Musculoskeletal #2 Flashcards

1
Q

Name for bow legs?

A

Genu VARUM

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2
Q

Name for knocked knees?

A

Genu VALGUM

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3
Q

What does ankylosis mean?

A

Boy fixation

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4
Q

What is the apply’s scratch test and what does it suggest (x2)?

A
  1. Getting scapula from above and below

2. Rotator cuff disorder or adhesive capsulitis

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5
Q

What is Neer’s impingement sign and what does it suggest?

A
  1. Press down on scapula and raise patient’s arm

2. Posibble rotator cuff tear or inflammation

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6
Q

What is Hawkin’s impingement sign and what does it suggest?

A
  1. Flex patient’s elbow and abduct shoulder

2. Suggests rotator cuff tear

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7
Q

What is a Colle’s fracture and what is the assessment?

A

Tenderness over distal radius from fall/fracture

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8
Q

Tenderness over snuff box suggests fracture of which bone?

A

Scaphoid fracture

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9
Q

What is spondylolisthesis?

A

Step off of vertebrae

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10
Q

What is halgus valgus?

A

Deviation of the great toe and enlargement of the head of the first metatarsal

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11
Q

Most common affected bursa for bursitis?

A

Subdeltoid, olecranon, ischial, trochanter, and prepatellar

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12
Q

What is first line treatment for perpatellar bursitis?

A

Aspiration of joint

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13
Q

What is medial epicondylitis associated with?

A

Golfer’s elbow

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14
Q

What is lateral epicondylitis associated with?

A

Tennis elbow

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15
Q

What motion is affected with lateral epicondylitis?

A

Wrist extension

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16
Q

What motion is affected with medial epicondylitis?

A

Wrist flexion

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17
Q

Pseudogout is caused by what kind of crystals?

A

Calcium pyrophosphate dihydrate

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18
Q

Risk factors for gout?

A

Obesity, diabetes, and family history, thiazide diuretics, niacin, aspirin, cyclosporine, alcohol

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19
Q

How often does septic arthritis occur compared to gout?

A

100 times more common

20
Q

When is appropriate intraarticular injection of steroids for gout appropriate?

A

When NSAIDs and steroids should not be used

21
Q

What is pseudo gout associated with?

A

Hypothyroidism and hyperparathyroidism

22
Q

When is stiffness usually apparent in arthritis?

A

At the end of the day

23
Q

What is the associated risk with chondroitin and glucosamine?

A
Glucosamine= bronchospasm
Chondroitin= bleeding- antiplatelet
24
Q

What type of injections does the American Academy for Orthopedic Surgery recommend for arthritis?

A

Don’t recommend any

25
When should DMARDs be started for RA?
As soon as possible
26
What role to NSAIDs play in RA?
Major role to control pain and inflammation
27
What test is important for minuscule tear?
McMurray Test
28
Will miscal tears show up on XR?
No, because they do not contain calcium
29
When should there be surgical intervention for miniscal tear?
From 4-6 weeks if there is is no improvement.
30
What other diseases beside hypothyroidism and pregnancy can carpel tunnel syndrome be associated with?
Systemic disease such as RA and sarcoidosis
31
What is sarcoidosis?
Inflammatory disease that causes noncaseating granulomas in various sites including lungs, lymph nodes, eyes, and skin
32
What electrolyte is likely to be off with patients with sarcoidosis?
Hypercalcemia and hypercalceuria
33
Straight leg tests evaluates what nerve roots?
L5 and S1
34
What is the most common site for a clerical disk lesion?
C6-C7
35
What findings are associated with reiter's syndrome?
Assymetrical oligoarthritis (lower extremity), sausage shaped finger, toe or heal pain, cervicitis, prostatitis, or acute diarrhea within one month of onset, conjunctivitis and genetial ulceration or urethritis
36
What is a still murmur?
- Associated with hypertrophic cardiomyopathy | - low, vibratory hum
37
What size does the aortic valve before it becomes symptomatic in aortic stenosis?
.8cm squared
38
How is osteoporosis defined with scores?
Density less than 2.5 deviations
39
Recommended Calcium intake for men and women?
1000 mg/d for men | 1200 mg/d for women
40
What is the IV medication to treat osteoporosis?
Zoledronic acid
41
What is calcitonin use associated with?
increased risk for malignancy
42
What's the recommended dose for vitamin D
400 iu/day
43
What is the cause of tendonitis?
A microscopic tear
44
What lab do you test for vitamin D?
25-hydroxyvitamin D
45
Normal range for Vitamin D, and what level do you want it to be above?
Normal=20-100 | Should be= 40-45