Orthopaedics Flashcards

1
Q

lytic lesion in the diaphysis of the right humerus with an ‘onion skin’ appearance suggests…

A

Ewing’s sarcoma

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2
Q

triangular area of new subperiosteal bone in the metaphyseal region of the femur which shows a ‘sunburst’ pattern suggests…

A

Osteosarcoma

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3
Q

The first 20 degrees of shoulder flexion is done by which muscle?

A

Supraspinatus

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4
Q

Altered sensation lateral thigh aggravated by standing suggests…

A

Meralgia parasthetica

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5
Q

Fever and pain on hip extension suggests…

A

Psoas abscess

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6
Q

Pain in the third inter-metatarsophalangeal space suggests…

A

Morton’s neuroma

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7
Q

What is the most common location of stress fractures in the foot?

A

2nd metatarsal

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8
Q

Shortened, internally rotated leg suggests…

A

Posterior hip dislocation

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9
Q

radial styloid process pain and painful abduction of the thumb against resistance suggests…

A

De Quervain’s tenosynovitis

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10
Q

What is the most common cause of revision for THR?

A

Aseptic loosening of the joint

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11
Q

Pain on straight leg raise suggests…

A

Sciatica

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12
Q

Which scaphoid fractures require fixation?

A

Pole of scaphoid or displaced fractures

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13
Q

Leg pain better on walking up hills or cycling suggests…

A

Lumbar stenosis

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14
Q

What should be used to assess fracture risk?

A

FRAX score

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15
Q

What is the treatment for sub-trochanteric NOF#?

A

Intra-medullary nail

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16
Q

What is the treatment for inter-trochanteric NOF#?

A

DHS

17
Q

What are the treatment options for intracapsular NOF#?

A

THR or hemi-arthoplasty

18
Q

Which muscle is responsible for initiation of shoulder abduction?

A

Supraspinatus

19
Q

Which muscles are responsible for external rotation of the arm at the shoulder?

A

Infraspinatus & teres minor

20
Q

Which muscle is responsible for internal rotation of the shoulder?

A

Subscapularis

21
Q

Which muscles attach to the greater tuberosity of the humerus?

A

Supraspinatus, Infraspinatus and Teres Minor

22
Q

Which muscle attaches to the lesser tuberosity of the humerus?

A

Subscapularis

23
Q

How long may adhesive capsulitis last?

A

1-2 years

24
Q

What is meant by shoulder impingement?

A

impingement’ of the rotator cuff tendons in the acromioclavicular space - usually results in inflammation of the supraspinatus tendon

25
Q

What is calcific tendonitis?

A

Calcification of the supraspinatus tendon resulting in an acute & severe impingement syndrome

26
Q

What is the most important initial management of ankle fracture?

A

Reduction

27
Q

What is the most common cause of osteomyelitis in patients with sickle cell disease?

A

Salmonella

28
Q

What is the initial surgical approach for psoas abscess?

A

Percutaneous drainage