Exam 4 Musculoskeletal

Question 1

x ray for impingement best

Answer 1

y view/outlet for narrowing between acromion and humerus

Question 2

distal radius fx want a _____ and ______

Answer 2

ap and lateral. lateral helps dist from smith’s fx

Question 3

gamekeepers treat

Answer 3

cast 6 weeks

Question 4

treat nursemaids

Answer 4

supinate and pressure to radial head

Question 5

do a _________ x ray to help distinguish scaphoid fx, TREAT?

Answer 5

ulnar deviated AP. Immobilize and repeat xrays in 2-3 weeks.

Question 6

normal hand series x ray include

Answer 6

AP oblique lateral (smiths v colles)

Question 7

three injuries that overhead throwing athletes are more suseptible

Answer 7

ulnar collateral ligament injury, anterior dislocation of humerus, rotator cuff`

Question 8

throwing athletes have issues with _______ (type of motion)

Answer 8

internal rotation and elbow problems

Question 9

treating non displaced radial head fx

Answer 9

immobilize 2 weeks then PT

Question 10

Odontoid view to see

Answer 10

occipital condyle fx, C1/C2, odontoid fx, C1 ring fx

Question 11

use swimmers view for

Answer 11

C7/T1 cervical series, arm ABducted

Question 12

oblique of cervical spine for

Answer 12

neural foramen! fx of pars interarticularis

Question 13

lumbar views

Answer 13

AP , lateral, oblique for facet joints/foramen

Question 14

burst vertebral fx MOI and area most common

Answer 14

high energy axial force with forward flexion, t12–>L2. worry about neuro compromise ehre

Question 15

worry about ______ with posterior hip dislocation

Answer 15

foot drop and blood supply

Question 16

reduce a patellar dislocation

Answer 16

push medially on patella while gently extending the leg

Question 17

MOI for meniscus

Answer 17

squatting/twisting

Question 18

medial collateral ligament injury

Answer 18

valgus stress with external rotation

Question 19

MOI of lateral colateral ligament injury

Answer 19

varus stress and twisting or hyperextension

Question 20

the segond fx with lateral collateral ligament injury is highly assoc with _____

Answer 20

ACL. segond–>lateral tibial avulsion

Question 21

ottawa ankle rules for sprain

Answer 21

tender lateral or medial malleolus, instability in bearing weight, tender 5th metatarsal base

Question 22

standard of care imaging for osteomyelitis

Answer 22

MRI!

Question 23

CMC joint best on

Answer 23

roberts view—see those OA changes

Question 24

seroneg spondy (3)

Answer 24

ankylosing spondylitis, psoriasis, IBD

Question 25

MC cause of death in RA

Answer 25

coronary artery disease

Question 26

treat fibromyalgia

Answer 26

amytryptilline gabapentin exercise relaxation

Question 27

first line treatment for raynauds

Answer 27

Ca Channel blockers

Question 28

treat dermatomyositis

Answer 28

high dose steroids then Ra drugs like MTX, azothrioprine

Question 29

treat lupus

Answer 29

sun protection, hydroxychloroquine, NSAIDs, steroids

Question 30

treat sjrogrens

Answer 30

pilocarpine and cevalamine