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OSCE > MSK Signs > Flashcards

MSK Signs Flashcards

1
Q

Patient has weakness on external rotation of the shoulder with the elbow bent against resistance, what muscles are affected?

A
  • Infrasipantus
  • Teres minor
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2
Q

What are these lumps?

A

Gouty Tophi

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3
Q

What type of fracture is this, what bone is it and what view is this?

A

Oblique fracture

Tibia

AP

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4
Q

What is this sign?

A

Varus deformity

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5
Q

What nerve innervates supraspinatus and infraspinatus?

A

Suprascapular nerve

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6
Q

What is this and what can cause it?

A

Winging of the scapula

-

Injury to the long thoracic nerve

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7
Q

Weakness of which muscle is responsible for scapula winging?

A

Serratus anterior

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8
Q

Patient has weakness initiating abduction of the arm which muscle is affected?

A

Supraspinatus

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9
Q

Who do greenstick fractures appear in?

A

Children

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10
Q

What kind of fracture is this, of what bone, what view is it taken from and describe the displacement?

A

Transverse Fracture

Femur

Lateral view

Posterior displacement with some shortening

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11
Q

What type of fracture is this and what view is the x-ray?

A

Comminuted fracture (of the tibial shaft)

Lateral view

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12
Q

What is this?

A

Positive Thomas test (but in the exam you shoudl put your hand under their lumbar spine)

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13
Q

What is the unhappy triad?

A
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14
Q

What nerve innervates subscapularis?

A

Subscapular nerve

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15
Q

What is the deformity of the middle finger?

(bonus points for the deformity of the index finger)

A

Boutonniere deformity

(Swan-neck deformity)

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16
Q

What’s the pathology?

A

Thenar wasting

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17
Q

What type of Salter Harris is this?

A

Type 4 - involves all 3 parts

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18
Q

What can a varus deformity (or positive varus stress test) be suggestive of?

A

Lateral colateral ligament rupture/laxity

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19
Q

Joint line tenderness of the knee

A

Highly suggestive of meniscal tear

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20
Q

What type of Salter Harris fracture is this?

A

Type 2 - Down through metaphysis and then across growth plate

(most common)

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21
Q

What type of fracture is this?

A

Greenstick Fracture

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22
Q

The patient has weakness in the lift off test - what is the pathology?

A

Damage to/weakness of subscapularis

23
Q

What nerve supplies the gluteus medius and gluteus minimis?

A

Superior gluteal nerve

24
Q

What is this sign?

A

Dupuytren’s contracture

25
Q

What is this?

A

Pre-patellar bursitis

26
Q

What classification is used for fractures of the growth plates?

A

Salter-Harris

27
Q

What is the abnormality?

A

Intracapsular fracture

28
Q

What are these lumps?

A

Rheumatoid nodules

29
Q

What are the hip abductors?

A

Gluteus medius

Gluteus minimus

30
Q

What is the pathology?

A

Psoriasis

31
Q

What name is given to this fracture?

A

Smith’s fracture

32
Q

What nevre innervates teres minor?

A

Axillary nerve

33
Q

What happens in painful arc?

A

Sign of suprasipantus tendinits as it rubs against the acromion process

34
Q

Patient has positive posterior drawer test

What is the pathology?

A

Torn PCL

35
Q

What type of Salter Harris is this?

A

Type 5 - Crush of the growth plate

36
Q

What are Heberden’s and Bouchard’s nodes associated with?

A

OA

37
Q

What are these?

A

Rheumatoid nodules

38
Q

What is the name of the swelling at the DIP joint of the right index finger?

A

Heberden’s Nodes

39
Q

What is this sign?

A

(Mild) Valgus deformity

40
Q

What is a positive Thomas’ test suggestive of?

A

Fixed flexion contracture

41
Q

Patient has a posiitve anterior drawer test - what is the pathology?

A

Torn ACL

42
Q

What type of Salter Harris is this?

A

Type 3 - Along growth plate then through epiphysis

43
Q

What is this?

A

Baker’s Cyst

44
Q

What type of Salter Harris fracture is this?

A

Type 1 - along the growth plate

45
Q

What name is given to this type of fracture?

A

Colle’s fracture

46
Q

What are the rotator cuff muscles?

A
  • Supraspinatus
  • Infraspinatus
  • Teres minor
  • Subscapualris

SITS

47
Q

What is the fracture pattern in this x-ray?

A

Spiral fracture

48
Q

What condition can cause thenar wasting?

A

Carpal tunnel syndrome

49
Q

What sign does the guy in the right have and which muscles are weak?

A

Positive Trendeleburg’s sign

Weak hip abductors on the left

50
Q

Patient has pain slowly bringing arm from 120˚-60˚

What is this called?

A

Painful arc

51
Q

What is the name of this deformity and what condition is it associated with?

A

Swan-neck deformity

RA

52
Q

What is the name of the swelling at the PIP joints?

A

Bouchard’s nodes

53
Q

What can a valgus deformity (or positive valgus stress test) be suggestive of?

A

Medial collateral ligmaent laxity/rupture

OSCE (19 decks)

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