MSK Pastest Flashcards
What muscle tear is associated with a positive bell press test & lift-off test?
Subscapularis Tear
What’s the management of cervical spondylosis?
Physiotherapy
What is the investigation of a suspected Scaphoid Fracture?
X-ray of the wrist in PA, Lateral, PA W/ ulnar deviation, and oblique views.
What is the management of an acute presentation of gout?
Joint Aspiration
Fractures above the level T4 are indicative of what type of underlying disease?
Cancer
What is a Galeazzi Fracture?
This is a fracture of the distal 1/3rd of the radius, with subluxation/dislocation of the distal radioulnar joint.
What is a Hill-Sachs lesion?
This is associated with anterior shoulder dislocation, and it is a cortical depression in the posterolateral head of the humerus.
What is Barton’s Fracture?
This is an intra-articular distal radial fracture, with joint involvement and radiocarpal dislocation
What is Colles Fracture?
This is an extra-articular distal radial fracture with dorsal angulation. (fall onto the outstretched hand)
What muscle damage leads to a winged scapula?
Serratus Anterior (Damage to itself or long thoracic nerve)
What is the most commonly dislocated carpal bone?
Lunate, will dislocate anteriorly and compress the median nerve. (Carpal Tunnel Syndrom Symptoms)
What is the drug of choice in a patient with a high T Score?
Biphosphonate
With a torn distal biceps tendon, what movements are abolished?
Flexion at the elbow, supination of the forearm
What nerve may be affected in a neck of fibula fracture?
Common peroneal nerve
What is the biggest risk factor for Dupuytren’s?
Alcohol Excess
What is a Monteggia Fracture?
This is a fracture of the ulnar shaft, associated with dislocation of the proximal radioulnar joint.
Features of Paget’s Disease?
Bone Pain
Apparent Joint Pain
Deformities
Nerve Compression
Elevated Bone Blood Flow (cardiac failure)
Weakness of abnormal bone leading to pathological fractures.
X-ray changes (enlargement/ expansion of bone)
What is the first-line treatment of Paget’s disease?
Bisphosphonates
What are some side effects of bisphosphonates?
Gastritis, Osteonecrosis of the Jaw, Fevers, Myalgia, and arthralgias
What vertebral level is the spine of the scapula?
T3
What is a common sign of RA on X-Ray?
Peri-articular Ostepenia
Regimental Badge Area is associated with what condition?
Shoulder Dislocation with axillary nerve involvement
Swinging kids by the arms lead to what condition?
Radial Head Subluxation
Is uphill or downhill walking more painful in spinal stenosis?
Downhill is more painful as the back is less flexed.
Is uphill or downhill walking more painful vascular claudication?
Uphill is more painful.
What is a Boxer’s Fracture?
Fracture of the neck of the fifth metacarpal.
Gold Standard Investigation of Spondolytic Cervical Myelopathy?
MRI of Cervical Spine
How does teriparatide act?
It has a direct anabolic effect on bone.
What muscle is associated with Tennis Elbow?
Extensor Carpi Radialis Brevis
What is the Triad of Features for Felty’s Syndrome?
RA, Neutropenia, Splenomegaly
What type of disease is polymyalgia rheumatica?
Inflammatory disease
What blood test is seen in polymyositis?
Increased Aldolase
Signs of SLE
Fever & Joint Pain
Rash on Both Cheeks
Immunoglobulin, C3, Fibrinogen Deposits
Anti-dsDNA antibody
Classic Triad of Reactive Arthritis
Arthropathy
Conjunctivitis
Urethritis
Features of Polymyalgia Rheumatica
Worse in the Morning
High ESR
Bilateral Joint Pain/Stiffness
Fatigue/Low-Grade/Fever/Anemia
In a patient with RA and up for surgery what must you check?
Cervical Spine X-Rays
What are the blood tests seen with Paget’s?
High ALP, normal Ca & Phosphate
What drug is used for procedural sedation in children?
Midazolam
What structure is most likely to be damaged with an injury to the anatomical snuffbox?
Radial Artery
What pulmonary condition is associated with rheumatoid arthritis?
Bronchiectasis
What is the finding in osteoporosis?
Decreased Cortical & Trabecular bone with normal Bone mineralization.
What muscles are affected in Dequervain’s Tenosynovitis?
Extensor Pollicis Brevis
Abductor Pollicis Longus
