MSK Flashcards
Sprains affect which tissue?
Ligaments
Sprains result from what?
Abnormal motion of a joint which injures a joint
Strain affects which tissue?
Musculotendinous unit
How many grades of ankle sprain?
3
Which bacteria in reactive arthritis?
Chlamydia
Tx for ganglion cyst if observation fails?
Needly aspiration
Which BP med class can trigger gout?
Loop and thiazide diuretics
Scoliosis uses which angle?
Cobb angle
Tx for Scoliosis with Cobb angle 10-19 degrees?
Observe and reassess every 6-9 months
Tx for Olecranon Brusitis?
NSAIDs, compression dressing, ice
Tibiofemoral dislocation can damage which nerve?
Common peroneal/fibular nerve
Tibiofemoral dislocation can damage which artery?
Popliteal artery
Ankylosing spondylitis can do what to the eye? (also the MC complication of AS)
Uveitis
Which leg muscle in anserine brusitis?
Gracialis
Which TB med can cause Lupus-like sx?
Isoniazid
Rash shape in Lupus?
Butterfly rash
ANA, anti-dsDNA, anti-Smith, and anti-Histone Abs in which condition
SLE
When to repeat xray in FOOSH with snuffbox tenderness and no fx on initial xray?
2 weeks
FOOSH with snuffbox tenderness suspect fx in which bone?
Scaphoid
Type of splint for FOOSH with anatomic snuffbox tenderness?
Thumb spica splint
Patellofemoral pain syndrome short-term tx and long-term tx?
Short-term=NSAIDs, RICE
Long-tern=PT
MC direction of shoulder dislocation?
Anterior dislocation
Does a ganglion cyst transilluminate?
Yes
Ganglion cyst on which aspect of hand?
Dorsal
Spinal stenosis dx?
MRI
Which grade sprain if pain and swelling but can still walk
2
Epiphyseal slip SALTEr type what?
Type 1 SALTEr
Fx above growth plate (physis) extends through metaphysis which type?
Type 2=ABOVE. S.A.L.T.Er
Fx lower than growth plate, through portion of physis (growth plate) and extends through the epiphysis into the joint
Type 3. LOWER. S.A.L.T.Er.
Fx type through growth plate across metaphysis, physis, and epiphysis?
Type 4. Through! S.A.L.T.Er.
Fx type erasure of growth plate, crush injury to physis (growth plate, can cause limb discrepancies.
Type 5. Erasure! S.A.L.T.Er.
MC type SALTEr-Harris injury?
Type 2 “A”=fx above physis
Tx for pseudogout if kidneys are bad?
Corticosteroids. Don’t use NSAIDs or Colchicine.
Which RA med can reduce joint damage when started early?
DMARDs (Methotrexate)
Ankylosing Spondylitis associated with which HLA?
HLA B27
Ankylosing Spondylitis pain worse what time of day, better with that?
Worse at night/early morning. Better with mild activity.
Ankle positive anterior drawer with no end point which ligament? Grade tear?
Grade 3 tear of Anterior Talofibular Ligament
MC fx carpal bone?
Scaphoid
Positive RF, positive anti-cyclic citrullinated peptide ab, elevates ESR which condition?
RA
Boutonniere deformite and swan-neck deformity which condition?
RA
Bilateral ulnar deviation at MCP which condition?
RA
Tx for asx flexible flat feet?
None. Only treat if arch pain or pretibial pain.
Xray view for patellofemoral instability? (knee “pops” then PT puts knee back into place)
Sunrise view (aka axial view)
Which named test for SLAP lesion of shoulder?
O’Brien Test.
Positive if pain or popping in int rotated position but no pain in ext rotated position.
Tx for tibiofemoral dislocation with dimple sign with no pulses?
Immediate open surgical reduction.
Usually can do manual reduction but dimple sign requires surgery.
Tx for human bite to hand?
Augmentin
Can do primary closure for facial lac?
Yes. Want to do primary closure for cosmetic areas.
Tx for SCFE?
Non-weight bearing, urgent ortho consult
SSA (anti-Ro) or SSB (anti-La) ab which condition?
Sjogren Syndrome
Which test to dx Sjogren Syndrome?
Schirmer test
Need immediate imaging in sciatica or disc herniation?
Nope
Which antibody most specific for RA?
Anti-citcullinated peptide ab
MC adult fx which doesn’t require sugery?
Radial head fx
Infant test for developmental dysplasia of the hip?
Galeazzi Test
Polyarteritis Nodosa affects what?
Small to medium size vessles
Polyarteritis Nodosa and constituional symptoms?
Low fever, malaisa, night sweat, unintended weight loss
Sports which use cleats cause which disease?
Sever Disease
Positive Thessaly Test associated with tear of what?
Mediual meniscus tear
Tx for acute pseudogout if pt has peptic ulcer dz?
Colchicine. Don’t give Indomethacin in PUD.
MC affected joint in pseudogout?
MTP of great toe
Scleroderma aka systemic slcerosis causes too much production of what?
Collagen production. Causes multisystem fibrosis and body becomes scarred.
SLE causes widespread inflammation due to destruction of which molecules?
Double-stranded DNA molecules
Disrupted extensor tendon at DIP causes what named finger?
Mallet Finger
Mallet Finger tx?
Immobilizing DIP in slight hyperextension for 6-8 weeks with volar splint
Which nerve can be damaged by striking the fibular head/neck
Common peroneal/fibular nerve
Lateral epicondylitis (tennis eblow) d/t which inflammed muscle?
Extensor carpi radialis brevis (ECRB)
Which two enzymes elevated on polymyositis?
Aldolase
CK
Flesh colored, firm, smooth, round, transilluminates on dorsal aspect of wrist.
Ganglion cyst
Weak shoulder, positive empty can, positive drop arm test what condition?
Rotator cuff tear
Tingling medial ankle and plantar foot which condition?
Tarsal tunnel syndrome
Which bursa does the knee joint communicate with?
Suprapatellar burse
Which brusitis from lots of kneeling?
Prepatellar brusitis
MC bone tumor over 40?
Chondrosarcoma
Tx for achilles tendon rupture? (splint position, weight, ortho f/u?)
Splint in PLANTARflexion,
Non-weightbearing,
Close ortho f/u
Bamboo sign which condition?
Ankylosing spondylitis
Can use methotrexate for Ankylosing spondylitis?
No doesn’t help
Ankylosing spondylitis tx if fail NSAIDs and other lifestyle tx?
TNF blocker
Which score for osteoperosis?
T score
What will suggest bipartite patella instead of patellar fragment?
Rounded patellar fragment
Shoulder anterior dislocation in which position?
Abduction with ext rotation
Tender nodular lesions in starbust pattern which condition
Polyarteritis nodosa
When might need to remove nail with subungal hematoma?
Significant damage to nail bed
Which abx class a risk factor in achilles tendon rupture?
Fluoroquinolones
