HPI/PE

Question 1

Fat pad or sail sign is indicative of what?

Answer 1

Occult blood - can be anterior or posterior

- seen on XR

Question 2

What is your do not miss injury involving the snuff box?

Answer 2

Scaphoid Fracture - always refer to ortho

Question 3

Why do you not want to miss a scaphoid fracture?

Answer 3

AVN

Question 4

Where is the AVN located MC’ly in a scaphoid fracture?

Answer 4

Distal pole

Question 5

What split is used in scaphoid fx?

Answer 5

Thumb spica splint

Question 6

What MSK problems are associated with intraarticular?

Answer 6

• Acute Arthritis
• Infectious arthritis
• Gout
• Pseudogout
• Reactive arthritis

Question 7

What MSK problems are associated with extraarticular?

Answer 7

• Trauma/Fx
• Fibromyalgia
• Polymyalgia rheumatica
• Bursitis
• Tendonitis

Question 8

What is the classic triad of Reactive arthritis?

Answer 8

Conjunctivitis, Dysuria, Joint pain

can’t see, can’t pee, can’t climb a tree

Question 9

What are the 2 durations to consider for MSK HPI?

Answer 9

1. Circumstance surrounding the TOTAL illness

2. If symptoms are episodic = TYPICAL episode

Question 10

What are the 4 basic spheres of activity that impact a pts life?

Answer 10

• ADLs
• Household tasks
• Employment
• Recreational/hobbies

Question 11

What is a common MSK complaint in the elderly in regards to timing?

Answer 11

Morning stiffness (morning > evening)

Question 12

If morning pain/stiffness lasts >30 minutes what should you consider?

Answer 12

Inflammatory arthritis (RA)

Question 13

What ROS should you always ask about?

Answer 13

• Fatigue
• Fever
• Joint Pain
• MSK Injury

Question 14

When inspecting and palpaing during the MSK exam what do you say you’re checking for?

Answer 14

Checking for symmetry, swelling, deformity, atrophy, erythema, pain, or warmth

Question 15

Biceps tendonitis is commonly seen in what profession?

Answer 15

Painters

Question 16

Apley scratch test is used to test for what?

Answer 16

Rotator cuff disorder/adhesive capsulitis

Question 17

Neers impingement sign is used to test for what?

Answer 17

Rotator cuff disorder

Question 18

Hawkin’s impingement sign is used to test for what?

Answer 18

Rotator cuff disorder

Question 19

Empty can test is used to test for what?

Answer 19

Supraspinatus strength

Question 20

Is ulnar deviation turning hands in, towards the body or out, away from the body?

Answer 20

In towards the body

Question 21

Is radial deviation turning hands in, towards the body or out, away from the body?

Answer 21

Out, away from the body

Question 22

How long do you keep a pt in the Phalen’s maneuver?

Answer 22

30-60 seconds (at 90 degrees)

Question 23

What knee injury do you not want to miss?

Answer 23

Tibial plateau fracture

Question 24

The valgus and varus laxity/stress test is assessing what ligaments?

Answer 24

MCL (valgus) and LCL (varus)

Question 25

Patella balloting is assessing for what?

Answer 25

Effusion w/bulge and balloon sign

Question 26

The anterior and posterior drawer test is assessing what ligaments?

Answer 26

ACL and PCL

Question 27

McMurry test is assessing for what injury?

Answer 27

Meniscus injury

Question 28

Lachman’s test is assessing for what?

Answer 28

ACL and PCL

Question 29

What do you do for a Mortons neuroma assessment?

Answer 29

Squeeze the foot or compress in between 3rd and 4th toe