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4th year revision > MSK > Flashcards

MSK Flashcards

1
Q

Crescent sign on pelvic x-ray

A

Avascular necrosis

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2
Q

Weber type A fracture

A

Fracture distal to the syndesmosis

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3
Q

Weber type B fracture

A

Fracture involving the syndesmosis

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4
Q

Weber type C fracture

A

Fracture proximal to the syndesmosis (involving the ankle ligaments making it unstable)

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5
Q

What is the management of Weber type A,B and C fractures

A 
A = CAM boot and mobilise 
B = CAM boot vs ORIF depending on stability 
C = ORIF
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6
Q

Explain the Salter-harris classification system

A

Type 1 = involves the physis
Type 2 = involves the physis and epiphysis
Type 3 = involves the physis and metaphysis
Type 4 = involves the physis, epiphysis and metaphysis
Type 5 = crush fracture of physis

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7
Q

imaging of choice for achilles tendon rupture

A

USS

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8
Q

what is the management of anti-phospholipid syndrome?

A 
Primary prophylaxis - 75mg aspirin
Secondary prophylaxis (miscarriage doesnt count as thrombotic event)- warfarin or LMWH if pregnant `
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9
Q

pencil in cup xray appearance

A

Psoriatic arthritis

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10
Q

pain in DIP joints worse in morning and relieved by exercise

A

psoriatic arthritis

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11
Q

shortened and externally rotated leg

A

femoral/NOF fracture

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12
Q

shortened and internally rotated leg

A

hip dislocation

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13
Q

feltys syndrome triad

A

rheumatoid arthritis with destructive joint involvement + low white cell count + splenomegaly

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14
Q

imaging of choice for suspected osteomyelitis?

A

MRI

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15
Q

where is the most common site that osteomyelitis occurs in the long bones of children?

A

metaphysis

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16
Q

how are scaphoid fractures managed?

A
  • displaced = screw fixation
  • undisplaced = cast 6-8 weeks
  • suspect fracture but not seen on imaging = cast and rescan in 2 weeks
17
Q

what is the most common cause of septic arthritis in a young sexually active person?

A

Neisseria gonorrhoea

18
Q

what inheritance pattern does marfans have?

A

autosomal dominant

19
Q

what are the indications for starting bisphosphinates?

A
  • DEXA score less than -2.5
  • person on logn term steroids
  • anyone 75 or older with fragility fracture
20
Q

intracapsular displaced radial #

A

Barton’s fracture

21
Q

extracapsular radial # with dorsal angulation

A

Colle’s fracture

22
Q

extracapsular radial # with palmar angulation

A

Smith’s fracture

23
Q

outpouching of bone following trauma

A

Buckle fracture

24
Q

ulnar # with dislocation at elbow

A

Monteggia

25
Q

radial # with dislocation at wrist

A

Galeazzi

26
Q

fracture that does not go all the way through the bone

A

Greenstick fracture

27
Q

Management of a displaced intracapsular hip #

A

Total hip replacement or hemi-arthroplasty

28
Q

Managment of sub trochanteric hip #

A

IM nail

29
Q

management of stable intra-trochanteric hip #

A

Dynamic hip screw

30
Q

management of unstable intra-trochanteric hip #

A

IM nail

31
Q

Twisting injury, pain and hemarthrosis at knee

A

ACL rupture

32
Q

hyperextension injury to knee

A

PCL rupture

33
Q

force to outside of leg

A

medial collateral ligamnet

34
Q

rotational injury + locking

A

meniscal tear

35
Q

Teenage girl with knee pain going down stairs

A

chondromalacia patellae

36
Q

unhappy triad with knee

A

ACL, medial collateral and meniscal tear

37
Q

A sporty teenager presents with knee pain after exercise associated with intermittent swelling and locking

A

osteochondritis dissecans

38
Q

A sporty teenage boy presents with pain, tenderness and swelling over the tibial tubercle

A

osgood-slater disease

4th year revision (32 decks)

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