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Last Min Review > MS > Flashcards

MS Flashcards

1
Q

tx boxer’s fx

A

ulnar gutter splint

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2
Q

monteggia vs galeazzi

A

MUGR
monteggia = proximal ULNA
galeazzi = distal radius
tx: ORIF + casting in supination

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3
Q

risk w/ hip dislocation

A

sciatic nerve injury, AVN

tx: reduction + abduction bracing

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4
Q

anterior dislocation shoulder

A

pt holds arm slightly abducted + externally rotated

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5
Q

risk w femoral fx

A

fat emboli = fever + change mental status + dyspnea

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6
Q

clicking or locking
joint line tenderness
mcMurray +

A

meniscal tear

can be conservative tx

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7
Q

radial N injury

A

sensation: dorsal forearm and 1st 3 fingers
MCC: humeral fx
“wrist drop”

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8
Q

median N injury

A

sensation: palmar surface 1st 3 fingers
MCC: carpal tunnel
weak wrist + flat thenar eminence

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9
Q

ulnar N injury

A

sensation: palmar + dorsal last 2 fingers
elbow dislocation
claw hand

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10
Q

axillary N

A

sensation: lateral shoulder

ANTERIOR humeral dislocation

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11
Q

peroneal N

A

sensation: dorsal foot and lateral leg
MCC: knee dislocation
foot drop

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12
Q

compartment syndrome

A

pain, paresthesia, poikilothermia, pulselessness, pallor, paralysis
pressure > 30

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13
Q

pain worse w/ repetitive stress and resisted strength testing

A

tendinitis

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14
Q

“soap bubble”

F 20-40, knee pain

A

giant cell tumor

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15
Q

“onion skinning”

kid 10-20, femur

A

Ewing sarcoma

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16
Q

MC benign bone tumor

A

osteochondroma

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17
Q

Codman’s triangle - ne bone formation at diphyseal end

Sunburst pattern

A

osteosarcoma

tx: surgery

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18
Q

tx septic arthritis

A

joint aspiration = WBC > 80K
MC staph, strep, and gram- rod
tx: rocephin + vanc until cultures come back

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19
Q

abnormal Schober test

A

< 5cm distance change w/ forward bend = ank spond

20
Q

immune-mediated muscle inflammation
F, 50-70, AA
symmetric proximal muscle weakness/pain + difficulty swallowing/breathing

A

Polymyositis
high CK and anti-Jo-1
muscle bx = fibers in varying stages of necrosis and regeneration
tx: high dose steroids 4-6wk

21
Q

heliotrope rash - violet perioorbital rash
shawl sign
Gottron’s papuls - papular rash + scale on hands

A

dermatomyositis
high CK and anti-Jo-1
tx: high dose steroid 4-6wk

22
Q

risk factor RA

A

female
age 35-50
HLADR4

23
Q

anti-CCP

A

RA

tx: NSAID, DMARDS (methotrexate)

24
Q

common complication scleroderma

A

pulmonary fiborisis
core pulmonale
renal failure
malignant HTN

25
Q

tx scleroderma

A

steroids

26
Q

tests for SLE: sensitive vs specific?
ANA?
anti-dsDNA?
anti-Sm?

A

sensitive - ANA

specific - dsDNA, Sm

27
Q

non-infectious vegetations on mitral valve?

A

Libman-Sacks endocarditis assoc w/ SLE

28
Q

pain/stiff shoulders and pelvis + high ESR + anemia

A

poly rheumatica

tx: low dose prednisone

29
Q

painless limp, possible knee pain

limited abduction and internal rotation

A

LCP

tx: Petrie cast for hip abduction

30
Q

F < 16y

fever + nodules + red rash + pericarditis + fatigue

A

Juvenile RA
no dx test
tx: NSAID (methotrexate 2nd)

31
Q

Kanavel + (pain w/ attempting to straighten finger)
fusiform swelling
finger in slight flexion

A

flexor tenosynovitis

tx: OR

32
Q

AVN lunate

A

Keinbock’s disease

33
Q

ulnar+ sign (ulna longer than radius)

worse w/ twisting wrist

A

tirangular fibrocartilage complex tear
MRI
tx: volar splint

34
Q

mallet finger vs boutonniere vs swan neck deformities vs jersey finger

A

mallet - terminal externosor tendon
boutonniere - central slip rupture
swan neck - lateral bands
jersey finger - flexor digitorum profundus

35
Q

tx colle’s fx

A

sugar tong splint then long arm cast

36
Q

bennet fx

A

abductor pollicus longus

tx: thumb spica

37
Q

fx pars interarticularis from repeated stress from hyperextension of L spine

A

spondylolysis
XR - get oblique view!
tx: bracing, PT

38
Q

anterior slippage vertebra

A

sponylolisthesis

tx: rest, NSAID, surgery

39
Q

bankart lesion

A

injury or inferior labrum from shoulder dislocation

40
Q

Hill Sachs lesion

A

chuck out of back of humeral head from scraping against anterior glenoid upon anterior shoulder dislocation

41
Q

pain w/ catching, popping/locking w/ overhead activity

A

SLAP tear

O’Brien - pain w/ thumb down and no pain palm up

42
Q

lateral epicondylitis vs medial epicondylitis

A 
lateral = ERCB (extensor carpi radialis brevis)
medial = flexor carpi radialis + pronator teres
43
Q

nursemaid elbow

A

anular ligament

44
Q

Mulder’s sign

A

squeezing toes will exacerbate sx of morton’s neuroma

tx rest, weight loss, proper shoes, steroid injection, surgery

45
Q

spain of ulnar collateral ligament thumb

A

gamekeeper’s thum

46
Q

cup and sauce of proximal phalanx

A

psoriatic arthritis

Last Min Review (7 decks)

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