MSK Flashcards

1
Q

Weak external rotation (shoulder)

A

adhesive capsulitis

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2
Q

Antiphospholipid syndrome
APTT
PT
Plts

A

APTT prolonged
PT normal
Plts low (sometimes)

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3
Q

Gottrons papules

A

roughened red plaques on extensor surfaces
associated with dermatomyosytis

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4
Q

De Quervain’s tenosynovitis clinical test

A

Finkelstein test positive ie. she has pain over her radial styloid on forced abduction/flexion of the thumb.

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5
Q

Hydroxychloroquine SE

A

visual acquity

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6
Q

Rheumatoid arthritis most specific test

A

anti CCP (anti cyclic citrullinated peptide)

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7
Q

knee meniscal tears Fx

A

knee locking, giving way

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8
Q

ankylosing spondylitis Mx

A

1st - NSAIDs/ exercise
2nd - DMARD (sulfasalazine)
3rd - Anti TNF (etanercept)

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9
Q

Gout chronic Mx

A

1st - Allopurinol + Colchicine/ NSAID cover
2nd - Febuxostat (xanthine oxidase inhibitor)
3rd - uricase

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10
Q

Ottawa rules for Ankle X ray

A

lateral malleolar pain
medial malleolar pain
unable to weight bear at time of injury and on assessment

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11
Q

Rheumatoid arthritis X ray findings

A

Early x-ray findings
loss of joint space
juxta-articular osteoporosis
soft-tissue swelling

Late x-ray findings
periarticular erosions
subluxation

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12
Q

cubital tunnel syndrome

A

compression of ulnar nerve - tingling of 4/5th fingers

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13
Q

carpal tunnel syndrome

A

compression of median nerve - tingling of thumb, index, middle finger
weak thumb abduction
thenar eminence wasting

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14
Q

antiphospholipid syndrome clotting profile

A

prolonged APTT
low platelets

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15
Q

antiphospholipid syndrome Mx

A

primary thromboprophylaxis: aspirin
secondary thromboprophylaxis: lifelong warfarin (INR 2-3); if recurrent despite warfarin, then INR 3-4

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16
Q

Ankylosing spondylitis associations (6)

A

Apical fibrosis
Anterior uveitis
Aortic regurgitation
Achilles tendonitis
AV node block
Amyloidosis

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17
Q

hydroxychloroquine SE (1)

A

retinopathy

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18
Q

Femeroacetablur impingement Fx

A

anterior groin pain in active young adults

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19
Q

phenytoin SE

A

dupuytrens contracture

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20
Q

Intertrochanteric (extracapsular) non displaced proximal femoral fracture Mx

A

dynamic hip screw

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21
Q

Displaced femoral fracture Mx

A

hemiarthroplasty or total hip replacement (if patient is active)

22
Q

Lateral epicondylitis (tennis elbow) Fx

A

worse on resisted wrist extension/suppination whilst elbow extended

23
Q

Sjogrens disease antibody

A

Anti-Ro

24
Q

Perthes disease Fx

A

male, age 4-8yrs
progressive hip pain
XR hip - widening joint space, flattened femoral head

25
Q

osteoporosis + steroid (Pred >7.5mg for 3 months) Mx

A

> 65 - start bisphosphonate
<65 - DEXA scan (T-1.5 start bisphosphonate)

26
Q

psoriatic arthritis Fx

A

symmetrical polyarthritis (although can be asymmetrical)
arthritis mutilans (severe deformity of hands/ “telescoping fingers”)
Nails - pitting, oncholysis
Dactylitis - finger swelling “sausage”
Tenosynovitis

27
Q

psoriatic arthritis XR finding

A

pencil in cup

28
Q

Radial tunnel syndrome Fx

A

pain distal to lateral epicondyle
worse on elbow extension/forearm pronation

29
Q

paget’s disease Mx

A

bisphosphonate (alendronate)

30
Q

osteoarthritis Mx

A

1st - paracetamol + topical NSAIDs
2nd - oral NSAIDs, opioids, capsaicin cream and intra-articular corticosteroids

31
Q

Radial nerve (C5-8) motor function

A

motor - extension (forearm, wrist, fingers, thumb)
sensory - dorsal aspect between thumb and index
injury - humeral shaft fracture, palsy leads to wrist drop

32
Q

Axillary nerve (C5,6) motor, sensory function

A

motor - shoulder abduction (deltoid)
sensory - deltoid
MOI - humeral neck fracture

33
Q

methotrexate and trimethoprim interaction leads to

A

myelosuppression - pancytopenia

34
Q

people with aspirin allergy can not take

A

sulfasalazine

35
Q

drug induced lupus antibody

A

antihistone antibody

36
Q

causes of drug induced lupus (2)

A

procainamide
hydralazine

37
Q

posterior hip dislocation Fx

A

high energy impact
shortened, internally rotated leg

38
Q

neck of femur fracture Fx

A

low impact, elderly patients
shortened, externally rotated leg

39
Q

pseudogout XR findings

A

chondrocalcinosis (calcification of articular edge)

40
Q

Subacromial impingement Fx

A

presents with a painful arc of abduction

41
Q

ACL Ix

A

Lachman test positive
MRI (gold standard)

42
Q

scaphoid fracture Fx

A

snuff box tenderness
pain compressing thumb longitudinally
pain on flexion and ulnar deviation of wrist

43
Q

Colles fracture Fx

A

dorsally displaced distal radius fracture
MOA - fall on outstretched hand
“dinner fork” derformity

44
Q

Smiths fracture Fx

A

MOA - fall on flexed hand/ direct impact to wrist (opposite of colles)
type of distal radius fracture

45
Q

Bartons fracture

A

intraarticular distal radius fracture
Similar to Colles and Smiths but intraarticular

46
Q

Bennetts fracture

A

intraarticular fracture of base of first metacarpal (thumb)
Fx - force abduction of first metacarpal (thumb)

47
Q

Rolando fracture

A

comminuted first metacarpal fracture
MOA - flexed first metacarpal (thumb) eg fist fight

48
Q

Ottawa Knee x ray rules

A

Knee injury PLUS any of the below
>55yo
tenderness of patella
tenderness of head of fibula
inability to flex 90 degrees
inability to weight bear immediately and in ED

49
Q

developmental dysplasia of hip Ix

A

ultrasound

50
Q

shoulder dislocation nerve damaged

A

axillary nerve - numbness over deltoid

51
Q

Limited cutaneous systemic sclerosis (CREST syndrome) antibody

A

anti-nuclear antibody
anti centromere