Ortho 1 Flashcards

1
Q

stress fxs are an example of

A

an overuse injury

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2
Q

do stress fractures show up on x ray

A

not usually

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3
Q

most common contributor to plantar fasciitis is

A

pes planus “flat feet”

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4
Q

plantar fasciitis is best examined how

A

with the great toe dorsiflexed

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5
Q

what is usually always present with plantar fasciitis

A

anterior heel pain

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6
Q

what is first line med for OA

A

NSAIDs

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7
Q

some risk factors for OA
6

A

female gender
low body weight
smoking
asain or white
low calcium and vit D intake
early menopause

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8
Q

classic complaint of meniscal tear

A

knee locks/locking

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9
Q

a disruption of the pads between the femora condyles and tibial plateaus

A

meniscal tear

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10
Q

what is usually used to make dx of meniscal tear

A

clinical exam and MRI

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11
Q

what test for meniscal tear

A

mcmurray test - positive if there is a painful click during extension of pain along joint line during maneuver

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12
Q

+ mcmurray test

A

meniscal tear

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13
Q

what is typical assessment finding with Osgood-Schlatter disease

A

pain worsens with quadriceps contraction

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14
Q

pain worsens with quadriceps contraction

A

osgood-schlatter disease

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15
Q

osgood-schlatter disease - unilater or bilateral

A

can be both

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16
Q

osgood-schlatter disease - what is obvious on assessment

A

swelling of tibial tubercle and pain with palpation

17
Q

pain worsens with squatting or crouching

A

osgood-schlatter disease

18
Q

hip pain with trochanteric tenderness is most commonly what

A

trochanteric bursitis

19
Q

first line med for OA pain

A

NSAID - ibuprofen

20
Q

prevention that is evidenced by early detection of disease in a patient

21
Q

example of an action intended to prevent a disease or condition before it starts

A

primary prevention

22
Q

wine and gout

A

of all alcohols, wine contributes the least to development of gout

23
Q

multiple myeloma

A

neoplastic proliferation in the bone marrow that results in skeletal destruction; more common in older adults

24
Q

multiple myeloma common findings
5

A

pain in long bones
pain in trunk and back
anemia (usually normocytic, normochromic)
hypercalcemia
renal insufficiency

25
pain in trunk, older age, elevated calcium, anemia
think multiple myeloma
26
screening for women for osteoporosis starts at what age
65
27
high purine food sources 2
meat - liver, heart, kidneys fish - anchovies, crab, fish roes
28
what two food types are associated with lower risks of developing gout
dairy products coffee
29
clinical clues to suspect RA 7
symmetrical peripheral polyarthritis morning stiffness lasting >60 mins rheumatoid nodules bone erosions on x ray + sed rate + rheumatoid antigen + ANA
30
mild tenderness and edema, able to bear weight
grade I sprain
31
avulsion fracture
bone fragment separates from the rest of the bone