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HELP CAMPUS > MSK > Flashcards

MSK Flashcards

1
Q

Which bone CA starts off in childrens pelvis or spine?

A

ewing’s sarcoma

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2
Q

Osteosarcoma starts in what age?

A

second decade-20s

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3
Q

Patient is 22yo with worsening bone pain at night, starburst on xray?

A

osteosarcoma

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4
Q

What bone CA is common in >50yo?

A

chondrosarcoma

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5
Q

What type of fracture increases risk for fat embolism?

A

long bone

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6
Q

What is pathognomic for fat embolism?

A

petechial rash after long bone fx

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7
Q

What does positive mcmurrays test mean?

A

menisceal tear

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8
Q

What does positive lachman test mean?

A

ACL tear

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9
Q

Best imaging test for congenital hip dysplasia?

A

US

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10
Q

Best imaging test for avascular necrosis?

A

MRI

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11
Q

Persistent hip pain after trauma, pain starts at groin and radiates to thigh?

A

avascular necrosis

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12
Q

How to tell diff between claudication and pseudoclaudication?

A

claudication has PAD invovled; pseudoclaudication has nerve compression causing sx of claudicaiton

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13
Q

What can be related to ankloysing spondylitis?

A

uvitis, cardiac abnormalitis, interstitial lung disease, IgA neph

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14
Q

Oblique view of spine shows scottie dog with collar?

A

spondlylosis

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15
Q

Back pain with positive leg raise?

A

herniated lumbar nucleus disk

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16
Q

Vertebral body slips anteriorly?

A

spondylolithesis

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17
Q

Nerve root that tests for ankle reflex?

A

S1

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18
Q

Motor root for the big toe?

A

L5

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19
Q

Clay shovler’s fx stable or unstable?

A

stable

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20
Q

Fractures in anterior and posterior arches of C1?

A

jefferson’s fracture

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21
Q

What type of trauma is associated with hangman fx?

A

hyperextension and compression of cervical

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22
Q

What type of fracture occurs with fractures of the pedicles of C2 and anterior slip of C2 on C3?

A

hangman’s

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23
Q

Preferred tx for dupuytren contracture?

A

surgery

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24
Q

What tx is recommend for scaphoid fx?

A

thumb spica

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25
Q

What bone does both colles and smiths fx have?

A

distal radial

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26
Q

What type of fx is likely with blow to the back of the wrist?

A

colle

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27
Q

Numbness in 4th and 5th fingers?

A

cubital tunnel sx

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28
Q

What metabolic dz are linked with carpal tunnel sx?

A

DM, TSH, pregnancy, ETOH

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29
Q

What does fat pad sign on elbow xray indicate?

A

elbow fx

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30
Q

Baseball pitcher with medial elbow pain d/t repetitive valgus stress?

A

medial collateral ligament strain

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31
Q

What are the 4types of humerus fx?

A

proximal, distal, supracondylar, shaft

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32
Q

Xray shows glenohumeral joint narrowing with spurring and flattening of the humeral head?

A

gleno-humeral joint osteoarthritis

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33
Q

Pain at groove of humerus and worse with arm movements?

A

bicep tendonitis

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34
Q

What are the 4 muscles involved in RTC?

A

supraspinatus, infraspinatus, teres minor, subscapularis

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35
Q

20yo with hip pain worse at night, xray shows codmans triangle?

A

osteosarcoma

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36
Q

17yo male with palpable mass on spine with hx of chemo and radiation, likely dx?

A

ewing sarcoma

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37
Q

67yo diabetic male with discoloration of his toenails and kertinaous growth, how to confirm dx?

A

KOH prep

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38
Q

Patient is on terbinafine for onychomycosis, what lab to keep an eye on?

A

LFT: AST and ALT

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39
Q

DM patient has elevated WBC and fever, 3cm x 2cm ulcer on foot, what is suspected?

A

osteomylitis

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40
Q

How to differentiate between PE and fat embolism?

A

fat embolism has petechial rash and altered mental status

41
Q

What grade level is for complete tearing of the ankle ligaments?

A

level 3

42
Q

Which ankle fracture is semi-emergent surgerical condition and tenous blood supply?

A

talus fx

43
Q

What is the knee injury if the knee locks, knee effusion, and positive mcmurray test?

A

meniscal tear

44
Q

Loud pop in knee with immediate swelling?

A

ACL injury

45
Q

Which of the knee ligaments rarely need surgical treatment?

A

PCL

46
Q

Patient complains of “glass in knee” when kneeling, xray shows egg shaped swelling over patella?

A

pre patellar bursitis

47
Q

What abx is recommended for patient with pre patellar bursitis with cellulitis on knee?

A

clindamycin

48
Q

What type of hip fracture has higher risk for avascular necrosis?

A

femoral neck fractures

49
Q

PE for hip fracture?

A

external rotation and leg shortening

50
Q

2yo has positive ortolani and barlows test, how to treat?

A

open reduction with internal fixation, cast

51
Q

Avacular necorsis in children called?

A

legg-calve

52
Q

Patients with spinal stenosis and PAD can have claudication but which one will not have pain with riding a bike?

A

spinal stenosis

53
Q

What is the most common extra pulmonary site for manifestation with TB?

A

kyphosis

54
Q

Where is pain and temp lost in brown sequard sx?

A

pain and temp is lost on opposite side; vibration, sensation, is on the same side

55
Q

How to test for spondylosis?

A

stork test

56
Q

58yo male has lower back pain when he sneezes and better when he leans?

A

slipped disk

57
Q

What xray view is recommended with suspected neck fracture to see bilateral offset of C1 and C2?

A

open mouth odontoid view

58
Q

45yo male presents with decreased sensation, weakness, and positive spurling test?

A

herniated disk

59
Q

Anterior sublux of C1 and C2 from hyperextension can cause what fracture?

A

dens fracture

60
Q

Abscess at the tip of finger is at high risk for what complication?

A

osteomylitis

61
Q

Dupuytrens contracture is associated with what fingers?

A

4 and 5

62
Q

What is peyronie disease associated with in the hand?

A

dupuytren contracture

63
Q

Patient with de quervain tenosynovitis has swelling and tenderness over tendon, pain with passive extension, what to suspect?

A

infxn

64
Q

18yo has a wrist pain, xray show ‘garden spade’ deformity?

A

smith fracture

65
Q

Diabetic patient has tender, swollen, warm shoulder, what to do next?

A

aspiration and fluid analysis

66
Q

Snowboarder comes to ED and has a elevated distal clavicle, what to suspect?

A

AC joint seperation

67
Q

55yo female s/p shoulder fx cannot perform apleys test and decreased ROM, what to suspect?

A

adhesive capsulitis

68
Q

How to tx patient with dry eyes form sjogren sx?

A

cyclosporine

69
Q

What dz is associated with raynuad sx?

A

scleroderma

70
Q

Anti-Ro (SSA) and anti-la (SSB) AB?

A

sjogren sx

71
Q

What dz dose schirmers test help dx?

A

sjogren sx

72
Q

Anticentromere AB?

A

scleroderma

73
Q

20yo female with pericarditis and rash?

A

SLE

74
Q

Anti-smith AB?

A

SLE

75
Q

Causes of Reiter sx?

A

chlymadia, salmonella, C diff, camplylobacter jejuni

76
Q

What dz is associated with polymyalgia rheumatica?

A

giant cell

77
Q

Tx used for pseudogout?

A

aspiration and steroids

78
Q

Anti-jo1 AB?

A

polymyositis

79
Q

Where does pseudogout attack vs gout?

A

pseudogout: knee, gout: 1st MTP

80
Q

How many trigger points are required to dx fibromyalgia?

A

11/18

81
Q

Tx for fibromyalgia?

A

tricyclics

82
Q

Swan deformity and ulnar deviation?

A

RA

83
Q

Boutonniere deformity?

A

RA

84
Q

Bouchard nodules?

A

osteoarthritis on DIP

85
Q

Heberdens nodules?

A

osteoarthritis on PIP

86
Q

Two common complication of sjgrens sx?

A

non hodgkin lymphoma and primary biliary cirrohosis

87
Q

How to tx sjogren sx?

A

hydroxychloroquine

88
Q

Scleroderma patient has difficulty swallow liquid, solid, both?

A

both

89
Q

How to tx SLE?

A

corticosteroids and immune modulators

90
Q

What is the diagnostic test for dermatomyositis?

A

muscle bx

91
Q

50yo male has a purple mottled skin on torso, muscle pain, extermity weakness, HTN?

A

polyarteritis nodosa

92
Q

What is the age onset for psoaritic arthritis?

A

30-50yo

93
Q

What is the age cut off for juvenile arthritis?

A

16

94
Q

What HTN meds can cause gout attacks?

A

hydrochlorothiazide

95
Q

Positive C ANCA?

A

wegners

96
Q

Positive P ANCA?

A

churg strauss and ulcertive colitis

97
Q

Anti-CCP is accurate for what dx?

A

RA

98
Q

Positive ASCA?

A

crohn

99
Q

Positive anti-basement membrane?

A

good pasture

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