MSK Flashcards

1
Q
  • straight leg raise- disc prolapse sign

- risk

A
  • paishon the opposite leg when raising the other leg.

- high risk of cauda equina

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2
Q

ottawa rules for ankle injury( 1 main rule +- 1 by rule)

A

ankle x-ray if:
pain in the malleolar region and:
- bony tenderness at the posterior tip of the medial and lateral malleolus
-unable to weight bear at the time of injury and when seen

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3
Q

hydroxychloroquine- eye side effect

A

irreversible retinopathy

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4
Q

leflunomide(immunomodulatory drug) side effects(3)

A
  • diarrhoea
  • hepatitis
  • hypertension
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5
Q

sulfasalazine male side effect

A

-reversible male infertility

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6
Q

feltys triad

A

RA, Splenomegaly, Neutropenia

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7
Q

ehlers-danlos syndrome

  • inheritance
  • statures
A

autosommal dominant

can be tall and short

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8
Q

sjogrens antibodies

A

anti-ro

anti-la

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9
Q

anti-phospholipid antibodies

A

anti-cardiolipin

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10
Q
limited systemic sclerosis antibodies
CREST
calcinosis
raynauds
esophageal dysmotility
sclerodactyly
Telangiectasia
A

anti-centromere

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11
Q

diffuse systemic sclerosis antibodies

A

anti-scl70/anti-RNA polymerase

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12
Q

definitive diagnosis of ank spond

A

radiological criterion- sacroilitis

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13
Q

clinical criteria for ank spond(3)

A

back pain for 3 months- improved by exercise
limitation of lumbar spine motion -sagittal and frontal planes
limitation of chest expansion relative to normal values for age

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14
Q

raised ALP, normal calcium and phosphates

A

pagets disease

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15
Q

raised ALP, low calcium and phosphate

A

osteomalacia(vit D deficiency)

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16
Q

normal calcium, ALP and phosphate

A

osteoporosis

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17
Q

simmonds test positive- for what

A

ankle rupture

18
Q

p-anca positive vasculitis- 3

A

1) wegeners granulomatosis
2) microscopic polyangitis
3) churg-strauss

19
Q

microscopic vs wegeners(granulomatosis polangitis)

A

wegeners- older population

microscopic polyangitis- younger population, also has eosinophilia

20
Q

p-anca negative-1

A

polyarteritis nodosa

21
Q

churg- strauss triad

A

1) Asthma
2) vasculitis
3) eosinophilia

22
Q

beighton score-what is it for

A

hypermobility

23
Q

Bakers cyst

  • key investigation
  • management
A
  • ultrasound

- needle aspiration of joint, bed rest

24
Q

Perthes disease

A

Tender hip joint- limitation of movements and shortened left leg

25
Q

What paediatric hop condition is preceded by a viral upper respiratory tract infection

A

Transient synovitis

26
Q

TLGM

A

Tennis - lateral epicondylitis.

Golfers- medial epicondylitis

27
Q

Tennis elbow worsened by what movements

A

Extending the wrist

Supinatinf the forearm

28
Q

Smith’s Vs colles

A

Colles- posterior

Smith’s- anterior

29
Q

Monteggia fracture

A

Ulnar fracture with dislocation of the radial head

30
Q

Galeazzi fracture dislocation

A

Fracture of radial shaft with dislocation of inferior radio-ulnar joint

31
Q

Child attempting to stand using his hands at 4 years old- what sign is it
what condition

A

Gowers sign

duchennes

32
Q

Most common cause of kyphosis in adolescents

A

Scheuermans disease

33
Q

Fat embolism syndrome- skin condition

A

Petechial rash

34
Q

Key complication of closed fracture

A

Internal bleeding-. Ecchymosis discolouration

35
Q

treatment for raynauds

A

nifedipine-ca blocker

36
Q

pain on radial styloid on forced flexion of the thumb

  • what test
  • what condition
A
  • finkelstein

- De quervains tenosynovitis

37
Q

chronic fatigue syndrome- how long symptoms need to be present for

A

4 months

38
Q

how to differentiate impingement from tear

A

tear tends to have muscle weakness compared to the opposit arm
impingement shows no muscle weakness

39
Q

most common ankle inversion injury ligament

A

anterior talofibular ligament

40
Q

eversion ankle injury

A

deltoid(medial) ligament

41
Q

lisfranc ligament injury cause

A

direct blows, heavy object on foot