MSK

Question 1

Colles fracture is a fracture of which bone?

Answer 1

distal radius

from FOOSH

Question 2

What is Morton’s Neuroma?

Answer 2

Inflammation of digital nerve between 3 and 4 metatarsal

Question 3

What is the test for Morton’s neuroma?

Answer 3

○ Mulder Test: grasp first and fifth metatarsal, squeeze forefot
Positive = click and pain with compression

Question 4

Bouchard nodes = ______ IP in ____ arthritis

Answer 4

proximal interphalangeal joint in OA

Question 5

Heberden nodes = _____ IP in ______ arthritis

Answer 5

distal interphalangeal joint in OA

Question 6

hydroxychloroquine monitoring

Answer 6

eye exam every 6 months to assess retinal damage

Question 7

common side effects with colchicine?

Answer 7

diarrhea

abdo pain, cramps, nausea/vomiting

Question 8

common drug interactions with colchicine?

Answer 8

macrolides
azoles
CCB
cyclosporine, 
tacrolimus

Question 9

what is the black box warning for febuxostat?

Answer 9

gout patients with heart disease have higher rate of CV death compared with treatment with allopurinol

Question 10

what food may decrease incidence of gout?

Answer 10

cherries (tart)
vit C
caffeine

Question 11

colchicine metabolism is through _____?

Answer 11

CYP3A4

CAUTION when taking with CYP inhibitors —> may increase serum concentration of colchicine and increase toxicity risk

Question 12

symptoms of colchicine toxicity?

Answer 12

rhabdomyolysis
blood cytopenia
liver failure
peripheral neuropathy

Question 13

Ankylosing spondylitis

back pain usually starts in ______

Pain improves with _____, no relief with _______

Answer 13

usually starts in neck

pain improves with exercise, no relief with rest

Question 14

Ankylosing spondylitis

finding on Xray?

Answer 14

bamboo spine

Question 15

National osteoporosis foundation guidelines

Who should be screened for osteoporosis?

Answer 15

women 65+ men 70+ regardless of risk factors

younger women and men 50-69 with risk factors

anyone over age 50 with broken bone

Question 16

USPTF

who should be screened for osteoporosis?

Answer 16

women 65+

younger women at higher risk determined by clinical risk tool

USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening to prevent osteoporotic fractures in men.

Question 17

what are two medications approved by FDA and Health Canada for use in fibromyalgia?

Answer 17

• duloxetine

- pregabalin

Question 18

recommended vit D supplementation for:

• infants 0-1
• people 1-70 years
• 70+
• pregnant and lactating

Answer 18

0-1: 400 IU/day
1-70: 600 IU/day
70+: 800 IU/day
lactating : 600 IU/day