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Musculoskeletal > Monica book > Flashcards

Monica book Flashcards

1
Q

Triad of urethritis, conjunctivitis, arthritis Associated lesions include circinate balanitis
Keratoderma blenorrhagica
Mouth ulcers

A

Reiter’s syndrome

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2
Q

Seronegative arthropathies

A

Reiter’s syndrome
Ankylosing spondylitis
Psoriatic arthritis
Enteropathic arthopathy

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3
Q

4 A’s associations of ankylosing spondylitis

A

Arthritis
Anterior uveitis
Apical lung fibrosis
Aortic regurgitation

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4
Q

What does the arthritis in UC/Crohn’s usually look like?

A

Asymmetrical, mainly affects lower limbs

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5
Q

More common in Turkish, Iranian patients
Orogenital ulceration, uveitis, arthritis
Pathergy reaction is pathognomonic

A

Behcets

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6
Q

Proximal muscle weakness, pain and tenderness

↑serum CK (creatine kinase)

A

Polymyositis

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7
Q

Granulomas in respiratory tract, generalized vasculitis

Classic anti-neutrophil cytoplasmic antibody (cANCA), anti-PR3 positive

A

Wegeners

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8
Q

Usually elderly patient with headache Scalp tenderness, jaw claudication very suggestive Amaurosis fugax, sudden unilateral blindness can occur associated with polymyalgia rheumatica

A

Temporal/giant cell arteritis

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9
Q 
Usually child (particularly under age 5) 
Purpuric rash over buttocks,
extensor surfaces
Associated with arthritis, abdominal
pain, nephritis
A

Henoch-Schonlein purpura

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10
Q

Usually middle-aged male

Asthma, rhinitis and systemic vasculitis

A

Churg-Strauss syndrome

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11
Q 
Usually under 5 years:
Main features are:
– protracted fever (over 5 days)
– acute cervical lymphadenopathy
– bilateral non-purulent conjunctivitis
– dry, cracked, fissured lips
– redness, oedema of palms and soles Platelets, CRP (C-reactive protein) usually ↑↑
A

Kawasaki’s disease

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12
Q

Painful shoulder following seizure

A

Posterior dislocation

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13
Q

Failure to abduct shoulder after dislocation

A

Axillary nerve injury

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14
Q

Winged scapular

A

Damage to the long thoracic nerve

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15
Q

Dinner fork deformity

A

Colles fracture

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16
Q

Forced adduction and flexion of thumb elicits pain on radial side of wrist

A

De Quervain’s syndrome

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17
Q

Which movements will elicit pain in DeQuervains?

A

Forced adduction and flexion of thumb

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18
Q

Flexed, adducted and externally rotated leg

A

Femoral shaft fracture

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19
Q

Locked knee, positive McMurray’s test?

A

Meniscal tear

20
Q

Drop foot after hip replacement

A

Sciatic nerve injury

21
Q

Drop foot after knee injury

A

Common peroneal nerve injury

22
Q

Excessive anterior glide on femur

A

ACL tear

23
Q

Excessive posterior glide tibia on femur

A

PCL tear

24
Q

Prominent tender tibial tubercle

A

Osgood-schlatter disease

25
Q

Localized enlargement of bone with deformity (e.g. enlarged skull, bowed tibia)§

A

Paget’s disease

26
Q

RA on x-ray

A

Loss of joint space Juxta-articular osteoporosis Erosions, subluxation joints

27
Q

Onion peel sign on x-ray

A

Ewing’s sarcoma

28
Q

“Sunray spiculation” on x-ray

A

Osteosarcoma

29
Q

Hallmark sign of osteosarcoma

A

Osteoid production

30
Q

Side effects of ciclosporin

A

Gum hypertrophy
Nephrotoxicity
Hyperkalaemia

31
Q

Drugs which can cause big gums

A

Ciclosporin
Phenytoin
CCBs

32
Q

Intramuscular DMARD which can cause el massive rash all over your body

A

Gold

33
Q

Treatment for gout

A

Acute: colchicine
Prophylaxis: allopurinol

34
Q

Question mark posture

A

Ankylosing spondylitis

35
Q

Most common cause of posterior shoulder dislocation

A

Epileptic fit

36
Q

Anterior shoulder dislocation might damage which nerve

A

Axillary

37
Q

Which nerve might be damaged in a humeral shaft fracture

A

Radial nerve

38
Q

Pre-patellar bursitis

A

Housemaids knee

39
Q

This nerve supplies the extensors of the wrist

A

Radial nerve

40
Q

Look for damage of this artery if you have supracondylar fracture

A

Brachial artery

41
Q

Pott’s disease

A

Tuberculous spndylitis

-fever, weight loss, back pain

42
Q

Biochem findings in myeloma

A

High calcium

High ESR

43
Q

Which type of radiograph do you need in SUFE?

A

Lateral radiograph!

44
Q

Adducted
Externally rotated
Shortened

A

Fractured NOF

45
Q

Risk factors for pseudogout

A

Hypovolaemia, hyperparathyroidism, diabetes, haemochromatosis, acromegaly, arthritis

Musculoskeletal (44 decks)

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