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Clin Med II - Exam 2 > Hallmarks/Triads > Flashcards

Hallmarks/Triads Flashcards

1
Q

klein/bloomberg/iced cream

A

safe

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2
Q

onion peel/moth eaten/codman’s triangle

A

Ewing’s sarcoma

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3
Q

widened epiphyseal plate/codman’s triangle/sunburst

A

osteosarcoma

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4
Q

risser score

Cobb angle

A

scoliosis

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5
Q

small radiolucent nidus

A

osteoid osteoma

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6
Q

scotty dog

A

spondylitis

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7
Q

negatively birefringent needle like w. polar light microscopy

A

gout

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8
Q

weakly positive birefringent rhomboid crystals by polarized light microscopy

A

pseudo gout

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9
Q

gel phenomenon

A

PMR

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10
Q

cotton wool patches, visual changes, jaw claudication

A

GCA

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11
Q

HLA-DR alleles

A

PMR

GCA

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12
Q

skin lesions

claudication

arthralgia

A

takayasu

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13
Q

rash on palms and toes

recent GI infxn/STDs

HLA-B27

A

reactive arthritis

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14
Q

morning stiffness >30 min

symmetric joint swelling off hands, ankles, knees

skin nodules

A

RA

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15
Q

boggy joints

ulnar deviation of MCP

swan neck

boutonnière

A

RA

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16
Q

HTN, renal insuficciency, abd pain after eating

rosary sign

A

PAN

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17
Q

pilocarpine

cevimeline

ocular cyclosporine

A

Sjorgen’s - symptomatic tx

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18
Q

hydrochloriquine

MTX

A

Sjorgen’s - immunosuppresive

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19
Q

Methotrexate

+/- Etenercept

A

RA

Etenercept → TNF inhibitor

MTX → DMARD

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20
Q

cyclophosphamide

A

PAN

immunosuppressant

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21
Q

bursal inflammation in wrists/knees

A

PMR

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22
Q

skin lesions, claudication, syncope, arthralgias, GI

A

takayasu

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23
Q

triamcinolone

A

pseudogout → steroid

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24
Q

recent GI infxn/STD

rash on palms/toes

A

reactive arthritis

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25
Q

purpura

fever

raynaud’s

symmetric arthralgia

A

sjorgen’s

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26
Q

synovial fluid: 1,500-25,000

A

RA

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27
Q

male

hep b/c

hairy leukemia

A

PAN

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28
Q

chronic pain/stiffness in all 4 quadrants

A

fibromyalgia

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29
Q

G6PD contraindication

A

Probenicid

Pegliocase

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30
Q

quotidian fever

salmon-colored evanescent macular rash

A

SOJIA/Stills

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31
Q

increased risk for uveitis

A

JIA:

oligoarticular

psoriatic

enthesitis-related

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32
Q

CREST

A

limited scleroderma

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33
Q

watermelon stomach

A

scleroderma

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34
Q

anti-SCL-70 = poor prognosis

A

scleroderma

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35
Q

DIP synovitis

dactylitis

nail pitting

rash

anterior uveitis

A

psoriatic arthritis

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36
Q

ACLE

A

acute cutaneous lupus → butterfly rash

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37
Q

maculopapular lesions in photosensitive pattern to any part of the body

A

acle

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38
Q

scle

A

subcutaneous lupus → scaly erythematous rash

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39
Q

ccle

A

chronic cutaneous lupus → discoid → plaques

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40
Q

CRP normal

ESR elevated

A

polyarticular JIA

41
Q

palpable purple petechiae

A

sle vasculitis

42
Q

wart like pericardial lesions

43
Q

(+) ANA, anti-dsDNA, anti-SM

44
Q

MSA and MMA antibodies

A

polymyositis

45
Q

elevated CK

+/- (+) ANA

A

polymyositis

46
Q

inflammatory infiltrate on muscle bx

A

polymyositis

PAN

47
Q

SADS

A

clinical presentations of psoriasis:

symmetric OR assymetric

distal → DIP

arthritis mutilans

spondyloarthritis → c-spine

48
Q

nails:

pitting, ridging, oncholysis

A

psoriatic arthritis

49
Q

SPADES

A

clinical domains of psoriatic arthritis:

50
Q

pencil in cup deformity

A

psoriatic arthritis → damage to DIP and PIP

51
Q

rf: estrogen and smoking

52
Q

enthesitis

tenosynovitis

dactylitis

A

psoriatic arthritis

53
Q

sugar tong cast

A

distal radial fx

54
Q

terry thomas sign

A

wrist ligamentous injury

55
Q

test for disorders of nerves and muscles

56
Q

stack splint

A

mallet finger

57
Q

figure 8 splint

A

boutonniere deformity

58
Q

LRTI (ligament reconstruction and tendon interposition)

A

early wrist OA - CMCJ

59
Q

skiers thumb

A

ulnar collateral ligament tear

60
Q

cortical erosion, periosteal elevation, lucency, osteolysis

A

osteomyelitis

61
Q

gaiter area of leg

A

venous stasis (ulcerations)

62
Q

ulcer w. edema and weeping exudate

63
Q

CT is better for

64
Q

MRI is better for

A

soft tissue

65
Q

abrupt, unilateral onset of back pain

aggravated by walking, standing, coughing

A

herniated disc

66
Q

L2-S5

A

cauda equina

67
Q

positive urinary sphincter test

A

greater than 150

68
Q

CMT for non traumatic back pain

A

minor: 1 point each

etoh

night pain

dm

renal failure

3 or more visits in 20 days

major: 3 points each

→ 4 or more = ESR

less than 4 → avoid imaging

69
Q

cmt for a traumatic back pain

any pt w. __ gets emergent MRI w. contrast

A

acute motor deficit

70
Q

pt’s who do not meet NEXUS need

A

c-spine stabilization

xray or CT

71
Q

pre-dentase:

pre-pharyngeal:

pre tracheal:

72
Q

JA HOF

A

unstable fx:

jefferson

atlanto-axial

hoffman

odontoid

flexion tear drop

73
Q

C2 burst fx

74
Q

chance fx

A

unstable lumbar fx → mva

75
Q

SLIPPS

A

nerves of sacral plexus:

superior gluteal

lumbosacral

inferior gluteal

posterior femoral cutaneous

pudendal

sciatic

76
Q

gunmetal gray lesions on hands

A

septic arthritis

77
Q

pain that wakes a pt up and with abduction

A

supraspinatus tear

78
Q

kanaval’s sign

A

flexor tenosynovitis

79
Q

jersey finger

80
Q

exsanguinate + traction splint

81
Q

shenton’s line

82
Q

peroneal n injury

A

lcl tear → foot weakness w. dorsiflexion and eversion

83
Q

ottawa ankle

A

navicular pain

malleolus pain >6 cm (lat or med)

non wt bearing

smt base tenderness

84
Q

ottawa foot

A

pain at navicular or base of 5th metatarsal

85
Q

kid 2-12 limping

A

teansient synovitis

86
Q

coags

steroids

etoh

A

rf for avascular necrosis

87
Q

periosteal elevation

sts

A

osteomyelitis

88
Q

mc location for osteomyelitis

A

long bones

vertebral bodies

89
Q

mc location for osteosarcoma

A

long bones

jaw

90
Q

what occurs on the metaphysis of long bones

A

osteochondroma

91
Q

bone pain

ESR

anemia leukocytosis

A

ewing’s sarcoma

92
Q

abnormal type I collagen development

A

osteogenesis imperfecta

93
Q

biphosphanates

calcitonin

A

tx for paget dz

94
Q

statins

found down

exertion

crush injury

A

rf for rhabdo

95
Q

segond fx

A

acl tear w. tibial plateau fx

96
Q

test to order for knee dislocation

97
Q

synvisc

98
Q

weekend warrior

fluoroquinolones

A

achilles tendon rupture

99
Q

iv dosing for osteomyelitis

A

vanco 1 gm IV q 12 hr +/- Rifampin

PLUS

ceftriaxone 2 gm IV q 24 hr

Clin Med II - Exam 2 (14 decks)

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