MSK

Question 1

nerve injury associated with anterior shoulder injury

Answer 1

axillary (pin prick sensation over deltoid)

Question 2

nerve injury associated with proximal humerus/humeral head fx

Answer 2

brachial pelxus or axillary

Question 3

nerve injury associated with humeral shaft fx

Answer 3

radial nerve (wrist drop)

Question 4

nerve injury associated with supracondylar humerus fx

Answer 4

radial/median nerve and brachial artery (volkmann ischemic contracture)

Question 5

fat pad sign suggest what 2 fractures?

Answer 5

supracondylar humerus fx

radial head fx

Question 6

mc cuase of suppurative flexor tenosynovitis

Answer 6

S. aureus

Question 7

nerve injury associated with olecranon fx

Answer 7

ulnar nerve

Question 8

nerve injury associated with monteggia fx

Answer 8

radial nerve

Question 9

nerve and vessel injury associated with elbow dislocations

Answer 9

brachial artery
median/ulnar/radial nerve injury

(basically you fucked)

Question 10

cubital syndrome is compression of what nerve?

Answer 10

ulnar nerve at the elbow

Question 11

what vitamin is used as prophylaxis after fx to prevent CRPS

Answer 11

Vitamin C

Question 12

what did you injure if you have a mallet finger?

Answer 12

extensor tendon avulsion

Question 13

what did you injury if you have gamekeepers thumb?

Answer 13

ulnar collateral ligament

Question 14

if your abductor pollicus longus and extensor pollicus brevus is giving you pain… what is your dx?

Answer 14

de quervain tenosynovitis

Question 15

complications of hip dislocations

Answer 15

AVN

sciatic nerve injury

Question 16

if hip is dislocation it will be (internally/externally) rotated
if it is fractured it will be (internally/externally) rotated

Answer 16

internally

externally

Question 17

a segond fx is pathognomonic for what injury?

Answer 17

ACL

Question 18

complications of knee dislocation

this is the same for femoral condyle, and tibial plateau fxs

Answer 18

popliteal artery injury

peroneal (foot drop) and tibial nerve injuries

Question 19

Mc cause of knee pain in runners

Answer 19

ITB syndrome

Question 20

are anterior or posterior dislocations MC in ankle dislocations?
complication?

Answer 20

posterior

Peroneal injury

Question 21

what is mortons neuroma?

what is it caused by?

Answer 21

painful mass near 3rd metatarsal

women wearing tight/high heels

Question 22

a __ fx occurs when the 5th metatarsal is fx’d

Answer 22

jones

Question 23

observe scoliosis if curve is ___
bracing if curve is __
surgical correction for ___

Answer 23

<20
20-40
>40

Question 24

tx for newborn with osteomyelitis

Answer 24

Group B strep (nafcillin/oxacillin)

Question 25

tx for >4mo with osteomyelitis d/t MSSA

Answer 25

naficillin/oxacillin

clinda or vanc for PCN

Question 26

tx for >4mo with osteomyelitis d/t MRSA

Answer 26

vanc or linezolid

Question 27

tx for sickle cell pt with osteomyelitis

Answer 27

salmonella (cipro or levo)

Question 28

tx for pt w/ osteomyelitis d/t punture wound

Answer 28

pseudomonas (cipro, levo)

Question 29

mc bone malignancy

hair on end, sunburst

Answer 29

osteosarcoma

Question 30

periosteal reaction “onion skin”

palpable mass

Answer 30

ewing sarcoma

Question 31

noncancerous tumors of the bone.
Dull, achy pain that gets worse at night
imporved with aspirin
intracortical nidus

Answer 31

osteoid osteoma

Question 32

cancer of cartilage

Answer 32

chondrosarcoma

Question 33

abnormal bone remodeling
blade of grass/flame shaped lucency on XR
skull has cotton wool appearance
bone pain

Answer 33

paget dz

Question 34

lab finding in paget dz

Answer 34

high alk phos

Question 35

tx for pagets

Answer 35

bisphosphonates, calcitonin

Question 36

joint pain, fever, malar rash, pericardiits, glomerulonephritis

Answer 36

SLE

Question 37

Tx for SLE

Answer 37

sun protection, hydroxychloroquine

Question 38

crest syndrome

Answer 38

scleroderma
C = calcinosis cutis
R = raynauds
E = esophageal motility d/o
S = sclerodactyly 
T = telangieactasia

Question 39

autoimmune d/o that attcka exocrine glands
paotid enlargement, dry eyes
increase incidence of non-hodgkins

Answer 39

sjogrens

Question 40

tx for sjogrens

Answer 40

pilocarpine (cholinergic drug)

Question 41

proximal joint pain, closely related to giant cell arteritis

Answer 41

polymyalgia rheumatica

Question 42

progressive symmetrical muscle wekaness d/t idiopathic inflammatory mucsle dz

Answer 42

polymyositis/dermatomyositis

Question 43

heliptrope, gottrons papules, shawl or V sign

Answer 43

dermatomyositis

Question 44

Tx for polymyositis/dermatomyositis

Answer 44

corticosteroids

Question 45

tx of rhabdo

Answer 45

IVF

bicarb to alkalinize urine

Question 46

pulseless dz that affects aorta, aortic arch, pulmonary arteries

Answer 46

Takeyasu arteritis
angiography to dx
corticoteroids to tx

Question 47

caused by unidentified resp agent or viral pathogen
warm CREAM

Tx?

Answer 47

Kawasaki
(fever, conjunctivitis, rash, extremity changes (desquamation), adenopathy, mucus membranes (lip swelling/fissures and strawberry tongue))

IVIG, aspirin

Question 48

systemic vasculitis of medium and small arteries.

Tx?

Answer 48

polyarteritis nodosa

corticosteroids

Question 49

igA deposites in skin after URI sxs

hematuria,arthritis, palpable purpura, abd pain

Answer 49

henoch-schonlein purpura
Dx: mesangial IgA deposites
Tx: supportive

Question 50

IgG ab against type IV collagen of alveioli and glomuler membrane

Answer 50

good pastures
(Glomerulonephritis + Pulmonary hemorrhage)

Tx= Glucocorticoids + plasmapheresis

Question 51

tx for reactive artheririts

Answer 51

NSAIDs

Question 52

tx for anklosing spondylitis

Answer 52

NSAIDs

Question 53

pencil in a cup deformity, sausage fingers, HLA B27

Answer 53

psoriatic artheirtis

Question 54

circinate balanitis, ketatoderma blennorrhagicum
associataed with HLA B27
autoimmune response that causes arthritis, conjunctivitis, urethritis

Answer 54

reactive arthritis (reiter’s syndrome)