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Adult Health > Musculoskeletal #2 > Flashcards

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
Q

When should DMARDs be started for RA?

A

As soon as possible

26
Q

What role to NSAIDs play in RA?

A

Major role to control pain and inflammation

27
Q

What test is important for minuscule tear?

A

McMurray Test

28
Q

Will miscal tears show up on XR?

A

No, because they do not contain calcium

29
Q

When should there be surgical intervention for miniscal tear?

A

From 4-6 weeks if there is is no improvement.

30
Q

What other diseases beside hypothyroidism and pregnancy can carpel tunnel syndrome be associated with?

A

Systemic disease such as RA and sarcoidosis

31
Q

What is sarcoidosis?

A

Inflammatory disease that causes noncaseating granulomas in various sites including lungs, lymph nodes, eyes, and skin

32
Q

What electrolyte is likely to be off with patients with sarcoidosis?

A

Hypercalcemia and hypercalceuria

33
Q

Straight leg tests evaluates what nerve roots?

A

L5 and S1

34
Q

What is the most common site for a clerical disk lesion?

A

C6-C7

35
Q

What findings are associated with reiter’s syndrome?

A

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
Q

What is a still murmur?

A
  • Associated with hypertrophic cardiomyopathy

- low, vibratory hum

37
Q

What size does the aortic valve before it becomes symptomatic in aortic stenosis?

A

.8cm squared

38
Q

How is osteoporosis defined with scores?

A

Density less than 2.5 deviations

39
Q

Recommended Calcium intake for men and women?

A

1000 mg/d for men

1200 mg/d for women

40
Q

What is the IV medication to treat osteoporosis?

A

Zoledronic acid

41
Q

What is calcitonin use associated with?

A

increased risk for malignancy

42
Q

What’s the recommended dose for vitamin D

A

400 iu/day

43
Q

What is the cause of tendonitis?

A

A microscopic tear

44
Q

What lab do you test for vitamin D?

A

25-hydroxyvitamin D

45
Q

Normal range for Vitamin D, and what level do you want it to be above?

A

Normal=20-100

Should be= 40-45

Adult Health (21 decks)

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