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Family Med > Muskuloskeletal > Flashcards

Muskuloskeletal Flashcards

1
Q

management of pyogenic tenosynovitis

A

w/in 48 hrs: ATBs and splinting

later, more severe: ATBs and surgical drainage

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2
Q

adolescent girl w/ anterior knee pain

A

patellofemoral pain syndrome

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3
Q

sxs of patellofemoral pain syndrome

A

pain up and down stairs

difficulty abducting hip

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4
Q

pain up and down stairs

difficulty abducting hip

A

patellofemoral pain syndrome

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5
Q

1st step in evaluating stress fracture

A

x ray

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6
Q

scaphoid fone fracture types and management

A

middle or distal 1/3: thumb spicca cast 10-12 weeks for union
proximal 1/3: send to ortho

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7
Q

only meds that prevent hip fracture

A

alendronate
risendronate
zoledronic acid

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8
Q

pain in lateral hip associated w/

A

tronchanteric bursitis

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9
Q

hip pain w/ FADIR (flexion, adduction, internal rotation)

A

femoroacetabular impingement

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10
Q

hip pain w/ FABER (flexion, abduction, external rotation)

A

osteoarthritis

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11
Q

imaging for septic arthritis

A

ultrasound (to detect effusion)

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12
Q

female athlete triad

A

amenorrhea
osteoporosis
disordered eating

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13
Q

best imaging for osteomyelitis

A

MRI

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14
Q

Ottawa ankle rules (when to order x rays)

A

maleolar pain
bone tenderness distal 6 cm of posterior edge or tip of med or lat malleolus
can’t bear wt for 4 steps immediately after or in ED
midfoot pain
bone tender 5th metatarsal or navicular

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15
Q

lab to determine vit D deficiency

A

25-OH vit D

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16
Q

absence of passive plantar flexion when calf squeezes

A

Achilles tendon rupture

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17
Q

osteoporosis med that decr risk of BRCA

A

raloxifene (SERM)

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18
Q

4th finger w/ pitting of skin and nodule

A

Dupuytren’s contracture

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19
Q

burning pain in shoulder (dx and workup)

A

brachial neuritis –> do EMG

20
Q

frozen shoulder’s MCC risk factor

A

DM

21
Q

osteoporosis screening

A

females at least 65
males at least 70
50+ w/ risk factors

22
Q

disease that involves the medial part of the proximal tibia

A

Blount’s disease

23
Q

blood lvl of 25-OH vitamin D that signals deficiency

A
24
Q

limited internal rotation of flexed hip

A

SCFE

25
Q

most important thing to test in pt with rheumatoid arthritis pre op

A

cervical spine imaging (for atlantoaxial subluxation)

26
Q

overuse injuries cause

A

stress fractures

27
Q

what calcium supplement is favored if pt on PPIs

A

calcium citrate (better than calcium carbonate)

28
Q

shoulder pain and decr ROM

  • differential
  • management
A

adhesive capsulitis or degenerative rotator cuff tendinopathy
NSAIDs, subacromial cortisone injections, physical therapy

29
Q

management of lateral epicondylitis

A

conservative management (resolves on own in 12-18 mod)

30
Q

lateral epicondylitis from what muscle

A

extensor carpi radialis

31
Q

flexed arm, then internally rotated shoulder

  • test name
  • dx
A

Hawkins impingement test

impingement / rotator cuff disorder

32
Q

extension of knee causes patella to deviate laterally

  • dx
  • tx
A

patellofemoral stress syndrome

PT

33
Q

Dupuytren’s contracture associated w/

A

diabetes mellitus
alcohol
smoking

34
Q

when to do surgery for Dupuytren’s contracture

A

30 degrees or more

35
Q

tx of volar angulation of 5th metacarpal

A

ulnar gutter splint

36
Q

risk factors for nonunion of mid clavicle fracture

A 
female
fracture comminution or displacement
clavicle shortening
advanced age
greater extent of initial trauma
37
Q

tarsal tunnel syndrome entraps what nerve

A

posterior tibial

38
Q

tx of plantar fasciitis

A

stretching exercises for Achilles tendon

39
Q

differential for locking of knee

A

loose body

meniscal tear

40
Q

tx of acute rupture of major tendon

A

surgical repair within 6 weeks

41
Q

groin pain, limited hip flexion and internal rotation

A

stress fracture of femoral neck

42
Q

stinging pain of lateral femoral epicondyle

A

iliotibial band syndrome

43
Q

pain in ant pelvic area and tender symphysis pubis

A

osteitis pubis

44
Q

med that reduces both hip and vertebral fracture risk

A

zoledronic acid

45
Q

old pt with back pain that doesn’t radiate

  • dx
  • testing
  • tx
A

osteoporotic vertebral compression fracture
plain x ray
SQ or intranasal calcitonin for pain relief

46
Q

heel pain in older person that worsens as the day progresses

A

fat pad atrophy

Family Med (45 decks)

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