MSK Flashcards

1
Q

Sudden death in Marfan’s syndrome is due to

A

Aortic dissection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Treatment of plantar fasciitis

A

Treatment
• non-operative
■ pain control and stretching programs are first-line
■ rest, ice, NSAIDs, steroid injection
■ physiotherapy: Achilles tendon and plantar fascia stretching, extracorporeal shockwave therapy
■ orthotics with heel cup – to counteract pronation and disperse heel strike forces
• operative
■ very rarely indicated
■ when performed, includes endoscopic release of fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Extension of wrist lost in accident

Which fracture?

A

Fracture of mid shaft Humerus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The most common (80%) cause of vision loss in patients with GCA is ?

A

anterior ischemic optic neuropathy (due to occlusion of the posterior ciliary artery)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A rotator cuff injury typically occurs due to injury to the ______and presents with weakness and pain upon abduction of the arm.

A

Supraspinatus muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Septic arthritis initial step of management?

A

The best initial step in management is aspiration of the joint for diagnosis (often preceded by radiography), followed by broad spectrum antibiotics and surgical drainage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Patellofemoral syndrome

Young and athlete ?

A

Patellofemoral pain syndrome classically presents with diffuse anterior knee pain after overuse or prolonged sitting; compression of the patella during knee extension will reproduce the pain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dequervain’s sinuvitis

Tx

A

De Quervain’s tenosynovitis is initially treated with conservative measures such as rest and NSAIDs.

Occur after pregnancy , with hypothyroidism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pelvic fracture first step in Mx

A

Pelvic binder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Non displaced fracture of clavicle tx?

A

Conservative, heals on its own

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Morton’s neuroma

A

presenting with pain upon palpation of the space between her third and fourth toes with an audible click upon palpation suggesting a diagnosis of an intermetatarsal plantar nerve neuroma (Morton’s neuroma).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Murmur of marfan’s syndrome

A

Patients with Marfan syndrome have an increased risk of both aortic regurgitation (diastolic murmur at the right second intercostal space) and mitral valve prolapse (late systolic murmur with mid-systolic click).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Renal dysfunction and gout

A

Low dose allopurinol and monitor Creatinine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Worst hip pain

A

Anterior hip pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lateral hip pain

A

Sport injury
Or
fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pelvic trauma

Bleeding doesn’t stop with pelvic binder

Next step?

A

vessel embolization

17
Q

Drug causing drug induced lupus

A

mnemonic: Cute CHIMPPP)

quinidine
chlorpromazine
hydralazine
isoniazid 
methyldopa 
primaquine, penicillamine, and procainamide
18
Q

Sjogren bio markers

A

anti-Ro (anti-SSA) and anti-La (anti-SSB). Anti-nuclear antibodies (ANA) and rheumatoid factor (RF) may also be positive

19
Q

AS treatment

A

Non pharma :

Exercise
Postural and deep breathing
PT
Smoking cessation

Pharma

nsaids
Glucocorticoids
DMARDS
ANTI TNF

SURGERY
hip replacement and vertebral osteotomy

20
Q

Seronegative Spondyloarthropathies

A

Ankylosing spondylitis
Reactive arthritis (formerly known as Reiter syndrome)
Psoriatic arthritis
Juvenile rheumatoid arthritis

21
Q

Extra-Articular Manifestations of AS

6 As

A
Atlanto-axial subluxation
Anterior uveitis
Apical lung fibrosis
Aortic incompetence
Amyloidosis (kidneys)
Autoimmune bowel disease (ulcerative
colitis)
22
Q

Reactive arthritis tx

A

NSAIDS

Intra articular steroids

23
Q

Rheumatoid arthritis criteria for diagnosis

A

RA is defined as having 4 or more of the following present for diagnosis:
7 Rheumatology
Morning stiffness lasting more than 1 hour
Positive rheumatoid factor or anti-CCP
C-reactive protein (CRP) or ESR
Inflammatory arthritis of 3 or more joints—the more joints involved, the
more likely the diagnosis. The proximal interphalangeal (PIP) and
metacarpophalangeal (MCP) joints are frequently involved.
Duration of symptoms: more than 6 weeks

24
Q

Felty syndrome triad

A

Rheumatoid arthritis
Splenomegaly
Neutropenia

25
Q

Anemia in RA

A

Normocytic normochromic anemia

26
Q

Pleural effusion in RA has how much glucose

A

lowest

27
Q

RA is an independent risk factor for ?

A

atherosclerosis and CV disease

28
Q

corticosteroids side effects Mnemonic

The “Cushingoid” mnemonic

A
Cataracts/Glaucoma
Ulcers/ oral thrush
Skin: striae, thinning, bruising.
Hypertension/ hirsutism/ hyperglycemia.
Infections.
Necrosis, avascular necrosis of the femoral head.
Glycosuria.
Osteoporosis, obesity.
Immunosuppression 
DM
Psychosis
29
Q

Sjogren syndrome is associated with carcinoma

A

B cell non Hodgkin lymphoma