MSK

Question 1

Neer and Hawkings

Answer 1

Impingement

Question 2

Most common area of the clavicle to fracture

Answer 2

Middle third, then distal third

Question 3

Nursemaid elbow

Answer 3

radial head subluxation. Pt presents with arm in pronation.

Question 4

Monteneggia fracture

Answer 4

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

Question 5

Galeazzi

Answer 5

Distal radius fracture with ulnar dislocation (ulnar nerve injury)

Question 6

Colles

Answer 6

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

Question 7

Dinner fork deformity

Answer 7

Colles

Question 8

Smith fracture

Answer 8

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

Question 9

Gold standard dx for scaphoid

Answer 9

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

Question 10

Tx scaphoid fracture

Answer 10

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

Question 11

Tx ankylosing sponydlitis

Answer 11

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

Question 12

What are “red flags” for imaging LBP?

Answer 12

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

Question 13

Cauda Equina sx

Answer 13

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

Question 14

Bamboo sign

Answer 14

Ankylosing Spondylitis

Question 15

Definitive tx cauda equina

Answer 15

Surgical decompression

Give steroid, dx with MRI

Question 16

Cobb angle diagnosis for scoliosis

Answer 16

More than 10 degrees
Over 30 bracing
Over 50 surgery

Question 17

Legg-Calve-Perthe

Answer 17

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

Question 18

SCFE

Answer 18

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

Question 19

How long should pts be screen for developmental hip dysplasia?

Answer 19

Until age 2

Question 20

Ortolani

Answer 20

Start in adduction and ABduct and lift trochanter anteriorly

Question 21

Barlow

Answer 21

Start in abduction and push posteriorly

Question 22

Imaging for developmental hip dysplasia?

Answer 22

Under 6 months US

Over 6 months XR

Question 23

Tx developmental hip dysplasia

Answer 23

Under 6 months Pavlik harness

Over 6 months reduction

Question 24

Externally rotated shortened leg?

Answer 24

Suspect displaced femoral neck (hip) fracture

Question 25

Most accurate test for ACL tear?

Answer 25

Lachman

Question 26

Positive McMurray or Apley?

Answer 26

Meniscal tear

Question 27

Osgood Schlatter diagnosis

Answer 27

Clinical. No XR needed

Question 28

Bouchard vs Heberden

Answer 28

Bouchard PIP Heberden DIP

Question 29

6 P's of compartment syndrome

Answer 29

Pain, pallor paresthesias, pulselessness, paralysis, pressure

Question 30

High purine foods

Answer 30

Meat, seafood, ETOH

Question 31

Progressive proximal muscle weakness

Answer 31

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

Question 32

PMR

Answer 32

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

Question 33

Best test for SLE

Answer 33

ANA

Question 34

Sjogrens diagnosis

Answer 34

Schirmer test

Question 35

What X-ray signs suggest supracondylar fracture

Answer 35

Anterior sail or posterior fat pad

Question 36

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

Answer 36

JRA

Question 37

Tx PCN allergic dog bite

Answer 37

Cipro/Levaquin (1st line Augmentin)

Question 38

What Cobb angle diagnosis for scoliosis?

Answer 38

10

Question 39

TX scoliosis?

Answer 39

greater than 30 bracing | greater than 50 surgery

Question 40

Empiric ABX for septic arthritis?

Answer 40

Ceftrixone and vanco (usually staph and strep)

Question 41

Sunburst pattern

Answer 41

osteosarcoma

Question 42

Moth eaten pattern on XR

Answer 42

ewing sarcoma

Question 43

Polymyositis

Answer 43

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

Question 44

Small to medium vessel necrotizing vasculitis

Answer 44

Polyarteris nodosa