MSK/Rheum Flashcards

1
Q

Common in women chronic pain comes on with squatting, going up and down stairs. Dx?

A

Patellofemoral Syndrome.

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2
Q

Seen in preadolescents/atheletes associated with growth spurt pain worse with sports.. tenderness and swelling at the tibial turbcle.

A

Osgood-Schlatter disesae

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3
Q

Primarly seen in athletes. Pain and tenderness at the inferior patellar.

A

Jumper’s Knee. Patellar tendonitis.

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4
Q

Acute/episodic pain localized to the medial aspect of the knee distal to the joint line.

A

Anserine bursitis.

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5
Q

Anterior pain felt by people who work on their knees all day.

A

Prepatellar bursitis.

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6
Q

Febrile child that refuses to walk and keeps hip externally rotated. Dx? Test?

A

Transient synovitis/Toxic Synovitis. US.

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7
Q

Best diagnostic test to confirm sarcoid? Rx? What if patient asymptomatic?

A

Biopsy of parotid gland, lymph or skin lesion other than erythema nodosum. Oral Steroids. If asymptomatic it will most likely go into remission.

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8
Q

Pain with abduction, external rotation and positive impingement of the arm. Dx?

A

Rotator cuff impingement or tedinopathy.

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9
Q

Pain and weakness with abduction of the arm. Dx?

A

Rotator cuff tear.

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10
Q

Decreased passive and active range of motion. More stiffness than pain. Dx?

A

Adhesive Capsulitis.

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11
Q

Anterior shoulder pain, pain with lifting, carrying. Dx?

A

Biceps Tendinopathy/Rupture.

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12
Q

Uncommon and usually caused by trauma, associated with gradual onset of anterior shoulder pain. Dx?

A

Glenohumeral osteoathritis.

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13
Q

Test and treatment for developmental hip dysplasia?

A

Risk factors include female, breech, positive family hx, Barlow test (attempts to dislocated unstable hip). Pavlik Harness is treatment (flexed abducted for 1-2 months).

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14
Q

Management of displaced clavicular fractures with shortening?

A

Open reduction and internal fixation.

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15
Q

Symmetric polyathritis with morning stiffness lasting > 30 mins, for > 6 weeks. Test? Rx 1st line, 2nd line?

A

RA. RF, Anti-citrulated antibodies. NSAIDs. Can be combined with DMARD (methotrexate, infliximab, enteracept, sulfasazine) if pt has severe disease and joint erosions.

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16
Q

Chlamydia, Salmonella, Shigella, Yersinia cause this type of arthritis. Symptoms? Test? Rx?

A

Athritis, urethritis, conjunctivitis. Clinical. NSAID. - Abx if chlymydia and non-self limiting GI infection.

17
Q

Bamboo sign 1st test, most accurate, rx?

A
  1. Xray 2. MRI Ankolysisig spondylitis. NSAID.
18
Q

Fever, salmon colered rash, polyathritis. Dx? what rules in the diagnosis? Rx?

A

Normal ANA and RF, high WBC and ferritin. 1. Nsaids 2. Steroids.

19
Q

Best inital test for lupus? Most accurate? Rx for flare ups? Rx? for joint pain? Rx for patient not responding to either?

A
  1. ANA. 2. Anti-smith and Anti-DS DNA 1. steroids 2. NSAIDS 3. Plaqueinel
20
Q

Fibrous skin thickening, raynauds, lung fibrous, Esophageal dysmotility, Renal HTN, joint pain. Dx? Test? Rx?

A

Scleroderma. ANA, Anti-topismoerase (only present in 30% - non specific) Rx the symptoms Renal- Ace Pulmonary HTN- Bosenta, prostacyclins Raynuads- verampamil GERD- PPI

21
Q

Calcinosis, Raynuds, Esophageal dysmotility, Sclerodactly, Telengiectasia Dx? Test?

A

CREST syndrome( limited scleroderma) does not have lung and renal involvement. Anti-centromere , less anti–scl70.

22
Q

Proximal muscle weakness and tenderness cant raise from seated position. Dx? Inital test, most accurate? Rx?

A

Polymyositis. Elevated CPK, Aldolase, EMG, confirm with biopsy. Anti-jo-1. Steroids

23
Q

Proximal muscle weakness and tenderness cant raise from seated position + Skin rash (Grottons papules, Heliotrope rash, shawl sign). Common complication of this?

A

Dermatomyositis. Elevated CPK, Aldolase,EMG, confirm with biopsy. Anti-jo-1. Steroids. Cancer.

24
Q

> 50 years of age with pain and stiffness of the proxmial muscles, Elevated ESR. Dx? Rx?

A

PMR. CPK, Aldoase and EMG normal, ESR elevated. Steroids.

25
Q

Best initial test of PAN? Most accurate? (Abdominal pain, renal, testicualr involement)

A

Angiography of abdominal vessels. Biopsy.

26
Q

Young Asian female with diminished pulses, Associated with TIA and stroke. Dx? Most accurate test?

A

Takayasu Arteritis. MRA

27
Q

Rx for septic athritis?

A

Vancomycin + Ceftriaxone

28
Q

What test to order for paget’s disease? Rx?

A

Alk P, urinary hydroxyproline, calcium, phos Rx with calcitonin and bisphosphenates.

29
Q

Difference btw tarsal tunnel and plantar fasciitis?

A

Tarsal tunnel worse with walking.