MSK

Question 1

Thoracic outlet syndrome symptoms

Answer 1

Impingement between clavicle and first rib

Unilateral, paresthesia, weakness, pain, upper limb
Unilateral, low blood pressure, weak pulses
Signs of both vascular and neurogenic claudication
Cold and pale extremity
Weakness with overhead movements

Question 2

Thoracic outlet syndrome physical exam

Answer 2

Adson maneuver (palpate radial pulse when patient abduct 45 degrees with neck extended and turned 45 degree to affected side while taking deep breath

Roos test
Morley test
Supraclavicular tenderness

Question 3

Ottawa knee rule

Answer 3

• pain to patella
• pain to fib head
• can’t flex to 90
• can’t take 4 steps
• > 55yo

Question 4

Patella pubic percussion test

Answer 4

For hip fracture

Steth on pubic symphisis and percuss patella

Question 5

Growth plate closure age

Answer 5

Approx 15 (earlier in girls)

Question 6

Green stick fracture

Answer 6

The bone bends, but does not break completely 

Question 7

Distal radius ulnar joint injury

Answer 7

FOOSH, pain over ulna, piano key sign

XR WNL then go to CT

reduce and above elbow splint in supination

Question 8

Perilunate injuries

Answer 8

FOOSH, then carpal tunnel symptoms

Spilled tea cup on XR

closed reduction with finger traps

Question 9

Lisfranc injury

Answer 9

Plantar flexion, plantar ecchymosis

XR avulsion second MT base

Posterior back slab, non weight bear, ortho

Question 10

Quad tear

Answer 10

Can’t extend knee

Zimmer splint

Question 11

Pelvic fracture

Answer 11

Blood on meatus
Bruising on perineum
Tender ASIS or instability

Pelvic binder and tourniquet