ortho Flashcards

1
Q

Medial knee pain

A

MCl/meniscus

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2
Q

anterior knee pain

A

patella

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3
Q

lateral knee pain

A

LCL/meniscus

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4
Q

posterior knee pain

A

hamstring tendons, baker’s cyst

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5
Q

Instability of knee on changing direction

A

ACL

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6
Q

Knee instability on valgus stress eg breast stroke

A

MCL

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7
Q

knee instability on varus stress

A

LCL

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8
Q

Knee instability on walking uphill/hyperextension

A

PCL

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9
Q

Can MCL/LCL cause swelling

A

no as they aren’t intra-articular

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10
Q

If PCL is ruptured it might also be along with what injury

A

popliteal tendon
LCL
(posterolateral corner)

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11
Q

IVDU with severe back pain and signs of infex

A

discitis

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12
Q

Management for intracapsular NOF in a highly functioning person

A

THR

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13
Q

Management for intracapsular NOF in a poorly functioning person

A

Hemiarthroplasty

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14
Q

Management for intertrochanteric extracapsular NOF

A

DHS

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15
Q

Management for subtrochanteric extracapsular NOF

A

medullary nail

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16
Q

Someone with a suspected meniscal tear with a locked knee post trauma should be advised what in order to improve chance of repair

A

don’t weight bear

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17
Q

dactylitis, pain along the finger on passive extension, pain along tendon

A

flexor tenosynovitis- emergency

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18
Q

When is Simmond’s test use

A

achilles rupture- calf squeeze

19
Q

Swollen, red hot foot in diabetic patient

A

charcot’s foot

20
Q

Osteomyelitis pathogen

A

staph aureus

21
Q

On shoulder abduction pain between 60 and 120 degrees

A

subacromial impingement

22
Q

Pain in the first 60 degrees of shoulder abduction

A

rotator cuff tear

23
Q

Lumbar disc prolapse- which vertebrae if posterolateral leg and lateral side of foot numb, with reduced ankle reflex

A

S1

24
Q

Lumbar disc prolapse- which vertebrae if dorsum of foot numb with intact reflexes

A

L5

25
Q

Lumbar disc prolapse- which vertebrae if anterior thigh numb and reduced knee reflex

A

L3

26
Q

Lumbar disc prolapse- which vertebrae if anterior knee numbness and reduced knee reflex

A

L4

27
Q

burning thigh pain

A

meralgia paraesthetica - lateral cutaneous nerve of thigh compression

28
Q

what could be a source of staph aureus discitis

A

endocarditis- do an echo

29
Q

Cystic lesion proximal to the nail bed in a patient with OA

A

Myxoid cyst

30
Q

Discitis pathogen

A

staph aureus

31
Q

Who should get FRAX score

A

Women >65, men >75

Younger pts with risk factors (includes being a smoker or drinking over 14u alcohol/week, endocrine conditions incl diabetes, COPD, liver failure, CKD, immobility)

32
Q

Causative pathogen of blood and bone infections in sickle cell

A

non-typhi salmonella

33
Q

Carpel tunnel test where you passively flex the patient’s wrist and hold it in flexion.

A

Phalen’s

34
Q

Carpel tunnel test where you tap the nerve

A

Tinels

35
Q

which bursa is affected in ‘housemaids knee’

A

prepatellar bursa

36
Q

Gradual onset unilateral or bilateral leg pain (with or without lower back pain), numbness, and weakness which is worse on walking

A

Spinal stenosis

37
Q

how to definitively diagnose spinal stenosis

A

MRI spine

38
Q

patients with arthritis or gout and following a minor trauma to the knee may develop

A

baker’s cyst

39
Q

Pain worse on extension of the back and tender on palpation of spine

A

Facet joint pain

40
Q

Back pain that is improved by leaning forward when walking, or crouching

A

spinal stenosis

41
Q

what medication has dupytrens as a SE

A

phenytoin

42
Q

soap bubble appearance bone tumour

A

osteoclastoma (giant cell tumour)

43
Q

sunburst appearance bone tumour

A

osteosarcoma

44
Q

onion appeareance bone tumour

A

Ewing’s sarcoma