MSK misc

Question 1

What is the MC ligament injured in ankle injury

Answer 1

anterior talofibular ligament

Question 2

what is the “dinner fork deformity” fx

Answer 2

colles fx

(dorsally angulated extra-articular distal radius fracture)

Question 3

What is the garden spade deformity fracture

Answer 3

smith fx

(extra-articular metaphysis fracture of the radius with volar angulation and displacement)

Question 4

What x-ray views are needed to evaluate for shoulder dislocation

Answer 4

axillary and “Y” view

Question 5

Shoulder dislocation:

what is a bankart lesion

Answer 5

fracture of glenoid

Question 6

Shoulder dislocation:

What is the Hill-sach’s lesion

Answer 6

dent in the humeral head

Question 7

what artery could be damaged with femoral neck fx

Answer 7

medial circumflex femoral artery

Question 8

is anterior or posterior dislocation more common in hip dislocations

Answer 8

Posterior= 90%

(hip adducted, flexed, internally rotated)

Question 9

what will be seen on x-ray in posterior hip dislocation

Answer 9

femoral head superior to acetabulum

(PS)

Question 10

what will be seen on x-ray in anterior hip dislocation

Answer 10

femoral head inferior to the acetabulum

(AI)

Question 12

Knee injuries should make you worried about injury to what artery

Answer 12

popliteal artery injury

(dx w/ CT angio)

Question 13

what nerve is commonly injured with knee dislocation

Answer 13

peroneal nerve

(foot drop)

Question 14

is a knee dislocation an optho emergency? what is key to tx

Answer 14

OPTHO EMERGENCY

early reduction is key

Question 15

positive birefringement crystals

Answer 15

Pseudogout

Question 16

MC location for herniated disc of cervical spine

Answer 16

C5-C6/C6-C7

Question 17

what is the gold standard for dx of osteomyelitis? What is the x-ray triad?

Answer 17

gold= bone aspiration

X-ray triad: demineralization, periosteal reaction, bone destruction

Question 18

+Finklestein test

(patient’s thumb is placed in the palm of the hand and the wrist is abruptly deviated to the ulnar aspect of the wrist, causing pain on the radial aspect.)

Answer 18

DeQuervain’s Tenosynovitis

Question 19

What is used to ensure radial and ulnar artery flow, particularly when evaluating a ganglion cyst

Answer 19

Allen’s test

Question 20

What 3 special tests are used to evaluate for rotator cuff tear/tendinopathy

Answer 20

empty can test, full can test, arm drop

Question 21

What 3 special tests are used to evaluate for subacromial impingement?

Answer 21

Neers

Hawkins

Drop arm

Question 22

what is the most sensitive test for an ACL tear

Answer 22

Lachmans

Question 23

What are two special tests for eval of Meniscus tear

Answer 23

McMurray test/Apley test

Question 24

+Thompson test

Answer 24

Achilles rupture

Question 25

patient with instability of the knee in all directions should make you think of what

Answer 25

tibiofemoral dislocation

(nerve injury: common peroneal nerve

Artery injury: popliteal artery)

Question 26

what two groups of meds increase risk of achilles tendon rupture

Answer 26

fluoroquinolones

glucocorticoids