Orthopaedics Flashcards

1
Q

is the tibia medial or lateral?

A

medial (larger of the lower leg bones)

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2
Q

what is the role of the supraspinatus

A

abduction of the shoulder

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3
Q

what is the role of the inrasrinatus

A

external rotation of the shoulder

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4
Q

what is the role of teres minor

A

external rotation of the shoulder

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5
Q

what is the role of subscapularis

A

internal rotation and adduction of the shoulder

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6
Q

where does the radial nerve provide sensation to

A

back of the hand from thumb to first half of ring finger

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7
Q

how to test function of radial nerve

A

make a fist and cock wrists back

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8
Q

what does the median nerve provide sensation to

A

sensation to palmar aspect from thumb to 1st half ring finger

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9
Q

how to test function of median nerve

A

opposition

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10
Q

what does the ulnar nerve provide sensation to

A

little finger and half ring finger

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11
Q

how to test function of ulnar nerve

A

cross fingers, finger spread

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12
Q

investigations in non pathological fracture

A

X rays - AP and lateral

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13
Q

what do you see on bone profile in paget’s disease

A

high alkaline phosphatase , normal calcium . phosphate and PTH

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14
Q

investigations and management in Paget’s disease of bone

A

bone profile (raised ALP)
isotope bone scan
zalondronate if symtomatic

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15
Q

what are the causes of osteomalacia

A

unmineralised bone:
low vitamin D due to not going out, CKD, medications eg anticonvulsants
malabsorption of calcium

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16
Q

investigations in osteomalacia and management

A

low calcium, high parathyroid hormone, high alk phos

calcium and vitamin D

17
Q

definition of osteoperosis

A

T score below -2.5

18
Q

causes of osteoperosis

A

age, female, smoking, alcohol, steroids, RA, malabsorption, multiple myeloma, thyroid disease

19
Q

investigations and management of osteoporosis

A
FRAX score and DEXA scan
normal bone profile
HRT
bisphosphonates
denosumab - rank ligand inhibitor
teriparatide (PTH)
20
Q

what is genu varus and valgus

A
varus = bowleggedness
valgus = knock knees
21
Q

hot swollen inflamed joint- what investigations

A

MRI - osteomyelitis

joint aspirate and culture - septic arthritis