Day 11 - Ms3 Quiz

Question 1

X-ray femoral head sclerosis

Answer 1

Avascular necrosis with Legg-Calve-Perthes disease

Question 2

Radiograph looks like “ice cream scoop falling off cone”

Answer 2

Slipped capital femoral epiphysis (SCFE)

Question 3

Obese male adolescence w/ dull hip pain & inability to bear weight

Answer 3

Slipped capital femoral epiphysis (SCFE)

Question 4

Acute onset tibial pain, fever, malaise, elevated ESR, no joint pain

Answer 4

Osteomyelitis

Question 5

Acute onset knee pain, fever, elevated ESR, leukocytosis

Answer 5

Septic arthritis

Question 6

7 yo w/ growth delay and inner thigh pain

Answer 6

Legg-Calve-Perthes disease

Question 7

6 yo w/ unilateral hip pain for 5 days, low grade fever, spontaneous resolution

Answer 7

Toxic synovitis

Question 8

13 yo M w/ pain & swelling at tibial tuberosity

Answer 8

Osgood-Schlatter disease

Question 9

Tx Nursemaid’s elbow

Answer 9

Supination and flexion of elbow

Question 10

Tx SCFE

Answer 10

Non-weight bearing; Surgical pinning; If hypothyroidism, ppx surgical pinning on contralateral side also

Question 11

Tx juvenile rheumatoid arthritis

Answer 11

NSAIDs- 2 trials; Steroids or Methotrexate

Question 12

Tx Osgood-Schlatter disease

Answer 12

Stretching, ICE, NSAIDs; NOT need to limit sports; NOT knee to immobilize need

Question 13

Tx congenital developmental dysplasia of head

Answer 13

Pavlick harness

Question 14

Characteristic findings of CREST scleroderma

Answer 14

Calcinous, Raynaud phenonmenon, Esophageal dysmotility, Sclerodactyly, Telangiectasias

Question 15

FDA approved meds for fibromyalgia

Answer 15

Pregabalin, Duloxetine, Milnacipram

Question 16

Rash for dermatomyositis

Answer 16

Heliotropic or periorbital red purple rash, shawl sign (upper back, chest, or shoulders); Grotton’s papules on dorsum of hands; Malar rash; Mechanic’s hands (rough/crackened skin on lateral sides or tips of fingers)

Question 17

Rheumatologic disease: proximal muscle weakness & facial rash

Answer 17

Dermatomyositis

Question 18

Rheumatologic disease: Pain & stiffness in hips & shoulders

Answer 18

Polymyalgia rheumatica; NOT weakness, unlike polymyositis

Question 19

Rheumatologic disease: Muscle pain & tenderness in multiple distinct locations

Answer 19

Fibromyalgia

Question 20

Rheumatologic disease: Male in 20s w/ low back pain that improves with exercise

Answer 20

Ankylosing spondylitis

Question 21

Rheumatologic disease: jaw claudication, difficulty standing from a chair

Answer 21

Polymyalgia rheumatica w/ temporal arteritis

Question 22

Rheumatologic disease: Pencil in cup deformities of DIP & PIP

Answer 22

Psoriatic arthritis

Question 23

Rheumatologic disease: Bamboo spine on X-ray

Answer 23

Ankylosing spondylitis

Question 24

Rheumatologic disease: Arthritis, oral ulcers, proteinuria

Answer 24

SLE

Question 25

Rheumatologic disease: flexed DIP & hyperextended PIP

Answer 25

Swan-neck deformity of Rheumatoid arthritis

Question 26

Antibodies: Antihistone

Answer 26

Drug-induced lupus

Question 27

Antibodies: Anti-dsDNA

Answer 27

SLE (specifically renal disease)

Question 28

Antibodies: Anticentromere

Answer 28

CREST Scleroderma

Question 29

Antibodies: Anti-Ro

Answer 29

Sjogrens

Question 30

Antibodies: Anti-RNP

Answer 30

Mixed connective tissue disease