Facts from the formatives Flashcards
most common site of humeral fracture, proximal end
surgical neck
most common site of humeral fracture, distal end
supracondylar region
can pages disease cause arthritis
yes, if close to a joint
most common bones affected by pagets
pelvis, femur, skull, tibia and ear ossicles
blood results in pagets
serum alkaline phosphatase is raised, calcium and phosphate normal
bone appearance in pagets
affected bone enlarged, thickened cortices and trabeculae, mixed areas of lysis and sclerosis
bone scan appearance in pagets
would show increased uptake
treatment of pagets
bisphosphonates
how do bisphosphonates work?
inhibit osteoclasts
is HLAB27 a definitive test for ankylosing spondylitis
no
principle clinical sign on examination in a patient with adhesive capsulitis
loss of external rotation
what is Klumpkes palsy
paralysis of the intrinsic hand muscles
what does this describe: rare lower brachial plexus injury from C8 and T1 roots
Klumpkes palsy
blood supply to the femoral head
branch of the lateral circumflex
blood supply to the femoral neck
branch of the obturator artery
what is arthrodesis
surgical stiffening or fusion of a joint in position of function
when is arthrodesis useful
end stage ankle arthritis, wrist arthritis and hallux rigidis
describe Boutonnieres
flexion at PIP, hyperextension at DIP
describe swan neck
hyperextension at PIP, flexion at DIP
dupytrens is hyperplasia of what
the palmar fascia
is DDH more common in boys or girls
girls
primary site of inflammation in RA
synovium
primary site of inflammation in OA
cartilage changes
primary site of inflammation in psoriatic arthritis
entheseal regions
ANCA status of large vessel vaculitis
usually ANCA negative
small vessel ANCA status
often ANCA positive
Anti PR3 is positive in
GPA
Anti-MPO ANCA is positive in
eGPA
what part of the brain does ataxic cerebral palsy effect
cerebellum
what part of the brain does athetoid cerebral palsy effect
extrapyramidal motor system, pyramidal tract and basal ganglia