MSK Flashcards

1
Q

tietze syndrome

A

costochondritis + local edema

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2
Q

costochondritis tx

A

self limiting
responds well to NSAIDS

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3
Q

flail chest sx

A

3+ ribs w/ segmental fx
paradoxical respiration (area of injury sinks in w/ inspiration)
crepitus

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4
Q

flail chest tx

A

nonoperative (no respiratory compromise): pain control, positive pressure ventilation
operative (displaced fx, open fx): ORIF

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5
Q

MCC rib fx

A

blunt trauma

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6
Q

rib fx test

A

CXR AP lat view

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7
Q

compartment syndrome MC fx

A

long bone fx

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8
Q

compartment syndrome sx

A

6 Ps: pulselessness, pallor, paresthesia, paralysis, pain out of proportion, poikilothermia
tight wood like muscles

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9
Q

compartment syndrome tests

A

pressure >30
elevated CK d/t muscle injury

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10
Q

compartment syndrome tx

A

emergent fasciotomy of >30

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11
Q

compartment syndrome complication

A

volkmann contracture: permanent nerve/muscle damage “claw like deformity”

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12
Q

osteoarthritis sx

A

evening joint stiffness, worse throughout the day
heberdens nodes: DIP
Bouchard nodes: PIP

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13
Q

osteoarthritis test

A

Xray: joint space narrowing, joint mice, osteophytes, subchondral sclerosis

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14
Q

osteoarthritis tx

A

acetaminophen 1st line for elderly w/ bleed risk and mild/mod
NSAIDS
intraairticular glucocorticoid injections
surgery: end-prosthesis (joint replacement)

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15
Q

MCC osteomyelitis

A

S. aureus
salmonella: sickle cell

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16
Q

osteomyelitis sx

A

point tenderness, pain to site, sinus connecting to abscess
F
children: long bones

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17
Q

osteomyelitis homogenous vs exogenous

A

homogenous: indirect, children
exogenous: direct inoculation, adults

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18
Q

osteomyelitis test

A

inc WBC
CT: codmans triangle = agressive
MRI: edema, cortical loss
inc ESR and CRP
gold: bone aspiration

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19
Q

osteomyelitis tx

A

long term IV abx: ampicillin sulbactam
surgical removal of dead bone
amputation

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20
Q

acute osteomyelitis <4mo etiology and tx

A

GBS
nafcillin or oxacillin + 3rd gen cef

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21
Q

acute osteomyelitis >4mo etiology and tx

A

MSSA: nafcillin or oxacillin or cefazolin (clinda or vanco if penicillin allergic)
MRSA: vancomycin or linezolid

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22
Q

acute osteomyelitis sickle cell etiology and tx

A

salmonella
3rd gen Cef or FQ (cipro or levo)

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23
Q

acute osteomyelitis puncture wound etiology or tx

A

pseudomonas
ciprofloxacin or levofloxacin

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24
Q

septic arthritis etiology

A

MCC: S aureus
sexually active: S. gonorrheaeoe

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25
Q

septic arthritis sx

A

MC joint knee, unilateral
dec ROM, edema, warm to touch
F

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26
Q

septic arthritis dx

A

leukocytosis
XR
arthrocentesis: >50k WBC, neutrophils, low glucose

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27
Q

septic arthritis tx

A

arthrotomy w/ joint drainage
IV Vanco + 3rd gen ceph

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28
Q

avascular necrosis sx

A

hx of steroid use
pain w/ internal/external rotation of hip

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29
Q

avascular necrosis test

A

hip xray AP and frog: joint space narrowing, subchondral sclerosis

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30
Q

avascular necrosis tx

A

protective weight bearing until dx established
hip arthroplasty if + for femoral head collapse

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31
Q

developmental dysplasia sx

A

ortolani +: clunk hip in
Barlow +: hip adduction out of place
galeazzi +: knee level asymmetric
trendelenburg +: stand of affected leg, dip in pelvis opposite side
waddling gait

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32
Q

developmental dysplasia test

A

US reliable if <4mo
xray not useful, better if >6wks

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33
Q

developmental dysplasia tx

A

reversible w/in 1st, can spontaneously correct by 2-6wk
pavlik harness
forced abduction or reduction is CI d/t avascular necrosis
if >2yo: surgery

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34
Q

femoral neck fx sx

A

acutely shortened
externally rotated
due to posts and iliacus

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35
Q

femoral neck fx tx

A

surgery

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36
Q

patella fx sx

A

acute swelling w/ effusion
inability to extend knee against gravity
quads can’t contract

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37
Q

patellar vs biparte fx

A

biparte fx has rounded edges
patellar fx has sharp edges

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38
Q

jones fx sx

A

transverse fx 5th metatarsal at metadiaphyseal junction
pain in lateral mid foot
tenderness at base of 5th metatarsal

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39
Q

jones fx MOA

A

twisting foot wearing heels

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40
Q

1st metatarsal fx

A

dancers fx
ortho referral

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41
Q

jones fx tx

A

non weight bearing
posterior splint then immobilization in short leg cast
surgery

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42
Q

Osgood schlatter dz sx

A

osteochondritis at tibial tuberosity from overuse
tenderness to anterior tibial tubercle

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43
Q

MCC chronic knee pain in young active adolescents

A

Osgood schlatter dz

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44
Q

Osgood schlatter test

A

xray: irregular ossification of tibial tubercle

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45
Q

Osgood schlatter tx

A

spontaneously resolves at skeletal maturity
conservative: ice, NSAIDs, PT
surgery if refractory

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46
Q

SCFE sx

A

adolescent obese boys
limited internal rotation of hip
pain and limp
pain referred to thigh or medial knee

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47
Q

SCFE tx

A

crutches, referral

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48
Q

pes anserinus pain syndrome muscles

A

gracilis
sartorius
semitendinous

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49
Q

pes anserinus pain syndrome sx

A

pain medial knee below joint line
pain over medial tibial condyle, exacerbated by pressure from opposite knee while lying on side
swelling, erythema, and induration typically absent

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50
Q

pes anserinus pain syndrome tx

A

quad strengthening exercise
NSAIDs

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51
Q

medial ankle injury sx

A

tibiofibular ligament
+ external rotation stress test

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52
Q

medial ankle injury test

A

MRI best test

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53
Q

medial ankle injury tx

A

conservative: cast/boot and crutches
PT
refer if tibiotalar joint space is widened/asymmetrical
gold: screw fixation

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54
Q

lateral ankle injury sx

A

inward inversion of foot, anterior taolfibular ligament
anterior drawer test

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55
Q

lateral ankle injury test

A

Ottawa ankle rules
plain radiograph

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56
Q

lateral ankle injury tx

A

uncomplicated: conservative or ortho if bony fx is present
ortho if open fx and neuromuscular impairment

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57
Q

osteochondroma

A

10-20yo
pedunculate grows away from growth plate
observe, resect

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58
Q

chondrosarcoma

A

cartilage based tumor
malignant
punctate ring and arc appearance
35-50yo
tx w/ surgery

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59
Q

pages dz of bone

A

elderly, inc ALP
blade of grass, flame shaped
skull: cotton wool appearance
bisphosphonates TOC
calcitonin

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60
Q

osteosarcoma sx

A

adolescent and <30yo
MC mets to lungs
metaphysics of long bones

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61
Q

MC bone malignancy that produces immature or osteoid bone

A

osteosarcoma

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62
Q

osteosarcoma test

A

xray: hair on end, starry or sunburnt appearance
Rodman’s triangle (also seen in Ewings sarcoma)

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63
Q

osteosarcoma tx

A

limb sparing resection if not neovascular
amputation if neovascular
chemo adjunct
high dose IV drugs: MTX, doxirubicon, cisplatin

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64
Q

Ewing sarcoma sx

A

children, femur/pelvis
long bone diaphysis and axial skeleton
palpable mass
fever

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65
Q

Ewing sarcoma x ray

A

lytic lesion
onion peel
moth eaten appearance
periosteal elevation: codman’s triangle

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66
Q

fibromyalgia associations

A

MDD
GAD
IBS

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67
Q

fibromyalgia ACR criteria

A

11/18 symmetrical characteristic trigger points
sx >3mo

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68
Q

fibromyalgia bx

A

moth eaten appearance

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69
Q

fibromyalgia tx

A

low dose TCA (amitryptiline)
SNRI (duloxetine)
anticonvulsants (pregabalin)

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70
Q

gout gold standard test

A

arthrocentesis of synovial fluid
biferingent negative needle shaped

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71
Q

gout tx

A

NSAIDS acute first line (indomethacin, naproxen, ibuprofen)
colchicine 2nd line and glucocorticoids

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72
Q

gout prophylaxis

A

low dose colchicine or NSAIDS or low dose steroid

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73
Q

gout 1st line chronic tx

A

allopurinol
CI in acute gout
avoid ASA

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74
Q

gout NSAID CI

A

CKD
PUD

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75
Q

pseudo gout test

A

gold: arthrocentesis: rhomboid positive birefringent
XR: chonedrocalcinosis (linear radiodensities)

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76
Q

pseudo gout tx

A

initial: NSAIDs (naproxen)
alt: colchicine and steroids

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77
Q

juvenile RA

A

1+ joints involved >6wks <16yo
inc CRP/ESR, +ANA

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78
Q

juvenile RA tx

A

opthalmologic exam
NSAIDS
DMARDS
steroid injection to inflamed joint

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79
Q

first line tx osteoporosis

A

bisphosphonates (alendronate)

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80
Q

behcets dz

A

autoimmune recurrent painful oral/genital ulcers
tx w/ CS

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81
Q

osteogenesis imperfecta sx

A

blue tinted sclera
presentile deafness

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82
Q

polyarteritis nodosa association

A

hep B

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83
Q

polyarteritis nodes sx

A

necrotizing vasculitis of medium sized muscular arteries
skin ulcers, subq nodules on lower legs
starburst lived (lived reticularis)
nononeuritis multiplex
HTN, fever

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84
Q

polyarteritis nodes test

A

inc ESR/CRP
definitive: deep wedge bx of nodules
anca -

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85
Q

polyarteritis nodosa tx

A

systemic steroids (prednisone) + cyclophosphamide

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86
Q

polyarteritis nodosa complications

A

cardiac
bowel infarction or perforation
renal failure

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87
Q

polymyalgia rheumatica assoc w/

A

giant cell arteritis

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88
Q

polymyalgia rheumatica sx

A

pain/morning stiffness of shoulder/hip/neck
better thru the day, worse in morning
F

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89
Q

polymyalgia rheumatica test

A

high ESR >50
inc CRP
neg CK, RF, and autoab

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90
Q

polymyalgia rheumatica tx

A

low dose prednisone w/ taper

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91
Q

eosinophilic granulomatosis w/ polyangitis triad

A

asthma
hypereosinophilia
chronic rhino sinusitis

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92
Q

eosinophilic granulomatosis w/ polyangitis labs

A

eosinophilia hallmark
+ PANCA, + RF
inc ESR/CRP, inc BUN/Cr
inc IgE

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93
Q

eosinophilic granulomatosis w/ polyangitis tx

A

CS

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94
Q

polymyositis sx

A

painless progressive weakness
pain of proximal muscles

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95
Q

polymyositis test

A

anti-jo-1
inc aldolase

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96
Q

polymyositis tx

A

high dose prednisone

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97
Q

dermatomyositis sx

A

heliotrope: blue purple upper eyelid discoloration
gottrons papules: raised violicious scaly eruptions on knuckles
shawl or V sign: photosensitive poikiloderma

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98
Q

dermatomyositis dx

A

anti MI 2 ab

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99
Q

reactive arthritis MC pathogens

A

hx of recent GI or chlamydia infx
chlamydia, salmonella, campy, shigella

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100
Q

reactive arthritis sx

A

arthritis, urethritis, conjunctivitis (can’t see, can’t pee, can’t climb a tree)
brown red hyperkeratotic macules on palms and soles (keratoderma blemmoragium)

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101
Q

reactive arthritis test

A

+ HLAB27

102
Q

reactive arthritis tx

A

self limiting 3-12mo
supportive: NSAIDS

103
Q

granulomatosis w/ polyangiitis

A

URI sx, saddle nose deformity, lower respiratory tract sx
glomerulonephritis
+ CANCA
tx w/ CS

104
Q

RA sx

A

improves during day, morning stiffness >30m
swan neck deformity
boutonniere deformity
bow string sign

105
Q

felty syndrome

A

triad: RA + splenomegaly + dec WBCr/repeat infx

106
Q

Caplan syndrome

A

pneumoconiosis + RA

107
Q

RA labs

A

+ RF, anti-CCP (most specific)

108
Q

RA tx

A

DMARDS: MTX, hydroxychloroquine in pregnancy
NSAIDs first line for acute pain

109
Q

supplement w/ MTX

A

folic acid

110
Q

sjogrens syndrome tests

A

+ ANA, + RF, + schemer test
rose bengal test: devitalized epithelium of conjunctiva
anti SS-A (ro), anti SSB (La)
bx: increased infiltration of lymphoblasmacytic

111
Q

sjrogens syndrome tx

A

pilocarpine
clevimeline

112
Q

SLE can be induced by which meds

A

methyldopa
INH
procainamide
hydralazine
quinidine

113
Q

SLE sx

A

triad: joint pain, fever, butterfly rash
discoid rash: annular dry patches on face and scalp
glomerulonephritis, retinitis, oral ulcers, alopecia

114
Q

SLE test

A

BIT: +ANA
+anti dsDNA, anti smith
+RF, antihistone ab
antiphhospholipid ab syndrome
+ anti cardiolipin

115
Q

SLE tx

A

hydroxychloroquine
decrease time in sun

116
Q

hydroxychloroquine monitor

A

do eye exam

117
Q

scleroderma limited

A

MC: CREST (calcinosis cutis, Raynaud, esophageal dysmotility, sclerodactyly, telangiectasia)

118
Q

CREST

A

Calcinosis cutis: ca deposits on elbow, knee, finger
Raynaud
esophageal dysmotility (GERD/dysphasia)
sclerodacytyly: red/blue edema, fibrosis
telangiectasia

119
Q

diffuse scleroderma

A

widespread trunk
pigmentation
more aggressive
cardiac, lung, kidney dz present

120
Q

generalized sx scleroderma

A

skin thickening/tightning, appears smooth/shiny
digital pitting, depigmentation

121
Q

scleroderma dx

A

> 3/5 crest sx
+ anti scl 70
+ANA

122
Q

limited scleroderma tests

A

anti SCL70
anticentromere antibodies
ANA

123
Q

scleroderma tx

A

supportive
MTX
nifedipine CCB for raynauds

124
Q

hence schlonlien purpura

A

IgA
hematuria, palpable purpura, abd pain, synovial
normal coags
supportive tx

125
Q

ankylosing spondylitis tx

A

NSAIDs, PT
if doesn’t work, TNF inh (infliximab)

126
Q

psoriatic arthritis

A

asymmetric arthritis, dactyliitis
sausage fingers
xray: pencil in cup
HLAB27, inc ESR
NSAID 1st line

127
Q

cauda equina MCC

A

herniated disk

128
Q

cauda equina sx

A

acute onset, low back pain, numbness
urinary retention, saddle anesthesia
dec rectal tone/ fecal incontinence
dec DTR

129
Q

cauda equina dx

A

MRI study of choice
CT pyelogram if unable to do MRI

130
Q

cauda equina tx

A

emergent surgery decompression

131
Q

MC locations of herniated disk

A

L5/S1
L4/L5

132
Q

herniated disk test

A

MRI best method

133
Q

herniated disk L4 sx

A

anterior thigh pain
sensory loss to medial ankle
ankle dorsiflexion weakness
loss of knee jerk
weak knee extension- quads

134
Q

herniated disk L5 sx

A

lateral thigh/leg, hip groin paresthesias and pain
dorsum of foot, esp between 1st and 2nd toes
big toe extension/dorsiflexion weakness
walking on heels harder than on toes
reflexes usually normal

135
Q

herniated disk S1 sx

A

posterior leg/calf gluteus
plantar surface of foot
plantar flexion weakness
walk on toes harder than heels
loss of ankle jerk reflex

136
Q

kyphosis sx

A

hunchback

137
Q

scheuermanns juvenile kyphosis

A

genetic
shmorls nodes on xray

138
Q

kyphosis test

A

later xray of spine
Cobb angle >40 degrees
anterior wedging of >3 vertebral bodies

139
Q

kyphosis tx

A

PT
NSAIDs
>75: surgery
>60: brace/cast

140
Q

cafe au lait spots
skin tags
axillary freckles
scoliosis

A

neurofibromatosis type I

141
Q

scoliosis MC pattern

A

right thoracic curve

142
Q

scoliosis test

A

Adams forward bending test
confirm: xray
Cobb method

143
Q

scoliosis tx

A

brace if 20-40 degrees
observation if <25 degrees, repeat imaging
surgery if >40

144
Q

scoliosis left sided curve

A

higher incidence of intraspinal pathology (syrinx or tumor)

145
Q

spinal stenosis sx

A

load dependent low back pain, worse w/ extension, standing, walking
shopping cart test

146
Q

spinal stenosis due to

A

osteoarthritis (DJD) of lumbar spine or large disk herniation

147
Q

spinal stenosis test

A

initial: XR
confirm: MRI

148
Q

spinal stenosis tx

A

conservative: NSAIDs, PT, CS inj
laminectomy

149
Q

thoracic outlet syndrome compression of

A

brachial plexus
vascular compression w/ abduction of arm

150
Q

thoracic outlet syndrome sx

A

neck pain, paresthesias to fingers, hand atrophy
dec BP in affected arm

151
Q

thoracic outlet syndrome compression of

A

brachial plexus
subclavian artery
subclavian vein

152
Q

thoracic outlet syndrome test

A

arterial TOS = MRA
venous TOS = duplex us
neurogenic TOS = EMG study
+ adson: dec radial pulse if head toward affected side

153
Q

thoracic outlet syndrome tx

A

mild: PT, NSAIDs, thrombolytics if venous
acute: surgical decompression

154
Q

torticollis which muscle

A

sternocleidomastoid

155
Q

torticollis tx

A

congenital: PT, surgery at 12mo if not corrected
wry neck: self limiting

156
Q

brown sequard syndrome

A

ipsilateral hemiplegia, increased muscle tone.
ipsilateral loss of motor, vibratory, and proprioception
contralateral loss of pain and temp sensation

157
Q

brown sequard syndrome tx

A

supportive, rehab
CS

158
Q

anterior cord syndrome sx

A

complete loss of motor, pain, and temp below injury
retains proprioception and vibratory

159
Q

MC shoulder dislocation

A

anterior

160
Q

anterior arm dislocation sx

A

abducted and externally rotated arm
axillary nerve damage: dec sensation in shoulder badge description

161
Q

bankart lesion

A

detaching of anterior inferior labrum from glenoid rim

162
Q

hills Sachs lesion

A

defect of postiolateral humeral head d/t abrasions of anterior rum of glenoid

163
Q

posterior shoulder dislocation causes

A

electric shock
seizures

164
Q

posterior shoulder dislocation sx

A

arm adduction and internal rotation

165
Q

posterior shoulder dislocation tx

A

closed reduction

166
Q

posterior shoulder dislocation complications

A

labral injuries
tears to SITS
+neer and + Hawkins

167
Q

clavicle fx MC location

A

middle 1/3

168
Q

clavicle fx test

A

CT angio dx TOC

169
Q

clavicle fx complication

A

middle 3rd of clavicle has brachial plexus and subclavian artery/vein

170
Q

clavicle fx tx

A

figure 8 sling
neonatal: reassurance
prox 1/3: ortho

171
Q

colles fx

A

fx distal radius w/ dorsal and radial displacement
tx w/ sugar tong splint
from FOOSH

172
Q

smiths fx

A

distal radius
garden spade deformity
volar angulation

173
Q

torus fx

A

Peds, buckle fx

174
Q

humeral head fx MOA

A

FOOSH

175
Q

humeral head fx neuro eval

A

watch for axillary nerve and brachial plexus

176
Q

humeral head fx tx

A

immobilization in sling

177
Q

MC complication humeral head fx

A

frozen shoulder

178
Q

humeral shaft fx tx

A

r/o radial nerve injury (wrist drop)
tx sugar tong splint

179
Q

radial head fx xray

A

fat pad sail sign

180
Q

radial head fx sx

A

FOOSH
cannot fully extend elbow

181
Q

radial head fx tx

A

sling
displaced ORIF

182
Q

fat pad sail sign in child

A

supracondylar fx

183
Q

boxers fx

A

5th metacarpal neck
ulnar gutter cast

184
Q

galeazze fx dislocation

A

FOOSH
distal radius rx, radioulnar joint (DRUJ) dislocation

185
Q

monteggia fx

A

proximal/mid ulna fx
radial head dislocation

186
Q

conteggia fx complication

A

radial nerve injury (wrist drop)

187
Q

dupuytrens contracture association

A

diabetes

188
Q

dupuytrens contracture (trigger finger) tx

A

injection
surgery

189
Q

orbital blowout fx sx

A

inferior rectus entrapment CN3
upward gaze
infraorbital anesthesia

190
Q

MC area mandibular fx

A

body
condyle

191
Q

legg calve perthes sx

A

child 4-8yo
painless limp

192
Q

legg calve perthes tx

A

self limiting
pain reduction

193
Q

unhappy triad

A

ACL
MCL
medial meniscus

194
Q

tenosynovitis sx

A

Finger in flexion
Length of tendon sheath tender
Enlarged finger
Xtension of finger causes pain

195
Q

meds that can cause gout

A

pyrazinamide
loop diuretics
low dose aspirin
thiazides
ethambutol

196
Q

colchicine AE

A

diarrhea

197
Q

NSAID gout caution/CI

A

renal insufficiency
active duodenal/gastric ulcer
cardiovascular dz

198
Q

allopurinol AE

A

SJS

199
Q

meds that can cause SJS

A

allopurinol
phenytoin
phenobarbital
lamotrigine
ethosuximinde
penicillins
carbamazepines
sulfonamides

200
Q

MC joint involved in pseudo gout

A

knee

201
Q

pseudo gout tx

A

intraairticular injection (1-2 joints) first line
NSAIDS, steroids, colchicine

202
Q

juvenile idiopathic arthritis criteria

A

<16yo
arthritis for at least 6 weeks

203
Q

juvenile idiopathic arthritis sx

A

Fever at least 2 wks (quotidian pattern: F spikes and disappears daily)
arthritis at least 6 weeks
salmon colored rash
uveitis

204
Q

juvenile idiopathic arthritis tx

A

NSAIDS

205
Q

MC type of fx in osteoporosis

A

vertebral compression fx

206
Q

bisphosphonates AE

A

pill induced esophagitis
jaw osteonecrosis
atypical femur fx

207
Q

polyarteritis nodosa sx

A

hx of hepatitis
renal dz (HTN)
dermatologic
mononeuropathy multiplex
tends to spare the lungs

208
Q

polyarteritis nodosa dx and tx

A
  • ANCA
    glucocorticoids
209
Q

polymyalgia rheumatica sx

A

stiffness and pain in shoulders, hip girdle, and neck, worse in AM
Female > 50yo
giant cell arteritis

210
Q

polymyalgia rheumatica test

A

inc ESR/CRP

211
Q

polymyositis and dermatomyositis sx

A

muscle weakness (proximal, progressive, symmetric)
dermatomyositis: gottron papules, shawl sign/ v sign (photo distributed koikiloderma), heliotrope rash,

212
Q

polymyositis and dermatomyositis test

A

elevated CK, aldolase
anti-jo-1, anti-mi-2 (dermtomyositis)

213
Q

causes of reactive arthritis

A

chlamydia
preceding GI/GU infx

214
Q

sjogrens test

A

anti ro SSA
anti la SSB
schirmer test

215
Q

limited scleroderma test

A

anti centromere ab

216
Q

diffuse scleroderma test

A

anti scl 70

217
Q

lupus tests

A

anti smith ab
anti dsDNA ab
antiphospholipid ab `

218
Q

lupus tx

A

hydroxychloroquine

219
Q

MC type of dislocation

A

anterior glenohumeral dislocation

220
Q

anterior glenohumeral dislocation presentation

A

abducted externally rotated arm

221
Q

axillary nerve injury

A

common in pts with glenohumeral dislocation
lose feeling around shoulder badge distribution

222
Q

associated injuries w/ anterior shoulder dislocation

A

hill-sachs lesion
bankart lesion
axillary nerve injury

223
Q

posterior shoulder dislocation xray

A

light bulb sign

224
Q

adhesive capsulitis RF

A

diabetes
hypothyroidism

225
Q

supracondylar humerus fx presentation

A

2-7yo
FOOSH w/ elbow hyperextendedn

226
Q

supracondylar humerus fx test

A

xray: fat pads

227
Q

supracondylar humerus fx complications

A

volkmann ischemic contracture

228
Q

cubital tunnel syndrome test

A

tinel sign

229
Q

scaphoid fx tx

A

thumb spicca splint

230
Q

colles fx xray

A

dorsal displacement of the distal radius fragment

231
Q

smith fx xray

A

volar/ palmar displacement of the distal radius fragment

232
Q

lunate fx xray

A

spilled tea cup sign

233
Q

lunate fx complications

A

avascular necrosis (kienbocks disease)

234
Q

de quervain tenosynovitis tendons

A

abductor pollicis longus
extensor pollicis brevis

235
Q

type of femur fx associated w/ avascular necrosis

A

femoral neck fx

236
Q

hip fx presentation

A

externally rotated, shortened leg

237
Q

hip dislocation presentation

A

internally rotated, shortened leg

238
Q

MC Hip dislocation

A

posterior

239
Q

SCFE presentation

A

12-13yo obese
painful limp

240
Q

SCFE gold standard tx

A

surgical pinning

241
Q

legg calve perthes presentation

A

painless limp
5-8yo

242
Q

legg calve perthes presentation

A

painless limp
5-8yo

243
Q

ACL test

A

lachman most sensitive

244
Q

PCL test

A

posterior drawer test

245
Q

meniscal injury test

A

Mcmurray
joint line tenderness

246
Q

meniscal injury sx

A

pop
lock
knee gives out (drop)

247
Q

tibiofemoral dislocation complication

A

popliteal artery injury: can lose limb
peroneal nerve injury

248
Q

patellofemoral syndrome sx

A

anterior knee pain

249
Q

patellofemoral syndrome RF

A

runners
women

250
Q

IT band syndrome sx

A

lateral knee pain

251
Q

achilles tendon rupture RF

A

FQ

252
Q

achilles tendon rupture test

A

thompson test