Ortho Flashcards

1
Q

Bone pain, tenderness, proximal myopathy, waddling gait?

A

Osteomalacia

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2
Q

Initial treatment for visual loss due to temporal arteritis?

A

IV Methylprednisolone

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3
Q

Old man, back pain, raised ALP?

A

Paget’s disease

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4
Q

Complications of Paget’s?

A

Deafness, bone sarcoma, fractures, skull thickening, cardiac failure

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5
Q

What commonly presents with pain on external rotation, on both active and passive movement?

A

Adhesive capsulitis

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6
Q

How does an infraspinatus tear usually present?

A

Painless
Weakness on active movement
Rare

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7
Q

How does shoulder impingement present?

A

Painful abduction

Positive Hawkins sign

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8
Q

How does supraspinatus tear present?

A

Defect in abduction

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9
Q

What antibiotic is not appropriate to prescribe with methotrexate due to risk of bone marrow suppression?

A

Trimethoprim

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10
Q

What antibody is most sensitive for SLE?

A

ANA

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11
Q

Triad of symptoms of fat embolism?

A

Respiratory
Neurological
Petechial rash

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12
Q

Treatment for undisplaced intracapsular hip fracture?

A

Internal fixation

Hemiarthroplasty if unfit

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13
Q

Treatment for displaced intracapsular hip fracture?

A

THR

Hemiarthroplasty if unfit

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14
Q

Treatment for extracapsular hip fracture?

A

DHS

Intramedullary device is subtrochanteric

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15
Q

Colles’ Fracture

A
Dinner fork deformity
FOOSH
1. Transverse fracture of radius
2. 1 inch proximal to radio-carpal joint
3. Dorsal displacement and angulation
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16
Q

Smith’s Fracture

A

Reverse Colles’
Garden spade deformity
Volar angulation of distal radius fragment
Cause by falling back onto palm of outstretch hand, or wrists flexed

17
Q

Bennett’s Fracture

A

Intra-articular fracture of first carpometacarpal joint

X-Ray = triangular fragment at ulnar base of metacarpal

18
Q

Monteggia’s Fracture

A

Dislocation of proximal radioulnar joint in association with ULNAR fracture
FOOSH

19
Q

Galeazzi Fracture

A

RADIAL shaft farcture with dislocation of distal radioulnar joint
Direct blow

20
Q

Pott’s Fracture

A

Bimalleolar ankle fracture

Forced foot eversion

21
Q

Barton’s Fracture

A

Distal radius fracture with associated radiocarpal dislocation

22
Q

A’s of ank spond

A
Apical fibrosis
Anterior uveitis
Aortic regurgitation 
Achilles tendonitis 
AV node block 
Amyloidosis
23
Q

PMR presentation

A

> 60, rapid onset, aching and morning stiffness.
NO WEAKNESS
No change in CK

24
Q

How often is methotrexate taken?

A

Weekly, same day each week

25
Q

Methotrexate SE?

A
Mucositis
Myelosuppression 
Pneumonitis 
Pulmonary fibrosis
Liver fibrosis
26
Q

What is most useful investigation for drug induced lupus?

A

Anti-histone antibodies

27
Q

Common causes of drug induce lupus?

A

Procainamide

Hydralazine

28
Q

Acute gout management?

A

NSAIDs or Colchicine

If the pt is already on allopurinol, continue