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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
Spinal stenosis dx?
MRI
26
Which grade sprain if pain and swelling but can still walk
2
27
Epiphyseal slip SALTEr type what?
Type 1 SALTEr
28
Fx *above* growth plate (physis) extends through metaphysis which type?
Type 2=ABOVE. S.A.L.T.Er
29
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.
30
Fx type *through* growth plate across metaphysis, physis, and epiphysis?
Type 4. Through! S.A.L.T.Er.
31
Fx type erasure of growth plate, crush injury to physis (growth plate, can cause limb discrepancies.
Type 5. Erasure! S.A.L.T.Er.
32
MC type SALTEr-Harris injury?
Type 2 “A”=fx *above* physis
33
Tx for pseudogout if kidneys are bad?
Corticosteroids. Don’t use NSAIDs or Colchicine.
34
Which RA med can reduce joint damage when started early?
DMARDs (Methotrexate)
35
Ankylosing Spondylitis associated with which HLA?
HLA B27
36
Ankylosing Spondylitis pain worse what time of day, better with that?
Worse at night/early morning. Better with mild activity.
37
Ankle positive anterior drawer with no end point which ligament? Grade tear?
Grade 3 tear of Anterior Talofibular Ligament
38
MC fx carpal bone?
Scaphoid
39
Positive RF, positive anti-cyclic citrullinated peptide ab, elevates ESR which condition?
RA
40
Boutonniere deformite and swan-neck deformity which condition?
RA
41
Bilateral ulnar deviation at MCP which condition?
RA
42
Tx for asx flexible flat feet?
None. Only treat if arch pain or pretibial pain.
43
Xray view for patellofemoral instability? (knee “pops” then PT puts knee back into place)
Sunrise view (aka axial view)
44
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.
45
Tx for tibiofemoral dislocation *with dimple sign* with no pulses?
Immediate open surgical reduction. Usually can do manual reduction but dimple sign requires surgery.
46
Tx for human bite to hand?
Augmentin
47
Can do primary closure for facial lac?
Yes. Want to do primary closure for cosmetic areas.
48
Tx for SCFE?
Non-weight bearing, urgent ortho consult
49
SSA (anti-Ro) or SSB (anti-La) ab which condition?
Sjogren Syndrome
50
Which test to dx Sjogren Syndrome?
Schirmer test
51
Need immediate imaging in sciatica or disc herniation?
Nope
52
Which antibody most specific for RA?
Anti-citcullinated peptide ab
53
MC adult fx which doesn’t require sugery?
Radial head fx
54
Infant test for developmental dysplasia of the hip?
Galeazzi Test
55
Polyarteritis Nodosa affects what?
Small to medium size vessles
56
Polyarteritis Nodosa and constituional symptoms?
Low fever, malaisa, night sweat, unintended weight loss
57
Sports which use cleats cause which disease?
Sever Disease
58
Positive Thessaly Test associated with tear of what?
Mediual meniscus tear
59
Tx for acute pseudogout if pt has peptic ulcer dz?
Colchicine. Don’t give Indomethacin in PUD.
60
MC affected joint in pseudogout?
MTP of great toe
61
Scleroderma aka systemic slcerosis causes too much production of what?
Collagen production. Causes multisystem fibrosis and body becomes scarred.
62
SLE causes widespread inflammation due to destruction of which molecules?
Double-stranded DNA molecules
63
Disrupted extensor tendon at DIP causes what named finger?
Mallet Finger
64
Mallet Finger tx?
Immobilizing DIP in slight hyperextension for 6-8 weeks with volar splint
65
Which nerve can be damaged by striking the fibular head/neck
Common peroneal/fibular nerve
66
Lateral epicondylitis (tennis eblow) d/t which inflammed muscle?
Extensor carpi radialis brevis (ECRB)
67
Which two enzymes elevated on polymyositis?
Aldolase | CK
68
Flesh colored, firm, smooth, round, transilluminates on dorsal aspect of wrist.
Ganglion cyst
69
Weak shoulder, positive empty can, positive drop arm test what condition?
Rotator cuff tear
70
Tingling medial ankle and plantar foot which condition?
Tarsal tunnel syndrome
71
Which bursa does the knee joint communicate with?
Suprapatellar burse
72
Which brusitis from lots of kneeling?
Prepatellar brusitis
73
MC bone tumor over 40?
Chondrosarcoma
74
Tx for achilles tendon rupture? (splint position, weight, ortho f/u?)
Splint in PLANTARflexion, Non-weightbearing, Close ortho f/u
75
Bamboo sign which condition?
Ankylosing spondylitis
76
Can use methotrexate for Ankylosing spondylitis?
No doesn’t help
77
Ankylosing spondylitis tx if fail NSAIDs and other lifestyle tx?
TNF blocker
78
Which score for osteoperosis?
T score
79
What will suggest bipartite patella instead of patellar fragment?
Rounded patellar fragment
80
Shoulder anterior dislocation in which position?
Abduction with ext rotation
81
Tender nodular lesions in starbust pattern which condition
Polyarteritis nodosa
82
When might need to remove nail with subungal hematoma?
Significant damage to nail bed
83
Which abx class a risk factor in achilles tendon rupture?
Fluoroquinolones

PANCE (6 decks)

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