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PMR board > MSK > Flashcards

MSK Flashcards

1
Q

MOST COMMON LOCATION OF BICEPS RUPTURE

A

PROXIMAL LONG HEAD

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2
Q

SHOULDER ROM COMPONENTS AND RATIO

A

GLENOHUMERAL:SCAPULOTHORACIC 2:1

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3
Q

MOST COMMON SHOULDER DISLOCATION. MOST COMMON NERVE INJURED

A

ANTERIOR. AXILLARY LESION

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4
Q

MOST COMMON LOCATION OF HUMERUS FRACTURE

A

SURGICAL NECK

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5
Q

MOST COMMON DISLOCATION IN CHILDREN. MOST COMMON NERVE AND ARTERY INJURED?

A

POSTERIOR ELBOW DISLOCATION. MEDIAN NERVE AND BRACHIAL ARTERY.

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6
Q

POSITION OF SHOULDER FUSION

A

50 DEGREES ABD. 30 DEGREES FOWARD FLEXION. 50 DEGREES INTERNAL ROTATION.

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7
Q

TUBS

A

TRAUMATIC. UNILATERAL. BANKART LESION. SURGERY.

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8
Q

AMBRI

A

ATRAUMATIC. MULTIDIRECTIONAL. BILATERAL. REHAB. INFERIOR CAPSULAR SHIFT IF SURGERY NEEDED.

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9
Q

BANKART

A

LABRAL TEAR OF ANTERIOR GLENOID. COMMONLY SEEN IN ANTERIOR DISLOCATION. XRAY: WEST POINT LATERAL VIEW

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10
Q

SLAP

A

SUPERIOR GLENOID LABRAL TEAR. OBRIEN’S TEST AND LOAD AND SHIFT TEST.

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11
Q

HILL-SACHS

A

POSTEROLATERAL HUMERAL HEAD FRACTURE. XRAY: STRYKER NOTCH VIEW

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12
Q

INDICATIONS FOR SURGERY IN BONE CANCER

A

PAINFUL ACETABULUM. MORE THAN 50% CIRCUMFERENCE. MORE THAN 1.3CM OF FEMORAL NECK. MORE THAN 60% DIAMETER. MORE THAN 2.5CM IN LEx LONG BONES. MORE THAN 1 MONTH LIFE EXPECTANCY IN LEx. MORE THAN 3 MONTHS LIFE EXPECTANCY IN UEx.

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13
Q

MOST COMMON LOCATION FOR HAMSTRING STRAIN

A

PROXIMAL LATERAL MYOTENDINOUS JUNCTION. ON ECCENTRIC PHASE.

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14
Q

BAKER CYST LOCATION

A

BETWEEN TENDONS OF SEMIMEMBRANOUS (LATERALLY) AND MEDIAL GASTROC (MEDIALLY)

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15
Q

TENDONS INSIDE CARPAL TUNNEL

A

FDP, FDS, FPL

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16
Q

COLLE’S FRACTURE

A

RADIAL FRACTURE WITH DORSAL DISPLACEMENT DISTALLY.

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17
Q

SMITH’S FX

A

RADIAL FRACTURE WITH VOLAR DISPLACEMENT

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18
Q

KIENBOCKS

A

LUNATE OSTEONECROSIS. RISK FACTOR: SHORT ULNA. XRAY REVEALS SCAPHOLUNATE COLLAPSE.

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19
Q

OSTRIGONUM

A

FOOT POSTERIOR IMPINGEMENT ASSOCIATED TO POSTERIOR TALUS OSSIFICATION. SEEN IN BALLERINAS

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20
Q

WHAT INCREASES Q ANGLE?

A

LATERALIZED TIBIAL TUBEROSITY. TIGHT LATERAL RETINACULUM. EXTERNAL TIBIAL TORSION. GENU VALGUS. FEMORAL ANTEVERSION.

21
Q

WHICH MUSCLES ORIGINATE FROM ASIS?

A

SARTORUS AND TFL

22
Q

WHICH MUSCLE ORIGINATES FROM AIIS?

A

RECTUS FEMORIS

23
Q

VALGUS EXTENSION OVERLOAD

A

OLECRANON OSTEOPHYTOSIS. PRESENTS WITH POSTERIOR ELBOW PAIN AND LIMITED ELBOW EXTENSION. VEO TEST: PASSIVE EXTENSION WITH VALGUS STRESS, REVEALS PAIN IN THE LAST 5-10 DEGREE OF EXTENSION.

24
Q

MOST COMMON OF MORTALITY AFTER THR?

A
  1. CARDIOVASCULAR

2. PULMONARY EMBOLISM

25
Q

WHICH MUSCLE TESTS?
ELY TEST
THOMAS TEST
OBER TEST

A

ELY: RECTUS FEMORIS
THOMAS: HIP FLEXORS
OBER TEST: TFL

26
Q

DUPUYTREN’S CONTRACTURE

A

CONTRACTION OF PALMAR FASCIA DUE TO FIBROUS PROLIFERATION. FLEXION COMMONLY SEEN AT THE MCP JOINT INVOLVING THE RING FINGER

27
Q

SKIER’S THUMB OR GAMEKEEPER’S THUMB

A

DISRUPTION OF THE UCL AFTER FORCEFUL RADIAL DEVIATION OF THE PROXIMAL PHALANX AT THE MCP.

28
Q

JERSEY FINGER

A

INJURY TO THE FLEXOR TENDON. PATIENT IS UNABLE TO FLEX THE DIP JOINT. REQUIRES EARLY SURGICAL REPAIR.

29
Q

MALLET FINGER

A

RUPTURE OF THE EXTENSOR TENDON.

30
Q

POSITION OF POSTERIOR HIP DISLOCATION

A

FLEXION, ADDUCTION AND INTERNAL ROTATION

31
Q

HIP FRACTURE SURGERY
TIMING FOR PE?
MOST COMMON COMPLICATION?

A

RISK FOR PULM EMBOLISM IS HIGHER IN THE 2ND AND 3RD WEEK.

HO AFTER THR IS THE MOST COMMON COMPLICATION (<10% LOSE ROM)

32
Q

INTRACAPSULAR FEMUR FRACTURE

A

FEMORAL NECK AND INTERTROCHANTERIC

33
Q

COMMON PRESENTATION OF HIP FRACTURE

A

HIP PAIN , EXTERNAL ROTATION AND SHORTENED LIMB

34
Q

MOST COMMON TYPE OF HIP FRACTURE

A

INTERTROCHANTERIC

35
Q

HIP PRECAUTIONS

A

AFTER POSTERIOR APPROACH: AVOID HIP FLEXION >90 DEGREES, EXTREME INTERNAL ROTATION AND ADDUCTION PAST MIDLINE.
AFTER ANTERIOR APPROACH AVOID HIP EXTENSION AND EXTERNAL ROTATION.
FOR 12 WEEKS POST OP

36
Q

TWO TYPES OF FEMORAL NECK FRACTURE

A

COMPRESSION: MORE STABLE, INFERIOR ASPECT OF THE FEMUR NECK, NON-WEIGHT BEARING
TRANSVERSE OR TENSION TYPE: UNSTABLE, SUPERIOR ASPECT OF THE FEMUR NECK, TREATED WITH ORIF

37
Q

ISCHIAL TUBEROSITY AVULSION FRACTURE

A

OCCURS WITH A FORCEFUL HAMSTRING CONTRACTION WITH KNEE EXTENDED AND HIP FLEXED

38
Q

WEAVER’S BOTTOM

A

ISCHIAL TUBEROSITY BURSITIS. INSIDIOUS ONSET.

39
Q

OSTEITIS PUBIS

A

CAUSED BY OVERUSE OF THE ADDUCTORS. OAIN REPRODUCED ON RESISTED ADDUCTION. PAIN IN THE GROIN WITH ONE-LEGGED HOPPING

40
Q

MOST COMMON LOCATION FOR MYOSITIS OSSIFICANS

A

QUADS

41
Q

ACL

A

TIGHTENS IN FULL EXTENSION. IN FLEXION IT DRAWS THE FEMORAL CONDYLES ANTERIORLY. ACL DEFICIENT KNEE CREATE INCREASED PRESSURE ON POSTERIOR MENISCI

42
Q

MOST COMMON DAMAGED BURSA

A

HOUSEMAID’S KNEE- PREPATELLAR BURSA

43
Q

PES ANSERINUS

A

SARTORIUS, GRACILIS AND SEMITENDINOUS

44
Q

MORE SPECIFIC ACL TEST?

A

PIVOT SHIFT TEST

45
Q

MORE SENSITIVE ACL TEST?

A

LACHMAN’S TEST

46
Q

PLICA SYNDROME

A

REDUNDANT FOLD OF THE SYNOVIAL FOLDING OF THE KNEE. MOST COMMON AT THE MEDIOPATELLAR REGION. ALSO CAN OCCUR IN THE INFRAPATELLAR AND SUPRAPATELLAR REGIONS.

47
Q

OSTEOCHONDRITIS DISSECANS

A

REPETITIVE STRESS TO SUBCHONDRAL BONE THAT DISRUPT BLOOD SUPPLY CAUSING AVASCUALR NECROSIS AT THE END OF A LONG BONE. AFFECTS PRIAMRILY ADOLESCENTS. IF THE FRAGMENTS BECOMES DETACHED WILL REQUIRE SURGERY.

48
Q

POPLITEUS TENDONITIS PRESENTATION

A

LATERAL KNEE PAIN DURING DOWNHILL ACTIVITIES AND WITH EXCESSIVE PRONATION.

49
Q

MAIN PREDISPOSING FACTOR FOR MEDIAL TIBIAL STRESS SYNDROME (SHIN SPLINT)

A

HYPERPRONATION

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