MSK/Rheumaotology

Question 1

Abducted, externally rotated

Axillary nerve affected

Answer 1

Anterior Shoulder Dislocation

Question 2

Adducted, internally rotated

Electrical injury, lightning, seizure

Answer 2

Posterior shoulder dislocation

Question 3

Empty can test

Answer 3

rotator cuff tear

Question 4

Wrist drop (radial nerve)

Answer 4

Mid shaft humerus fx

Question 5

middle 1/3 most commonly affected, treat with sling

Answer 5

Clavicle fx

Question 6

Children, median nerve and brachial artery affected, anterior sail and posterior fat pad sign, gun stock deformity, volkmanns contracture

Answer 6

Supracondylar fracture

Question 7

Posterior dislocation most common

Answer 7

elbow dislocation

Question 8

FOOSH (fall on outstretched arm), snuffbox tenderness, thumb spica splint

Answer 8

Scaphoid fx

Question 9

Median nerve, phalen sign, tinel sign, compression test, thenar eminence atrophy

Answer 9

carpal tunnel syndrome

Question 10

5th metacarpal fx, ulnar gutter splint

Answer 10

boxer fracture

Question 11

Pregnancy, Finkelstein test

Answer 11

Dequervain tenosynovitis

Question 12

Young male, HLA B27, Bamboo spine

Answer 12

Ankylosing spondylitis

Question 13

Bowel bladder incontinence, saddle parasthesia

Answer 13

Cauda equina

Question 14

Shopping cart sign (pain relieved with forward bending)

Answer 14

Spinal stenosis

Question 15

Femoral neck fx, limp, frog leg lateral XR

Answer 15

Legg Calve Perthes

Question 16

Obese, XR: posterior displacement of the femoral epiphysis

Answer 16

Slipped capital femoral epiphysis

Question 17

Positive orlotani and barlow test, palpable clunk, pavlik harness

Answer 17

Developmental Hip Dysplasia

Question 18

External rotation and shortening

Answer 18

Hip fracture

Question 19

Deceleration, hyperextension, pop, swelling, Positive Lachman or anterior drawer test

Answer 19

Anterior cruciate ligament tear (ACL)

Question 20

Mechanical sx, baker cyst, positive mcmurry and apley test

Answer 20

Meniscal tear

Question 21

Knee pain worse with exercise, children, tenderness over tibial tuberosity

Answer 21

Osgood schlatter dz

Question 22

Positive thompson test

Answer 22

Achilles ankle tear

Question 23

Staph aureus

Answer 23

Osteomyelitis

Question 24

Moth eaten pattern and onion peel appearance

Answer 24

ewing sarcoma

Question 25

Knee, bouchard (PIP) and heberdens (DIP) nodes

Answer 25

Osteoarthritis

Question 26

Risk factors; Smoking, Glucocorticoids, amenorrhea

Answer 26

Osteoporosis

Question 27

Sunburst pattern

Answer 27

Osteosarcoma

Question 28

Pain out of proportion, 6 Ps: Pain, pressure, parasthesia, pulselessness, pallor, paralysis

Answer 28

Compartment syndrome

Question 29

Bilateral symmetric and progressice, boutonniere and swan neck deformity, Felty syndrome: RA, Splenomegaly, and Neutropenia

Answer 29

Rheumatoid Arthritis (RA)

Question 30

Women, depression, pain

Answer 30

Fibromyalgia

Question 31

Calcium pyrophosphate, Positive birefringent rhomboid shaped crystals

Answer 31

Pseudogout

Question 32

Polyarthritis, spiking fevers, salmon colored rash, risk of uveitis

Answer 32

Juvenile RA

Question 33

Hep B (etiology), Livedo reticularis, mononeuritis multiplex

Answer 33

Polyarteritis nodosa

Question 34

Progressive proximal muscle weakness, dysphagia

Answer 34

Polymyositis

Question 35

Heliotrope rash, guttron papules, shawl sign, risk of malignancy, Anti-jo-1 and Mi-2 antibodies

Answer 35

Dermatomyositis

Question 36

> 50 y/o, Giant cell arteritis

Answer 36

Polymyalgia Rheumatica

Question 37

GI/GU infection, urethritis, conjunctivitis

Answer 37

Reactive Arthritis

can’t see, can’t pee, can’t climb a tree

Question 38

Malar rash, positive ANA, discoid rash, double-stranded DNA and anti-Smith antibodies

Answer 38

Systemic Lupus erythematosus