MSK

Question 1

when to intervene on genu varum

Answer 1

unilateral
worsening after age 1
not resolved after age 2

Question 2

Blount’s disease

Answer 2

tibial growth disorder, looks like genu varum
infantile - no treatment
adolescent - bracing/surgery

Question 3

which Salter Harris fx only need casting

Answer 3

I and II

Question 4

other findings assoc with OI type 1

Answer 4

hearing loss

fractures not at birth

Question 5

features of OI type 2

Answer 5

lethal
multiple fractures at birth - bag of bones
large head

Question 6

features of OI type 3

Answer 6

fractures at birth with progressive deformities
blue or gray sclerae, lighten over time
macrocephaly
short height
affected hearing
weird teeth and bones

Question 7

features of OI type 4

Answer 7

like type 1 but with white sclerae

Question 8

repeated attacks of head tilting

Answer 8

paroxysmal torticollis

Question 9

cervical vertebrae fusion, short neck, low hairline, torticollis

Answer 9

Klippel Feil

Question 10

Klippel Feil assoc findings

Answer 10

spine issues
renal problems (solitary kidney)
Sprengel deformity (one high scapula)
deafness

Question 11

risk for DDH

Answer 11

female (#1)
breech
family hx
first born
oligohydramnios

Question 12

when to use US vs XR in DDH eval

Answer 12

up to 4 mos: US

after: XR

Question 13

empiric tx of septic arthritis in neonate

Answer 13

cloxacillin or gent

Question 14

empiric tx of septic arthritis in infant

Answer 14

ceroftax

Question 15

empiric tx of septic arthritis in children

Answer 15

cefazolin

Question 16

empiric tx of septic arthritis in adolescents

Answer 16

CTX + azithro

Question 17

common site of osteo in infants

Answer 17

femur, tibia

Question 18

aneurysmal bone cyst - bad or ok

Answer 18

can be assoc with bone tumor

Question 19

screening in kids with congenital scoliosis

Answer 19

renal
cardiac
spinal MRI

Question 20

when to be concerned about scoliosis

Answer 20

> 25 degrees curvature if still growing
40 degrees if lumbar or thoracic
increasing by more than 1 degree per month

Question 21

normal range for kyphosis

Answer 21

20-40 degrees

Question 22

fixed kyphosis in adolescent

Answer 22

Scheuermann disease

tx: NSAIDs, PT

Question 23

inheritance isolated polydactyly

Answer 23

AD

Question 24

when toe walking is concerning

Answer 24

after 2-3

or unable to put heels down at rest

Question 25

when should intoeing resolve

Answer 25

by school age