Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pathology and MuscSkel > Muscoskeletal injury > Flashcards

Muscoskeletal injury Flashcards

1
Q

What is fluoroscopy?

A

realt time evaluation; to guide procedures

cons are radiation exposure and image quality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the role of ultrasound?

A

cheap, guide procedures, evaluate tendons and ligmanets or cortical surfaces
no radiation, portable however user dependent and not all structures can be evaluated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the role of ct scans?

A

evaluate and characterize osseous problems;
fast and available
cons radiation, metal artifacts and cost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the role of MRI?

A

gold standard for evaluation of soft tissue and bones;
great resolution with no radiation
but expensive, long exams cause claustrophobia and metal causes artifacts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the role of nuclear medicine?

A

provide functional detail by injecitng radioactive material and imaging distribution
high sensitivity
but poor anatomic detail, radiation and expensive with low sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the red flags of muscoskeltal exam?

A

hot swollen, red exptremely painful with passive movement– r/o septic joint
night pain r/o tumor
deformity and loss of motioon r/o fracture /dislocation
rapidly progressing neurological changes –r/o compartment syndrome
significant changes in limb swelling, pain and bluish sking – r/o DVT
point bony pain – r/o open fractre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do you have to r/o with a joint that is hot swollen, red, painful with passie movment?

A

septic joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do you have to rule out with night pain?

A

tumor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do you have to rule out with deformity and loss of motion?

A

dilocationa dn fracure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What do you ahve to rule out with rapidly progressing neurolgcial changes of limb?

A

compartment syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What do you have to r/o with point bony pain and bleeding?

A

open fracutre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is pain only with active motion or resistance suspicious for?

A

muscle or tendon injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is pain with both active and passive motion suspicious for?

A

joint problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is weakness suspicious for?

A

muscle or tendon injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is instability suspicious for?

A

ligament injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Waht is locking suspicious for?

A

loose body or cartilage injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Difference between spraina nd strain?

A

sprain ligament

strain muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does valgus stress test in elbow?

A

ulnar collateral ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is Tinels sign?

A

tapping over the median nerve to try and elicit carpel tunnel syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is phalens sign?

A

holding wrists back to back in full flexion to elicit carpal tunnel

21
Q

What is the presentation of AC sprain?

A

pain with overhead movement, deformity of superior shoulder
pain with cross aduction of arm
painful arc of abduction over 150 degrees

22
Q

What is th presentation of rotator cuff injury?

A 
positive impingement sign
neers test positive
empty can test positive
hawkins test positive
rotator cuff weakness
painful arc abductions
tender at insertions on greater tuberosity
23
Q

What is the adhesive capsulitis presentation?

A

painful stiff shoulder

limited passive and active ROM especially noted in external rotation

24
Q

What is the presentation of medial epicondylitis?

A

from overuse of wrist flexors
painful medial elbow with secondary weakness
tenderness over the medial epicondyle and pain with resisted flexion and forearm pronation

25
Q

What is the presentation of lateral epicondylitis?

A

overuse from repetitive extension

Sxs pain over lateral elbow radiating into forearm; late weakness; pain with resisted wrist

26
Q

What is the scaphoid fracture symptoms?

A

fall on outstretched hand

tenderness in anatomic snuffbox

27
Q

What is the symptoms of wristt ganglion problems?

A

overproduction of fluid by a joint of tendon sheath; filled with thick gelatinous material
lump usually firm and mobile
pain caused by compression of nearby nerve or pinching

28
Q

Unexplained weight loss is a red flag for what?

A

r/o malignancy

29
Q

What is loss of bowel or bladder control red flag for what in spinal exam?

A

myelopathy or stenosis

30
Q

What is signficant weakness is a red flag for what in spinal exam?

A

myelopathy or stenosis

31
Q

What is saddle anesthesia a red flag for in spinal exam?

A

myelopathy or cauda equina syndrome

32
Q

What is traum a red flag for in spinal exam?

A

fracture

33
Q

What is chronic corticosteroid use a red flag for in spinal exam?

A

compression fracture

34
Q

What is immunosuppression for a red flag for in spinal exam?

A

r/o infection

35
Q

What are fever or IV drug use a red flag for in a spinal exam?

A

r/o infection

36
Q

What is prior spinal surgery a red flag for in a spinal exam?

A

r/o hardware failure, adjacent segment disease, recurrent disc herniation

37
Q

What is weakness and or numbness a clue for in spinal exam?

A

nerve involvement

38
Q

What is morning stiffness a clue for in a spinal exam; improves with activity but not with rest, <40 yo?

A

suspicious for spondyloarthopathy

39
Q

What is spondylolysis?

A

fracture of pars interarticularis

40
Q

What is spondylolisthesis?

A

anterior displacement of one vertebrae on another

41
Q

What is lumbar strain clinical exam?

A

azial low back pain after acute injury, muscle disruption from excessive stretch or tension
localized muscle tenderness reduced ROM

42
Q

What is Cervical osteoarthiritis clinical exam?

A

axial low back pain, gradual onset worse with cervical extension

43
Q

What is osteoarthiritis lumbar spine clinical exam?

A

worse standing/walking; better sitting/lying

44
Q

What is the clinical exam for lumbar stenosis?

A

slowly progressive back and unilateral or bilateral leg pain (worse standing walking, better sitting) shopping cart sign

to differentiate from vascular claudication (must sit or bend to relieve symptoms)

45
Q

What is the etiology of lumbar stenosis?

A

narrowing of the spinal canal due to disc herniation/protrusionn, ligamentum flavum thickening, osseous thickening of bone/facet joint, sponyloisthesis)

46
Q

What is teh clinical presentation of cervical myelopathy?

A

pain numbness, weakness in arms and or legs. balance and gait diffciulties; bowel bladder dysfunction
arm and/or leg weakness, UMN signs

47
Q

What is the compression fracture clinical presentation?

A

suddent thoracic or lumbar pain with little or no trama

tender over spinous process, worse with lumbar flexion and better with lumbar extension

48
Q

What is the clinical presentation of ankylosing spondylitits?

A

onset of low back pain below age 40, insiduous, better with excercise, pain at night and

Pathology and MuscSkel (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions