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PANRE > MSK > Flashcards

MSK Flashcards

1
Q

Neer and Hawkings

A

Impingement

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2
Q

Most common area of the clavicle to fracture

A

Middle third, then distal third

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3
Q

Nursemaid elbow

A

radial head subluxation. Pt presents with arm in pronation.

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4
Q

Monteneggia fracture

A

MUGR: ulnar fracture with radial dislocation (radial nerve injury)

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5
Q

Galeazzi

A

Distal radius fracture with ulnar dislocation (ulnar nerve injury)

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6
Q

Colles

A

Distal radius fracture with dorsal displacement of the wrist.
Dinner fork deformity

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7
Q

Dinner fork deformity

A

Colles

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8
Q

Smith fracture

A

Distal radius fracture with volar displacement of the wrist (opposite of Colles)

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9
Q

Gold standard dx for scaphoid

A

MRI. If unclear on initial XR, splint in thumb spica and repeat imaging in 1 week

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10
Q

Tx scaphoid fracture

A

stable and non displaced= short arm case for 3 months. Otherwise, surgery.

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11
Q

Tx ankylosing sponydlitis

A

NSAIDs and PT. Do not use systemic steroid or DMARDS. Maybe interarticular steroid injections

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12
Q

What are “red flags” for imaging LBP?

A 
Weight loss
Over age 50
H/o CA
Fever
Nighttime pain
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13
Q

Cauda Equina sx

A 
LBP
Saddle anesthesia
Bowel/bladder anesthesia
LE weakness
Absent LE DTRs
Pain radiates to both legs
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14
Q

Bamboo sign

A

Ankylosing Spondylitis

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15
Q

Definitive tx cauda equina

A

Surgical decompression

Give steroid, dx with MRI

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16
Q

Cobb angle diagnosis for scoliosis

A

More than 10 degrees
Over 30 bracing
Over 50 surgery

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17
Q

Legg-Calve-Perthe

A

Avascular necrosis of the hip in children. Pain and limping. Hip or knee pain

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18
Q

SCFE

A

Epiphysis slips posteriorly and causes internal rotation of the hip. 12 yo obese. Slow onset.

19
Q

How long should pts be screen for developmental hip dysplasia?

A

Until age 2

20
Q

Ortolani

A

Start in adduction and ABduct and lift trochanter anteriorly

21
Q

Barlow

A

Start in abduction and push posteriorly

22
Q

Imaging for developmental hip dysplasia?

A

Under 6 months US

Over 6 months XR

23
Q

Tx developmental hip dysplasia

A

Under 6 months Pavlik harness

Over 6 months reduction

24
Q

Externally rotated shortened leg?

A

Suspect displaced femoral neck (hip) fracture

25
Q

Most accurate test for ACL tear?

A

Lachman

26
Q

Positive McMurray or Apley?

A

Meniscal tear

27
Q

Osgood Schlatter diagnosis

A

Clinical. No XR needed

28
Q

Bouchard vs Heberden

A

Bouchard PIP Heberden DIP

29
Q

6 P’s of compartment syndrome

A

Pain, pallor paresthesias, pulselessness, paralysis, pressure

30
Q

High purine foods

A

Meat, seafood, ETOH

31
Q

Progressive proximal muscle weakness

A

Polymyositis (difficulty standing from a chair or combing hair). Definitive dx is biopsy.

32
Q

PMR

A

Morning pain and stiffness. Neck, shoulders and pelvis. Associated with giant cell arteritis

33
Q

Best test for SLE

A

ANA

34
Q

Sjogrens diagnosis

A

Schirmer test

35
Q

What X-ray signs suggest supracondylar fracture

A

Anterior sail or posterior fat pad

36
Q

15 y/o presents with joint pains x 8 weeks and intermittent fever with salmon colored rash on trunk. Dx?

A

JRA

37
Q

Tx PCN allergic dog bite

A

Cipro/Levaquin (1st line Augmentin)

38
Q

What Cobb angle diagnosis for scoliosis?

A

10

39
Q

TX scoliosis?

A

greater than 30 bracing

greater than 50 surgery

40
Q

Empiric ABX for septic arthritis?

A

Ceftrixone and vanco (usually staph and strep)

41
Q

Sunburst pattern

A

osteosarcoma

42
Q

Moth eaten pattern on XR

A

ewing sarcoma

43
Q

Polymyositis

A 
Proximal painless weakness
Trouble getting up from a chair or combing hair
Muscle biopsy
High dose steroids
Associated with malignancy
44
Q

Small to medium vessel necrotizing vasculitis

A

Polyarteris nodosa

PANRE (11 decks)

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