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PNCE > JB MSK > Flashcards

JB MSK Flashcards

1
Q

Acute compartment syndrome tx

A

emergent fasciotomy

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2
Q

Basilar skull fx PE

A

CSF otorrhea

bruising over mastoid (battle sign)

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3
Q

Basilar skull fx dx

A

GCS

CT

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4
Q

Cervical spine injury

A

C1- Jefferson (burst) atlas

C2- hangman’s, axis

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5
Q

Colles fx sx

A

Dinner fork deformity

distal radius fx w/ dorsal angulation

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6
Q

Congenital talipes equinovarus tx

A

Clubbed feet

ponseti method of manipulation and casting

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7
Q

Dermatomyositis labs

A

high creatine phosphokinase
increased ESR
+ anti mi 2 ab

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8
Q

Dermatomyositis tx

A

high dose CS

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9
Q

Distal radius fx tx

A

sugar tong splint

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10
Q

Knee joint effusion sx

A

bulge sign
ballottement
Patellar tap tests

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11
Q

Bennett fx

A

fx through base of 1st metacarpal MCP bone

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12
Q

Rolando’s fx

A

comminuted Bennetts fx

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13
Q

Boxers fx tx

A

ulnar gutter splint

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14
Q

Galeazzi fx

A

mid distal radial shaft fx w/ dislocation of DRUJ

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15
Q

Gout in synovial fluid MC?

A

sodium urate

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16
Q

Ankle dislocation tx

A

closed reduction + posterior splint +/- ORIF

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17
Q

Shoulder dislocation PE

A

R/o axillary nerve injury (pinprick sensation over deltoid)

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18
Q

Anterior shoulder dislocation

A

blow to extended abducted externally rotated arm

MC type

19
Q

Lateral epicondylitis muscles

A

extensor carpi radialis brevis

20
Q

Legg-Calve-Perthes dz sx

A

child painless limping

21
Q

Marfan syndrome sx

A

MVP, aortic regurgitation, aortic dissection, aortic aneurisms
tall stature, precuts carinatum, ectopia lentis, myopia

22
Q

Meralgia paresthetica tx

A

Pain to lateral thigh
nerve block w/ lido and steroids
surgical decompression @ inguinal ligament

23
Q

Monteggia fx

A

proximal ulnar shaft fx with anterior radial head dislocation

24
Q

myositis tx

A

high dose CS 1st line

25
Q

OA tx

A

acetaminophen- elderly w/ bleed risk

NSAIDS more effective

26
Q

Acute/chronic osteomyelitis MCC

A

Acute: S. aureus
Sickle cell dz: salmonella
Chronic: S. aureus

27
Q

Osteoporosis tx

A

bisphosphonates (alendronate)

HRT, SERMs

28
Q

Peroneal nerve injury sx

A

loss of sensation to lateral leg

29
Q

Polymyalgia rhumatica labs

A

ESR very high (>50)

+/- increased plts

30
Q

polymyalgia rheumatica tx

A

high dose CS 1st line

31
Q

posterior tibial tendon dysfunction sx

A

flat feet
pain and swelling medial foot and ankle
flattened arch
too many toes sign

32
Q

Proximal humerus fx tx

A

sling/swathe + ortho f/u in 1-2d

r/o brachial plexus or axillary nerve injuries

33
Q

Reiters syndrome tx

A

NSAID mainstay
Methotrexate –> sulfasalazine, steroids
anti TNF: etanercept, infliximab
abx during precipitating dz

34
Q

rhabdomyolysis labs

A

CPK > 20,000
increased LDH, increased ALT
hyperkalemia, hypocalcemia
Dark urine: + for heme, negative for blood

35
Q

rhabdomyolysis tx

A

IV saline, hydration, mannitol, bicarbonate, calcium gluconate

36
Q

Rheumatoid arthritis sx

A 
joint stiffness (MCP, wrist, PIP, knee, MTP, shoulder, ankle) w/ rest
morning stiffness >60m and improves later in the day
Boutonniere deformity
Swan neck deformity
37
Q

Rheumatoid arthritis tx

A

methotrexate (1st line)
NSAIDS: 1st line for pain
CS 2nd line for pain

38
Q

Rotator cuff syndrome muscles

A

SITS (supraspinatus, infraspinatus, teres minor, subscapularis)

39
Q

Limited scleroderma

A

CREST syndrome: calcinosis cutis, raynauds, esophageal motility disorder, sclerodactyly, telangiectasia

40
Q

SCFE tx

A

non weight bearing crutches –> ORIF

41
Q

smith fx

A

distal radius fx w/ ventral angulation

42
Q

SLE tx

A

sun protection
hydroxychloroquine for lesions
NSAIDs/acetaminophen for arthritis

43
Q

torticollis tx

A

conservative therapy

PNCE (33 decks)

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