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Year 2 > Msk Wrong > Flashcards

Msk Wrong Flashcards

1
Q

Anti-CCP is correlated with what disease?.
Specific/sensitive?

A

Rheumatoid Arthritis
Specific
NOT sensitive

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2
Q

How to keep track of RA disease
what the diff scores mean

A

DAS 28 score
<2.6 disease remission
3.2-5.1 moderate disease activity
>5.1 high disease activity

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3
Q

Dmard alternative to methotraxate for pregnant lady

A

Sulfalazine

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4
Q

Highly specific marker for sle

A

Anti - dsDNA
Anti- sm

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5
Q

Antibody associated with diffuse systemic sclerosis (aka scleroderma)
Specificity/sensitivity?

A

Anti-scl-70
Specific but not sensitive

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6
Q

Antibody associated with limited cutaneous systemic sclerosis
Specificty/sensitivity?

A

Anti-centromere
Specific not sensitive

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7
Q

What is bennets fracture

A

Base of thumb fracture

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8
Q

Livedo reticularis is a feature of…

A

Anti phospholipid syndrome

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9
Q

Punched out lesions on x ray?

A

Gout

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10
Q

Anti ro / anti la indicated?

A

sjrogens (present in 60-70% of sjrogens patients)

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11
Q

What do heberdens nodes indicate?

A

Osteoarthritis

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12
Q

What nerve does a colles fracture damage

A

Median

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13
Q

What nerve is damaged by a distal
Humerus supracondylar fracture

A

Median

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14
Q

Arthodesis is?

A

The surgical stiffening or fusion of a joint in a position of function

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15
Q

What does redgimental badge numbness indicate?
What nerve is damaged?

A

Shoulder dislocation causing stretched nerve

Axillary nerve

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16
Q

what conditions are associated with adhesive capsulitis

A
  • diabetes
  • hypercholesteraemia
  • duputryens (histologically similar)
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17
Q

principle clinical sign of adhesive capsulitis

A

loss of external rotation

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18
Q

what Glasgow coma score implies loss of airway control?
what is an important thing to do when managing the airway

A
  • 8 or less
  • immobilising head to protect c-spine and prevent spinal cord injury
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19
Q

what artery is most likely to be damaged by knee dislocation

A

popliteal artery

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20
Q

what artery is most likely to be damaged by a paediatric supracondylar fracture

A

brachial artery

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21
Q

which side of elbow is affected by golfers elbow

A

medial
(medial epicondylitis caused by inflammation of the common extensor tendon)

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22
Q

what does a galezzi fracture decribe

A

distal radial fracture> dislocation of radioulnar joint

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23
Q

either unilateral or bilateral malleolar fracture, forced foot eversion
what is the name of this type of fracture?

A

potts fracture

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24
Q

distal radius fracture with associated radiocarpal dislocation
fall onto extended and pronated wrist

what type of fracture

A

bartons

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25
Q

what does a monteggias fracture describe

A

proximal ulnar l fracture> prox. radial dislocation

26
Q

Intra-articular fracture of the first carpometacarpal joint
Impact on flexed metacarpal, caused by fist fights

what type of fracture

A

Bennetts fracture

27
Q

subchondral cysts feature of which disease?

A

Osteoarthritis

28
Q

juxta-articular osteporosis is an early sign of…
(seen on x-ray)

A

RA

29
Q

common posterior hip dislocation presentation

A

shortened and internally rotated leg

30
Q

common neck of femur fracture presentation

A

shortened, externally rotated leg

31
Q

discitis causative organism

A

staph A.

32
Q

compression of S1 nerve (eg by prolaped dis) presents as…

(include sensory loss, and affeed action)
(remember dermatome pic)

A

sensory loss: posterior leg, lateral foot
weak plantar flexion

33
Q

L4 nerve compression presents as…
(remember dermatome pic)

(include sensory loss, and affeed action)

A

sensory loss: anterior knee, medial malleolus
weak knee extension/hip adduction

34
Q

L5 nerve compression presents as (remember dermatome pic)

(include sensory loss, and affeed action)

A

sensory loss: dorsum of foot
weak foot/big toe dorsiflexion

35
Q

what nerves are compressed in a positive sciatic nerve stretch test

A

L5, S1

36
Q

what nerves are compressed in a postive femoral stretch test

A

mid lumbar L2-L4

37
Q

how does a bennets fracture show up on xray

A

X-ray: triangular fragment at ulnar base of metacarpal

38
Q

compartment syndrome most commonly associated with what fractures?

A

supracondylar and tibial shaft fractures

39
Q

main innervators of bicep and tricep

A

bicep= 5 letters = C5
tricep= 6 letters = C6

40
Q

describe a salter harris fracture I (try and visualise!!)

A

through the physisis only

41
Q

salter Harris II… (try and visualise!!)

A

Fracture through the physis and metaphysis

42
Q

salter harris III

A

Fracture through the physis and epiphysis to include the joint

43
Q

salter harris IV

A

Fracture involving the physis, metaphysis and epiphysis

44
Q

salter harris V

A

Crush injury involving the physis (x-ray may resemble type I, and appear normal)
(will be a thin break in physis)

45
Q

describe a colles fracture

A

fall on outstretched hand.

distal radial fraction with dorsal displacement of the distal fragment (back of the hand).

dinner fork deformity

46
Q

describe what inc risk of a hamate fracture and how it presents

A

frequent tennis player

pain over ulnar aspect of wrist and weakened grip. pain on active flexion of fourth and fifth fingers (pull test)

47
Q

buckle vs greenstick fracture

A

buckle: compression fracture, both sides of the bone stick out where the fracture is

Greenstick: fractures only goes through some of the bone, fracture does not completley transversley affect both sides of the bone

48
Q

smiths fracture, describe

A

fall on the dorsum of the hand

volar angulation of the radius

49
Q

how to help differentiate between polymyalgia rhuematica and fibromyalgia

A

polymyalgia: morning stiffness and inc ESR

fibromyalgia: no morning stiffness and no lab findings and likely to have other conditions as well

50
Q

anti histone bodies

A

associated with drug induced lupus

51
Q

symmetrical annular (ring like) papulosquamous (raised scaly) lesions on sun exposed areas

what is this a symptom of

A

cutaneous lupus

52
Q

pseudo gout aspirate fluid is made of…

A

positively birefringent rhomboid shaped crystals

53
Q

what is a nightsick fracture

A

isolated unla fracture

54
Q

is methotrexate safe to use during pregnancy

A

NO

55
Q

what does limited cutaneous sclerosis affect

A

predominantly affects the face and distal limbs

characterised by scleroderma

56
Q

what does diffuse cutaneous systemic sclerosis predominantly affect

A

predominantly affects the trunk and proximal limbs

57
Q

what is a subtype of limitied cutaneous systemic sclerosis

A

CREST
Calcinosis
Raynauds
Eosophageal dysmotility
Sclerodactyly
Telangiectasia

58
Q

multiple fractures, hypoxia,dyspnea, tachypnea and altered neurological status (eg confusion) ….

A

fat embolism syndrome

(PE is a differential however woud not cause altered neurological state)

59
Q

what are syndesmophytes associated with and what are they

A

bony outgrowths of the spinal ligaments/annulus fibrousus) associated with ankylosing spondylitis

60
Q

what presents (commonly in children)with knee pain however knee function is fine but reduced internal rotation of the hip

A

SUFE

Year 2 (50 decks)

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