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PANCE Subjects 2 > MSK- UE, Spine, Hip, LE > Flashcards

MSK- UE, Spine, Hip, LE Flashcards

1
Q

Nickname for fracture at base of thumb

A

Bennett’s Fx

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2
Q

Nickname for fracture at base of thumb that is comminuted

A

Rolando’s Fx

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3
Q

Hyperextension of the thumb that leads to UCL injury is called

A

Gamekeepers thumb (aka skiers)

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4
Q

Nickname for fracture at head of 5th metacarpal

A

Boxer’s Fx

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5
Q

Tx boxers fracture

A

Ulna gutter

ortho consult, sometimes ORIF

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6
Q

MCC paronychia

A

staph

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7
Q

Main tx for paronychia

A

I&D

~abx

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8
Q

what is a closed space infection of the fingertip pulp

A

felon

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9
Q

Intensely painful vesicle along terminal phalanx. Patient unroofed the vesicle which helped with pain
Dx, Tx

A

Herpetic Whitlow

Acyclovir, self limited 4-6wks

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10
Q

40 y/o pt presents with bump on the dorsum of the hand. It is asymptomatic except mild pain with direct pressure. It is well circumscribed and feels fluid filled. You are able to transilluminate it on exam.
Dx
Tx

A

Ganglion Cyst
can just observe, some resolve
can aspirate with 18g needle (re-occurrence common)

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11
Q

pain in the anatomical snuff box

A

schaphoid fx until proven otherwise

splint and repeat films 10-14 days

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12
Q

distal ulna fracture with anterior radial head dislocation

A

Monteggia fx

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13
Q

proximal radial fracture with distal dislocation of radioulnar joint

A

Galaezzi fx

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14
Q

24 y/o girl fell on both elbows (walking home drunk. She presents to ED with L sided decreased elbow ROM and mild swelling. Xray doesn’t demonstrate fracture but there is a sail sign

A

Likely radial head fracture

nondisplaced tx- soft splint, ICE, NSAID, early ROM

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15
Q

distal radius fracture with dorsal angulation

“dinner fork” deformity

A

Colle’s fx

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16
Q

distal radius fracture with palmar displacement

A

Smith’s fx

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17
Q

55 y/o F presents with arm pain that is worse when picking up items that are palm down. She also has pain when turning door knobs. This affects her job as a machinist and assistant coach for her sons little league team

A

Medial epicondylitis (aka Golfers or Pitchers Elbow)

RICE, NSAIDS, Bracing
rarely ulnar nerve transposition

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18
Q

medial epicondylitis is inflamm of _________

lateral epicondylitis is inflamm of______

A

flexors

extensors

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19
Q

Tennis Elbow is

A

lateral epicondylitis

tender or lat elbow, pain pulling doors

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20
Q

Elbow dislocation MC _____

A

posterior

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21
Q

C1 (atlas) burst Fx nickname

A

Jeffersons Fx

22
Q

Fracture of C2 pedicles with anterior displacement of body nicknamed

A

Hangmans Fx

23
Q

spinous process fx

nickname and MC locations

A

Clay Shovelers Fx
usually C6 or C7
avulsion by supraspinatous ligament

24
Q

60y/o male with chronic LBP. Has hip and leg pain that is relieved by rest. He can only walk short distances before having to take a break. If he leans over his shopping cart at the market he can go a little further.

A

Spinal Stenosis

-neurogenic claudication

25
Q

MC cervical HNP

A

C6-C7 which compresses C7

26
Q

MC lumbar HNP

A

L5-S1 which compresses S1

27
Q

spurlings sign

A

pain reproduced when examiners exersts pressure down on vertex while tilting head towards symptomatic side

28
Q

lhermitte’s signs

A

electrical shock like sensation radiating down spine

29
Q

diminished Achilles reflex and weakenss with plantaf flexion

which nerve being affected

A

S1

30
Q

traumatic back injury and pt has
loss of motor fx, pain sensation, and temp sensation distal to lesion
there is preservation of vibration, position and crude touch only

A

Anterior Cord Syndrome

31
Q

traumatic back injury and pt has
decreased strength distal to lesion, UE>LE
some decreased pain and temp sensation

A

Central Cord Syndrome

32
Q

osteoarthritis of spine

A

Spondylosis

33
Q

fx from interior facet, across pars, to superior facet

xray- scotty dog

A

Spondylolysis

34
Q

anterior slippage of vertebral column relative to an adjacent inferior vertebrae
MC at L4-5 L5-S1

A

Spondylolisthesis

35
Q

When do you treat scoliosis

A

> 20 degrees

36
Q

MC seen scoliosis curves

which do you suspect in neuro disease?

A

MC R thoracic or L lumbar

suspect neuro disease with L thoracic

37
Q

exaggerated curvature of the thoracic spine

A

kyphosis

38
Q

Back pain worse in am
improves with activity
radiates to buttock

A

Ankylosing spondylitis

39
Q

buzzwords for ankylosing spondylitis

A

“bamboo sign” “shiny sign”
HLA-B27
hip and lbp

40
Q

1st line tx for ankylosing psondylitis

A

NSAIDS, many trials

then TNF inhib

41
Q

12 y/o boy tenderness over anterior knee worse with activity
soft tissue swelling
xray nonspecific changes

A

Osgood-schlatters

42
Q

Ortolanit test

A

detects DISLOCATED

hip abducted, feel reducing back into acetabulum

43
Q

Barlow test

A

detects UNSTABLE

adduction, feel “pistoning”

44
Q

MC joint injury

A

inversion ankle sprain

lateral ligament- primarily ATF

45
Q

Jones fx

A

fx base of 5th metatarsal

46
Q

wrist drop would correlate to what nerve?

A

Radial

47
Q

Thompson test

A

squeeze gastrocnemius
(+)= no foot movement
indicative of Achilles rupture

48
Q

MC mechanism of meniscal tear

A

axial loading with rotation

49
Q

MCL complete tear would have laxity of the knee with _____ stress

A

valgus

50
Q

patella MC dislocated what direction

A

lateral

51
Q

what test is most sensitive for ACL injury?

A

Lachmans

PANCE Subjects 2 (14 decks)

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