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
polymyalagia rheumatica?
pain and stiffness in hips and shoulders that is worse in the morning, gets better during the day elevated ESR and CRP
26
most sensitive test for SLE?
ANA, rules it out
27
what to order to confirm lupus?
anti ds DNA
28
what test detects drug induced lupus?
anti histone antibody
29
test after hip reduction to make sure everything is ok?
CT scan
30
majority of hip dislocations are
posterior adducted, internally rotated , flexed
31
what will synovial fluid in septic arthiritis have?
leukocyte count over 50,000
32
treatment for septic arthiritis in IVDU
ceftadizime, cefepime
33
whats the most common extracutaneous maifestation of limited systemic sclerosis?
pulmonary hypertension
34
lab test for crest syndrome?
anti centromere antibody test
35
what to do with hip fracture
first thing, peripheral nerve block for best outcomes
36
what shoulder issue is associated with seizures?
posterior glenohumeral displacement arm will be internally rotated and adducted
37
antibiotic for open fracture?
cefazolin add penicillin if very dirty or gut exposure
38
what test is specific for diffuse scleroderma
anti topoisomerase
39
what tells you if osteomyelitis responding to treatment?
esr crp
40
how does pcl injury happen?
direct blow to front of knee
41
what is positive test for pcl injury?
sag sign knee 90 degrees increased anterior translation with flexion of quads
42
treatment for plantar fasciitis?
rest, ice, nsaids, stretching
43
diagnose lambert eaton + myasthenia gravis
electromyography
44
mammalian bite antibiotic?
metronidazole
45
what is felty syndrome?
RA neutropenia anemia
46
stress fracture?
runner pain in middle of foot pain with weight bearing
47
how much fluid resucitaion to give fo rburns?
4*weight*percent body burned
48
shoulder pain due to trauma?
anterior displacement externaly rotated abducted
49
what is one of the first tests for crush injury?
ecg due to hyperklemia due to rhabdomyolysis
50
what to do initially for osteomyelitis?
radiograph within 10-14 days
51
less than 2 weeks for osteomyelitis?
mri
52
mid humeral shaft injury damages what nerve?
radial
53
what bone lesion is end state kidney disease assocaited with?
osteitis fibrous cystica, causes bone lesions and bone colored tumors
54
lab values in osteitis fibrous cystica?
increased pth, increased alk phos decreased calcium, increased phos