msk incorrects Flashcards

1
Q

FOOSH can cause what shoulder dysfunction?

A

anterior shoulder dyslocation

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2
Q

anterior shoulder dislocation causes what?

A

externally rotated abducted shoulder

numbnes over deltoid

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3
Q

treatment for aseptic bursitis?

A

protective bracing

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4
Q

symptoms of aseptic bursitis?

A

chronic pressure on joint

fluctuant mass, erythema, no tenderness

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5
Q

what causes osteomyelitis in sickle cell patients?

A

salmonella

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6
Q

drug induce lupus has what marker?

A

anti histone antibody

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7
Q

presentation of femoral neck fracture?

A

elderly patient with injury and pain

shortened leg that is abducted

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8
Q

avascular necrosis symptoms?

A

4-10 kid

hip that drops

mild pain, limp

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9
Q

slipped capital femoral epiphysis symptoms

A

suprior anterior lateral leg

femoral epiphysis is posterior

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10
Q

what is the treatment of femur fracture that is unstable?

A

hemiarthroplasty-

hip replacement

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11
Q

disc herniations get ___with bending over

A

worse

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12
Q

polymyalgia rheumatica presents as

A

shoulder and neck pain

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13
Q

giant cell tumors…..

A

age 20-40

affect distal femur or posterior tibia

pain, swelling, limited range of motion of knee

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14
Q

chondroblastoma….

A

benign tumor in teenagers

well defined sclerotic border

joint pain unrelated to swelling

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15
Q

chondrosarcomas…

A

malignant tumor above 50

affect pelvis and ribs mostly

pain, local swelling, popcorn swelling

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16
Q

fibrosarcomas..

A

30-40 in the knee

gradually increasing mass

moth ball lesion

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17
Q

osteosarcoma…

A

subburst pattern of metaphysis

associated with RB1, rentinoblastoma

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18
Q

meniscal injury presents as

A

knee pain after injury(twisting of knee)
clicking noise
can bear weight

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19
Q

contact injury from lateral side, pain popping swellign what is hurt?

A

ACL tear

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20
Q

back pain radiating into legs after strenuous activity? what can it cause?

A

herniated disc due to anuulus fibrous rupture

numbness and pain along dermatome lines

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21
Q

symptoms of vertebrl facet joint hypertrophy?

A

spinal cord stenosis

neurogenic claudication

pain worse with walking or standing

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22
Q

what can galleazi fracture cause?

A

damage to anterior interosseous nerve

cant pinch with thumb and pounter finger

23
Q

ewing sarcoma are…

A

neuroectodermal sarcomas on diaphysis

small round blue cells (onion skinning)

11:22 translocation

24
Q

osteochondromas are

A

painless masses at knee or distal femur

pain, pathological fractures

10-20 year old male

25
Q

polymyalagia rheumatica?

A

pain and stiffness in hips and shoulders that is worse in the morning, gets better during the day

elevated ESR and CRP

26
Q

most sensitive test for SLE?

A

ANA, rules it out

27
Q

what to order to confirm lupus?

A

anti ds DNA

28
Q

what test detects drug induced lupus?

A

anti histone antibody

29
Q

test after hip reduction to make sure everything is ok?

A

CT scan

30
Q

majority of hip dislocations are

A

posterior

adducted, internally rotated , flexed

31
Q

what will synovial fluid in septic arthiritis have?

A

leukocyte count over 50,000

32
Q

treatment for septic arthiritis in IVDU

A

ceftadizime, cefepime

33
Q

whats the most common extracutaneous maifestation of limited systemic sclerosis?

A

pulmonary hypertension

34
Q

lab test for crest syndrome?

A

anti centromere antibody test

35
Q

what to do with hip fracture

A

first thing, peripheral nerve block for best outcomes

36
Q

what shoulder issue is associated with seizures?

A

posterior glenohumeral displacement

arm will be internally rotated and adducted

37
Q

antibiotic for open fracture?

A

cefazolin

add penicillin if very dirty or gut exposure

38
Q

what test is specific for diffuse scleroderma

A

anti topoisomerase

39
Q

what tells you if osteomyelitis responding to treatment?

A

esr crp

40
Q

how does pcl injury happen?

A

direct blow to front of knee

41
Q

what is positive test for pcl injury?

A

sag sign

knee 90 degrees

increased anterior translation with flexion of quads

42
Q

treatment for plantar fasciitis?

A

rest, ice, nsaids, stretching

43
Q

diagnose lambert eaton + myasthenia gravis

A

electromyography

44
Q

mammalian bite antibiotic?

A

metronidazole

45
Q

what is felty syndrome?

A

RA

neutropenia

anemia

46
Q

stress fracture?

A

runner

pain in middle of foot

pain with weight bearing

47
Q

how much fluid resucitaion to give fo rburns?

A

4weightpercent body burned

48
Q

shoulder pain due to trauma?

A

anterior displacement

externaly rotated abducted

49
Q

what is one of the first tests for crush injury?

A

ecg due to hyperklemia due to rhabdomyolysis

50
Q

what to do initially for osteomyelitis?

A

radiograph within 10-14 days

51
Q

less than 2 weeks for osteomyelitis?

A

mri

52
Q

mid humeral shaft injury damages what nerve?

A

radial

53
Q

what bone lesion is end state kidney disease assocaited with?

A

osteitis fibrous cystica, causes bone lesions and bone colored tumors

54
Q

lab values in osteitis fibrous cystica?

A

increased pth, increased alk phos

decreased calcium, increased phos