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

A

secondary

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
Q

pain in trunk, older age, elevated calcium, anemia

A

think multiple myeloma

26
Q

screening for women for osteoporosis starts at what age

A

65

27
Q

high purine food sources
2

A

meat - liver, heart, kidneys
fish - anchovies, crab, fish roes

28
Q

what two food types are associated with lower risks of developing gout

A

dairy products
coffee

29
Q

clinical clues to suspect RA
7

A

symmetrical peripheral polyarthritis
morning stiffness lasting >60 mins
rheumatoid nodules
bone erosions on x ray
+ sed rate
+ rheumatoid antigen
+ ANA

30
Q

mild tenderness and edema, able to bear weight

A

grade I sprain

31
Q

avulsion fracture

A

bone fragment separates from the rest of the bone