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PANCE > MSK > Flashcards

MSK Flashcards

1
Q

Sprains affect which tissue?

A

Ligaments

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2
Q

Sprains result from what?

A

Abnormal motion of a joint which injures a joint

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3
Q

Strain affects which tissue?

A

Musculotendinous unit

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4
Q

How many grades of ankle sprain?

A

3

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5
Q

Which bacteria in reactive arthritis?

A

Chlamydia

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6
Q

Tx for ganglion cyst if observation fails?

A

Needly aspiration

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7
Q

Which BP med class can trigger gout?

A

Loop and thiazide diuretics

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8
Q

Scoliosis uses which angle?

A

Cobb angle

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9
Q

Tx for Scoliosis with Cobb angle 10-19 degrees?

A

Observe and reassess every 6-9 months

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10
Q

Tx for Olecranon Brusitis?

A

NSAIDs, compression dressing, ice

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11
Q

Tibiofemoral dislocation can damage which nerve?

A

Common peroneal/fibular nerve

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12
Q

Tibiofemoral dislocation can damage which artery?

A

Popliteal artery

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13
Q

Ankylosing spondylitis can do what to the eye? (also the MC complication of AS)

A

Uveitis

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14
Q

Which leg muscle in anserine brusitis?

A

Gracialis

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15
Q

Which TB med can cause Lupus-like sx?

A

Isoniazid

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16
Q

Rash shape in Lupus?

A

Butterfly rash

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17
Q

ANA, anti-dsDNA, anti-Smith, and anti-Histone Abs in which condition

A

SLE

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18
Q

When to repeat xray in FOOSH with snuffbox tenderness and no fx on initial xray?

A

2 weeks

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19
Q

FOOSH with snuffbox tenderness suspect fx in which bone?

A

Scaphoid

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20
Q

Type of splint for FOOSH with anatomic snuffbox tenderness?

A

Thumb spica splint

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21
Q

Patellofemoral pain syndrome short-term tx and long-term tx?

A

Short-term=NSAIDs, RICE

Long-tern=PT

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22
Q

MC direction of shoulder dislocation?

A

Anterior dislocation

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23
Q

Does a ganglion cyst transilluminate?

A

Yes

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24
Q

Ganglion cyst on which aspect of hand?

A

Dorsal

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25
Q

Spinal stenosis dx?

A

MRI

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26
Q

Which grade sprain if pain and swelling but can still walk

A

2

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27
Q

Epiphyseal slip SALTEr type what?

A

Type 1 SALTEr

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28
Q

Fx above growth plate (physis) extends through metaphysis which type?

A

Type 2=ABOVE. S.A.L.T.Er

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29
Q

Fx lower than growth plate, through portion of physis (growth plate) and extends through the epiphysis into the joint

A

Type 3. LOWER. S.A.L.T.Er.

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30
Q

Fx type through growth plate across metaphysis, physis, and epiphysis?

A

Type 4. Through! S.A.L.T.Er.

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31
Q

Fx type erasure of growth plate, crush injury to physis (growth plate, can cause limb discrepancies.

A

Type 5. Erasure! S.A.L.T.Er.

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32
Q

MC type SALTEr-Harris injury?

A

Type 2 “A”=fx above physis

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33
Q

Tx for pseudogout if kidneys are bad?

A

Corticosteroids. Don’t use NSAIDs or Colchicine.

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34
Q

Which RA med can reduce joint damage when started early?

A

DMARDs (Methotrexate)

35
Q

Ankylosing Spondylitis associated with which HLA?

A

HLA B27

36
Q

Ankylosing Spondylitis pain worse what time of day, better with that?

A

Worse at night/early morning. Better with mild activity.

37
Q

Ankle positive anterior drawer with no end point which ligament? Grade tear?

A

Grade 3 tear of Anterior Talofibular Ligament

38
Q

MC fx carpal bone?

A

Scaphoid

39
Q

Positive RF, positive anti-cyclic citrullinated peptide ab, elevates ESR which condition?

A

RA

40
Q

Boutonniere deformite and swan-neck deformity which condition?

A

RA

41
Q

Bilateral ulnar deviation at MCP which condition?

A

RA

42
Q

Tx for asx flexible flat feet?

A

None. Only treat if arch pain or pretibial pain.

43
Q

Xray view for patellofemoral instability? (knee “pops” then PT puts knee back into place)

A

Sunrise view (aka axial view)

44
Q

Which named test for SLAP lesion of shoulder?

A

O’Brien Test.

Positive if pain or popping in int rotated position but no pain in ext rotated position.

45
Q

Tx for tibiofemoral dislocation with dimple sign with no pulses?

A

Immediate open surgical reduction.

Usually can do manual reduction but dimple sign requires surgery.

46
Q

Tx for human bite to hand?

A

Augmentin

47
Q

Can do primary closure for facial lac?

A

Yes. Want to do primary closure for cosmetic areas.

48
Q

Tx for SCFE?

A

Non-weight bearing, urgent ortho consult

49
Q

SSA (anti-Ro) or SSB (anti-La) ab which condition?

A

Sjogren Syndrome

50
Q

Which test to dx Sjogren Syndrome?

A

Schirmer test

51
Q

Need immediate imaging in sciatica or disc herniation?

A

Nope

52
Q

Which antibody most specific for RA?

A

Anti-citcullinated peptide ab

53
Q

MC adult fx which doesn’t require sugery?

A

Radial head fx

54
Q

Infant test for developmental dysplasia of the hip?

A

Galeazzi Test

55
Q

Polyarteritis Nodosa affects what?

A

Small to medium size vessles

56
Q

Polyarteritis Nodosa and constituional symptoms?

A

Low fever, malaisa, night sweat, unintended weight loss

57
Q

Sports which use cleats cause which disease?

A

Sever Disease

58
Q

Positive Thessaly Test associated with tear of what?

A

Mediual meniscus tear

59
Q

Tx for acute pseudogout if pt has peptic ulcer dz?

A

Colchicine. Don’t give Indomethacin in PUD.

60
Q

MC affected joint in pseudogout?

A

MTP of great toe

61
Q

Scleroderma aka systemic slcerosis causes too much production of what?

A

Collagen production. Causes multisystem fibrosis and body becomes scarred.

62
Q

SLE causes widespread inflammation due to destruction of which molecules?

A

Double-stranded DNA molecules

63
Q

Disrupted extensor tendon at DIP causes what named finger?

A

Mallet Finger

64
Q

Mallet Finger tx?

A

Immobilizing DIP in slight hyperextension for 6-8 weeks with volar splint

65
Q

Which nerve can be damaged by striking the fibular head/neck

A

Common peroneal/fibular nerve

66
Q

Lateral epicondylitis (tennis eblow) d/t which inflammed muscle?

A

Extensor carpi radialis brevis (ECRB)

67
Q

Which two enzymes elevated on polymyositis?

A

Aldolase

CK

68
Q

Flesh colored, firm, smooth, round, transilluminates on dorsal aspect of wrist.

A

Ganglion cyst

69
Q

Weak shoulder, positive empty can, positive drop arm test what condition?

A

Rotator cuff tear

70
Q

Tingling medial ankle and plantar foot which condition?

A

Tarsal tunnel syndrome

71
Q

Which bursa does the knee joint communicate with?

A

Suprapatellar burse

72
Q

Which brusitis from lots of kneeling?

A

Prepatellar brusitis

73
Q

MC bone tumor over 40?

A

Chondrosarcoma

74
Q

Tx for achilles tendon rupture? (splint position, weight, ortho f/u?)

A

Splint in PLANTARflexion,
Non-weightbearing,
Close ortho f/u

75
Q

Bamboo sign which condition?

A

Ankylosing spondylitis

76
Q

Can use methotrexate for Ankylosing spondylitis?

A

No doesn’t help

77
Q

Ankylosing spondylitis tx if fail NSAIDs and other lifestyle tx?

A

TNF blocker

78
Q

Which score for osteoperosis?

A

T score

79
Q

What will suggest bipartite patella instead of patellar fragment?

A

Rounded patellar fragment

80
Q

Shoulder anterior dislocation in which position?

A

Abduction with ext rotation

81
Q

Tender nodular lesions in starbust pattern which condition

A

Polyarteritis nodosa

82
Q

When might need to remove nail with subungal hematoma?

A

Significant damage to nail bed

83
Q

Which abx class a risk factor in achilles tendon rupture?

A

Fluoroquinolones

PANCE (6 decks)

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