Musculoskeletal/BW Flashcards
What is the most common cause of C-spine fx?
MVA
What is the medical term for hunchback?
Kyphosis
What is another term for podagra?
Gout
A patient presents to the the ER with saddle anesthesia and loss of bowel and bladder function. What is the most likely Dx?
Cauda equina Syndrome
A patient with HIV presents with sever groin pain. What is the most likely Dx?
Avascular Necrosis of the femoral head. Antiretroviral meds put patients at an increased risk of AVN
A 95 yr old female presents to the ER after a fall in her home. Her left leg is shortened and externally rotated. What is the most likely Dx?
Hip fx
You recommend bisphosphonates for a patient with osteoporosis. What instruction do you give her for immediately after taking the medication?
Remain upright for 30mins
What is the mcc of hip dislocation? Is it normally anterior or posterior dislocation?
MVA, posterior
Which of the four rotator cuff muscles is most commonly injured?
Supraspinatus
What is the medical term for Tennis Elbow?
Lateral epicondylitis
What is the first treatment for RA?
Methotrexate
A patient presents to the ER after taking a baseball bat to the knee. He is unable to actively extend his knee. What is the most likely Dx?
Patella fx
Are most shoulder dislocations anterior or posterior?
Anterior
What is the most useful physical exam test for diagnosing an ACL tear?
Lachman’s, followed by anterior drawer.
what is the most common knee injury?
Medial meniscus tear
Where are Heberden’s nodes found?
Distal interphalangeal joint (DIP)
A patient presents with knee pain following a soccer game two days ago. He has joint line tenderness medially and feels a locking in the knee from time to time. What two physical exam tests should you do?
This is probably a medial meniscus tear. Mcmurry and Apley tests will be appropriate.
A patient presents with conjunctivitis, urethritis, arthritis and oral lesions. What is the most likely Dx? what other lab might you expect to be positive?
Reactive arthritis, HLA B-27
A 46 yr old male comes to the ER limping a little on the right side. He said it felt as thought he was kicked in the back of the leg during a soccer game, but clearly no one was behind him. What is the most likely Dx?
Achilles tendon rupture
Anti jo antibodies should make you think of what diagnosis?
Polymyositis
A positive cross over shoulder test confirms what Dx?
AC joint injury
A positive Hawkins’s test indicates what Dx?
Rotator Cuff impingement
A positive Finkelstein’s test indicates what Dx?
De Quervain’s tenosynovitis
A positive Phalen and Tinel’s sign indicates what Dx?
Carpel tunnel (median nerve)
A bamboo spine indicates what Dx?
Ankylosing Spondylitis
A positive straight leg test indicates what Dx?
Herniated disc
An African American female presents with malar rash and a positive double stranded DNA antibody. What is the most likely Dx?
SLE
Carpal tunnel affects what nerve and what part of the hand?
Median nerve, Thumb, pointer and ring fingers. Thenar wasting is a sign of advance dz state.
Patient has a silver fork deformity on X-ray. What is the most likely Dx?
Colles fx
A positive Apley indicates what Dx?
Meniscal tear