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Medical Emergencies > Nontraumatic Muscoskeletal Emergencies > Flashcards

Nontraumatic Muscoskeletal Emergencies Flashcards

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USMLE® Step 1 flashcards
1
Q

A common complaint from patients who are immobile is:
Question 1 options:

A)

fasciitis

B)

decubitus ulcers

C)

gangrene

D)

cellulitis

A

decubitus ulcers

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2
Q

In which of the following patients should you suspect pathological fractures?
Question 2 options:

A)

A woman who tripped and fell down a stairwell

B)

A young boy who fell off his bicycle, landing after hitting the curb

C)

A little girl who broke her arm from pulling her shirt over her head

D)

An older man who was struck by a car while crossing the street

A

a little girl who broke her arm pulling her shirt over her head

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3
Q

You are called for a 48-year-old male who is complaining of back and leg pain. Your assessment shows that he has pain and tenderness in his lower back with tingling through his left buttock and down his left leg. He tells you that he has been moving furniture. You should suspect:
Question 3 options:

A)

osteoarthritis.

B)

decubitus.

C)

kyphosis.

D)

sciatica.

A

sciatica

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4
Q

All of the following would be appropriate care for a patient with nontraumatic back pain EXCEPT:
Question 4 options:

A)

administration of analgesia prior to moving the patient.

B)

administration of anti-inflammatory medications.

C)

spinal immobilization with careful padding of voids.

D)

application of an ice pack to the affected area.

A

spinal immobilization with careful padding of voids

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5
Q

Inflammation of the skin, including the dermis and subcutaneous layers, usually caused by bacterial infection would be identified as:
Question 5 options:

A)

an abscess.

B)

necrotizing fasciitis.

C)

cellulitis.

D)

rhabdomyolysis.

A

cellulitis

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6
Q

Your 56-year-old female patient is complaining of chronic fatigue, muscle stiffness, and tender areas on each elbow. Based on your assessment and the patient’s history, you should suspect:
Question 6 options:

A)

reflex sympathetic dystrophy.

B)

fibromyalgia.

C)

osteoporosis.

D)

osteoarthritis.

A

fibromyalgia

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7
Q

The current treatment for fibromyalgia is:
Question 7 options:

A)

exercise and stress management.

B)

sulfonamide antibiotics.

C)

anti-inflammatory drugs.

D)

allopurinol.

A

exercise and stress management

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8
Q

A patient with a soft tissue infection can develop gangrene. Which of the following complications of infection can lead to gangrene?
Question 8 options:

A)

Interrupted blood supply

B)

Necrotizing fasciitis

C)

Decubitus ulcers

D)

Metabolic acidosis

A

interrupted blood supply

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9
Q

Your patient is complaining about severe pain from a minor scratch on his arm. His medical history includes type II diabetes and hypertension. He is agonizing over the pain in his arm. You should suspect:
Question 9 options:

A)

gangrene.

B)

infectious cellulitis.

C)

necrotizing fasciitis.

D)

ankylosing spondylosis.

A

necrotizing fasciitis

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10
Q

A patient has an advanced infection in his foot. There is discoloration of the skin, foul smelling discharge and loss of sensation. These signs are typically seen in:
Question 10 options:

A)

cellulitis.

B)

gangrene.

C)

necrotizing fasciitis.

D)

ankylosing spondylosis.

A

gangrene

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11
Q

A degenerative joint disease in which the articular cartilage is damaged and breaks down is known as:
Question 11 options:

A)

bursitis.

B)

septic arthritis.

C)

osteoporosis.

D)

osteoarthritis.

A

osteoarthritis

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12
Q

Which of the following is a form of arthritis that occurs from uric acid crystals being deposited in a joint?
Question 12 options:

A)

Bursitis

B)

Gout

C)

Rickets

D)

Osteopenia

A

gout

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13
Q

Gangrene, so called because the infected area oozes foul-smelling liquid, occurs as a result of:
Question 13 options:

A)

pressure ischemia.

B)

an untreated infection.

C)

Stevens-Johnson syndrome.

D)

Group A hemolytic streptococci.

A

an untreated infection

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14
Q

The form of arthritis that causes the bones that form the joints to become fused is:
Question 14 options:

A)

osteoarthritis.

B)

septic arthritis.

C)

ankylosing spondylitis.

D)

osteopenia.

A

ankylosing spondylitis

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15
Q

Which of the following is NOT a repetitive motion injury?
Question 15 options:

A)

Tenosynovitis

B)

Tennis elbow

C)

Osteoarthritis

D)

Carpal tunnel syndrome

A

osteoarthritis

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16
Q

The most common form of bone disease is:
Question 16 options:

A)

rheumatoid arthritis.

B)

osteoarthritis.

C)

osteomyelitis.

D)

osteoporosis.

A

osteoporosis

17
Q

This is a chronic disease that leads to inflammation and injury to the joints and the surrounding tissues. It is also considered an autoimmune disease.
Question 17 options:

A)

Septic arthritis

B)

Degenerative joint disease

C)

Ankylosing spondylitis

D)

Rheumatoid arthritis

A

rheumatoid arthritis

18
Q

What is referred to as an infection of the bone, most commonly caused by a bacterial infection?
Question 18 options:

A)

Gout

B)

Neoplastic infection

C)

Osteomyelitis

D)

Septic arthritis

A

osteomyelitis

19
Q

Osgood-Schlatter disease is a painful swelling of the ________, seen primarily in children.
Question 19 options:

A)

medial humeral epicondyle

B)

anterior tibial tubercle

C)

femoral synovial bursae

D)

carpal tunnel sheath

A

anterior tibial tubercle

20
Q

All of the following are malignant bone tumors EXCEPT:
Question 20 options:

A)

fibrosarcoma.

B)

rhabdomyosarcoma.

C)

osteosarcoma.

D)

chondrosarcoma.

A

rhabdomyosarcoma

21
Q

The knee is classified as a ________ joint.
Question 21 options:

A)

gliding

B)

saddle

C)

ellipsoidal

D)

hinge

A

hinge

22
Q

Another name for tennis elbow is:
Question 22 options:

A)

medial epicondylitis.

B)

tenosynovitis.

C)

lateral epicondylitis.

D)

bursitis.

A

lateral epicondylitis

23
Q

The human skeleton consists of approximately how many bones?
Question 23 options:

A)

210

B)

202

C)

200

D)

206

A

206

24
Q

The strongest and most rigid cartilage in the body is:
Question 24 options:

A)

hyaline cartilage.

B)

elastic cartilage.

C)

All cartilage is equally rigid.

D)

fibrocartilage.

A

fibrocartilage

25
Q

There are approximately how many skeletal muscles in the human body?
Question 25 options:

A)

400

B)

700

C)

420

D)

606

A

700

26
Q

You are called for an ill person. Upon your arrival, the patient is complaining of numbness to the perineum and back pain, and has evidence of urinary incontinence. You suspect:
Question 26 options:

A)

systemic lupus erythematosus.

B)

urinary tract infection.

C)

lumbago.

D)

cauda equina syndrome.

A

cauda equina syndrome

27
Q

You are evaluating a patient complaining of severe pain in the elbow after a game of tennis. You suspect:
Question 27 options:

A)

bursitis.

B)

epicondylitis.

C)

tenosynovitis.

D)

tendonitis.

A

Epicondylitis

28
Q

You are questioning a patient about her pain when the patient jokingly says, “I used to be three inches taller.” You suspect what underlying disease?
Question 28 options:

A)

Osteoporosis

B)

DDD

C)

Cushing’s syndrome

D)

Lupus erythematosus

A

osteoporosis

29
Q

Your patient is complaining of a low-grade fever and increasing joint pain and swelling, but has normal lymph nodes. You suspect which of the following?
Question 29 options:

A)

Lupus erythematosus

B)

Rheumatoid arthritis

C)

Osteoporosis

D)

DDD

A

Rheumatoid arthritis

30
Q

You are evaluating a patient complaining of swollen and exudative legs. The patient has a history of diabetes mellitus. You suspect which of the following?
Question 31 options:

A)

Lupus erythematosus

B)

Rheumatoid arthritis

C)

Fasciitis

D)

Cellulitis

A

cellulitis

31
Q

A patient presents with a history of an infected pustule. The patient states that he has been self-treating with homeopathic remedies. He called today because he noticed that the tissue has become black and blue. You suspect:
Question 32 options:

A)

gangrene.

B)

tenosynovitis.

C)

osteomyelitis.

D)

contusion.

A

Gangrene

32
Q

You are evaluating a patient with swollen lymph nodes, fever, swelling, and painful joints. You suspect which of the following?
Question 30 options:

A)

Rheumatoid arthritis

B)

Osteoporosis

C)

Systemic lupus erythematosus

D)

DDD

A

systemic lupus erythematosus

Medical Emergencies (19 decks)

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