Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

boards > boards11 > Flashcards

boards11 Flashcards

1
Q

mc salter fx

A

salter 2- above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

which slater have future growth impairment

A

4 and 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

central slip extensor hood disriptuon near PIP joint

A

bourtoneeiere - forced flexion at PIP- EXTENSOR INJURY - lateral components hold DIP in extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

abx for felon or paronychiia

A

felon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

funal hand infection w skip lesions, rose gardner

A

sporotrichosis, Itraconazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

gamekeepers thumb, skiiers thumb,

A

UCL of thumb MCP- pincer and grasp fxn, avulsion fracture - thumb spica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

jersey finger

A

ring finger usually, FDP avulsion fx- cant close finger all the way to fist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

mallet finger-

A

extensor tendor disrution- DIP - forced flexion of DIP- ie bal - avulsion fx base of distal phalanx- splint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

rotational displacement of metacarpal fx

A

unacceptable, index and middle toerate only 15 deg angulation- radial gutter, the 4th and 5th olerate 35-45, ulnar gutter splint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

kanavels signs

A

diffuse fusiform swelling, pain on paation of proximal sheath, severe pain on extension, held in slightly flexed- Redness is not one sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

mc commplications colles fx

A

median n, mc fx adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

intraarticlar fx distal radius

A

bartons fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

dorsal chip fracture of wrist fall on outstretched hand

A

triquetral fracture- pain at dorsum and ulnar styloid, pain on flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ulnar n entretmanet injury - waht 2 associated bones

A

guyons canal - connceted to pisiform and hamar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

mc ligamentous injury of hand

A

scapholunate dissociatd- 3 mm - foosh – thuumb spice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

perilunate vs lunate dsilocation

A

forced hypertension, median n injury- PERILunATE -capitate is displaced, LUNATE - lunate is displaced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

tenderness iin snuffbox, what is managmenet and complication

A

scaphoid - thumb spica if theyre tender- complication AVN- definitive imaging is mri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

risk factors for carpal tunnel

A

pregancy hypothyroid DM RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

galeazzi

A

DRUJ dista radius GRUM- ulnar n affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

monteggia

A

proximal ulna– radial head dislocated- radial N injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

volkmans contracture cause

A

supracondlyfacture mc- inadequate circulation- patient with cast complaining of pain and numnbess - remove cast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

injury w nursemaids

A

tear to anular ligament- radial head subluxed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

which reduction can trap the artery and n in the joint

A

elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

ralationship between capitellum, radius, huermus

A

anterior humeral thru middle third capetellim, middle radial thru capitelllum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

impingement vs rotator cuff

A

pain with passive vs active ROM against resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

shoulder dislocationw tih notch on humeral head

A

hill sachs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

shoulder dislocation with labral tear/anterior glenoid rx

A

bankart

28
Q

light bulb sign, dumstick sign on shoulder xr

A

posterior dislocation

29
Q

medial third clavicle fx

A

look for subclavian injuries

30
Q

unable toe xternally rotate and abduct shoulder with force

A

rotator cuff injury - mc supraspinatus injury, needs MRI -

31
Q

mcc hip pain in kids

A

transient synjovitis- recent viral - limp/cant brear weight, may have lo grade fever- r/o septic hip - do hip US - if effusion needs a tap

32
Q

pain swelling eryteham over anterior tibial uberosity

A

patellar tendon apophysitis - NSAIDS

33
Q

where does osterocondtiis dessicans occurs

A

media femoral condyle - locking knee

34
Q

injures with posteior knee dislocation

A

peroneal N, popiltearl A, needs angio

35
Q

abx with tendon rupture

A

fluoroquinolones - risk lasts for 1 year

36
Q

OAR

A

cant bear with immedately and in ED, tenderness to posterior edge of medial or lateral mal, tenderness to base fo 5th mt, tenderness over navicular

37
Q

maisoneeuve

A

external rotation of ankle, rupture of medial (deltoid) igament, proximal fibular fx- might miss on ankle xr- medial ankle tendernss and swelling consider maissonevue

38
Q

neonataal joint and bone infxn

A

strep b strep

39
Q

child with blue sclera, flaccid joints, frequent fractures -

A

osteogenesis imperfect, misdiagnoes as child abuse

40
Q

reflex levels

A

c5 - bicceps c6 biceps brachip c7 triceps , l4 knee jerk s1 ankle

41
Q

atlantoaxial disruption

A

c1/2 , RF RA, anklyosing spodlyitis, unstable

42
Q

hangmans fracture

A

bilateral pedicle fx of c2 from forward displacement, extension-

43
Q

jefferson

A

burst of c1- axial load

44
Q

mc cervical fx kids

A

odontoid- atlanto dens interval 3mm in adults, 5mm in peds

45
Q

teardrop fx

A

extreme flexion- ligamentous disruption- chipp on the front of vertebral body

46
Q

posterior column function? lateral corticospinal (pyramidal)? anterior horn? anterior spinothalamaic

A

vibration and proprioception, upper MN, lower MN, pain and temp

47
Q

motor paralysis below injury, loss of pain and temp, vibration and proprioception intact

A

anterior cord

48
Q

brown sequard motor vs pain and temp?

A

motor out on upsilateral, contralateral loss of pain and temp

49
Q

hyperexntion in elderly patiennt - what is cord / deficits

A

central cord, arms > leg weakness, rectal tone sparing, some distal paina nd temp loss

50
Q

cord syndrome trauma, b12, tertiary syphillis

A

position and vibration

51
Q

neurogenic shock vitals/treatment

A

70/70 - no sympathetic, dilated, not tachycardic, treatment fluid and pressors

52
Q

spinal shock difference from neurogenic shock

A

neurogenic is an injury to level and unoppose dysmpathetic outflow, usually t1 and above, loss of reflexes, autonomic tone, warm, flushed, dry , SPINAL SHOCK is loss of sensation and motor paralysis and reflex- like a concussion- and it returns

53
Q

torus vs greenstick fx

A

buckled in torus vs one cortex broken in greenstick

54
Q

inflammatory condition of bones, raid resorption, enalrged weak bones, calcium normal, alk phos up

A

pagets- fx with minimal truauma- can cause neuro sxs in skul and vertbrae

55
Q

who doesnt glucagon work well on

A

cirhotis, liver diseaase- live does not have glucose to release

56
Q

hypoglycemia insulinoma vs munchausens

A

c peptide- exogenous insulin has no C -peptide

57
Q

what treatment to avoid cerebral edema in kids with DKA

A

bicarb

58
Q

alcoholic ketoacidosis what are labs for etoh levels and ketones

A

etoh leves are low, low bicarb, high anion gap, glucose can be low- urinary ketones can be weakly positive but BHB will be very positive– tx d5NS

59
Q

differences between DKA and NHSS

A

NHSS - no ketoacidosis, serum osm >350, higher mortality, longer onset, usually renal issues, dehydrated, aletered, 8-12 L deficit

60
Q

graves disease what other manifestations

A

exopthalmos, pretibial myxedema, from TSH similar IG stimulatiing tissues

61
Q

what manifestation is dx thyroid storm

A

AMS

62
Q

5 step approach to thyroid storm

A

corticocostaroids- dec peripheral conversion- Propanolol also blocks t4 to t3- block thyroid hormone effects, PTU- block enzyme to make hormones and blocks t4 to t3, iodine- block thyroid hormone release

63
Q

tx myxedema coma

A

t4 t3 and corticosteroids - concerned for concomitatn AI

64
Q

waterhouse friderchens

A

biateral adrenal failure associated with meningococermia

65
Q

primary ai vs 2nd teritary

A

primary- in the adrenals- inc ACTH/MSH made- 2nd- pituitary - cant make the ACTH - dx serum cortisol and give ACTH -s eei fthey respond- if it goes up adrneals are normal - if not then primary adrenal —– teriaty is iatrogenic from prolonged steroids

66
Q

low sodium hiigh potassium, eosinophilia

A

AI

67
Q

concentrate urine w low serum osm and normovolemia

A

siadh

boards (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions