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First Aid > Musloskeletal > Flashcards

Musloskeletal Flashcards

1
Q

quid of volkman contracture

A

contracture of wrist and fingers

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2
Q

most common rregion involved in disk herniation(2)

A

L4-L5

L5-S1

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3
Q

consequence of large midline herniation

A

cauda equina syndrome

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4
Q

Passive straight leg raise test in discopathy

A

positive but not specific

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5
Q

quid of cauda equina syndrome(3)

A

bowel and bladder dysfunction
impotence
saddle area anesthesia

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6
Q

rx of cauda equina

A

surgical emergency

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7
Q

deficit moteur et sensitif in back pain

A

L4 L5 S1

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8
Q

role moteur of l4

A

foot dorsiflexion(tibialis anterior)

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9
Q

role sensitif of L4

A

Medail aspect of the lower leg

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10
Q

reflex in L4

A

Patellar

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11
Q

role moteur of l5(2)

A 
big toe dorsiflexion(extensor hallucis longus)
foot eversion(peroneus muscle)
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12
Q

role sensitif of L5(2)

A

dorsum of the foot

lateral aspect of the lower leg

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13
Q

reflex in L5

A

none

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14
Q

role moteur of S1(2)

A 
plantar flexion(gastrocnemius/soleus)
hip extension(gluteus maximus)
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15
Q

reflex in S1

A

achilles

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16
Q

role sensitif of S1

A

plantar and lateral aspect of the foot

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17
Q

tumeur with metastase in vertebra(3)

A

lung
breast
prostate

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18
Q

quid of ankylosing spondilitis(2)

A

a chronic inflammatory disease of the spine and pelvis

sacroillitis

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19
Q

association genetique with AS

A

HLA b27

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20
Q

quid of shober test in AS

A

decrease spine flexion

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21
Q

low back pain worsen wiyh inactivity and improves activity in young man 20

A

AS

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22
Q

complication seen in AS(2)

A

ant uveitis

3 degree heart block

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23
Q

seronegative spondyloarthropathies (3)

A

Reactive arthritis
psoriatic arthritis
AS

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24
Q

other name of reactive arthritis

A

reiter syndrome

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25
Q

clue for reiter syndrome(4)

A

arthritis
uveitis
conjonctivitis
uretritis

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26
Q

bugs involved in reactive arthritis(5)

A 
campylobacter
shigella
salmonella
chlamidia
ureaplasma
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27
Q

rx of AS

A

NSAIDS

TNF inhibitor

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28
Q

TNF inhibitor in AS

A

refractory case

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29
Q

women 30-50 with more 11 a 18 tender points of pain dx

A

fibromyalgia

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30
Q

women 30-50 with less 11 a 18 tender points of pain

A

myofascial pain syndrome

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31
Q

action of colchicine in gout rx

A

inhibits chemotaxis

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32
Q

when colchicine is effective in the rx of gout flare

A

when used early

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33
Q

rx of acute gout(3)

A

NSAIDS
colchicine
steroids

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34
Q

Maintenance rx of gout bfor over producers of acid uric

A

allopurinol

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35
Q

Maintenance rx of gout bfor over secretors of acid uric

A

probenecid

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36
Q

causes of hyperuricemia(8)

A 
high cell turn over
cyclosporine
diabetes insipidus
diet
diuretics
lead poisonning
lesh nyhan syndrome
salicylates
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37
Q

cause of high cell turn over(3)

A

hemloysis
blast
tumor lysis

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38
Q

diet in gout (2)

A

high red meat

alcohol

39
Q

rhomboid positive birefringence crystal

A

pseudo gout

40
Q

quid of felty syndrome

A

RA
splenomegaly
neutropenia

41
Q

first cause of baker cyst

A

RA

42
Q

first rx of RA(3)

A

metotrexate
hydroxychloroquine
TNF inhibitors

43
Q

second line of RA(2)

A

penicilamine

cyclosporine

44
Q

maker of CREST(2)

A

anticentromere antibodies

45
Q

meaning of antitopoisomerase 1 (anti SCL-70)in scleroderma

A

poor prognosis

46
Q

rx of scleroderma acute flare

A

steroids

47
Q

rx for skin changes in scleroderma

A

penicillmaine

48
Q

rx of raynaud phenomenon in scleroderma

A

ca channel blocker

49
Q

rx renal disease and malgnant hta in scleroderma

A

ace INHIBITOR

50
Q

criteria to dx lupus DOPAMINE RASH

A 
Discoid rash
Oral ulcers
Photosensitivity
Arthritis
Malar rash
Immunologic criteria
Neulogic symptoms
Elevated ESR
Renal disease
ANA+
Serositis
Hematologic disorder
51
Q

how many criteria do you need to dx lupus

A

4

52
Q

neurologic symptoms in lupus(2)

A

lupus cerebritis

seizures

53
Q

drugs causing lupus syndrome(7)

A 
chlorpromazine
hydralazine
INH
methyl dopa
penicillamine
procainamide
quinidine
54
Q

rx of lupus acute exacerbation

A

steroids

55
Q

rx for progressive and refractory case of lupus(4)

A

steroids
hydroxychloroquine
cyclophosphamide
azathioprine

56
Q

complication of temporal arteritis(2)

A

blindness

central retinal artery occlusion

57
Q

risk factor for temporal arteritis(3)

A

polymyalgia rheumatica
age > 50
female gender

58
Q

anterior dislocaton of shoulder

A

patient holds arm external rotation

59
Q

risk in anterior dislocaton of shoulder

A

axillary artery and nerve risk

60
Q

post dislocaton of shoulder

A

patient holds arm internal rotation

61
Q

risk in post dislocaton of shoulder

A

radial artery lesion

62
Q

association condition with post shoulder dislocation(2)

A

seizure

electrocution

63
Q

risk in post dislocation of the hip(2)

A

sciatic nerve injury

Avascular necrosis

64
Q

risk in ant dislocation of the hip

A

injure obturator nerve

65
Q

colles fracture

A

involves distal radius

66
Q

when you will see colles fracture(2)

A

osteoporosis(elderly)

children

67
Q

most common fracture of the carpal bone

A

scaphoid

68
Q

boxer’s fracture

A

fifth metacarpal neck fracture

69
Q

when boxer’s fracture occurs

A

trauma with closed fist

70
Q

nighstick fracture

A

ulnar shaft fracture

71
Q

cause of nighstick fracture

A

self defense with the arm against a blunt object

72
Q

fracture of Monteggia(2)

A

diaphyseal fracture of the proximal ulna
plus
subluxation of the radial head

73
Q

galeazzi fracture(2)

A

diaphyseal fracture of radius

dislocation of radioulnar joint

74
Q

risk in supracondylar fracture in infant(2)

A

lesion of brachial artery

risk of compartment syndrome

75
Q

most comon fracture in infant

A

clavicule

76
Q

quid of greenstick fracture

A

incomplete fracture involving the one side the bone

77
Q

torus fracture in infant(3)

A

buckling of the tghe cortex of a long bone
cause by trauma
distal radius or ulna

78
Q

cause of osgood shlatter in infant

A

overuse apophisitis

79
Q

actice young boy wiyh knee pain dx

A

osgood shlatter

80
Q

quid of salter harris fractures

A

fractures of growth plate in children

81
Q

SH type 1

A

Physis involvement

82
Q

SH type 2

A

Metaphysis and physis

83
Q

SH type 3

A

epiphysis and physis

84
Q

SH type4

A

epiphysis
metaphysis
physis

85
Q

SH type 5

A

crush injury of the physis

86
Q

type 1 et 2 SH treatment

A

conservative

87
Q

type3 a 5 SH treatment

A

surgical repair

88
Q

rx of hip dysplasia < 6 months

A

pavlik harness

89
Q

rx of hip dysplasia 6-15 months

A

spica cast

90
Q

rx of hip dysplasia 15-24 months

A

open reduction

91
Q

Dx differentiel of limp in young children and toddlers STARTSS HOTT

A 
Septic joint
Tumor
Avascular necrosis
Rheumatoid arthritis?juvenile RA
TB
SCD
Slipped capital femoral epiphysis
Henoch schonlein purpura
Osteomyelitis
Trauma
Toxic synovitis
92
Q

Age pour leg calve and gender

A

4-10 ans

boy

93
Q

age pour slipped capital femoral epiphysis(SCFE) and gender

A

11-13 ans
obese
male

94
Q

disease associated with SCFE

A

hypothyroidism

First Aid (19 decks)

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