Musculoskeletal

Question 1

What you see in joint aspiration of hemochromatosis arthropathy?

Answer 1

Ca Pyrophosphate dihydrate crystals (CPPD) = positive birefringent rhomboid-shaped

Question 2

What to treat gout in patient with renal failure?

Answer 2

Intraarticular steroid

Question 3

What are sx of meralgia paresthetica? which nerve is entraped?

Answer 3

decreased senstaion over anterolateral thigh without weakness or DTR abnl
Entrap of lateral femoral cutaneous nerve

Question 4

What is the early sign of compartment syndrome? other than extremity tightness, weakness, and pain out of proportion (the most sensitivity and early sign).

Answer 4

pain with passive muscle motion

Question 5

What are clinical characteristics of anterior cruciate ligament injury? pain, onset sensation, joint/swelling

Answer 5

Acute onset pain
Popping sensation at injury
Significant effusion/hemarthrosisi
Joint instability

Question 6

What are clinical characteristics of posterior cruciate ligament injury? situation, pain, onset sensation, joint/swelling

Answer 6

anterior force on flexed knee
acute onset pian
no popping sensation at injury
mild swelling/stiffness

Question 7

How to treat Paget disease of bone? What defines it?

Answer 7

Bisphosphonates

wnl Ca, high AP, sclerotic/thickened bone

Question 8

Does postural kyphosis, or slouching, need treatment?

Answer 8

No

Postural is easily correctable by voluntary back extension