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PANCE Review: All Organ Systems > Musculoskeletal Supplemental Review Questions > Flashcards

Musculoskeletal Supplemental Review Questions Flashcards

2
Q

T or F Gastric Ulcers are commonly cb increased acid production?

A

False Gastric Ulcers are cb H. Pylori 70 percent of the time. Pts usually have Low to Nml acid secretion.

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2
Q

M.S.

Vitamin C deficiency causes

A

Poor wound healing, Petechiae, Bleeding gums, Loose teeth

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2
Q

M.S.

Vitamin C deficiency causes

A

Poor wound healing, Petechiae, Bleeding gums, Loose teeth

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3
Q

Bamboo Sign

A

Ankylosing Spondylitis

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3
Q

M.S.

Campylobacter jejuni infections are linked to what syndrome with worrisome sequelae?

A

Guillain-Barre Syndrome

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3
Q

M.S.

Campylobacter jejuni infections are linked to what syndrome with worrisome sequelae?

A

Guillain-Barre Syndrome

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4
Q

mc Nerve Roots affected by Herniated Discs

A

L4 L5 S1

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4
Q

M.S.

m/c cause of viral gastroenteritis in child under 2 years?

A

Rotavirus. Infxn typically lasts less than a week.

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4
Q

M.S.

m/c cause of viral gastroenteritis in child under 2 years?

A

Rotavirus. Infxn typically lasts less than a week.

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5
Q

M.S.

Rash associated with Celiac disease?

A

Dermatitis Herpetiformis

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5
Q

M.S.

Rash associated with Celiac disease?

A

Dermatitis Herpetiformis

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6
Q

M.S.

Best initial study for suspected Inguinal Hernia?

A

Scrotal Ultrasound

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6
Q

M.S.

Best initial study for suspected Inguinal Hernia?

A

Scrotal Ultrasound

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7
Q

M.S.

What is the Phren’s test?

A

Diagnostic indicator of testicular pain presentation between Acute Epididymitis and Testicular Torsion. Relief of pain by elevating the scrotum more indicative of acute epididymitis.

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7
Q

M.S.

What is the Phren’s test?

A

Diagnostic indicator of testicular pain presentation between Acute Epididymitis and Testicular Torsion. Relief of pain by elevating the scrotum more indicative of acute epididymitis.

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8
Q

M.S.

83yo man to ER co ABD pain and blood in his stool. Has been nauseated with 1 episode of vomitting. He has a low grade fever. Is diaphoretic and tachycardic. PE reveals pain has localized to LLQ. Suspected Diagnosis? Preferred Imaging?

A

You should be thinking Diverticulitis. A CT scan with contrast is the preferred method of imaging.

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8
Q

M.S.

83yo man to ER co ABD pain and blood in his stool. Has been nauseated with 1 episode of vomitting. He has a low grade fever. Is diaphoretic and tachycardic. PE reveals pain has localized to LLQ. Suspected Diagnosis? Preferred Imaging?

A

You should be thinking Diverticulitis. A CT scan with contrast is the preferred method of imaging.

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9
Q

M.S.

Carcinogenic embryonic antigen

A

CEA is a tumor marker for Colon Cancer

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9
Q

M.S.

Carcinogenic embryonic antigen

A

CEA is a tumor marker for Colon Cancer

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10
Q

M.S.

Most likely fracture in an infant.

A

Clavicle. Suspect child abuse less than 2 yo

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10
Q

M.S.

Most likely fracture in an infant.

A

Clavicle. Suspect child abuse less than 2 yo

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11
Q

M.S.

NSAID most likely to cause PUD

A

Naproxen

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11
Q

M.S.

NSAID most likely to cause PUD

A

Naproxen

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12
Q

M.S.

What type of inguinal hernia is most likely to herniate into the scrotal sac?

A

INguinal INto INdirect

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12
Q

M.S.

What type of inguinal hernia is most likely to herniate into the scrotal sac?

A

INguinal INto INdirect

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13
Q

M.S.

cyclobenzaprine

A

muscle relaxer can be used to tx LBP

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13
Q

M.S.

cyclobenzaprine

A

muscle relaxer can be used to tx LBP

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14
Q

M.S.

True or False A suspected disc herniation in a young healthy athlete can be diagnosed clinically and tx conservatively.

A

False. Suspected herniated disc needs to be diagnosed with MRI

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14
Q

M.S.

True or False A suspected disc herniation in a young healthy athlete can be diagnosed clinically and tx conservatively.

A

False. Suspected herniated disc needs to be diagnosed with MRI

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15
Q

M.S.

Inability to maintain plantar flexion of the foot, and an asymetrical ankle jerk indicates damage to what n. root?

A

L5-S1

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15
Q

M.S.

Inability to maintain plantar flexion of the foot, and an asymetrical ankle jerk indicates damage to what n. root?

A

L5-S1

16
Q

M.S.

Describe a “classic” AC Joint Separation Scenario.

A

Acute injury. Falling onto tip of the shoulder with the arm tucked in.

17
Q

M.S.

Describe a “classic” AC Joint Separation Scenario.

A

Acute injury. Falling onto tip of the shoulder with the arm tucked in.

17
Q

M.S.

Describe AC Joint Separation findings and pain complaint.

A

Severe pain with any ROM, esp overhead movements, and downward traction on the arm.

18
Q

M.S.

Describe AC Joint Separation findings and pain complaint.

A

Severe pain with any ROM, esp overhead movements, and downward traction on the arm.

18
Q

M.S.

Describe how to perform Yergason’s Test and what dx a pos result indicates

A

Pts arm is flexed at 90 degr and pt resists when PA attempts to SUPINATE the forearm causing pain. Indicative of Biccipital Tendonitis.

19
Q

M.S.

Describe how to perform Yergason’s Test and what dx a pos result indicates

A

Pts arm is flexed at 90 degr and pt resists when PA attempts to SUPINATE the forearm causing pain. Indicative of Biccipital Tendonitis.

20
Q

M.S.

Positive Drop Arm test or weakness w/ external rotation is indicative of what? Describe the Drop test.

A

RC Tear Pt is unable to hold arm at 90 degrees of abduction?.straight out. It is specific to a supraspinatus tear.

21
Q

M.S.

Positive Drop Arm test or weakness w/ external rotation is indicative of what? Describe the Drop test.

A

RC Tear Pt is unable to hold arm at 90 degrees of abduction?.straight out. It is specific to a supraspinatus tear.

21
Q

M.S.

Stiffened Glenohumeral joint should make you think of what dx?

A

Adhesive capsulitis

22
Q

M.S.

Stiffened Glenohumeral joint should make you think of what dx?

A

Adhesive capsulitis

22
Q

M.S.

What is CPPD?

A

Calcium Pyrophosphate Dihydrate Deposition Disease aka PSEUDOGOUT

23
Q

M.S.

What is CPPD?

A

Calcium Pyrophosphate Dihydrate Deposition Disease aka PSEUDOGOUT

23
Q

M.S.

What is Adhesive Capsulitis?

A

Painful condtn w/ severe decr in ROM. d/o of the shoulder capsule, glenohumeral joint and CT are inflammed and stiff causing chronic pain. May follow inj or have insidious onset.

24
Q

M.S.

What is Adhesive Capsulitis?

A

Painful condtn w/ severe decr in ROM. d/o of the shoulder capsule, glenohumeral joint and CT are inflammed and stiff causing chronic pain. May follow inj or have insidious onset.

24
Q

M.S.

Gold standard for CTS? Carpal tunnel.

A

Nerve Conduction Velocity (NCV) slowed conduction to <3.5ms are the hallmark of diagnosis.

25
Q

M.S.

Gold standard for CTS? Carpal tunnel.

A

Nerve Conduction Velocity (NCV) slowed conduction to <3.5ms are the hallmark of diagnosis.

25
Q

M.S.

Describe a Baseball Finger Injury

A

Rupture of the extensor tendon as it inserts into the base of the distal phalanx

26
Q

M.S.

Describe a Baseball Finger Injury

A

Rupture of the extensor tendon as it inserts into the base of the distal phalanx

26
Q

M.S.

Pseudogout can be hereditary, True or False.

A

True. Autosomal dominant trait

27
Q

M.S.

Pseudogout can be hereditary, True or False.

A

True. Autosomal dominant trait

27
Q

M.S.

Mallet Finger

A

aka Baseball Finger. dx xray, but only finding may be drooping of the finger. Tx is to put in finger splint. Keep it in extension.

28
Q

M.S.

Mallet Finger

A

aka Baseball Finger. dx xray, but only finding may be drooping of the finger. Tx is to put in finger splint. Keep it in extension.

28
Q

M.S.

Lift off Test

A

RC Injury

29
Q

M.S.

Lift off Test

A

RC Injury

29
Q

M.S.

Jobe’s Test

A

RC Injury

30
Q

M.S.

Jobe’s Test

A

RC Injury

30
Q

M.S.

Unhappy Triad of structures damaged in knee injury common in footbal from the foot being planted in slight flexion w/ lateral impact.

A

ACL MCL and Medial Meniscus damage

31
Q

M.S.

Unhappy Triad of structures damaged in knee injury common in footbal from the foot being planted in slight flexion w/ lateral impact.

A

ACL MCL and Medial Meniscus damage

31
Q

M.S.

Osgood-Schlatter is most common in who?

A

Young males between 8-15yo

32
Q

M.S.

Osgood-Schlatter is most common in who?

A

Young males between 8-15yo

32
Q

M.S.

What is Osgood-Schlatter Syndrome? MOA Dx Tx

A

Anterior knee pain over TIBial TUBErosity (TIB TUBE) d/t repetetive stress on growing skeleton. Lat xray shows a prominent TIB TUBE. Kids respond well to conservative tx. No braces or wraps necessary?.Its all good.

33
Q

M.S.

What is Osgood-Schlatter Syndrome? MOA Dx Tx

A

Anterior knee pain over TIBial TUBErosity (TIB TUBE) d/t repetetive stress on growing skeleton. Lat xray shows a prominent TIB TUBE. Kids respond well to conservative tx. No braces or wraps necessary?.Its all good.

33
Q

M.S.

knee suddenly gave out and a (+) pos apprehension test is consistent of what dx? What should treatment be?

A

First episode of Patellar Dislocation, Maintain reduction in a brace for 2-3 weeks

34
Q

M.S.

knee suddenly gave out and a (+) pos apprehension test is consistent of what dx? What should treatment be?

A

First episode of Patellar Dislocation, Maintain reduction in a brace for 2-3 weeks

34
Q

M.S.

What are the negative findings on PE of first episode of patellar dislocation?

A

No pain, or fever, no prior history of knee trauma. Distally Neurovascularly intact, Knee stability is intact and there is no excess joint fluid noted by (-) neg balottment.

35
Q

M.S.

What are the negative findings on PE of first episode of patellar dislocation?

A

No pain, or fever, no prior history of knee trauma. Distally Neurovascularly intact, Knee stability is intact and there is no excess joint fluid noted by (-) neg balottment.

35
Q

M.S.

On dorsal wrist, a firm, round, smooth lump without pain, redness or itching that transiluminates makes you suspicious of what dx?

A

Ganglion cyst

36
Q

M.S.

On dorsal wrist, a firm, round, smooth lump without pain, redness or itching that transiluminates makes you suspicious of what dx?

A

Ganglion cyst

36
Q

M.S.

Steadily Increasing pain between 3rd and 4th digits of the foot (forefoot) should make you think of what diagnosis?

A

Morton’s Neuroma

37
Q

M.S.

Steadily Increasing pain between 3rd and 4th digits of the foot (forefoot) should make you think of what diagnosis?

A

Morton’s Neuroma

37
Q

M.S.

3yo boy has been developmentally normal until now, has trouble rising off the floor. PE shows hip girdle weakness, atrophy of proximal thigh muscles w/ enlgmt of distal leg m.m. What is the most likely dx and what serum abnormality would you find?

A

Duchenne’s Muscular Dystrophy (DMD) is most classically in a toddler. Serum CK Creatinine Kinase would be elevated.

38
Q

M.S.

3yo boy has been developmentally normal until now, has trouble rising off the floor. PE shows hip girdle weakness, atrophy of proximal thigh muscles w/ enlgmt of distal leg m.m. What is the most likely dx and what serum abnormality would you find?

A

Duchenne’s Muscular Dystrophy (DMD) is most classically in a toddler. Serum CK Creatinine Kinase would be elevated.

38
Q

M.S.

What do you think of when you hear Spiral Fracture in a child? What is suspicious and what is normally innocent?

A

Spiral fx in kids should make you think of child abuse (also an fx in kids under 2yo) a Spiral fx of the Tibial is the exception and is commonly called the Toddler’s Fracture

39
Q

M.S.

What do you think of when you hear Spiral Fracture in a child? What is suspicious and what is normally innocent?

A

Spiral fx in kids should make you think of child abuse (also an fx in kids under 2yo) a Spiral fx of the Tibial is the exception and is commonly called the Toddler’s Fracture

PANCE Review: All Organ Systems (3 decks)

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