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Orthopedics > Orthopedics: Multiple Choice & Other Questions > Flashcards

Orthopedics: Multiple Choice & Other Questions Flashcards

1
Q

A patient who has osteoarthritis has begun taking NSAIDs almost daily. Which diagnoses are likely to be negatively impacted by meloxicam?

  1. Hypertension
  2. Heart failure
  3. GERD
  4. CKD
  5. Depression
  6. COPD
  7. Hypothyroidism
A
  1. Hypertension
  2. Heart failure
  3. GERD
  4. CKD
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2
Q

A 24 year-old furniture refinisher reports pain in the latero-posterior forearm, just distal to the elbow. The pain is worse with movement. He denies trauma. What is your preliminary diagnosis?

A

Lateral epicondylitis
(Tennis elbow)

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3
Q

What condition does a positive MTP (metatarsal phalangeal joint) Squeeze Test indicate?

A

Martin’s Neuroma

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4
Q

What condition is associate with a high purine diet?

A

Gout

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5
Q

Name the term for nodes of the DIP (distal interphalangeal) joints secondary to arthritis.

A

Heberden’s nodes

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6
Q

What condition does a positive Finkelstein Test indicate?

A

DeQuervain’s synovitis

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7
Q

What condition is marked by burning pain between the 3rd and 4th toes?

A

Martin’s neuroma

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8
Q

What condition is associated with a positive Tinel’s Test and positive Phalen’s Test?

A

Carpal Tunnel Syndrome

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9
Q

Fractures secondary to systemic disease are __________.

A

Pathologic

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10
Q

What condition is a common cause of posterior knee pain?

A

Baker’s cyst

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11
Q

How long do overuse injuries/stress fractures take to heal?

A

6 weeks

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12
Q

Dorsal thumb pain is a classic symptom of what condition?

A

DeQuervain’s synovitis

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13
Q

What is injury to a bone that does not result in a fracture?

A

Contussion

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14
Q

What is injury to a muscle?

A

Strain

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15
Q

What is injury to a ligament?

A

Sprain

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16
Q

Name the term for nodes on PIP (Proximal Interphalangeal) joints secondary to arthritis

A

Buchard’s nodes

17
Q

What condition is associated with joint stiffness lasting < 60 minutes (usually)?

A

Osteoarthritis

18
Q

For what condition is the acronym RICE a treatment and what does it stand for?

A

Sprain

R = Rest
I = Ice
C = Compression
E = Elevation

19
Q

What term describes compression of the spinal cord?

A

Cauda equina syndrome

20
Q

What condition is caused by deposition of irate crystals in joints?

A

Gout

21
Q

Mr. Smith is experiencing a 3rd episode of gout in the last 18 months. What should not be used to treat his flare? Why not?

  1. Naprosyn 500 mg BID x 5 days
  2. Indomethacin 50 mg TID x 5 days
  3. Prednisone 40 mg QD x 5 days
  4. Colchicine 1.2 mg x 1, 0.6 mg in 1 hour
  5. Allopurinal 100 mg QD x 5 days
A
  1. Allopurinal 100 mg QD x 5 days

Rationale:
It can produce more irate crystals in an acute flare

22
Q

Of the 3 drug classes, which is used as a last resort to treat an acute gout flare?

  1. Naprosyn 500 mg BID x 5 days
  2. Indomethacin 50 mg TID x 5 days
  3. Prednisone 40 mg QD x 5 days
  4. Colchicine 1.2 mg x 1, 0.6 mg in 1 hour
A
  1. Colchicine 1.2 mg x 1, 0.6 mg in 1 hour
23
Q

Describe the Hawkins-Kennedy Test

A
  • Elbow at 90 degrees
  • Push forearm/wrist down
  • Patient resists

+ sign = pain in shoulder,
indicates rotator cuff tendinopathy/
impingement of syndrome

24
Q

Describe the Supraspinatus/Empty Can Test

A
  • Shoulder abducted 90 degrees
  • Shoulder is internally rotated & angled forward 30 degrees with thumb pointing to floor
  • Patient resists

+ sign =
* pain indicates rotator cuff tendinopathy/
impingement syndrome
* weakness indicates rotator cuff tear

25
Q

Describe the test for Tennis Elbow

A
  • Elbow at 90 degrees
  • Hold elbow with your thumb on lateral elbow
  • Patient flexes elbow
  • Apply resistance

+ sign = pain under your thumb

26
Q

Describe the Straight Leg Raise Test

A
  • Patient on back with ankle dorsiflexed
  • Raise patient’s affected, extended leg 10 degrees - 60 degrees

+ sign = pain with elevation at 10 - 60 degrees, indicates sciatica (may confirm radiculopathy)

Orthopedics (1 decks)

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