Ortho 1 Flashcards

1
Q

causes of spinal stenosis

A

degenerative arthritis (spondylosis)
degenerative disk disease
thickening ligamentum flavum

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2
Q

management of middle vs distal 1/3 clavicle fracture

A

middle: non op

distal third: ORIF

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3
Q

episodic pain and tenderness in inferior patella

and what type of patient

A

patellar tendonitis

athletes

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4
Q

pain elicited when extending knee and compressing patella

and what type of patient

A

patellofemoral syndrome

young female athletes

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5
Q

tenderness and swelling at tibial tubercle

and what type of patient

A

osgood schlatter disease

adolescent athlete with recent growth spurt

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6
Q

localized pain anteromedial tibia, no pain on valgus

A

pes anserinus pain syndrome

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7
Q

acute back pain, point tenderness of vertebrae after strenuous activity

A

vertebral compression fracture (usually from loss of bone mineral density aka osteoporosis)

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8
Q

paraspinal tenderness, increased pain with movement

A

ligamentous back sprain

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9
Q

rotation of knee causes

A

meniscal tear

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10
Q

indication for intraarticular glucocorticoid injection

A

degernative meniscal injury due to underlying osteoarthritis

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11
Q

tx of Paget disease of bone

A

bisphosphonates

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12
Q

features of anterior shoulder dislocation

A

prominent acromion
abnormal subacromial space
abduction and external rotation injury
axillary nerve damage causing paralysis of deltoid and teres minor, an loss of sensation over lateral arm

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13
Q

acute low back pain and cord compression signs/sxs… next step

A

MRI

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14
Q

acute low back pain and alarm signs, next step

  • age greater than 50
  • nighttime pain
  • constitutional sxs
  • trauma
  • IVDU
  • h/o malignancy
  • infxn risk
  • at least 1 month no improvement
A

back x rays and ESR

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15
Q

back pain that gets better with exercise

A

ankylosing spondylitis

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16
Q

prepatellar bursitis

  • dx
  • tx
A

cell count and gram stain

drainage and systemic ATBs

17
Q

sxs of patellar tendinitis

A

pain and tenderness inferior patella and patellar tendon

18
Q

suspect septic arthritis. management?

A

blood culture, arthrocentesis for synovial fluid

tx w/ atbs

19
Q

arm adducted and internally rotated, can’t externally rotate

A

posterior dislocation of shoulder

20
Q

arm adducted and externally rotated

A

anterior dislocation of shoulder

21
Q

management of scaphoid bone fracture

A

wrist immobilization for 6-10 weeks

BUT if displaced 2 mm or angulated, do ORIF

22
Q

tx of paget disease

A

bisphosphonates (alendronate, risendronate)