Musculoskeletal

Question 1

which disorder is associated with adduction of the forefoot

Answer 1

club foot- Talipes equinovarus congenita

Question 2

talipes equinovarus

Answer 2

club foot

Question 3

Develops from an infarction of bony epiphysis of the femoral head.

Answer 3

Legg-Calve Perthes

Question 4

Which most affects outcome for LCP

1) age, bilateral involvement,

Answer 4

age

Question 5

Inflammatory process that affects larger joints spaces (hip), ages 3-8 y/o, acute onset, occurs after an illness often URI

Answer 5

toxic synovitis

Question 6

what is Galeazzi sign

Answer 6

unequal knee height

Question 7

Ortolani is good until what age?

what is the motion?

Answer 7

good test until 6mo of age

hips out

Question 8

Hip dysplasia tx

Answer 8

treat with pavlik harness

Question 9

Hip dysplasia risks

Answer 9

breech presentation, oligohydramnios, female gender, and a family history of the condition

Question 10

what do you do for a child who has torticollis at 14 mo of age

Answer 10

refer to surgery

Question 11

what is Alis sign?

Answer 11

unequal LEG length

Question 12

peak ages for Osgood- schlatter? Why does it happen in this age range?

Answer 12

11-14

growth spurt, athlete

Question 13

what is the treatment for Osgood- schlatter?

Answer 13

limit activit, knee immobilizer (limit the vibrations)

Question 14

What is the age range for toxic synovitis?

Answer 14

Preschoolers, range is 2-6 most often but can occur from ages 1-15

Question 15

painful limp, unilateral involvment, spasm of the hip with internal rotation, normal x ray

what is your diagnosis?

Answer 15

toxic synovitis

Question 16

what is the treatment for toxic synovitis?

Answer 16

analgesics, bed rest as needed, typically benign

Question 17

insidious onset of limp with knee pain, afebrile, limited passive internal rotation and abduction of hip. what am I?

Answer 17

leggs calve perthes

Question 18

treatment for LCP?

Answer 18

obs IF: under 6 with full rom, and less than half of femoral head is involved

refer: more than one half of femoral head is involved, children older than 6

Question 19

avascular necrosis of the femoral head is related to what disorder?

Answer 19

LCP

Question 20

spontaneous dislocation of the femoral head is r/t what disorder?

Answer 20

SCFE

Question 21

may observe significant limb shortening with what condition?

Answer 21

SCFE

Question 22

SCFE risk factors/causes?

Answer 22

overweight, african americans

causes: sudden force or trauma, pubertal hormonal changes,

Question 23

most children with Duchenne’s muscular dystrophy are wheelchair-bound by what age?

Answer 23

10-12

Question 24

genu varum is a normal variant until what age?

Answer 24

age 2 (unles its prominant on one leg or is worsening)

Question 25

genu valgum is a normal variant until what age?

Answer 25

age of 7

Question 26

what is gowers sign?

Answer 26

walking hands up leg

Question 27

what is a good way to differentiate LCP from SCFE?

Answer 27

aside from age, wt, incident of trauma

LCP pain starts at KNEE and goes UP

SCFE starts at HIP and goes DOWN

Question 28

SCFE treatment? what is a big risk after SCFE?

Answer 28

surgery with a PIN

** watch for second hip likely to happen to other side**

Question 29

if a child has a + gowers sign, what lab would you draw to aid to your differential?

Answer 29

CK is makedly elevated