MSK Flashcards
most common site of clavicular fx is:
middle 1/3
de Quervain’s Tenosynovitis involves tendon’s of which muscles?
Extensor pollicus bravis
Abductor polilcus longus
Which ligaments are mostly likely injured in ankle inversion.
Anterior talofibular and Calaneofibular
Septic Arthritis are caused by:
Gonorrhea
Staph Aureus
MRSA
group B strep
Sjogren’s Syndrome is manifested by
dry eyes and mouth
wrist drop is caused by injury to what nerve?
radial nerve
Spinal cords in adults ends at the level of:
L1-2
most common benign bone mass is:
Osteoid Osteoma
Test used to diagnose meniscal tear?
McMurray = Meniscus
Apley
Arm drop test:
adduction of the arm
positive when: quick drop at 30 degree or more
Scotty dog view on x-ray is used to diagnosed
Spondylolysis
Retinoblastoma increases the risks of:
Osteosarcoma
common location of Ewing’s Sarcoma is:
Diaphysis of long bones
Pelvis, ribs, flat bones
Bleeding or edema within a limited space may cause:
Compartment Syndrome
Lateral Epicondylitis is a result of what overuse injury:
extension and supination
Tophi are:
deposition of uric acid into the skin
Tophi=Gout
Presence of DIP nodes (Bouchard’s) nodes rules out:
Rheumatoid Arthritis
Schober test is used to diagnose:
Ankylosing Spondylitis
Scaphoid or navicular fracture
most common location for Ganglion cyst is:
hand
feet
typical injury that produces meniscal tear is:
knee twisting
lab finding during acute Gout episode:
normal or low uric acid
Toe walking
S 1 Gastrocnemius
Calcium Pyrophospate Dihydrate is also known as:
Pesudogout
anti Smith is indicative of
SLE
Smith SLE
Most common gout location
1 MTP
tx for Felon is:
abscess drainage
Important risk factor for osteoporosis is:
ETOH abuse
Medication that may cause gout:
Loop Diuretics
HCThiazide Diuretics
Systemic sclerosis is also known as:
scleroderma
Pt with sickle cell dz are prone to develop osteomyelitis caused by:
Salmonella
tumor in the pelvis, or diaaphysis usually corresponds to:
Ewing Sarcoma
Polymyositis
factors that increase the occurance of Frozen Shoulder:
DM I
Prolong Immobilization
Yergason’s test is indicative of:
Biceps tendonitis
Plyarteritis Nodosa is also known as
Nectrotizing arteritis of medium sized vessels
Painful lump below kneecap
in a 10-15 y.o pt who is active in sports
is known as:
Osgood Schlatter Dz.
typical presentation of a hip fx is:
shortened leg
externally rotated
abducted
Typical CBC resutls for Lupus:
Anemia
Leukopenia
Thrombocytopenia
PolyMyositis is associated with:
Malignancy
polyMyocityis=Malignancy
causitive microrganism for Herpetic Whitlow is:
Herpex Simplex Virus
DIP and thoracolumbar joints is usually NOT affected in which arthritis?
involvment of DIP joint = DJD
Normal exam with multiple trigger points suggest
Fibromyalgia
Spondylosis
Heel walking
L5 Anterior tibialis
Malignancy of plasma cells is known as:
Multiople Myeloma
Tx for Osgood Schlatter Dz:
NSAIDs
Knee cap
Reduced physical activity
Most common location for Gout:
Metatarsophalangeal joint (big toe)
positive Finkelstein test is indicative of:
de Quervain’s Tenosynovitis
“Dinner/Silver Fork” reffers to:
Colles Fx
Thickened ligamentum flavum may cause:
Spinal Stenosis
Know dermatomes
young adult with septic arthritis is usually secondary to:
Gonorrhoea
Inability to seleep on a side
Poin tenderness at greater trochanter
suggests:
Trochanteric Bursitis
Shopping cart signs is seen in:
Spinal Stenosis
Lytic bone lesions
with poor margins and sharp edges are signs of:
Bone malignancy
Hawkins test is:
internal rotation of the arm
shoulder at 90
elbow at 90
Presentation of ACL injury:
knee instability / knee giving away
pop sound
acute hemarthrosis
typical presentation of hip disslocatoin:
shortened leg
internally rotated
Most common age for Osteosarcoma is:
b/w 10-20 y.o
Shoulder Dislocation is also known as:
Glenohumeral Dislocatoin
worsening ankle dorsiflexion is known as:
Lasegue’s Sign
Reactive Arthritis Conjunctivitis is often seen in conjunction with:
Reactive Arthritis
tx for Herpetic Whitlow is:
observation
Most common vessels affected by Polyarteritis Nodosa:
Renal arteries
(produce HTN)
Swan neck deformity
hyperextension at the PIP joint
extended swan neck
Anterior slippage of vertebral body is known as:
Spondylolisthesis
Patellar reflex
L4
calcium pyrophosphate crystals
Pseudogout
Repetitive gripping usually results in:
de Quervain’s Tenosynovitis
Serious side effect of bisphosphanate is:
Esophagitis
Hyperflexion at DIP is known as:
Mallet finger
most common ankle ligament to be injured is:
Anterior talofibular
most common shoulder dislocatoins are:
anterior
Medication known to cause Gout:
Thiazide Diuretics
Loop Diuretics
Niacin
Aspirin
Falling on hyperflexed (inward) hand will produce what radial head fx:
Smith
Which meniscus gets torn more common?
Medial
Presentation of SCFE:
knee pain
groin pain
limping
morning joint stiffness greater than hour is suggestive of
RA
most common type of scleroderma is known as:
CREST
Paronychia
Osgood schlatter
Conditions that can cause bilateral Carpal Tunnel
Pregnancy (self limiting)
Reumatoid Arthritis
Hypothyroidism
Amyloidosis
Acromegaly
Mechanism of most common ankle sprain:
inversion and plantar flexion
Scheuermann’s disease is known as:
Juvenile Kyphosis
Pain in the joints relieved with rest is most likely
Osteoarthritis
Dexa results
T score: >2.5 corresponds to:
Osteoporosis
Pars interarticularis fx results in:
Spondylolysis
Meniscal Tear
prefered pain med for Fibromyalgia is:
ultram/acetam
Saddle anesthesia is synonymous with:
Cauda Equina Syndrome
lateral curvature of the spine is known as:
Scoliosis
Chronic inflammation of synovial membranes is known as:
RA
Ankylosing Sponylitis starts:
at SI joints and moves up the spine
Fat pad sign on X ray is indicative of:
occult elbow fx
Persistent night pain is often suggestive of:
Osteosarcoma
Nodes in DIP are known as:
Heberden’s
distal Heberden’s
HyperUrecemia is defined as:
Uric Acid > 7.5
Common types of hip fx are:
Transcervical/Subcapital
Intertrochanteric
Most common hip dislocation is:
Posterior
population group suseptible to de Quervain’s Tenosynovitis is:
middle age female
feeling of heavyness in the muscle
difficulty arising from a chair
Polymyositis
Aprihension test
Dry mouth and eyes
Sjogren’s Syndrome
Anti-Jo antibodies are associated with:
Polymyositis
Heliotrope rash is indicative of:
Polymyositis
(rash around eyes)
Herpetic whitlow
medial ligament of the ankle is known as:
Deltoid
SLE is often associateed with which cardiac condition?
Pericarditis
Swan neck deformity
Sausage fingers / ductilitis is associated with:
Psoriatic Arthritis
nail pitting
sasage like fingers
Psoriatic Arthritis
what cast is required for Colles/Smith fx?
Sugar Tong Splint
Volar angulation of the distal (factured) radial head is indicative of:
Smith Fx:
Volar Smith
Forceful internal knee rotation will injure which ligament?
ACL
positive Neer test is indicative of
impingement
tx for Juvenile RA:
NSAIDS (Naproxen, IBprofen, Celebrex)
methotrexate
Neer test
arm is raised forward
depress (press down) on scapula
Common complication fo Transcervical Hip Fx is:
Avascular Necrosis
what medication is a risk factor for developing osteoporosis?
Corticosteroid
Sx of spinal stenosis are relieved with:
sitting or spine flexion/leaning forward (shopping cart sign)
Chronic condtion that may cause gout is:
CKD
(under excretion of uric acid)
Dietary changes required for Gout tx:
avoid:
organ meats
alcohol
Skin nodules seen in gout is known as:
Tophi
Most common carpal bone fx is:
Scaphoid Fx
Septic Arthritis in a young pt is often caused by:
N.Gonorrhoea
Sunburst appearance in the metaphyseal location of the bone corresponds to:
Osteosarcoma
Medial calf sensosetion is controlled by ____ nerve root:
L4
medial four
infection in the finger pad is called:
Felon
Septic Arthritis organisms:
Staph
Strep
STI
Injury to ulnar collateral ligament of the thumb at MCP is known as:
Gamekeeper’s / Skier’s Thumb
Posterior fat pad sign is indicative of
Suprcondylar or Radial Head Fx
Pts with Oligo/pauciarticular arthritis has increased risk of
uveitis
Most common rotator cuff muscle injured is:
Supraspinatus
Achilles reflex
S1
Polymalasia rhumatica
Most common type of Juevenille Rheumatoid Arthritis is:
Oligo/pauciarticular arthritis
involves no more than 4 joints.
Multiple trigger points
Fibromyalgia
Medial Epicondylosis is a result of what onveruse injury:
repeated flexition and pronation
tests used to diagnose ACL injury:
Anterior drawer sign
Lachman test
Rhoboid shaped
+ birefringent crystals
Pseudogout
Abx of choice for septic arthritis is:
Ceftriaxone
Fx that occurs as a result of punching a wall is known as:
Boxer’s fx
Pain with spine extension in an athlete my be as a resutls of:
Spondylolysis
Thompson test is used for:
Diagnosiing Achilles tendon rapture
Knee extension
L 4 quadriceps
Lachman’s test
Anti-centromere antibody
Anti-topoisomerase antibody
Scleroderma
Lasegue’s Sign
used in Lumbar pain
tx of acute gout:
Indomethacin (NSAIDs)
Spondylolisthesis
Rheumatoid Arthritis and Osteoarthritis (Degenerative Joint Dz) and inflammatory vs. non inflammatory
RA = inflammatory
DJD = non inflammatory (wear and tear)
Elbow flexition test is used to diagnose:
Cubital tunnel syndrome
Spinal Stenosis
nodes in the PIP joints are
Bouchard’s
Proximal Bouchards
Dexa results
T score: 1-2.5 corresponds to:
Osteopenia
Pt with Juvenile Rheumatoid Arthritis are at increased risk of:
Iridocyclitis/anterior uveitis
eye exam required every 6 m.
Rheumatoid Arthritis spares which joints?
DIP
Osteoarthritis is inflamatory or non inflammatory?
Non inflammatory
Most common site for spondylolisthesis is:
L4/5
L5/S1
Classical tetrad corresponding to Reactive Arthritis is:
Arthritis
Urethritis
Conjunctivitis
Mucosal ulcers
ligaments injured in a typical ankel sprain:
Anterior talofibular
Calcaneofibular
Posterior talofibular
Adhesive Capsulitis / frozen shoulder
idiopathic loss of both active and passive motion
Bankart Lesion:
Tear of the glenoid labrum
Great toe dorsiflexion is controlled by:
G r e a t (5) toe
Slipped Capital Femoral Epiphysis is often seen in:
obese teenage boys
Onion skin appearance on bone X-ray is suggestive of:
Ewing’s Sarcoma
Allopurinol MoA
Xanthine Oxidase Inhibitor
(decreases the production of uric acid)
mechanism of rotator cuff impingement:
rotator cuff gets pinched b/w
humeral head and coracoacromial arch
Polymyalgia Rheumatica
Boutonnier Defformity is:
Injury of the central extensor tendon results in
hyperflextion at PIP joinmt
Flexition Boutonnier
clear vescile formation on the finger tip is known as:
Herpetic Whitlow
Cubital Tunnel affect what nerve?
Ulnar
tx for chronic gout:
Allopurinol
Colchicin
Rod / needle shaped
negative birefringent crystal
Gout - uric acid crystals
Impingement Syndrome
Anti Nuclear Antibody is indicate of
SLE
ANA=SLE
sx of Still disease (system Juvenile RA)
Fever
Rash
Hepatospleenomegaly
Apophysitis of tibial tubercle is a young active pt is known as:
Oscgood Schlatter Dz.
side effects of croticosteroids
Atheroslerosis
Osteoporosis
Avascular necrosis
Snuff box tenderness is indicative of:
Scaphoid / Novicular fx
Pain in the elbow with extension and supination is indicative of
Lateral Epicondylitis
Reactive arthritis is associated with which diagnostic marker:
HLA-B27
Cobb angle is measured to diagnosed:
Scoliosis
finger deformating often seen in
RA
Jammed finger injury
Boutonniere finger
Sunburst/Sunray appearance on bone X-ray is indicative of:
Osteosarcoma
Humpback should make you think of:
Kyphosis
Plantar flexion weakness
S1
Lateral calf sensation is controlled by which nerve root?
L5
lateral five
First line drug tx for Osteoarthritis is:
Acetaminophen
Foot dorsiflxion controlled by:
L4
f o o t ( 4)
Jone’s fracture
Conditions that preceed Reactive Arthritis:
STI
Gastroenteritis
Falling of the outstretched (hyperextened) hand will produce what kind of radial fx?
Coles
tx for RA:
NSAIDs
Disease Modifying Anti-Rheumatic Drugs (DMARD) - Methorexate
Mallet Finger
fx of the 5th or 4th metacarpal bone is known as:
Boxer’s fx
Kienbock’s Dz
pain/stiffness in the absence of trauma
osteonecrosis of lunate
fracture at the base of te 5th MT joint is known as:
Jones fx
Still’s Disease is:
Systemic Juvenille Rheumatoid Arthritis
sx of SLE
Malar rash
Discoid rash
Serositis
Oral ulcers
Arthritis
Photosensitivity
pulmonary fibrosis
Blood disorders
Renal disease
Neurologic disease
Numbness and tingling in the 4th & 5th fingers is often caused by
Cubital tunnel syndrome (ulnar nerve compression)
joint pain releives with rest vs. with walking:
osteoarthritis = releived with rest
RA= releived with walking
SLE tx is:
Corticosteroids
hydroxychloroquine
Malar Rash
Lupus
Most common injury to the elbow is:
Lateral Epicondylitis / Tennis Elbow
HLA-B27 is a marker for
Ankylosing spondylitis
Reactie Arthritis
Psoriatric arthritis
RA affects more males or females?
females
Advanced Carpal tunnel is manifested by:
Thenar atrophy
Scaphoid bone is supplied by what artery:
Radial
Mosty sensitive ACL test is:
Lachman test
Anterior knee pain worse with running, stairs, squatting.
Patellar femoral pain syndrome
Bilat pain in the buttock and the back of the thigh is often due to:
Ankylosing Spondylitis
Dorsal angulation of distal (fractured) part of distal radius is known as:
Coles fx
Dorsal coles
Onion skin apparance in the diaphysis of the long bone or pelvis bone corresponds to:
Ewing Sarcoma
young pt with knee pain after:
kneeling activities
jumping
running
Oscood Schlatter Dz
Most common location of Osteosarcoma is:
Metaphyis of long bones
Near the knee
Increased dorsal curvature (convex) of the T spine is known as:
Kyphosis
CMC Joint Arthritis
Ankel reflex will be dimished when ___ nerve root is pinshed:
S1
CREST stands for:
Calcinosis
Raynaud’s
Esophageal motility disorder
Sclerodactaly
Teleangectasisias
Olecranon bursisits
marker for Ankylosing Spondylitis:
HLA-B27
Bamboo spine:
Ankylosing Spondylitis
Gout most commonly affects
great toe
Sx of compartment syndrome:
Severe pain - out of praportion
paresthesia
pain with passive movement
decreased sensation / strength
Direct fall onto shoulder is likely to produce:
AC injury
SLE can be caused by which medicatioins:
Isoniazid
Quinidine
Procainamide
Tx for Fibromyalgia:
Lyrica
Cymbalta (SSNRI)
SSRI
Slipped capital femoral epiphysis
Patellofemoral grinding test is used to diagnose:
patellofemoral Pain Syndrome
White/sclerotic margins around bone mass seen on X ray is indicative of:
Benign lesion
Mallet finger results from
trauma to extensor at DIP
Sail sign is also known as:
Anterior fat pad
indicative of elbow fx
Most common fractures to cause compartment syndomre is
Tibial shaft fx
Narrow Joint Space
Osteophytes
are signs of:
Osteoarthritis
most common fx in children is:
clavicle fx
side effect of Methorexate:
liver toxicity ( check AST)
supresses bone marrow resulting in macrycytic anemia (check CBC)
Dupuytren Dz is associated with
Diabetes
Bankart Lesion
Hill-Sachs Lesion
are seen in
Shoulder Dislocatons
Bamboo spine is a sign of:
Alkyllosing Spondylitis
inability of dorsiflex great toe is due to the pinching of ___ nerve root
L5
diagnostic study of choice for avascular necrosis is:
MRI
Loss of both active and passive motion of the shoulder is known as:
Adhesive Capsulitis / Frozen Shoulder
Felon infection
Deltoid weakness and lateral arm numbness is a pt with anterior shoulder disslocation is a sign of what nerve damage?
Axillary Nerve
Polyarteritis Nodosa is associated with:
Hep B
most common sx of Avascular/Aseptic Necrosis is
aching groin pain
Reactive Arthritis / Reiter’s
Arthritis secondary to STD
Butterfly/malar facial rash that spears nasolabial folds is indicative of:
SLE
Positive crossover test is indicative of
Acromioclavicular (AC) Injury
Paesthesias in the 4th and 5th fingers is indicative of:
Cubital tunnel syndreme
ulnar nerve
persisten bone pain releived with NSAID / Aspirin is suggestive of:
Osteoid Osteoma
Osteomyelitis is most commonly caused by:
Staph Aureus
Bone cancer in the metaphysial part of the bone is:
Osteosarcoma
Cauda Equine Syndrome is caused by sudden compression of:
L2-S5
HTN crisis due to renal failure in scleraderma pt. requires what medication?
ACE-I
Which rotator cuff muscle is most often damaged?
Supraspinatus
Osteoporosis tx:
Ca+ and vit D intake
stop Smoling and ETOH
Bisphosphanates
Knee jerk / patellar reflex will be diminished when which nerve root is pinched?
L 4
Most common primary malignant bone lesion:
Multiple Myeloma 1st
Osteosarcoma 2nd
audible snap with extending a finger is known as:
Trigger finger
Positive birefringent crystals
Pyrophoshate Calcium
Prism/rhomboid crystals
PseudoGout
Swelling around finger nail is called:
Paronychia
sx of meniscal tear:
join line pain
effusion
locking and clicking
mechanics of Osgood Schlatter Dz is:
pulling of audriceps on apophysis of the tibial tubercle
in RA fingers and wrist are deviated towards:
ulnar deviation
Positive Tinel’s and Phalen’s test are indicative of:
Carpal Tunnel Syndrome
defect at DIP results in:
defect at PIOP results in:
Mallet - unable to extend
Boutonniere or Swan Neck deformity
Avascular necrosis
Symmetrical Progressive Proximal Muscle Weakness of the upper and lower extermities is suggestive of:
Polymyositis
Empty Can test seperates which rotator cuff muscle?
Supraspinatus
Most common knee legament to be injured is:
ACL
McMurry’s test
most common treatment for clavicular fx is:
8 sling
most specific marker for RA is:
anti CCP
Pseudogout most commonly affects
Writst joint
Shawl sign corresponds to:
Polymyocitis
(rash over the shoulders)
nerves that can be damaged in a prox humerus fx:
axillary
radial
ulnar
median
anti CCP is a marker for:
RA
артрит советского союза
Tx for compartment syndrome:
Urgent Fasciotomy
inflammation of mucus membrane is known as:
Sjogren’s syndrome
repeated flexition and pronation will cause
Medial Epicondylitis / Golfer’s elbow
Nodule that flactuates in size depending on the time of day most likely is:
Ganglion cyst
crescent sign on x ray is indicative of:
Avascular Hip Necrosis
