MUSCULOSKELETAL RHEUMATOLOGY

Question 1

Abducted, externally rotated. Axillary nerve affected

Answer 1

Anterior Shoulder Dislocation

Question 2

Adducted
internally rotated
Electrical injury
lightning, seizure

Answer 2

Posterior Shoulder Dislocation

Question 3

Empty can test

Answer 3

Rotator Cuff Tear

Question 4

Wrist drop (radial nerve)

Answer 4

Mid-Shaft Humerus Fracture

Question 5

Middle third most commonly affected. Treat with sling

Answer 5

Clavicle Fracture

Question 6

Children. Median nerve and brachial artery affected. Anterior sail and posterior fat pad sign. Gun stock deformity. Volkmann’s contracture

Answer 6

Supracondylar Fracture

Question 7

Posterior dislocation most common

Answer 7

Elbow Dislocation

Question 8

FOOSH. Snuffbox tenderness. Thumb spica splint

Answer 8

Scaphoid Fracture

Question 9

Median nerve. Phalen Sign. Tinel Sign. Compression test. Thenar eminence atrophy

Answer 9

Carpal Tunnel Syndrome

Question 10

5th metacarpal f racture. Ulnar gutter splint

Answer 10

Boxer Fracture

Question 11

Pregnancy. Finklestein test

Answer 11

Dequervain Tenosynovitis

Question 12

Smoking, decreased FEV1

Answer 12

Chronic Bronchitis

Question 13

Young male
HLA B27
Bamboo sign

Answer 13

Ankylosing spondylitis

Question 14

Shopping cart sign (pain relieved with forward bending)

Answer 14

Spinal Stenosis

Question 15

Femoral neck fracture, limp, frog leg lateral X-ray

Answer 15

Avascular Necrosis

Question 16

Knee pain, avascular necrosis

Answer 16

Legg-Calve-Perthes

Question 17

Obese

X-ray: posterior displacement of the femoral epiphysis.

Answer 17

Slipped capital Femoral Epiphysis

Question 18

Positive Ortalani and Barlow test
Palpable clunk
Pavlick harness

Answer 18

Developmental Hip Dysplasia

Question 19

External rotation and shortening (HIP)

Answer 19

Hip Fracture

Question 20

Deceleration, hyperextension, pop, and swelling. Positive lachman or anterior drawer test

Answer 20

ACL

Question 21

Mechanical symptoms. Baker cyst. Positive McMurry and Apley test

Answer 21

Meniscal Tear

Question 22

Knee pain worse with exercise. Children. Tenderness over tibial tuberosity.

Answer 22

Osgood-Schaltter Disease

Question 23

Positive Thompson test

Answer 23

Achilles Ankle Tear

Question 24

Osteomyelitis MCC is _______

Answer 24

Staph aureus

Question 25

Moth eaten pattern and onion peel appearance

Answer 25

Ewing Sarcoma

Question 26

Knee. Bouchard (PIP) | Heberdens (DIP) nodes

Answer 26

Osteoarthritis

Question 27

Bowel/bladder incontinence, saddle paresthesia

Answer 27

Cuada Equina

Question 28

pain out of proportion | 6 Ps: pain, pressure, paresthesia, pulselessness, pallor, paralysis

Answer 28

Compartment Syndrome

Question 29

Bilateral symmetric and progressive Boutonniere and Swan neck deformity Felty syndrome: rheuma-toid arthritis, splenomegaly and neutropenia

Answer 29

RA

Question 30

Women, depression, pain

Answer 30

Fibromyalgia

Question 31

Calcium pyrophosphate | Positive birefringent rhomboid shaped crystals

Answer 31

Psuedogout

Question 32

Polyarthritis, spiking fevers, salmon colored rash. Risk of uveitis.

Answer 32

Juvenile RA

Question 33

Hepatitis B (etiology). Live-do reticularis, mononeuritis multiplex.

Answer 33

Polyarteritis Nodosa

Question 34

Progressive proximal muscle weakness, dysphagia

Answer 34

Polymyositis

Question 35

Heliotrope rash guttron papules, shawl sign Risk of malignancy. Anti-jo-1 and Mi-2 antibodies

Answer 35

Dermatomyositis

Question 36

> 50 years of age. Giant Cell arteritis

Answer 36

Polymyalgia Rheumatica

Question 37

GI/GU infection, urethritis, conjunctivitis

Answer 37

Reactive Arthritis

Question 38

Malar rash, Positive ANA, discoid rash. Double stranded DNA and anti-Smith antibodies

Answer 38

SLE

Question 39

Risk factors: Smoking, glucocorticoids, amenorrhea

Answer 39

Osteoporosis

Question 40

Sunburst pattern

Answer 40

Osteosarcoma

Question 41

Fibrosis Calcinosis Raynaud phenomenon, GERD, sclerodactyly, telangiectasis. Anticentromere antibodies and SCL-70 antibodies

Answer 41

Scleroderma

Question 42

Dry eyes Positive Shirmer test Positive anti-ro (SSA) and anti-la (SSB) antibodies Oral candidiasis and non-hodgkin lymphoma association.

Answer 42

Sjogren

Question 43

Monoarticular podagra needle shaped negatively biref ringent crystals under polarized light.

Answer 43

Gout