Ortho Flashcards

1
Q

radial valgus trauma to the thumb resultin gin injury to the lateral collateral ligament at the 1st MCP

A

gamekeeper thumb

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2
Q

object strieks end of finger leading to forced flexion and pain at dorsal DIP. can’t extend joint

A

mallet finger

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3
Q

painful locking/ snapping of PIP during flexion. can be due to trauma, DM, gout, RA

A

trigger finger

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4
Q

most useful study for stress fracture

A

bone scan

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5
Q

rare, benign neoplasm in epiphysis of long bones in young males

A

chondroblastoma

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6
Q

what does weakness with empty can test indicate?

A

supraspinatus tear

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7
Q

what does pain will frull flexion of shoulder (Neers) indicatae

A

impringement

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8
Q

most common fractures in elderly

A

hip, wrist, shoulder

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9
Q

dent in the humeral head w/ shoulder dislocation

A

hill-sach deformity

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10
Q

glenoid labrum is avulsed due to shoulder dislocation

A

bankart lesion

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11
Q

occurs with fall directly on to shoulder or FOOSH. will have elevated clavicle, and point tendnerness

A

AC joint separation

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12
Q

films to get with AC joint separation to rule out fracture

A

load bearing X-rays

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13
Q

shoulder pain with overhead activity or at night when laying on arm.

A

rotator cuff tendopathy

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14
Q

RTC tear with pain and weakness with elbow adduction and resist on external rotation of arm

A

infraspinatus

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15
Q

RTC tear with pain on external rotation

A

teres minor

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16
Q

RTC tear with painfull empty can test

A

supraspinatus

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17
Q

x-ray shows subacrominal spur. Has pain with reaching, lifting, overhead motions

A

impringement

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18
Q

pain with wrist flexion and pronation.

A

medial epicondylitits

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19
Q

lateral elbow and forearm pain with resisted finger extension and wrist extension

A

lateral epicondylitits (tennis elbow)

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20
Q

most common UE injury in infants and young children. radial head realeased form annular ligamennt

A

radial head subluxation

21
Q

what are anti-citrullinated peptide antibodies specific for?

A

rheumatoid arthritis

22
Q

what can a rupture of a baker’s cyst cause?

A

crescentic hematoma over medial malleolus

23
Q

what does elevated 24 hour urinary excretion of hydroxyproline reflect?

A

increased bone resoprtion taht occurs in paget’s disease of the bone

24
Q

what levels are elevated in sarcoidosis

A

elevated ACE, calcium and ESR

25
Q

antibodies found in Sjogrens

A

Anti ro and Anti La

26
Q

“glass in knee” sensation. Egg shaped swelling over patella. Tx with aspirate and steroid injection (abx if cellulitits before aspirating)

A

prepatellar bursitits

27
Q

most common complication associated with fractures of the proximal humerus

A

brachial plexus injury

28
Q

type of shock associated with a long bone fracture

A

hypovolemic

29
Q

where is point tenderness with plantar fascitits

A

point tenderness at the medial calcaneal tubercle

30
Q

Tx for SCFE

A

surgical pinning. Eipihysis is fracture and must be held in place

31
Q

Tx for NSAID-resistant axial disease in ankylosing spondylitits

A

etancercept and other TNF inhibitors

32
Q

most common cause of septic arthritis in children

A

H . flu

33
Q

presents with altered mental status, petechial rash and SOB following a long bone fracture

A

fat embolism

34
Q

Flex the knee to 30 degrees and place anterior force on the tibia to look for laxity that suggests ACL injury

A

Lachmans

35
Q

Flex and rotate neck in direction of the questionable nerve root compression. + if pain is reproduced

A

Spurling test

36
Q

x-ray manifestation of cervical strain

A

straightening or reversal of normal lordosis

37
Q

most common location of cervical herniate nucleus pulposus

A

C5-C6 or C6-7

38
Q

Fracture though the pedicles of C2 with anterior slip of C2 on C3.

A

hangmans fracture of C2

39
Q

Burst fracture by C1, best seen with open mouth view.

A

Jefferson fracture (C1)

40
Q

what are the 5 unstable neck fractures?

A

jefferson
hangman’s
flexion/ extension tear drops
bilateral locked facets

41
Q

nerve root evaluated by ankle reflex and sensation at the posterior calf and lateral foot

A

S1

42
Q

What can S1 radiculopathy cause

A

weakness of planter flexion

43
Q

most common location of lumbar herniated nucleus pulpousus

A

L4-L5

44
Q

what can causes progression kyphosis of the spine

A

Tb of the spine ((pott’s dz)

45
Q

presents with pain with walking that is better while lying or sitting. Symptoms while biking or standing. Due to narrowing of the lumbar space

A

Spinal stenosis

46
Q

knee pain with activities, sensation of “glass in knee”

A

pre-patella bursitits

47
Q

most common tarsal fracture

A

calcaneous fracture

48
Q

most common sprain of the ankle

A

lateral from inversion fo the foot

49
Q

when should a fasiotomy be performe din compartment syndrome

A

> 35-40 (normal pressure is 0-8)