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Step 2 CK > Musculoskeletal > Flashcards

Musculoskeletal Flashcards

1
Q

Nerve damage leads to claw hand

A

ulnar nerve

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2
Q

Nerve damage leads to ape hand

A

median nerve

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3
Q

Nerve damage leads to wrist drop

A

radial

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4
Q

Nerve damage leads to scapular winging

A

long thoracic

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5
Q

Nerve damage leads to unable to wipe bottom

A

thoracodorsal

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6
Q

Nerve damage leads to loss of forearm pronation

A

median

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7
Q

Nerve damage leads to cannot abduct or adduct fingers

A

ulnar

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8
Q

Nerve damage leads to loss of shoulder abduction

A

axillary

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9
Q

Nerve damage leads to weak external rotation of arm

A

suprascapular, axillary

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10
Q

Nerve damage leads to loss of elbow flexion and forearm supination

A

musculocutaneous

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11
Q

Nerve damage leads to loss of wrist extension

A

radial

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12
Q

Nerve damage leads to trouble initiating shoulder abduction

A

suprascapular nerve

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13
Q

Nerve damage leads to unable to abduct arm beyond 10 degrees

A

axillary

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14
Q

Nerve damage leads to unable to raise arm above horizontal

A

long thoracic, spinal access

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15
Q

Nerve damage from fracture of shaft of humerus

A

radial nerve

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16
Q

Nerve damage from fracture of surgical neck of humerus

A

axillary nerve

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17
Q

Nerve damage from supracondylar humerus fracture

A

median

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18
Q

Nerve damage from fracture of medial epicondyle

A

ulnar

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19
Q

Nerve damage from anterior shoulder dislocation

A

axillary

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20
Q

Nerve damage from injury to the carpal tunnel

A

median

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21
Q

class symptoms of carpal tunnel syndrome

A

hand numbness/ tingling, can wake up from sleep, can radiate up arm, wrist pain

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22
Q

Difference between monteggia and galeazzi?

A

monteggia: radial head dislocation, ulnar diaphyseal fracture
galeazzi: distal radial ulnar joint dislocation, radial head fx

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23
Q

complication from fall on outstretched arm, snuffbox tenderness

A

avascular necrosis

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24
Q

complication from anterior shoulder dislocation

A

axillary

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25
Q

complication from fracture of 5th metacarpal neck

A

tendon involvement

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26
Q

complication from humerus fracture

A

radial/axillary

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27
Q

complication from hip fracture

A

avascular necrosis

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28
Q

complication from femur fracture

A

fat embolus

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29
Q

complication from tibial fracture

A

compartment

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30
Q

complication from pelvic fracture

A

blood loss

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31
Q

how is compartment symndrome diagnosed?

A

compartment pressures > 30

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32
Q

Signs of compartment syndrome?

A

6 p’s

pain
pallor
poikilothermia
pulselessness
paresthesia
paralysis
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33
Q

tx for compartment syndrome

A

emergency fasciotomy

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34
Q

Cause of low back pain where pain increases with passive SLR

A

degen disc dx

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35
Q

Cause of low back pain where pain lessens with flexion at the hips

A

spinal stenosis

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36
Q

Cause of low back pain where elderly, wt loss, pain constant but worse when supine

A

cancer

37
Q

Cause of low back pain where acute urinary retention

A

cauda equina

38
Q

Cause of low back pain where pain made worse by walking and standing

A

spinal stenosis

39
Q

Cause of low back pain where loss of foot dorsiflexion and pain on crossed SLR

A

degen disc dx

40
Q

Cause of low back pain where pain limited to paraspinal region

A

muscle strain

41
Q

medication used for treatment of acute gout

A

NSAID, steroids, colchicine

42
Q

medication used for treatment of pseudogout

A

NSAID, colchicine

43
Q

Disease where knee xray reveals calcification of menisci

A

psuedogout

44
Q

disease where needleshaped negatively birefringent cyrstals

A

gout

45
Q

disease where child with low trauma fractures

A

OI

46
Q

disease where narrowing of the marrow cavity results in low H&H

A

osteopetrosis

47
Q

disease where 55 year old woman trips and sustains distal radius fracture

A

osteoporosis

48
Q

Most sensitive imaging for paget disease diagnosis?

A

radionuclide bone scan

49
Q

3 studies used to make diagnosis of osteomyelitis

A

CT scan, bone scan, tagged WBC scan

50
Q

tx for lyme disease?

A

doxy, amox, cefuroxime

51
Q

tx for rocky mountain spotted fever

A

doxy, chloramphenical

52
Q

tx for septic arthritis

A

surgical I&D, IV vanc, IV cef

53
Q

most common causes of bony metastasis?

A

BLT with Kosher Pickles

breast
lung
thyroid
kidney
prostate
54
Q

radiological appearance of osteosarcoma

A

sunburst, codman triangle

55
Q

radiological appearance of ewing sarcoma

A

onion skinning

56
Q

patient presetns with bone tenderness and is found to have elevated WBC count, CRP, and ESR. Most likely diagnosis?

A

osteomyelitis

57
Q

Most common organism in osteomyelitis overall?

A

s aureus

58
Q

organism causing osteomyelitis in sickle cell patients

A

salmonella

59
Q

organism causing osteomyelitis in IV drug users

A

pseudomonas

60
Q

Disease associated with arthropathy of DIP and PIP?

A

OA

61
Q

Disease associated with arthropathy of PIP and MCP

A

RA

62
Q

what disease is associated with anti histone antibodies

A

drug induced lupus

63
Q

what disease is associated with rheumatoid factor

A

RA

64
Q

what disease is associated with anti ds DNA antibodies

A

SLE

65
Q

what disease is associated with anti sm antibodies

A

SLE

66
Q

what disease is associated with HLA-DR4

A

RA

67
Q

skin findings diagnostic of SLE?

A

malar rash
discoid rash
photosensitivity
painless oral ulcers

68
Q

65 year old AA woman has weakness. Patient has been an active person but now has weakness in her lower extremities. On exam, both are equally weak. She also has a rash on the chest. What labs would be helpful to order initially?

A

CK, LDH, ALT, AST

then: ANA, anti jo, BMP, CBC

69
Q

67 year old woman with pain in her extremities in shoulders and hips. Hard for her to get out of bed. ESR is elevated. Tx?

A

steroids

70
Q

serious disease must you look out for in patients with polymyalgia rheumatica?

A

temporal arteritis

71
Q

Rheumatologic disease associated with proximal muscle weakness and facial rash

A

dermatomyositis

72
Q

Rheumatologic disease associated with pain and stiffness in hips and shoulders

A

polymyalgia

73
Q

Rheumatologic disease associated with muscle pain and tenderness in multiple distinct locations

A

fibromyalgia

74
Q

Rheumatologic disease associated with man in his 20s with low back pain that improves with exercise

A

ankylosing

75
Q

Rheumatologic disease associated with jaw claudicationa nd pain with standing for a chair

A

polymyalgia

76
Q

Rheumatologic disease associated with pencil in cup deformities of the DIP and PIP joints

A

psoriatic

77
Q

Rheumatologic disease associated with bamboo spine on xray

A

ankylosing

78
Q

Rheumatologic disease associated with arthritis, oral ulcers, proteinuria

A

SLE

79
Q

HLA B27 positive seronegative spondyloarthropathies

A

PEAR

psoriatic arthritis
enteropathic
ankylosing spondylitis
reactive arthritis

80
Q

treatment for developmental dysplasia of the hip in children younger than 6 months of age?

A

pavlik harness

81
Q

treatment for SCFE

A

rest, non weight bearing, surgical pinning

82
Q

treatment for osgood-schlatter disease

A

rest, ice, elevation, NSAIDs

83
Q

Disease with painful limp and xray reveals femoral head sclerosis

A

legg calve perthes

84
Q

Disease with painful limp and xray reveals ice cream scoop falling off cone

A

SCFE

85
Q

Disease with painful limp and obese male adolescent with dull hip pain and inability to bear weight

A

SCFE

86
Q

Disease with painful limp and acute onset of tibial pain, fever, malaise, elevated ESR, no joint pain

A

osteomyelitis

87
Q

Disease with painful limp and acute onset of knee pain, fever, elevated ESR, leukocytosis

A

septic arhtritis

88
Q

Disease with painful limp and 7 year old with growth delay and inner thigh pain

A

legg calve perthes

89
Q

Disease with painful limp and 13 year old boy with pain and swelling at tibial tuberosity

A

osgood schlatter

Step 2 CK (16 decks)

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