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4 EXTRA > MSK > Flashcards

MSK Flashcards

1
Q

plantar fasciitis symp

A

pain with walking felt on instep
localised tenderness on palpation of site
worse after exercising

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2
Q

tendoachilles tendonitis

A

pain at insertion into calcaeneous/pain of the tendon
morning stiffness
worse after exercising
eases w heat

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3
Q

tetanus micro

A

GP anaerobic rods

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4
Q

tetanus symp

A

neurotoxin causes spastic paralysis

muscles spasm - starts in jaw then spreads to the rest of the body

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5
Q

tetanus rx

A

debridement
immunglobulin
pen/metho

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6
Q

tetanus can be found

A

soil
gardens
animal bites

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7
Q

gas gangrene spores where

A

in tissue and predisposing factors (dead tissue, anaerobic conditions)
spores germinate - gas bubbles

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8
Q

gas gangrene micro

A

GP strictly anaerobic rods

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9
Q

treatment of gas gangrene

A

urgent debridement
pen and or metho
hyperbaric oxygen in severe

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10
Q

cellulitis cause

A

SA

group b strep haemolytic

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11
Q

cellulitis treatment general

A

rest, elevation, analgesia, splint

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12
Q

cellulitis treatment mild

not resolving

A

fluclox PO 1g QDS 7 days

not resolving doxy 100mg BD 7 days

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13
Q

cellulitis septic rx

A

fluclox 1g IV QDS

BMI >30 then 2g

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14
Q

septic arthritis treatment
PA
<5s

A

IV fluclox 2g QDS IV 2 weeks oral 4 weeks

PA clindamycin 600mg IV QDS

ceftriaxone <5s for king ella and HI cover

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15
Q

osteomyelitis treatment
PA
chronic
MRSA

A

Fluclox IV QDS 1w IV then 4w PO
clindamycin 600mg IV QDS
PO fluclox 1g QDS
IV vanc

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16
Q

marfans genetics

A

adom

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17
Q

femoral shaft fracture in kids under two

A

gallows

early hip spica

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18
Q

femoral shaft kids 2-6

A

hip spica

thomas splint

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19
Q

femoral shaft 6-12

A

flexible IM nail

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20
Q

femoral shaft >12

A

IM nail

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21
Q

cx of supramcondlar fracture in kids

A

brachial artery and medial nerve

can’t make okay sign FDP FPL

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22
Q

calcanea fracture

A

impingement of lateral ankle tendon

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23
Q

ix for mid foot fracture

A

CT

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24
Q

knee dislocation cx

A

popliteal artery.vein
preineal nerve
compartment syndrome

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25
Q

scaphoid fracture ix

A

AP lateral 2 oblique

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26
Q

ligament in acromioclavicuar joint 1

2 - step

A

acromioclaviaulr

AC and coracoclavicuar

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27
Q

acetabulum ix

A

oblique XR

CT

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28
Q

cx of colles

A

EPL
median nerve
CRPS
loss of grip strength

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29
Q

monteggie

A

ulnar fracture and dislocation of radial lead

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30
Q

galaezzie

A

radial fracture and dislocation of radioulnar joint

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31
Q

radial head fracture can occur with

A

dislocation of elbow

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32
Q

cx of humeral shaft fracture

A

radial nerve in spiral groove

wrist drop and loss of sensation in first dorsal web space

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33
Q

radial nerve in spiral groove of humeral shaft fracture injury

A

usually neurprexia

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34
Q

cx of proximal humeral fracture

A

brachial plexus injury
AVN
non union

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35
Q

distal fibular fracture assoc 2

A

minimally displaces medial malleolus

deltoid ligament rupture -> talar shift

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36
Q

proximal tubal fracture cx

A

post traumatic arthritis

37
Q

cx of femoral shaft fracture

A

ARDS

fat embolism

38
Q

posterior hip dosclocation presentation

cx

A

shortened and internally rotated

sciatic nerve injury

39
Q

LCL injury

A

common perineal

40
Q

dyptrons

A

type1 to type 3 collagen

41
Q

medial epicondyleisits

A

can’t give steroid injection - ulnar nerve injury

42
Q

DDH treatment

A

hip thingy 6 weeks full time
6 weeks part time
can be used up to 4 years

43
Q

poinsettia method

A

cast and manipulation till 10-12 weeks

night time brace up to 4 year old

44
Q

browns lesions

A

hyperparathyroidism

45
Q

supraspinatous

A

adducts the arm

46
Q

infraspineatous

A

external rotation

47
Q

teres minor

A

external rotation

48
Q

subscap

A

internal rotation

49
Q

order of brachial plexus nerves

A 
M
A 
R
M
U
50
Q

musculocuteanous

A

C5 C6 C7

51
Q

axillary nerve

A

C5 C6

52
Q

radial nerve

A

C5 C6 C7 C8 T1

53
Q

median nerve

A

C5 C6 C7 C8 T1

54
Q

ulnar nerve

A

C7 C8 T1

55
Q

gluteus max supply

A

inferior gluten nerve

56
Q

gluteus med and mini

A

superior gluteal nerve bundle

tredelenburgs

57
Q

fibular neck injury

A

common fibular nerve

58
Q

pudendal nerve

A

S2 - S4

59
Q

sciatic nerve

A

L4-S3

60
Q

femoral nerve

A

Weakness in knee extension, loss of the patella reflex, numbness of the thigh

61
Q

sciatic nerve

A

Weakness in knee flexion and foot movements, pain and numbness from gluteal region to ankle

62
Q

obturator nerve

A

Weakness in hip adduction, numbness over the medial thigh

63
Q

proximal femur intertrochanteric - extracapsulae

A

dynamic hip screw

64
Q

intracapsular and elderly/poor mobility

A

austin-moore heiarthroplasty

65
Q

intracapsular and young active and displaced

A

THR

66
Q

intracapsular and young active and NOT displaced

A

dynamic hip screw or cannulated screws if minimally displaced

67
Q

hipe and thighs injuries in A and E

A

thomas splint

68
Q

infratrochanteric fracture of femur

A

intramedullary nail

69
Q

open fracture rx

A

clean wound
excise non viable tissue
stabilise - external fixation

70
Q

both malleoli displaces and fibula fracture at or above the tibiofibular lag

A

surgical plating of the fibula

71
Q

significant medial malleolar fragment

A

fix with wire or screw

72
Q

displaced stable fractures of malleolus

A

closed reduction ad plaster

73
Q

non displaced stable fracture malleolus

A

plaster cast

74
Q

old man falls
left inferior and superior pubic rami fracture
intact femur

A

analgesia and active mobilisation

75
Q

scaphoid fracture

A

scaphoid plaster and sling - cast & XR in 4 weeks

76
Q

supracondylar fracture in kids

A

reduction under anaesthetic pin fixation

collar and cuff w arm in flection

77
Q

stabbing in neck then shoulder pain

A

axillary nerve

78
Q

posterior hip dislocation

A

internal rotation shortening

79
Q

loss of lumbar lordosis

A

mechanical back pain

80
Q

extra capsular and intertrochanteric fracture

A

sliding screw and plate

81
Q

80 women nodules in finger joints

A

XR

82
Q

radial tunnel syndrome

A

compression to the posterior interssoeos branch of the radial nerve - no pain at lateral epicondyle - worse when extending the elbow and pronating arm

83
Q

external rotation of tibia and various force

A

LCL

84
Q

body builder and heavy lifting

A

patellar or quadriceps tendon rupture

85
Q

what nerve supplied supinator

A

C6

86
Q

fat guy running now foot in pain

A

gastrocnemius tendon tear

87
Q

Sternocleidomastoid nerve

A

11 spinal accessory

88
Q

sustentaculum tali fracture

A

flexor hallicus longus

89
Q

supracondylar fracture another complication in kids

A

weakness to the index finger - anterior interrousous nerve injury

4 EXTRA (25 decks)

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