MSK

Question 1

Kehr’s sign?

Answer 1

Referred L shoulder pain from splenic rupture

Question 2

Cullen sign?

Answer 2

Periumbilical ecchymosis from pancreatitis

Question 3

Grey Turner’s sign

Answer 3

Ecchymosis of the flank from pancreatitis

Question 4

Lisker’s Sign

Answer 4

Tibial bone tenderness from DVT

Question 5

Blumberg’s sign

Answer 5

Abdominal rebound tenderness from peritonitis

Question 6

Cartilage like cells in bone biopsy

Answer 6

Chondrosarcoma

Question 7

Define osteomalacia

Answer 7

failure to calcify bone matrix

Question 8

well-calcified erratically shaped bony spicules with grouped cement lines, which form a mosaic pattern

Answer 8

Paget’s Disease

Question 9

Most common pediatric bone tumor?

Answer 9

Osteosarcoma

Question 10

Most common site of metastasis of osteosarcoma?

Answer 10

The lungs

Question 11

Initial tx for Ankylosing spondylitis

Answer 11

NSAID’s

Question 12

Why not to give NSAID’s to patients with renal compromise?

Answer 12

non-steroidal medications block prostaglandin-mediated vascular relaxation, effectively vasoconstricting and decreasing glomerular filtration rate and renal function

Question 13

Russell bodies?

Answer 13

Accumulations of Immunoglobulin (protein) in cells

Question 14

Autoantibodies to Double Stranded DNA

Answer 14

Diagnostic for SLE

Question 15

Oligoclonal antibodies

Answer 15

Diagnostic for MS (80-90%)

Question 16

Antineuronal antibodies

Answer 16

Diagnostic for paraneoplastic syndromes

Question 17

Serum marker for RA?

Answer 17

IgM for Rheumatoid Factor

Question 18

Hypogammaglobinemia

Answer 18

Scleroderma

Question 19

CREST syndrome

Answer 19

Calcinosis
Raynaud's Phenomenon
Esophageal Dysmotility
Sclerodactyly
Telangiectasia

Question 20

Elevated Calcium Phosphokinase levels

Answer 20

Duchene Muscular Dystrophy

Question 21

Brown Sequard’s Syndrome

Answer 21

Spinal lesion with 3 biggies (MVP)

1. Motor deficit ipsilateral side
2. Vibratory loss ipsilateral side
3. Pain and temperature deficit contralateral side

Question 22

proximal muscle weakness

Answer 22

Polymyalgia rheumatica

Question 23

Diagnostic study for septic arthritis?

Answer 23

Fluid with WBC > 50,000 predominantly neutrophils

Question 24

Raynaud’s disease vs phenomenon

Answer 24

Disease, <30 years old, primary condition

Phenomenon >30 years old, secondary to other condition

Question 25

Pes anserine bursitis

Answer 25

Inflammation of the bursa inferior to the knee.

Question 26

most common elbow fx ages 2-12

Answer 26

subcondylar fracture

Question 27

Pott Disease?

Answer 27

TB of the spine

Question 28

Pain and swelling of the DIP's and SI joints. Also "sausage fingers"

Answer 28

Psoriatic arthritis

Question 29

Medial rotation ONLY of the humerus

Answer 29

Subscapularis

Question 30

Sunburst appearance on radiograph of bone lesion

Answer 30

Osteosarcoma

Question 31

most common sites for osteosarcoma?

Answer 31

1. Distal femur 2. Proximal tibia 3. Proximal humerus

Question 32

Labs for suspected osteosarcoma?

Answer 32

LDH - High LDH without mets have poorer outcomes | Alk Phos - Elevated level indicates risk of lung mets

Question 33

Simple cyst of bone

Answer 33

Most common in children, proximal femur and proximal humerus - Usually present with pathologic fracture - Mostly fibrous, thin walled with occasional giant cells

Question 34

Treatment of simple cyst of the bone?

Answer 34

- Aspiration and injection of methylpredisone | - If failed surgery

Question 35

Initial finding of osteoarthritis in regard to cartilage?

Answer 35

Thickening of the cartilage

Question 36

Gamekeeper's thumb

Answer 36

Ulnar collateral ligament, laxity on Abduction

Question 37

Risk factors for AVN?

Answer 37

CAT ASS - Coagulopathies - Alcoholism - Trauma - Autoimmune disease (SLE, RA) - Sickle Cell Disease - Steroid use

Question 38

Duration of ABX for osteomyelitis?

Answer 38

4-6 weeks

Question 39

Findings for Kawasaki Disease

Answer 39

Mucocutaneous lymph node syndrome includes - Fever - Conjuncitval and oral erythema - Edema of hands and feet - Erythema on palms and soles - Skin rash often (desquamation) - Cervical lymphadenopathy

Question 40

Expected recovery time for adhesive capsulitis

Answer 40

1-2 years, PT may help

Question 41

Sarcopenia?

Answer 41

Normal muscle atrophy of aging

Question 42

The reason estrogen protects against bone wasting

Answer 42

Estrogen inhibits osteoblast apoptosis and stimulates osteoclast apoptosis

Question 43

Gower's Sign

Answer 43

Having to climb up on oneself to stand. Indicates Duchene Muscular Dystrophy