MSK/SKIN/Connective Tissue Flashcards

1
Q

fractured surgical neck of the humorous or anterior dislocation of the humorous causes what

A

axillary nerve problems

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2
Q

presentation of the axillary nerve tear

A

flat deltoid
loss of aBduction
loss of sensation over the deltoid

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3
Q

upper trunk compression causes what

A

MSK nerve problems

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4
Q

how do MSK nerve problems present

A

loss of flexion and supination of the forearm

loss of sensation over the lateral forearm

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5
Q

mid shaft fracture to the humerus causes what

A

radial nerve problems

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6
Q

how do radial nerve problems present

A

wrist drop
loss of elbow, fingers or wrist extension
decrease grip strength
loss of sensation to the posterior arm.forearm and dorsal hand

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7
Q

supracondylar fracture of the humerus causes what

A

median nerve problems

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8
Q

median nerve problems present how

A

ape hand
pope’s blessing
loss of wrist flexion
loss of sensation of the thenar eminence

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9
Q

fracture of the medial epicondyle of the humerus causes what nerve problem s

A

ulnar

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10
Q

how does ulnar nerve problem present

A

ulnar claw

radial deviation of the wrist upon flexion

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11
Q

superficial laceration of the palm causes what nerve injury

A

recurrent branch of the median nerve

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12
Q

reccurant brand of the median nerve injury causes what

A

loss of thenar eminence muscle group

loss of sensation

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13
Q

C5-T1

A

RECURRENT BRANCH OF THE MEDIAN NERVE

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14
Q

C8-T1

A

ULNAR

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15
Q

C5-T1

A

MEDIAN/RADIAL

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16
Q

C5-C7

A

MSK NERVE

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17
Q

C5-C6

A

AXILLARY

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18
Q

traction of the upper trunk C5-C6 nerve roots presents as what

A

Erb;s Palsy

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19
Q

what causes Erbs in infants? adults?

A

lateral traction on the neck during delivery

trauma

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20
Q

Muscles not working in Erb’s Palsy

A

Deltoid
Supraspinatus
Infraspinatus
Biceps Brachii

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21
Q

arm hanging bu the side
arm medially rotates
arm extended and pronated

A

Erbs

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22
Q

traction of the lower trunk C8-T1 nerve root problem

A

Klumpke

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23
Q

how do infant get Klumpke? adults?

A

sudden upward jerk on the hand during delivery

trauma, grabbing a tree branch while they are fallin

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24
Q

muscles affected in Klumpke

A

intrinsic hand muscles

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25
Q

flexed MCP and extended DIP and PIP, total claw hand

A

klumpke

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26
Q

why can Klumpke also present with corners syndrome

A

because T1 is close to the sympathetic trunk

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27
Q

compression of the lower trunk and subclavian vessels

A

thoracic outlet syndrome

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28
Q

causes of thoracic outlet syndrome

A

Pan coast tumor or cervical rib

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29
Q

muscle defect in thoracic outlet syndrome

A

intrinsic muscle of the hand

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30
Q

atrophy of intrinsic hand muscles, ischemia, pain and edema due to vascular compression is seen in what

A

thoracic outlet syndrome

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31
Q

lesion of the long thoracic nerve causes what

A

winged scapula

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32
Q

causes of winged scapula

A
  • axillary node dissection
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33
Q

muscle deficit in winged scapula

A

serrates anterior

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34
Q

the radial nerve runs with what artery along the mid shaft of the humerus

A

deep brachial artery

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35
Q

clawing is seen its distal lesions of what nerves

A

median and ulnar

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36
Q

ape hand is associated with what

A

atrophy of the thenar eminence and is seen with median nerve lesions

37
Q

dorsal interosseous does what

A

abduct the fingers

38
Q

palmar interosseous does what

A

addict the fingers

39
Q

pelvic surgery canc cause what nerve problem

A

obturator

40
Q

presentation of obturator nerve problem

A

decreased thigh sensation in the middle and decreased aDduction

41
Q

pelvic fracture can cause what nerve problem

A

femoral

42
Q

presentaiotn of femoral nerve problem

A

decreased thigh flexion and leg extension

43
Q

trauma to lateral aspect of the leg, fibular neck fracture can cause what nerve problem

A

common peroneal

44
Q

presentation of common peroneal nerve fracture

A

foot drop
inverted and plantar flexed at rest
loss of sensation to the botton of the foot
Steppage gait

45
Q

knee trauma, backer cyst or tarsal tunnel syndrome can cause what nerve problem

A

tibial

46
Q

tibia nerve problem presentation

A

inability to curl toes and loss of sensation of the sole of the foot
everted foot at rest

47
Q

L2-L4

A

obturator/femoral

48
Q

L4-S2

A

common peroneal

49
Q

L4-S3

A

tibial

50
Q

L4-S1

A

superior gluteal

51
Q

L5-S2

A

inferior gluteal

52
Q

posterior hip dislocation can cause nerve problems in what

A

inferior gluteal nerve

53
Q

presentation of inferior gluteal nerve injury

A

hard time rising from seated position and trouble climbing the stairs

54
Q

what disc are affected if there is weakness of knee extension and decreased patellar reflecx

A

L3-L4

55
Q

weakness of dorsiflexion and difficult heel walking is associated with what disc problem

A

L4-L5

56
Q

weakness of plantar flexion and problems walking on the tippy toes is a disc problem where

A

L5-S1

57
Q

artery that runs with long thoracic nerve

A

lateral thoracic artery

58
Q

artery that runs with axillary nerve

A

posterior circumflex artery

59
Q

artery that runs with radial never

A

deep brachial artery

60
Q

artery that runs with median nerve

A

brachial artery

61
Q

artery that runs with the tibial nerve

A

politeal / posterior tibial

62
Q

RA+pneumoconiosis

A

Caplan Syndrome

63
Q

RA+ neutropenia

+ splenomegaly

A

Felty Syndrome

64
Q

three common causes of septic arthitits

A

S. Aureus
Strep
N. Gon.

65
Q

pencil in cup deformity is seen in what disease

A

psoriatic arthritis

66
Q

5 infections that can cause Reiters Syndrome

A
Shigella
Salmonella
Yerisina
Campylobacter
CHlamydia
67
Q

what is a specific antibody for SLE that is direct against snRNPS

A

Anti-Smith AB

68
Q

history of thrombosis and spontaneous abortion and anticardiolipin AB are associated with what

A

Antiphospholipid Syndrome

69
Q

ani U1 RNP AB

A

mixed connective tissue disease

70
Q

what test should you always do when someone has Lambert Eaton Disease

A

a chest x ray to rull out small cell lung cancer

71
Q

most common cause of death in people with Scleroderma

A

sclerosis of the lungs

72
Q

treat raynaud with?

A

calcium channel blockers ( prevents the vasospasm in the small vessels)

73
Q

zona occludens is what and what does it do

A

tight junction, keeps things from moving between cells

74
Q

what p[romtos electrical and chemical communication between cells

A

gap junctions

75
Q

what is acantholysis

A

separation of epidermal cells seem in pemphigus vulgaris

76
Q

hyper pigmentation associated with pregnancy or OCP useis called

A

Melasma

77
Q

autoimmune destruction of melanocytes

A

vitaligo

78
Q

decreased melanocytes

A

albino

79
Q

stuck on lesions

A

seborrheic keratosis

80
Q

sudden appearance of multiple seborrheic keratosis indicating that there is an underling malignancy ( gi or lymphoid) is what

A

Leser Trelat sign

81
Q

hepatic angiosarcoma is associated with what

A

vinyl chloride and arsenic

82
Q

cavernous lymphangioma of the neck associated with turners

A

cystic hygroma

83
Q

antibodies around epidermal cells in a reticula net like pattern is associated with

A

pemphigus vulgaris

84
Q

linear pattern at epidermal dermal junction on IM is seen in

A

Bullos Pemphigoid

85
Q

deposits of IgA at the tips of the dermal papillae associated with celiac disease is seen in

A

dermatitis herpatiformis

86
Q

treat dermatitis herpatiformies with what

A

dapsone

87
Q

actinic keratosis shows a risk for what

A

squamous cell carcinoma

88
Q

s-100 is a marker for what

A

melanoma