Musloskeletal Flashcards
1
Q
quid of volkman contracture
A
contracture of wrist and fingers
2
Q
most common rregion involved in disk herniation(2)
A
L4-L5
L5-S1
3
Q
consequence of large midline herniation
A
cauda equina syndrome
4
Q
Passive straight leg raise test in discopathy
A
positive but not specific
5
Q
quid of cauda equina syndrome(3)
A
bowel and bladder dysfunction
impotence
saddle area anesthesia
6
Q
rx of cauda equina
A
surgical emergency
7
Q
deficit moteur et sensitif in back pain
A
L4 L5 S1
8
Q
role moteur of l4
A
foot dorsiflexion(tibialis anterior)
9
Q
role sensitif of L4
A
Medail aspect of the lower leg
10
Q
reflex in L4
A
Patellar
11
Q
role moteur of l5(2)
A
big toe dorsiflexion(extensor hallucis longus) foot eversion(peroneus muscle)
12
Q
role sensitif of L5(2)
A
dorsum of the foot
lateral aspect of the lower leg
13
Q
reflex in L5
A
none
14
Q
role moteur of S1(2)
A
plantar flexion(gastrocnemius/soleus) hip extension(gluteus maximus)
15
Q
reflex in S1
A
achilles
16
Q
role sensitif of S1
A
plantar and lateral aspect of the foot
17
Q
tumeur with metastase in vertebra(3)
A
lung
breast
prostate
18
Q
quid of ankylosing spondilitis(2)
A
a chronic inflammatory disease of the spine and pelvis
sacroillitis
19
Q
association genetique with AS
A
HLA b27
20
Q
quid of shober test in AS
A
decrease spine flexion
21
Q
low back pain worsen wiyh inactivity and improves activity in young man 20
A
AS
22
Q
complication seen in AS(2)
A
ant uveitis
3 degree heart block
23
Q
seronegative spondyloarthropathies (3)
A
Reactive arthritis
psoriatic arthritis
AS
24
Q
other name of reactive arthritis
A
reiter syndrome
25
clue for reiter syndrome(4)
arthritis
uveitis
conjonctivitis
uretritis
26
bugs involved in reactive arthritis(5)
```
campylobacter
shigella
salmonella
chlamidia
ureaplasma
```
27
rx of AS
NSAIDS
| TNF inhibitor
28
TNF inhibitor in AS
refractory case
29
women 30-50 with more 11 a 18 tender points of pain dx
fibromyalgia
30
women 30-50 with less 11 a 18 tender points of pain
myofascial pain syndrome
31
action of colchicine in gout rx
inhibits chemotaxis
32
when colchicine is effective in the rx of gout flare
when used early
33
rx of acute gout(3)
NSAIDS
colchicine
steroids
34
Maintenance rx of gout bfor over producers of acid uric
allopurinol
35
Maintenance rx of gout bfor over secretors of acid uric
probenecid
36
causes of hyperuricemia(8)
```
high cell turn over
cyclosporine
diabetes insipidus
diet
diuretics
lead poisonning
lesh nyhan syndrome
salicylates
```
37
cause of high cell turn over(3)
hemloysis
blast
tumor lysis
38
diet in gout (2)
high red meat
| alcohol
39
rhomboid positive birefringence crystal
pseudo gout
40
quid of felty syndrome
RA
splenomegaly
neutropenia
41
first cause of baker cyst
RA
42
first rx of RA(3)
metotrexate
hydroxychloroquine
TNF inhibitors
43
second line of RA(2)
penicilamine
| cyclosporine
44
maker of CREST(2)
anticentromere antibodies
45
meaning of antitopoisomerase 1 (anti SCL-70)in scleroderma
poor prognosis
46
rx of scleroderma acute flare
steroids
47
rx for skin changes in scleroderma
penicillmaine
48
rx of raynaud phenomenon in scleroderma
ca channel blocker
49
rx renal disease and malgnant hta in scleroderma
ace INHIBITOR
50
criteria to dx lupus DOPAMINE RASH
```
Discoid rash
Oral ulcers
Photosensitivity
Arthritis
Malar rash
Immunologic criteria
Neulogic symptoms
Elevated ESR
Renal disease
ANA+
Serositis
Hematologic disorder
```
51
how many criteria do you need to dx lupus
4
52
neurologic symptoms in lupus(2)
lupus cerebritis
| seizures
53
drugs causing lupus syndrome(7)
```
chlorpromazine
hydralazine
INH
methyl dopa
penicillamine
procainamide
quinidine
```
54
rx of lupus acute exacerbation
steroids
55
rx for progressive and refractory case of lupus(4)
steroids
hydroxychloroquine
cyclophosphamide
azathioprine
56
complication of temporal arteritis(2)
blindness
| central retinal artery occlusion
57
risk factor for temporal arteritis(3)
polymyalgia rheumatica
age > 50
female gender
58
anterior dislocaton of shoulder
patient holds arm external rotation
59
risk in anterior dislocaton of shoulder
axillary artery and nerve risk
60
post dislocaton of shoulder
patient holds arm internal rotation
61
risk in post dislocaton of shoulder
radial artery lesion
62
association condition with post shoulder dislocation(2)
seizure
| electrocution
63
risk in post dislocation of the hip(2)
sciatic nerve injury
| Avascular necrosis
64
risk in ant dislocation of the hip
injure obturator nerve
65
colles fracture
involves distal radius
66
when you will see colles fracture(2)
osteoporosis(elderly)
| children
67
most common fracture of the carpal bone
scaphoid
68
boxer's fracture
fifth metacarpal neck fracture
69
when boxer's fracture occurs
trauma with closed fist
70
nighstick fracture
ulnar shaft fracture
71
cause of nighstick fracture
self defense with the arm against a blunt object
72
fracture of Monteggia(2)
diaphyseal fracture of the proximal ulna
plus
subluxation of the radial head
73
galeazzi fracture(2)
diaphyseal fracture of radius
| dislocation of radioulnar joint
74
risk in supracondylar fracture in infant(2)
lesion of brachial artery
| risk of compartment syndrome
75
most comon fracture in infant
clavicule
76
quid of greenstick fracture
incomplete fracture involving the one side the bone
77
torus fracture in infant(3)
buckling of the tghe cortex of a long bone
cause by trauma
distal radius or ulna
78
cause of osgood shlatter in infant
overuse apophisitis
79
actice young boy wiyh knee pain dx
osgood shlatter
80
quid of salter harris fractures
fractures of growth plate in children
81
SH type 1
Physis involvement
82
SH type 2
Metaphysis and physis
83
SH type 3
epiphysis and physis
84
SH type4
epiphysis
metaphysis
physis
85
SH type 5
crush injury of the physis
86
type 1 et 2 SH treatment
conservative
87
type3 a 5 SH treatment
surgical repair
88
rx of hip dysplasia < 6 months
pavlik harness
89
rx of hip dysplasia 6-15 months
spica cast
90
rx of hip dysplasia 15-24 months
open reduction
91
Dx differentiel of limp in young children and toddlers STARTSS HOTT
```
Septic joint
Tumor
Avascular necrosis
Rheumatoid arthritis?juvenile RA
TB
SCD
Slipped capital femoral epiphysis
Henoch schonlein purpura
Osteomyelitis
Trauma
Toxic synovitis
```
92
Age pour leg calve and gender
4-10 ans
| boy
93
age pour slipped capital femoral epiphysis(SCFE) and gender
11-13 ans
obese
male
94
disease associated with SCFE
hypothyroidism
