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MSK Flashcards

1
Q

arm abducted, ext rotated

A

ant shoulder disloc

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2
Q

arm adducted, int rotated

A

post shoulder disloc

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3
Q

Hill Sachs

A

Humeral Head groove

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4
Q

Bankhart lesion

A

glenoid fx

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5
Q

Tx AC disloc

A

BRIEF sling immobilization

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6
Q

pain with arm abduction >90degrees

A

tendonitis shoulder

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7
Q

wrist drop

A

radial n.

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8
Q

ulnar side of hand paresthesias

A

thoracic outlet syndrome

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9
Q

loss radial pulse with head rotated to affected side

A

thoracic outlet syndrome

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10
Q

thoracic outlet syndrome Tx

A

PT

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11
Q

amaurosis fugax

A

giant cell arteritis

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12
Q

MC Fx in kids

A

clavicle (mid 1/3)

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13
Q

pos anterior fat pad: adults, kids

A

adults: radial head fx
kids: supracondylar fx

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14
Q

nightstick fx

A

isolated ulnar shaft fx

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15
Q

monteggia fx, galeazzi fx

Tx

A

monteggia: prox ulnar
galeazzi: mid-distal radial

Tx ORIF

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16
Q

wrist drop

A

radial n. injury

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17
Q

Tx nursemaid’s

A

supination and flexion

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18
Q

muscles: lateral epicondylitis, medial epicondylitis

A

lateral: extensor carpi radialis brevis
medial: flexor carpi radialis, pronator teres

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19
Q

Colles fx Tx

A

sugar tong splint

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20
Q

Terry Thomas sign

A

scapholunate dissociation

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21
Q

spilled teacup sign

A

lunate dislocation

Tx ORIF

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22
Q

lunate fx Tx

A

thumb spica splint

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23
Q

Gamekeeper’s thumb: anatomy, Tx

A

ulnar collateral ligament

Tx thumb spica

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24
Q

Boxer’s fx Tx

A

ulnar gutter splint

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25
Q

Bennett and Rolando fx: Tx

A

bennett: 1st metacarpal base fx
rolando: comminuted

Tx ORIF

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26
Q

DeQuervain’s: anatomy

A

APL, EPB

Tx thumb spica

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27
Q

CTS Tx

A

volar splint

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28
Q

leg shortened, internally rotated

A

hip dislocation

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29
Q

leg shortened, externally rotated

A

hip fx

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30
Q

painless limping, young boy

A

Legg Calve Perthes dz

AVN femoral head

Tx observe, brace if bad

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31
Q

SCFE Tx

A

ORIF

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32
Q

Segond fx assoc with what?

A

ACL

avulsion of lateral tibial condyle

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33
Q

McMurray’s sign

A

meniscal tear

34
Q

Apley test

A

meniscal tear

35
Q

knee dislocation…think of?

A

popliteal A. injury

do arteriography

36
Q

foot drop

A

peroneal nerve injuries, 1st web space

femoral, tibial plateau fx

37
Q

knee pain worsened with prolonged sitting

A

chondromalacia

38
Q

Ober test

A

IT band syndr

pain to leg adduction

39
Q

Maisonneuve fx

A

spiral prox fibular fx + distal medial malleolar fx +- deltoid ligament rupture

40
Q

jones fx

A

5th metatarsal diaphysis

Tx NWB

41
Q

pseudojones fx

A

avulsion fx of 5th metatarsal base

Tx walking cast

42
Q

Lisfranc injury

A

2nd metatarsal base Fx

Tx ORIF

43
Q

L4

A

ant thigh, dorsiflexion, knee jerk

44
Q

L5

A

lat thigh/leg, dorsum foot (b/t 1st and 2nd toes)

45
Q

S1

A

plantar flexion, ankle jerk

46
Q

back pain relieved with flexion

A

spinal stenosis

Tx epidural steroid injection

47
Q

gymnast, low back pain

A

spondylolysis

Tx symptomatic

48
Q

spondylolisthesis

A

forward slipping

49
Q

osteomyelitis: most sensitive test early dz, gold std

A

most sensitive: MRI

gold std: bone aspiration

50
Q

MCC septic arthritis

51
Q

Osteosarcoma

A

adolescents
mets to lungs
sunray, burst, sclerotic

52
Q

MC bone CA

A

osteosarcoma

53
Q

Ewing’s sarcoma

A

children
onion peel, lytic
femur, pelvic MC

54
Q

MC benign bone CA

A

osteochondroma

55
Q

osteochondroma

A

pedunculated, grows away from growth plate

56
Q

Paget’s sx

A

bone pain
soft bones, fx, skull- deafness

INCR ALP
NORMAL Ca

Skull: cotton wool

57
Q

Paget’s Tx

A

bisphosphonates

58
Q

Tx SLE

A

sun protection, hydroxychloroquine, NSAIDs

59
Q

SLE labs

A

ANA (initial)

anti DS-DNA, anti Smith Ab (100% specific)

60
Q

anti-centromere Ab

A

limited scleroderma

61
Q

anti-SCL 70 Ab

A

diffuse scleroderma

62
Q

scleroderma sx

A 
CREST (limited): distal
Calcinosis cutis
Raynaud's
Esophageal motility d/o
Sclerodactyly
Telangectasia

diffuse: proximal, trunk

63
Q

Tx Sjrogen’s syndr

A

pilocarpine

64
Q

Sjrogen’s syndr Dx (specific test)

A

Shirmer test (decr tear production)

ANA, +RF

65
Q

Tx Fibromyalgia

A

Pregabalin (only FDA approved)

TCA

66
Q

polymyalgia rheumatica related to…

A

giant cell arteritis

67
Q

incr aldolase

A

polymyositis, dermatomyositis

68
Q

meds causing gout

A

diuretics (thiazides, loop), ASA

69
Q

Tx gout: acute, chronic

A

acute: NSAIDs (indomethacin), 2nd colchicine
chronic: allopurinol (decr uric acid prod)

70
Q

Tx pseudogout

71
Q

morning stiffness >30 min

72
Q

symm/asymm joint narrowing

A

RA: symmetric
OA: asymmetric

73
Q

Tx rhabdo

A

IVF, mannitol, bicarb

74
Q

Kawasaki sx, complications

A

warm CREAM
Conjunctivitis, Rash, Erythema (palms, soles), Adenopathy cervical, Mucous membr (strawberry tongue)

Tx IVIG, high dose ASA

complication: coronary A. aneurysm, myocarditis DO ECHO

75
Q

C-ANCA

A

Wegener’s

76
Q

HSP sx

A

palpable purpura
abdom pain, arthritis, hematuria

bleeding b/c vasculitis (not coags)

77
Q

HSP Dx

A

Kidney Bx: IgA, normal coags, normal PLTs

78
Q

Goodpasture’s

A

hemoptysis, glomerulonephritis

IgG

79
Q

bamboo spine

A

ankylosing spondylitis

Tx NSAIDs

80
Q

sausage digits, pitting nails

A

psoriatic arthritis

Tx NSAIDs

81
Q

HLA-B27

A

seroneg spondyloarthropathies

reactive arthritis, ankylosing spondylitis, psoriatic arthritis

PANCE (9 decks)

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