Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NP course > Orthopedics > Flashcards

Orthopedics Flashcards

1
Q

Osteoarthritis

A

Pain exacerbated by movement, relieved by rest. AM stiffness less than 30 minutes, tenderness to palpation, crepitus, osteophytes, joint space narrowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rheumatoid arthritis

A

Autoimmune disease, symmetric peripheral polyarthritis, morning stiffness greater than 30 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What joints are usually affected with RA?

A

MCP and PIP joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long should sx be present with RA?

A

6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Risk factors for gout

A

High purine diet, diuretic use, ASA use, low fluid intake, alcohol overuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lateral deltoid shoulder pain dif dx

A

Impingement syndrome, SA bursitis, rotator cuff tendonitis or tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lateral shoulder pain

A

chronic or non-traumatic shoulder impingement syndrome, subacromial bursitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Test for ritator cuff pain

A

Painful arc sign, drop arm test, weakness in external rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Painful arc test

A

Pain with active abduction beyond 90 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Drop arm test

A

Start with patient abducted 90 degrees, slowly lower arm, pt will be unable to lower slowly or smoothly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Anterior shoulder pain

A

AC, GH OA, AC separation`

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Posterior shoulder pain

A

cervical strain, cervical rediculopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What structure is compressed with carpal tunnel?

A

Median nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Positive Finkelstein means?

A

DeQuervain’s tenosynovitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Snuffbox tenderness

A

Consider scaphoid fx, dull pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dupuytens contracture

A

Inherited but may be related to alcoholic cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Muscle injury called?

A

strain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Ligament injury called?

A

sprain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Anterior groin pain indicates?

A

OA of the hip

20
Q

When should you consult ortho with a sprain?

A

Grade III, eversion sprain, if not improved 3 weeks in

21
Q

Local point tenderness of heel indicates

A

Plantar fasciitis

22
Q

A/P stability - acute knee pain

A

Anterior drawer test, posterior drawer test, Lachman test

23
Q

Torn meniscus

A

McMurray’s test

24
Q

Systemic reaction - erosion or scale on the penis and crusting scaling papules on the soles and palms

A

Reiter’s syndrome (arthritis, uvitis, urithritis)

25
Q

Systemic reaction - Red, burning, and itchy eyes

A

Reiter’s syndrome, Behcet’s Syndrome

26
Q

Systemic reaction - Preceding sore throat

A

Acute rheumatic fever of gonacoccal arthritis

27
Q

anterior dislocation of shoulder shows?

A

Rounded lateral aspect of shoulder appears flattened.

28
Q

Crossover test

A

Adduct patient’s arm across the chest. - Suggests inflammation or arthritis on acromioclavicular joint

29
Q

Apley scratch test

A

Touch the opposite scapula. Suggests rotator cuff disorder

30
Q

Neer’s impingment test/Hawkins impingement test

A

suggests rotator cuff tear

31
Q

Tenderness distal to the epicondyle means most commonly?

A

lateral epicondylitis (tennis elbow)

32
Q

Tenderness distal to the epicondyle means less commonly?

A

medial epicondylitis (golfers/pitchers elbow)

33
Q

Heberden’s nodes

A

DIP joint deformity. Common with osteoarthritis

34
Q

Bouchard’s nodes

A

PIP joint deformity. Common with osteoarthritis

35
Q

Joints affected with rheumatoid arthritis

A

PIP, MCP, and wrist joints with ulnar deviation

36
Q

Thenar atropy indicates

A

carpal tunnel syndrome

37
Q

Hypothenar atropy indicates

A

ulnar nerve compression

38
Q

snuffbox tenderness indicates?

A

scaphoid fracture, injury of carpal bones. Poor circulation to area putting at risk for avascular necrosis.

39
Q

Systemic conditions that worsen carpal tunnel

A

pregnancy, RA, diabetes, hypothyroidism

40
Q

What is the most common sites for herniated discs?

A

L5-S1 or L4-L5

41
Q

Prepatellar bursitis stems from?

A

Kneeling too much

42
Q

Anserine bursitis stems from?

A

Running, valgus knee deformity, fibermyalgia, and osteoarthritis

43
Q

Absence of plantar flexion can indicate?

A

rupture of the Achilles tendon. Also may see sudden sever pain (gunshot wound), ecchymosis from calf to heel, and flat footed gate

44
Q

McMurray and locking make what most likely?

A

medial meniscus tear

45
Q

Ottowa ankle rule

A

inabillity to bear weight after 4 steps, tenderness over posterior aspect of the malleolus. Suspicious of ankle fx.

NP course (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions