Musculoskeletal Flashcards

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1
Q

Back pain that is exacerbeted by standing and walking and relieved with sitting and hyperflexion of the hips

A

Spinal stenosis

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2
Q

Joints in the hand affected in rheumatoid arthritis

A

MCP annd PIP joints; DIP joints are spared

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3
Q

Joint pain and stiffness that worsen over the course of the day and are relieved by rest

A

Osteoarthritis

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4
Q

A genetic disorder that is associated with multiple fractures and blue sclerae and is commonly mistaken for child abuse

A

Osteogenesis imperfecta

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5
Q

Hip and back pain along with stiffness that improves with activity over the course of the day and worsens at rest. Diagnostic test?

A

Suspect ankylosing spondylitis. Check HLA-B27

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6
Q

Arthritis, conjunctivitis, and urethritis in young men. Associated organisms?

A

Reactive (Reiter) arthritis. Most commonly associated with Chlamydia. Also consider Campylobacter, Shigella, Salmonella, and Ureaplasma

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7
Q

A 55-year-old man has sudden, excruciating first MTP joint pain after a night of drining red wine. Diagnosis, workup, and chronic treatment?

A
Gout? Needle-shaped, negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopuinol or febuxostat (allebei xantine-oxidaseremmers) 
or probenecid (als allopurinol of febuxostat niet goed verdragen worden of er recidieven optreden onder deze middelen).
Acute behandeling: NSAID, colchicine, corticosteroïden (canakinumab)
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8
Q

Rhomboid-shaped, positively birefringent crystals on joint fluid aspirate.

A

Pseudogout

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9
Q

An elderly woman presents with pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. Labs show anemia and elevated ESR

A

Polymyalgia rheumatica

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10
Q

Bone fractured in a fall on a outstretched hand

A

Distal radius (Colles fracture)

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11
Q

A complication of scaphoid fracture

A

Avascular necrosi

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12
Q

Signs suggesting radial nerve damage with humeral fracture

A

Wrist drop, loss of thumb abduction

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13
Q

The most common 1° malignant tumor of bone

A

Multiple myeloma

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14
Q

Headaches, soreness in jaw, pain on scalp, transient monoclar blindness?

A

Giant cell arteritis

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