the recovery phase