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Miscellaneous Flashcards

1
Q

What should you order if you suspect posterior shoulder dislocation?

A

Axillary or scapular shoulder radiographs

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2
Q

Best mgmt of clavicular fractures

A

Figure eight sling

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3
Q

Best mgmt of Colles fracture (distal radius)

A

Closed reduction and casting

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4
Q

Monteggia and Galeazzi fractures lead to to a fracture/dislocation combination. How are they managed?

A

Monteggia (ulnar fracture) and Galeazzi (radius fracture) will cause diaphyseal fracture and a dislocation. Open reduction and internal fixation for diaphyseal fracture and closed reduction for dislocation

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5
Q

Best mgmt of scaphoid fracture

A

Thumb spica case to prevent nonunion. Repear radiographs if uncertain

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6
Q

Best mgmt of trigger finger and/or De Quervain tenosynovitis

A

Steroid Injections

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7
Q

Best mgmt of Dupuytren contracture

A

Try collagenase and if fails then surgery

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8
Q

Best mgmt of posterior hip dislocation

Extra: How does the leg present?

A

Emergency reduction to prevent avascular necrosis

Internally rotated

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9
Q

Best mgmt of MCL/LCL injuries

Hint: depends on how many ligaments involved

A

Single ligament: Casting

Multiple ligaments: Surgical repair

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10
Q

Best mgmt of ACL/PCL injuries

Hint: depends on age

A

Young: arthroscopic repair

Old: immobilization and rehabilitation

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11
Q

Best mgmt of meniscal injury

A

Arthroscopic repair

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12
Q

Best mgmt of Achilles tendon rupture

A

Casting in equinus position or surgical repair

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13
Q

Best mgmt of tibial stress injury

A

Radiographs may be negative; cast, don’t bear weight, and repeat radiographs in 2 weeks

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14
Q

What is a more specific test for CTS, Phelan’s or Tinel’s?

A

Tinel’s (tapping on flexor retinaculum)

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15
Q

What nerve roots control cremasteric response?

Absence of cremasteric response suggests what urologic pathology?

A

L1-L2

Testicular torsion

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16
Q

How do you manage testicular torsion?

A

Don’t have to wait on US if high suspicion, emergent surgery with bilateral orchiopexy

17
Q

How is acute epidydimitis treated?

Hint: depends on age

A

35 (treat as UTI): Levofloxacin

18
Q

Should urologic obstructions accompanied by fever be treated electively, urgently, or emergently?

How are they treated?

A

Emergently!

Need to relive the obstruction bc it can lead to kidney damage and sepsis soon. Place urethral stent or percutaneous nephrostomy. Also provide IV antibiotics

19
Q

A 1 week old boy is having issues with voiding and has a distended abdomen. What do you suspect? How do you diagnose it? How do you treat it?

A

Posterior urethral valves
Voiding cystourethrogram
Catheterization

20
Q

Should you circumcise a child with hypospadias?

A

No

21
Q

What does a child with UTI have until proven otherwise? How are they treated?

A

Vesicoureteral reflux

Antibiotics until they “grow out of it”

22
Q

A young girl presents with constant wetting into her vagina. What is the likely dx?

A

Low implantation of ureter

23
Q

A teenager presents with colicky abdominal pain every time he shotguns 6 beers. What’s going on?

A

Ureteropelvic junction obstruction which causes colicky pain whenever he drinks large volumes

24
Q

How can you distinguish subclavian steal from thoracic outlet syndrome?

A

Subclavian steal causes neurologic and vascular symptoms

Thoracic outlet syndrome causes vascular symptoms only

25
Q

How does subclavian steal present classically?

A

Atherosclerotic plaque of subclavian allows the arm to be capable of doing normal level of activity however when exercising it there is claudication symptoms of arm and also a “steal” of blood supply from vertebral arteries causing syncopal episodes

26
Q

How is subclavian steal diagnosed and how is it treated?

A

Diagnose: Angiography
Treatment: Bypass surgery

27
Q

How is AAA recommended to be screened for?

A

Men 65-75 who have ever smoked should have one time US

28
Q

What is biggest RF for thoracic aortic aneurysm progression?

A

Poor BP control

29
Q

Do you need to work-up claudication symptoms in patients where it doesn’t affect their daily living?

A

No, just recommend to quit smoking and give cilostazol and aspirin

Step 3 (19 decks)

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